A Study of R-mini-MCOP in the Treatment of Elderly, Previously Untreated DLBCL

Prior treatment

• Previous systemic antitumor therapy (except pre-therapy used before the first cycle of R-CMOP);
• Hypersensitivity to any investigational drug or its ingredients;
• Previous or current co-occurrence of other malignancies (other than non-melanoma basal cell carcinoma of the skin that is effectively controlled, breast/cervical carcinoma in situ, and other malignancies that have been effectively controlled without treatment within the past five years);
• Inability to swallow the drug or any significant removal of the small intestine that may prevent full absorption of the drug;

Other illness

• Uncontrollable systemic diseases (such as advanced infections, uncontrolled hypertension, diabetes, etc.);
• Hepatitis B and hepatitis C active infection (hepatitis B virus surface antigen positive and hepatitis B virus DNA more than 1x103 copies /mL; More than 1x103 copies /mL of HCV RNA);
• Human immunodeficiency virus (HIV) infection (HIV antibody positive);

Other

• Metastatic diffuse large B-cell lymphoma；
• Known central nervous system lymphoma
• Other serious comorbidities, intolerance to this protocol or inappropriate participation in this study (judged by the investigator)
• Situations in which other investigators have determined that participation in this study is not appropriate.

• Age ≥ 80 years
• The histopathological diagnosis was diffuse large B-cell lymphoma, and immunohistochemistry was positive for CD20
• Previously untreated disease
• Ann Arbor stage I-IV disease
• According to Lugano2014 criteria, there must be at least one matching evaluable or measurable lesion: lymph node lesion, the length of the measurable lymph node must be greater than 1.5cm; For non-lymph node lesions, the measured extra-nodal lesions should be \> 1.0cm in length;
• ECOG score 0-4(ECOG score 0-2 after pre-treatment and before R-mini-MCOP regimen)
• Bone marrow function: neutrophil count ≥1.5×109/L, platelet count ≥75×109/L, hemoglobin ≥80g/L (neutrophil count ≥1.0×109/L, platelet count ≥50×109/L, hemoglobin ≥75 g/L in patients with bone marrow involvement);
• Liver and kidney function: serum creatinine ≤1.5 times the upper limit of normal value; AST and ALT ≤2.5 times the upper limit of normal (≤5 times the upper limit of normal for patients with liver invasion); Total bilirubin ≤1.5 times the upper limit of normal value (≤3 times the upper limit of normal value for patients with liver invasion;
• Have the swallowing power
• Life expectancy \> 3 months
• Patients fully understand the study, voluntarily participate and sign an informed consent form (ICF) -