OnCo

R-ICE

Checked 2026-09-09

Relapsed or refractory DLBCL, salvage before autologous transplant (late relapse) or bridging

One cycle

every 14 days × 2-3 · about 4 weeks in total
1234567891011121314Rituximab: 375 mg/m², IntravenousRituximabEtoposide: 100 mg/m², IntravenousEtoposideCarboplatin: AUC 5 (maximum 800 mg), IntravenousCarboplatinIfosfamide: 5,000 mg/m² with mesna, IntravenousIfosfamide
14-day cycle × 2-3 (about 4 weeks)Intravenous Continuous infusion

Components

DrugDoseRouteDays
Rituximab
Monoclonal antibody (anti-CD20, chimeric)
375 mg/m²IVD1
Etoposide
Topoisomerase II inhibitor (podophyllotoxin derivative)
100 mg/m²IVD1-3
Carboplatin
Cytotoxic chemotherapy (platinum)
AUC 5 (maximum 800 mg)IVD2
Ifosfamide
Cytotoxic chemotherapy (alkylating agent)
5,000 mg/m² with mesnaIVD2 (24 h infusion)
Cycles
2-3
14-day cycle
Emetogenicity
High (>90%)
G-CSF
Built into the protocol

Notes

  • ZUMA-7 and TRANSFORM: CAR-T beats salvage chemotherapy plus transplant for early relapse (within 12 months).

Used in

Source

Kewalramani, Blood 2004

Reference doses for a typical adult from the cited protocol or label. Doses are adjusted for renal and hepatic function, age, performance status and prior toxicity, and institutional protocols vary. Verify against the current label and your local protocol before treating. Not medical advice.

Other regimens for these cancers