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Pentostatin, cyclophosphamide and rituximab is a safe and effective treatment in patients with Waldenström's macroglobulinemia.
[waldenström macroglobulinemia]
Waldenström
's
macroglobulinemia
(
WM
)
is
an
indolent
lym
phomaand
is
responsive
to
therapy
regimens
containing
alkylating
agents
,
purine
analogs
and
rituximab
if
treatment
becomes
necessary
.
We
initiated
a
multicenter
phase
II
trial
to
determine
the
safety
and
efficacy
of
a
regimen
containing
pentostatin
,
cyclophosphamide
and
rituximab
(
PER
)
in
patients
with
WM
.
Between
May
2005
and
December
2010
,
25
patients
with
WM
were
included
in
the
study
.
Twenty
-
one
patients
received
PER
as
first
-line
therapy
.
In
these
patients
,
2
-
year
progression-free
survival
was
83
.
6
%
and
2
-
year
overall
survival
was
100
%
.
Thirteen
patients
(
52
%
)
received
R
maintenance
therapy
.
In
these
patients
,
the
2
-
year
progression-free
survival
was
91
.
67
%
and
2
-
year
overall
survival
was
100
%
.
We
have
provided
evidence
that
PER
is
a
safe
and
effective
regimen
for
WM
.
Although
R
maintenance
therapy
after
PER
seemed
to
induce
a
better
long
-term
outcome
,
this
study
was
not
powered
to
address
this
issue
.
Diseases
Validation
Diseases presenting
"long-term outcome"
symptom
aniridia
cholangiocarcinoma
classical phenylketonuria
cystinuria
erythropoietic protoporphyria
esophageal squamous cell carcinoma
fabry disease
hirschsprung disease
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
krabbe disease
oligodontia
papillon-lefèvre syndrome
primary hyperoxaluria type 1
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
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