Table 2.

Overview of studies that investigated the molecular remission rates among previously untreated patients with Ann Arbor stage II to IV MCL

MRD negativity
CohortReferenceInductionConsolidation/maintenanceMRD detection methodAt end of inductionAfter consolidation
PB or BMPBBMPB or BMPBBM
Nordic MCL1 6 × maxiCHOP ASCT MFC or PCR NR (0 of 16 stem cell products) NR NR NR NR 38% of 13 
Kiel single-center report 16 6 × CHOP-like ASCT RQ-PCR 0 of 9 (6% of 17 stem cell products) NR NR 52% of 27 NR NR 
MCL Younger and MCL elderly 4, 24, 25 6-8 × R-CHOP ASCT or rituximab maintenance or interferon alpha maintenance RQ-PCR 40% of 225 53% of 216 34% of 156 48% of 209 58% of 205 56% of 117 
MCL Younger 4, 25 6 × R-CHOP ASCT RQ-PCR 34% of 126 47% of 119 26% of 91 54% of 119 68% of 117 59% of 81 
MCL Younger 4, 25 3 × R-CHOP/R-DHAP ASCT RQ-PCR 66% of 109 79% of 103 61% of 77 77% of 114 85% of 112 79% of 71 
Nordic MCL2 3, 34, 36 3 × R-maxiCHOP/R-HA ASCT Nested PCR NR (88% of 42 stem cell products) NR NR 92% of 79 NR NR 
Nordic MCL3 26 3 × R-maxiCHOP/R-HA Ibritumomab-tiuxetan + ASCT Nested PCR 53% of 99 NR NR 83% of 107 NR NR 
LYMA 29 4 × R-DHAP ASCT + rituximab maintenance or observation RQ-PCR NR 80% of 120 66% of 98 NR 95% of 162 82% of 122 
CALGB 59909 30 2 × methotrexate + R-maxiCHOP ASCT RQ-PCR NR 46% of 39 36% of 39 74% of 27 NR NR 
CALGB 50403 31, 32 2-3 × methotrexate + R-maxiCHOP ASCT + bortezomib RQ-PCR NR NR 32% of 47 NR NR NR 
Seattle single-center report 33 R-hyperCVAD or R-CHOP-like ASCT MFC or PCR 89% of 75 NR NR NR NR NR 
MRD negativity
CohortReferenceInductionConsolidation/maintenanceMRD detection methodAt end of inductionAfter consolidation
PB or BMPBBMPB or BMPBBM
Nordic MCL1 6 × maxiCHOP ASCT MFC or PCR NR (0 of 16 stem cell products) NR NR NR NR 38% of 13 
Kiel single-center report 16 6 × CHOP-like ASCT RQ-PCR 0 of 9 (6% of 17 stem cell products) NR NR 52% of 27 NR NR 
MCL Younger and MCL elderly 4, 24, 25 6-8 × R-CHOP ASCT or rituximab maintenance or interferon alpha maintenance RQ-PCR 40% of 225 53% of 216 34% of 156 48% of 209 58% of 205 56% of 117 
MCL Younger 4, 25 6 × R-CHOP ASCT RQ-PCR 34% of 126 47% of 119 26% of 91 54% of 119 68% of 117 59% of 81 
MCL Younger 4, 25 3 × R-CHOP/R-DHAP ASCT RQ-PCR 66% of 109 79% of 103 61% of 77 77% of 114 85% of 112 79% of 71 
Nordic MCL2 3, 34, 36 3 × R-maxiCHOP/R-HA ASCT Nested PCR NR (88% of 42 stem cell products) NR NR 92% of 79 NR NR 
Nordic MCL3 26 3 × R-maxiCHOP/R-HA Ibritumomab-tiuxetan + ASCT Nested PCR 53% of 99 NR NR 83% of 107 NR NR 
LYMA 29 4 × R-DHAP ASCT + rituximab maintenance or observation RQ-PCR NR 80% of 120 66% of 98 NR 95% of 162 82% of 122 
CALGB 59909 30 2 × methotrexate + R-maxiCHOP ASCT RQ-PCR NR 46% of 39 36% of 39 74% of 27 NR NR 
CALGB 50403 31, 32 2-3 × methotrexate + R-maxiCHOP ASCT + bortezomib RQ-PCR NR NR 32% of 47 NR NR NR 
Seattle single-center report 33 R-hyperCVAD or R-CHOP-like ASCT MFC or PCR 89% of 75 NR NR NR NR NR 

Numbers indicate % MRD negative among evaluable patients in the respective compartment at the respective time point.

hyper CVAD, fractionated cyclophosphamide, vincristine, doxorubicin, and dexamethasone; maxiCHOP, dose-intensified CHOP; NR, not reported.

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