BCL-6 and rituximab in diffuse large B-cell lymphoma: where are we?

Abstract
Our interpretation of these results differs from the accompanying Inside Blood commentary that concludes that the benefit of rituximab in BCL-6 cases was based on “only” 8 patients and that the 82% FFS of R-CHOP at 2 years in BCL-6+ DLBCL will be difficult to improve upon. These conclusions are based only on responding patients. When one considers all patients and excludes the effect of maintenance, which confounds FFS, the effect of rituximab in BCL-6 cases is based on 21 patients. Furthermore, the FFS of R-CHOP in BCL-6+ cases is approximately 40% at 3 years, a more mature time point given the 3.4-year median follow-up.

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