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Re: BR Regimen

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Ron - It may depend on the doctor and/or the dose.

Pat

Ron wrote:

> My oncologist is proposing a 21-day cycle for bendamustine /

> rituxan therapy. This will be my first treatment. I thought

> BR was a 28-day cycle. Does anyone know which is correct?

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Bendamustine is administered as a 28 day cycle. While

physicians could alter schedules and doses, it is important

to remember that there are no data suggesting " dose

intensity " is important in CLL. This means that since CLL

grows slowly, there are no data that shortening the interval

between treatments will improve the efficacy of treatment.

The other issue is that it will definitely increase the

toxicities of treatment.

Based upon counts, age, etc, I frequently administer

fludarabine on a 5 week schedule instead of a 4 week in

order to allow more time for recovery.

Rick Furman

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