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This is a combination regimen consisting of three drugs—bendamustine (an alkylating agent), lenalidomide (an immunomodulatory drug), and rituximab (a monoclonal antibody targeting CD20). The combination has been studied in various B-cell malignancies including non-Hodgkin lymphoma (NHL), mantle cell lymphoma (MCL), and chronic lymphocytic leukemia (CLL). Bendamustine induces DNA crosslinking leading to apoptosis; lenalidomide modulates the immune system and inhibits angiogenesis; rituximab binds to CD20 on B cells, mediating cell lysis via immune mechanisms. This regimen is typically used in relapsed/refractory or previously untreated patients who have failed standard therapies. Clinical trials have shown varying efficacy and toxicity profiles depending on disease context[1][2][3][6][8][10].
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