Table 4. Treatment strategies for newly-diagnosed mantle cell lymphoma.
| Stratification | Treatment
section |
Category recommendations | Category II recommendations |
| ASCT, autologous stem cell transplantation; BR, bendamostine and rituximab; R-CHOP, rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone; R-DHAP, rituximab, dexamethasone, cisplatin and cytarabine; R-hyper-CVAD, R-hyper-CVAD/MA, rituximab, cyclophosphamide, vincristine, doxorubicin, dexamethasone, methotrexate and cytarabine; VR-CVP, bortezomib, rituximab, cyclophosphamide, doxorubicin and prednisone. | |||
| Fit for ASCT | Induction | Clinical trial
Rituximab plus high-dose Ara-C-based regimen (R-CHOP/R-DHAP, R-mega CHOP/R-high-dose-Ara-C, R-HyperCVAD, etc.) (Level 1B evidence) |
BR/R-high-dose-Ara-C
(Level 2A evidence) |
| Consolidation | ASCT
(Level 1B evidence) |
||
| Maintenance | Rituximab
(Level 1A evidence) |
Observation
(Level 2A evidence) |
|
| Unfit for ASCT | Induction | Clinical trial
Rituximab plus chemotherapy (R-CHOP, BR, VR-CAP, etc.) (Level 2A evidence) |
R2
(Level 2A evidence) |
| Maintenance | Rituximab
(Level 1A evidence) |
||