Update on recommendations for assessing response from the Third International Workshop on Waldenstrom's Macroglobulinemia.
This report by an international consensus panel updates current recommendations for defining clinical response in Waldenstrom's macroglobulinemia (WM). The previously published response criteria incorporated parameters for monoclonal protein reduction and/or improvement of marrow and nodal involvement, and included definitions of complete and partial remissions. The criteria have been updated to include minor response and stable disease categories. In addition, the criteria now recognize that delayed responses after treatment with nucleoside analogues and biologic agents and the time point for assessing response in patients with WM should be considered so as to not miss or miscategorize a response. The new criteria should therefore help in better delineating responses to therapy in patients with WM, particularly with the wide use of nucleoside analogues and biologically based agents for this disease.
Kimby
Eva
E
Karolinska University Hospital, Stockholm, Sweden.
Treon
Steven P
SP
Anagnostopoulos
Athanasios
A
Dimopoulos
Meletios
M
Garcia-Sanz
Ramon
R
Gertz
Morie A
MA
Johnson
Stephen
S
LeBlond
Veronique
V
Fermand
Jean-Paul
JP
Maloney
David G
DG
Merlini
Giampaolo
G
Morel
Pierre
P
Morra
Enrica
E
Nichols
Gwen
G
Ocio
Enrique M
EM
Owen
Roger
R
Stone
Marvin
M
Bladé
Joan
J
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use*; D001536:Bence Jones Protein / Q000032:analysis; D016026:Bone Marrow Transplantation / Q000009:adverse effects / Q000379:methods*; D003131:Combined Modality Therapy; D018450:Disease Progression; D005260:Female; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D007391:International Cooperation; D008297:Male; D011379:Prognosis; D018570:Risk Assessment; D055502:Secondary Prevention; D012720:Severity of Illness Index; D016019:Survival Analysis; D017211:Treatment Failure; D016896:Treatment Outcome; D014481:United States; D008258:Waldenstrom Macroglobulinemia / Q000175:diagnosis* / Q000401:mortality* / Q000628:therapy
D007075:Immunoglobulin M; D001536:Bence Jones Protein