The Management of Relapsed or Refractory Waldenström's Macroglobulinemia

Hematol Oncol Clin North Am. 2023 Aug;37(4):727-749. doi: 10.1016/j.hoc.2023.04.006. Epub 2023 May 26.

Abstract

Waldenström's macroglobulinemia (WM) is an immunoglobulin M monoclonal gammopathy produced by a bone marrow lymphoplasmacytic lymphoma, an indolent non-Hodgkin lymphoma in which the cure is still an unmet challenge. Combinations with alkylating agents, purine analogs, and monoclonal antibodies, Bruton tyrosine kinase, and proteasome inhibitors are used for the treatment of relapsed and refractory patients. Moreover, new additional agents can be seen on the horizon as potential effective therapies. No consensus on a preferred treatment in the relapsed setting is available yet.

Keywords: Bruton tyrosine kinase inhibitors; Chemoimmunotherapy; Salvage therapy; Waldenström’s macroglobulinemia.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal
  • Humans
  • Immunoglobulin M
  • Immunologic Factors
  • Proteasome Inhibitors
  • Waldenstrom Macroglobulinemia* / drug therapy

Substances

  • Immunologic Factors
  • Antibodies, Monoclonal
  • Immunoglobulin M
  • Proteasome Inhibitors