Journal
AMERICAN JOURNAL OF HEMATOLOGY
Volume 85, Issue 9, Pages 670-674Publisher
WILEY-LISS
DOI: 10.1002/ajh.21788
Keywords
-
Categories
Funding
- Takeda/Millennium Inc
- Michelle and Steven Kirsch lab for Waldenstrom Macroglobulinemia
- Heje Fellowship for Waldenstrom
- Millennium
Ask authors/readers for more resources
This study aimed to determine the activity and safety of weekly bortezomib and rituximab in patients with untreated Waldenstrom Macroglobulinemia (WM). Patients with no prior therapy and symptomatic disease were eligible. Patients received bortezomib IV weekly at 1.6 mg/m(2) on days 1, 8, 15, q 28 days x 6 cycles, and rituximab 375 mg/m(2) weekly on cycles 1 and 4. Primary endpoint was the percent of patients with at least a minor response (MR). Twenty-six patients were treated. At least MR was observed in 23/26 patients (88%) (95% Cl: 70-98%) with 1 complete response (4%), 1 near-complete response (4%), 15 partial remission (58%), and 6 MR (23%). Using IgM response evaluated by nephlometry, all 26 patients (100%) achieved at least MR or better. The median time to progression has not been reached, with an estimated 1-year event free rate of 79% (95% Cl: 53, 91%). Common grade 3 and 4 therapy related adverse events included reversible neutropenia in 12%, anemia in 8%, and thrombocytopenia in 8%. No grade 3 or 4 neuropathy occurred. The combination of weekly bortezomib and rituximab exhibited significant activity and minimal neurological toxicity in patients with untreated WM. Am. J. Hematol. 85:670-674, 2010. (C) 2010 Wiley-Liss, Inc.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available