National Comprehensive Cancer Network



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NCCN Updates Non-Hodgkin’s Lymphoma Guidelines

FORT WASHINGTON, Pa., April 22, 2008 — The National Comprehensive Cancer Network (NCCN) announces several new updates to the NCCN Clinical Practice Guidelines in Oncology™ Non-Hodgkin’s Lymphoma (NHL). These changes highlight leading developments in the treatment of NHL and represent the recognized standard for clinical care in oncology in both the community and the academic practice settings.

The NHL Guidelines now include bendamustine (Treanda®, Cephalon) as a treatment option for chronic lymphocytic leukemia (CLL). Specifically, bendamustine is included as a single agent for first-line therapy. For second-line therapy, it can be used as a single agent or in combination with rituximab (Rituxan®, Genentech).

Bendamustine was recently approved by the FDA for the treatment of patients with CLL based on the results of a pivotal phase III study, which showed that bendamustine was more effective than chlorambucil in patients with untreated CLL. Results of this international phase III study were presented at the 2007 American Society of Hematology Annual Meeting. At a median follow-up of 18.5 months, bendamustine produced a significantly higher overall response rate (68% vs. 39% for chlorambucil with a complete response of 30% vs. 2% for chlorambucil), median progression-free survival (21.7 months vs. 9.3 months with chlorambucil) and median duration of remission (18.9 months vs. 6.1 months with chlorambucil).

Bendamustine with or without rituximab is also included as an option for second-line therapy for patients with follicular lymphoma (FL) and mantle cell lymphoma (MCL) with a category 2B designation. This recommendation is based on the available data suggesting well-documented activity for bendamustine in patients with FL and MCL.

About the National Comprehensive Cancer Network

The National Comprehensive Cancer Network® (NCCN®), a not-for-profit alliance of 27 leading cancer centers, is dedicated to improving the quality and effectiveness of care provided to patients with cancer. Through the leadership and expertise of clinical professionals at NCCN Member Institutions, NCCN develops resources that present valuable information to the numerous stakeholders in the health care delivery system. As the arbiter of high-quality cancer care, NCCN promotes the importance of continuous quality improvement and recognizes the significance of creating clinical practice guidelines appropriate for use by patients, clinicians, and other health care decision-makers. The primary goal of all NCCN initiatives is to improve the quality, effectiveness, and efficiency of oncology practice so patients can live better lives. For more information, visit NCCN.org.

The NCCN Member Institutions are:

  • Fred & Pamela Buffett Cancer Center
  • Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute
  • City of Hope Comprehensive Cancer Center
  • Dana-Farber/Brigham and Women's Cancer Center | Massachusetts General Hospital Cancer Center
  • Duke Cancer Institute
  • Fox Chase Cancer Center
  • Huntsman Cancer Institute at the University of Utah
  • Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance
  • The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
  • Robert H. Lurie Comprehensive Cancer Center of Northwestern University
  • Mayo Clinic Cancer Center
  • Memorial Sloan Kettering Cancer Center
  • Moffitt Cancer Center
  • The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute
  • Roswell Park Cancer Institute
  • Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine
  • St. Jude Children's Research Hospital/The University of Tennessee Health Science Center
  • Stanford Cancer Institute
  • University of Alabama at Birmingham Comprehensive Cancer Center
  • UC San Diego Moores Cancer Center
  • UCSF Helen Diller Family Comprehensive Cancer Center
  • University of Colorado Cancer Center
  • University of Michigan Comprehensive Cancer Center
  • The University of Texas MD Anderson Cancer Center
  • University of Wisconsin Carbone Cancer Center
  • Vanderbilt-Ingram Cancer Center
  • Yale Cancer Center/Smilow Cancer Hospital