Treatment of Waldenstrom's macroglobulinemia with nucleoside analogues.

Abstract:

:Sixty-eight patients with Waldenstrom's macroglobulinemia were treated either with fludarabine (28 patients) or 2-chlorodeoxyadenosine (40 patients) and responding patients were followed without further treatment. Both programs were well tolerated and myelosuppression was moderate but reversible. Overall, 35 patients responded including 93% of previously untreated patients, 83% of those relapsing off therapy, 48% of patients with primary refractory disease and 15% of those treated during refractory relapse. With a median follow up of 18 months, only two of 15 previously untreated patients have relapsed whereas the median remission duration and survival of previously treated patients were 38 and 43 months respectively. Fludarabine and 2-chlorodeoxyadenosine are both highly active agents against Waldenstrom's macroglobulinemia, especially when administered early in the disease course.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Dimopoulos MA,O'Brien S,Kantarjian H,Estey EE,Keating MJ,Alexanian R

doi

10.3109/10428199309064269

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

105-8

eissn

1042-8194

issn

1029-2403

journal_volume

11 Suppl 2

pub_type

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