Waldenström Macroglobulinemia
Conditions
Brief summary
The purpose of this study is to evaluate the efficiency of an oral regimen in newly diagnosed Waldenström macroglobulinemia: thalidomide plus cyclophosphamide and dexamethasone following by thalidomide and prednisone maintenance therapy.
Detailed description
Enrolled patients will accept maximum 8 cycles of thalidomide plus cyclophosphamide and dexamethasone. if a partial remission response or better is achieved, thalidomide plus prednisone maintenance therapy will be given for no more than two years.
Interventions
thalidomide 50-150 mg per night
Sponsors
Study design
Eligibility
Inclusion criteria
1. Aged \>=18 years 2. diagnosed with WM 3. Untreated or mild treated without standard regimens,especially untreated with rituximab and/or bortezomib 4. symptom patients 5. with life-expectancy more than 3 months.
Exclusion criteria
1. diagnosed with other malignancies outside B-NHL within one year(including active centre neural system lymphoma) 2. Transformed lymphoma 3. liver or renal function lesion unrelated to lymphoma 4. serious complications such as uncontrolled diabetes,gastric ulcer or other serious angiocardiopathy determined by the physician 5. HIV positive or active HBV infection or other uncontrolled systematic infection 6. clinical central nervous dysfunction 7. serious surgery within 30 days 8. pregnancy or baby nursing period or un-contracepted child-bearing period woman; 9. allergy to the trail drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall response rate | up to 12 months |
Secondary
| Measure | Time frame |
|---|---|
| progress-free survival | up to 36 months |
Countries
China
Contacts
institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College