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. 2012 Sep 12;2012(9):CD009045. doi: 10.1002/14651858.CD009045.pub2

Rummel 2009.

Methods Allocation generation: not reported 
 Allocation concealment: not reported 
 Blinding: no 
 ITT: no 
 Number of dropouts: 36/549 
 Median follow‐up: 28 months
Participants 549 randomised, 513 evaluable, adult patients 
 Type of lymphoma: follicular lymphoma, mantle cell lymphoma, other indolent lymphoma 
 Stage: 96% of patients stage III/IV
Previous treatment: no
Mean age: 64 years (range 31 to 83 years)
Interventions Investigational intervention:
Bendamustine 90 mg/m2 on days 1 to 2, and rituximab 375 mg/m2 on day 1; every 4 weeks, up to 6 cycles
Comparator intervention:
Standard CHOP and rituximab 375 mg/m2 on day 1; every 3 weeks, up to 6 cycles
Outcomes Progression‐free survival
Overall survival
Event‐free survival. An event was defined by a response less than a partial response, disease progression, relapse or death from any cause
Time to next treatment
Adverse events
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk "Of the 549 randomized patients 36 patients were not evaluable: 10 did not receive any study medication, 9 due to withdrawal of consent, 13 due to incorrect diagnosis, and 4 for other reasons." Allocation of non‐evaluable patients is not reported.
Selective reporting (reporting bias) Low risk Analyses were done as stated in protocol
Other bias Unclear risk Research funding by Roche Pharma AG
Published as an abstract
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants and personnel were not blinded to allocated treatment
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported