Evidence map›Paper›PMID 32822482›Full record

Trial reportBlood advances2020

Ixazomib, dexamethasone, and rituximab in treatment-naive patients with Waldenström macroglobulinemia: long-term follow-up.

Jorge J Castillo, Kirsten Meid, Catherine A Flynn, Jiaji Chen, Maria G Demos, Maria L Guerrera, Amanda Kofides, Xia Liu, Manit Munshi, Nicholas Tsakmaklis and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02400437 (Phase II Trial of Ixazomib, Dexamethasone and Rituximab in Patients With Untreated Waldenstrom's Macroglobulinemia), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02400437 phase2completednot on this map

Phase II Trial of Ixazomib, Dexamethasone and Rituximab in Patients With Untreated Waldenstrom's Macroglobulinemia

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2015 to 2019Enrolled26ConditionsWaldenstrom's MacroglobulinemiaArmsIxazomib, Dexamethasone, Rituximab
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. The Direction of Modern Therapies in Waldenström Macroglobulinaemia.Journal of cellular and molecular medicine · 2025
    Review
  5. Article
  6. Article
  7. Waldenström Macroglobulinemia - A State-of-the-Art Review: Part 2- Focus on Therapy.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. A Focus on Waldenström Macroglobulinemia and AL Amyloidosis.Journal of the advanced practitioner in oncology · 2022
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Jorge J CastilloBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Kirsten MeidBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Catherine A FlynnBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Jiaji ChenBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Maria G DemosBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Maria L GuerreraBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Amanda KofidesBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Xia LiuBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Manit MunshiBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Nicholas TsakmaklisBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Christopher J PattersonBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Guang YangBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Zachary HunterBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Steven P TreonBing Center for Waldenström Macroglobulinemia, Dana-Farber Cancer Institute, Boston, MA; and.
Dana-Farber Cancer Institute · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proteasome inhibition is a standard of care for the primary treatment of patients with Waldenström macroglobulinemia (WM). We present the long-term follow-up of a prospective, phase II clinical trial that evaluated the combination of ixazomib, dexamethasone, and rituximab (IDR) in 26 treatment-naive patients with WM. IDR was administered as 6 monthly induction cycles followed by 6 every-2-month maintenance cycles. The MYD88 L265P mutation was detected in all patients, and CXCR4 mutations were detected in 15 patients (58%). The median time to response (TTR) and time to major response (TTMR) were 2 and 6 months, respectively. Patients with and without CXCR4 mutations had median TTR of 3 months and 1 month, respectively (P = .003), and median TTMR of 10 months and 3 months, respectively (P = .31). The overall, major, and very good partial response (VGPR) rates were 96%, 77%, and 19%, respectively. The rate of VGPR in patients with and without CXCR4 mutations were 7% and 36%, respectively (P = .06). The median progression-free survival (PFS) was 40 months, the median duration of response (DOR) was 38 months, and the median time to next treatment (TTNT) was 40 months. PFS, DOR, and TTNT were not affected by CXCR4 mutational status. The safety profile was excellent with no grade 4 adverse events or deaths to date. IDR provides a safe and effective frontline treatment option for symptomatic patients with WM. This study was registered at www.clinicaltrials.gov as #NCT02400437.

Indexed as

Waldenstrom MacroglobulinemiaBoron CompoundsDexamethasoneFollow-Up StudiesGlycineHumansMyeloid Differentiation Factor 88Prospective StudiesRituximabBoron CompoundsDexamethasoneGlycineixazomibMyeloid Differentiation Factor 88Rituximab

Identifiers

PMID32822482
PMCPMC7448596
OpenAlexW3080202060

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.