Onco Wiki / Regimen

Rituximab maintenance post-induction MCL (LyMa schedule)

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.

Source YAML: complete record

ComponentsDRUG-RITUXIMAB
IDREG-RITUXIMAB-MAINTENANCE-MCL
TypeRegimen
Statusreviewed 2026-04-27 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-ESMO-MCL-2024 SRC-NCCN-BCELL-2025

Notes

LyMa trial (Le Gouill 2017, NEJM): post-autoSCT R-maintenance × 3 years extended PFS (4-yr 83% vs 64%) AND OS (4-yr 89% vs 80%). EU MCL Elderly trial supports R-maintenance q2-3 mo for ≥2 years post-CIT in older patients. Cumulative hypogammaglobulinemia + infection risk requires monitoring.

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Indication