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Immunotherapy in Waldenstrom’s Macroglobulinemia

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Waldenström’s Macroglobulinemia

Abstract

The use of anti-CD20 monoclonal antibody is a standard of care in Waldenström’s macroglobulinemia (WM) patients in first line and in relapse. The combination of anti-CD20 monoclonal antibody with chemotherapy or with bortezomib remains a recommended therapy in most patients with WM. Most of the published series are small phase II trials using rituximab in combination with alkylating agents (cyclophosphamide), with purine analogues (fludarabine) with or without alkylating agents, and with proteasome inhibitors (bortezomib). The studies with new anti-CD20 monoclonal antibodies (ofatumumab, ubituzumab) or with anti-CD52 and anti-CD22 monoclonal antibodies are scarce. The choice of immunochemotherapy depends on the patient’s comorbidities, the toxicity, and the need of hematopoietic stem cell collection. Chemo-free combinations with new target agents such as BCR inhibitors are promising.

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Correspondence to Véronique Leblond .

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Leblond, V., Souchet, L., Choquet, S., Buske, C. (2017). Immunotherapy in Waldenstrom’s Macroglobulinemia. In: Leblond, V., Treon, S., Dimoploulos, M. (eds) Waldenström’s Macroglobulinemia. Springer, Cham. https://doi.org/10.1007/978-3-319-22584-5_21

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  • DOI: https://doi.org/10.1007/978-3-319-22584-5_21

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