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December 8, 2025BloodOpen Access

Rituximab plus lenalidomide (R²) versus standard therapies in follicular lymphoma: A systematic review and meta-analysis of randomized controlled trials

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Authors

AKAbat KhanMSMaheen ShaharyarHAHooria Aiman

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Overview

Systematic review shows rituximab plus lenalidomide improves progression-free survival in follicular lymphoma, highlighting distinct safety profile.

Key Points

  • To evaluate the efficacy and safety of rituximab plus lenalidomide compared to standard therapies in follicular lymphoma.
  • Conducted a systematic review and meta-analysis of randomized controlled trials using databases like PubMed and Cochrane Central.
  • Assessed outcomes including complete response, progression-free survival, and adverse events.
  • Analyzed data using random-effects models and evaluated heterogeneity and publication bias.
  • Four trials with 1,315 participants were included in the analysis.
  • Rituximab plus lenalidomide showed a non-significant improvement in 2-year progression-free survival with an RR of 2.05 after excluding an outlier.
  • Overall survival and overall response rates were comparable between R² and standard therapies, while adverse events were distinct for R².

Cite This Study

Khan et al. (2025) studied this question.

synapsesocial.com/papers/69362f3a4fa91c937236d469https://doi.org/10.1182/blood-2025-1828
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Efficacy of rituximab plus lenalidomide regimens in follicular lymphoma: a meta-analysis of randomized controlled trials2026
  2. 2Lenalidomide and rituximab for relapsed/refractory follicular lymphoma: a systematic review and meta-analysis2026
  3. 3Lenalidomide-rituximab or lenalidomide-rituximab-bendamustine for relapsed/refractory follicular lymphoma: primary and final analysis of the randomized phase II HOVON110/ReBeL study2026
  4. 4Rituximab and lenalidomide for the treatment of relapsed or refractory indolent non-Hodgkin lymphoma: real-life experience2024 · 2 citations
  5. 5Lenalidomide plus rituximab for previously untreated advanced follicular lymphoma: the 10-year RELEVANCE trial analysis2026 · 1 citations