Use of BTK inhibitors with special focus on ibrutinib in Waldenström macroglobulinemia: An expert panel opinion statement

Hematol Oncol. 2022 Aug;40(3):332-340. doi: 10.1002/hon.2982. Epub 2022 Mar 9.

Abstract

The pivotal role that ibrutinib plays in the management of Waldenström macroglobulinemia (WM) is undisputed but there are ongoing questions regarding its positioning in the therapeutic algorithm of WM as well as in some peculiar clinical situations. A panel of experts from Italy was convened to provide real world recommendations on the use of BTK inhibitors in lymphoproliferative diseases in general, and in patients with WM in particular. This position paper represents the panel's collective analysis, evaluation, and opinions and is made up of a series of questions frequently asked by practicing clinicians and answers based on currently available evidence.

Keywords: BTK inhibitors; Waldenström macroglobulinemia; ibrutinib; real-world; recommendations.

MeSH terms

  • Adenine / analogs & derivatives
  • Agammaglobulinaemia Tyrosine Kinase
  • Humans
  • Piperidines
  • Protein Kinase Inhibitors / adverse effects
  • Pyrazoles / adverse effects
  • Pyrimidines / pharmacology
  • Pyrimidines / therapeutic use
  • Waldenstrom Macroglobulinemia* / drug therapy

Substances

  • Piperidines
  • Protein Kinase Inhibitors
  • Pyrazoles
  • Pyrimidines
  • ibrutinib
  • Agammaglobulinaemia Tyrosine Kinase
  • Adenine