DOI: 10.1002/jha2.70435 ISSN: 2688-6146

Synergistic Activity of Venetoclax and Rituximab in Multiply Relapsed or Refractory Waldenström Macroglobulinaemia

Angeline Josiah, Ryan Low, Alisha Ganesh, Gretchen Vamvakidis, Adeline Kintono, Ibrahim Tohidi‐Esfahani, Maya Latimer, Judith Trotman

ABSTRACT

Introduction

There are limited options for multiply relapsed/refractory (R/R) Waldenström Macroglobulinaemia (WM) post Bruton tyrosine kinase inhibitors (BTKi). The synergy of venetoclax and rituximab (Ven‐R) may improve the poor outcomes with venetoclax monotherapy.

Methods

A retrospective analysis was conducted of four patients treated with Ven‐R.

Results

All patients were refractory to covalent BTKi and had received 4–7 prior therapies. Three patients achieved a very good partial response. Treatment was lifesaving in one, facilitating reduction in plasmapheresis and improved cytopenias.

Conclusion

We demonstrate meaningful responses to Ven‐R in R/R WM, supporting a rationale for prospective clinical trials of this combination.

Trial Registration

The authors have confirmed clinical trial registration is not needed for this submission

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