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Ibrutinib and indolent B-cell lymphomas.
[waldenström macroglobulinemia]
Most
patients
with
indolent
B-
cell
lymphomas
fail
to
achieve
complete
remission
with
current
treatment
approaches
and
invariably
relapse
.
During
the
past
decade
,
innovative
immunochemotherapy
strategies
have
substantially
improved
disease
control
rates
but
not
survival
,
thus
providing
the
rationale
for
development
of
novel
agents
targeting
dysregulated
pathways
that
are
operable
in
these
hematological
malignancies
.
Ibrutinib
,
a
novel
first
-
in
-human
Bruton
's
tyrosine
kinase
(
BTK
)
inhibitor
,
has
progressed
into
phase
III
trials
after
early
-phase
clinical
studies
demonstrated
effective
target
inhibition
,
increased
tumor
response
rates
,
and
significant
improvement
in
survival
,
particularly
in
patients
with
indolent
B-
cell
lymphomas
.
Recently
,
the
compound
was
designated
a
"
breakthrough
therapy
"
by
the
United
States
Food
and
Drug
Administration
for
the
treatment
of
patients
with
relapsed
or
refractory
mantle
cell
lymphoma
and
Waldenström
macroglobulinemia
.
This
review
summarizes
recent
achievements
of
ibrutinib
,
with
a
focus
on
its
emerging
role
in
the
treatment
of
patients
with
indolent
B-
cell
lymphoid
malignancies
.
Diseases
Validation
Diseases presenting
"invariably relapse"
symptom
waldenström macroglobulinemia
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