Table 12.

Alkylator-based therapy in Waldenström’s macroglobulinemia (reviewed in Merlini and Treon21 ).

StudyNSettingRegimenMajor RRaMedian Response Duration
a ≥ 50% reduction in serum IgM levels. 
Abbreviations: CR, complete response; NA, not applicable; PR, partial response. Rx, previously treated; UnRx, previously untreated; Chl, chlorambucil; P, prednisone; M, melphalan; C, cyclophosphamide; V, Vincristine. 
Facon 110 UnRx Chl (continuous) 31% NA 
Kyle 24 UnRx Chl (continuous) 75% 26 months 
 22 UnRx Chl (intermittent) 64% 46 months 
Dimopoulos 77 UnRx Chl, P 72% NA 
Petrucci 31 UnRx M,C,P → CP (continuous) 74% 66 months 
Case 33 UnRx and Rx M-2 (BCNU,V,M,P) 82% 43 months (CR), 39 months (PR) 
StudyNSettingRegimenMajor RRaMedian Response Duration
a ≥ 50% reduction in serum IgM levels. 
Abbreviations: CR, complete response; NA, not applicable; PR, partial response. Rx, previously treated; UnRx, previously untreated; Chl, chlorambucil; P, prednisone; M, melphalan; C, cyclophosphamide; V, Vincristine. 
Facon 110 UnRx Chl (continuous) 31% NA 
Kyle 24 UnRx Chl (continuous) 75% 26 months 
 22 UnRx Chl (intermittent) 64% 46 months 
Dimopoulos 77 UnRx Chl, P 72% NA 
Petrucci 31 UnRx M,C,P → CP (continuous) 74% 66 months 
Case 33 UnRx and Rx M-2 (BCNU,V,M,P) 82% 43 months (CR), 39 months (PR) 
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