title: Update on treatment recommendations from the Third International Workshop on Waldenstrom's macroglobulinemia.
abstract: Waldenström macroglobulinemia (WM) is a B-cell disorder characterized by the infiltration of lymphoplasmacytic cells into bone marrow and the presence of an IgM monoclonal gammopathy. As part of the Third International Workshop on WM, held October 7 to 10, 2004 in Paris, France, a consensus panel charged with providing treatment recommendations for WM updated its recommendations on both frontline and salvage therapies. The panel considered encouraging results from recent studies that addressed the use of extended-dose rituximab as well as other treatment options: therapy with either nucleoside analogs and alkylator agents, rituximab in combination with nucleoside analogs, nucleoside analogs plus alkylator agents, or combination chemotherapies, such as CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone) or cyclophosphamide and dexamethasone. The panel determined that these were reasonable treatment options for WM patients and such therapeutic approaches were likely to yield results that are at least as good as if not better than the currently recommended use of single-agent alkylator, nucleoside analog, or standard-dose rituximab therapy. Such approaches were deemed to be reasonable treatment for WM patients in both the upfront and salvage settings, though randomized studies addressing the efficacy and toxicity of such novel approaches over previously established standard of care options are needed.
authors.affiliation: Bing Program for Waldenström's Macroglobulinemia, Dana Farber Cancer Institute LG102, 44 Binney Street, Boston, MA 02115, USA. steven_treon@dfci.harvard.edu
authors.forename: Steven P
authors.initials: SP
authors.lastname: Treon
authors.forename: Morie A
authors.initials: MA
authors.lastname: Gertz
authors.forename: Meletios
authors.initials: M
authors.lastname: Dimopoulos
authors.forename: Athanasios
authors.initials: A
authors.lastname: Anagnostopoulos
authors.forename: Joan
authors.initials: J
authors.lastname: Blade
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Branagan
authors.forename: Ramon
authors.initials: R
authors.lastname: Garcia-Sanz
authors.forename: Stephen
authors.initials: S
authors.lastname: Johnson
authors.forename: Eva
authors.initials: E
authors.lastname: Kimby
authors.forename: Veronique
authors.initials: V
authors.lastname: Leblond
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Fermand
authors.forename: David G
authors.initials: DG
authors.lastname: Maloney
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Merlini
authors.forename: Pierre
authors.initials: P
authors.lastname: Morel
authors.forename: Enrica
authors.initials: E
authors.lastname: Morra
authors.forename: Gwen
authors.initials: G
authors.lastname: Nichols
authors.forename: Enrique M
authors.initials: EM
authors.lastname: Ocio
authors.forename: Roger
authors.initials: R
authors.lastname: Owen
authors.forename: Marvin J
authors.initials: MJ
authors.lastname: Stone
mesh_terms: D000477:Alkylating Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000911:Antibodies, Monoclonal / Q000008:administration & dosage / Q000627:therapeutic use; D058846:Antibodies, Monoclonal, Murine-Derived; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D002986:Clinical Trials as Topic; D003520:Cyclophosphamide / Q000008:administration & dosage / Q000627:therapeutic use; D004317:Doxorubicin / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D009705:Nucleosides / Q000008:administration & dosage / Q000627:therapeutic use; D011241:Prednisone / Q000008:administration & dosage / Q000627:therapeutic use; D000069283:Rituximab; D016879:Salvage Therapy; D014750:Vincristine / Q000008:administration & dosage / Q000627:therapeutic use; D008258:Waldenstrom Macroglobulinemia / Q000188:drug therapy / Q000628:therapy*
chemical_list: D000477:Alkylating Agents; D000911:Antibodies, Monoclonal; D058846:Antibodies, Monoclonal, Murine-Derived; D009705:Nucleosides; D000069283:Rituximab; D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone