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Re: Rituxin Maintenance

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This varies with every patient...

It depends on how much CD20 protein you have on the b-cell membrane to begin

with. This is the target rituxan needs to work. It varies from dim to bright and

some rare cases very bright. Most CLL patients are dim, meaning we don't have a

lot to begin with, where as NHL patients are mostly CD20 bright.

It is depleted with each treatment cycle of rituxan use and it returns to some

point as the white blood cell counts increase again.

In time rituxan stops working and the patient is rituxan refractory.

There are some indications that Ofatumumab may work longer than rituxan and

perhaps GA101 will work because of higher ADCC and an improved direct killing

mechanism.

Mark Cragg and Glennie in Southampton, UK are currently studying this...

Here is a recent paper:

http://www.haematologica.org/cgi/content/full/95/1/135

Dr. Hamblin on rituxan:

http://mutated-unmuated.blogspot.com/2010/08/how-does-rituximab-work.html

HTH

~chris

CLL CANADA

>

> How many cycles of Rituxin can a patient receive till it is no longer

" effective " in treating their CLL?

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