1. Four cycles of R-CHOP chemotherapy for the induction treatment \[Dose intensity of CHOP chemotherapy is modulated according to Charlson Comorbidity Index (CCI)\]
If patients with CCI \<1
* Rituximab: 375 mg/m2, day 1 every 3 weeks.
* Conventional dose of CHOP chemotherapy repeat every 3 weeks.
If patients with CCI ≥1
* Rituximab: 375 mg/m2, day 1 every 3 weeks.
* 75% of conventional CHOP repeat every 3 weeks.
2. Rituximab augmentation
* Rituximab: 375 mg/m2, every week x 4 times.
* Trimethoprim-sulfamethoxazole 1 tablet per day during augmentation