Long-Term Data of Imbruvica-Rituxan Combo in Waldenstrom’s Macroglobulinemia Demonstrates ‘Major Step Forward’

Video

In an interview with CURE®, a Waldenstrom’s macroglobulinemia expert discusses the long-term benefits of the targeted combination of Imbruvica and Rituxan.

Data from a five-year analysis demonstrate that the targeted therapy combination of Imbruvica (ibrutinib) and Rituxan (rituximab) remains a superior long-term option for patients with Waldenstrom’s macroglobulinemia (WM) regardless of multiple patient characteristics, according to Dr. Christian Buske.

Buske, of the Institute of Experimental Cancer Research and University Hospital of Ulm in Germany, presented data from an analysis of the phase 3 iNNOVATE study at the 2020 ASH Annual Meeting and Exposition showing how Imbruvica in combination with Rituxan is the better choice for patients with WM than chemotherapy. According to Buske, this treatment will have better outcomes for patients with also less side effects overall.

Transcription:

What we can say is that (Imbruvica) and (Rituxan) is at least as efficient as (Rituxan) chemotherapy, and the data which we have points to the fact that it's probably more efficient. It's not a direct comparison, we have to say the trial does not directly compare Imbruvica and (Rituxan) to (Rituxan) and chemotherapy. These kinds of trials are planned, but what we can say is when we do an historical comparison between the data we have now in this trial with data from former studies, which tested (Rituxan) chemotherapy. We have to say that (Imbruvica) (Rituxan) has at least the same potential as classical chemotherapy and I think this is a major step forward.

Compared to chemotherapy, this is a targeted therapy. Chemotherapy is very unspecific in some way but (Imbruvica) targets specific kinase, which is important for the growth of WG cells. The combination we are using is (Imbruvica), which I just explained, plus an anti-CD20 antibody in (Rituxan). So, we talked about this ultra-targeted therapy because it specifically binds to a surface protein which is expressed, and which is visible on WG cells. Both compounds then act together in the sense that they are both targeting different important molecules, which are responsible for malignant growth in this disease.

Related Videos
For patients with cancer, the ongoing chemotherapy shortage may cause some anxiety as they wonder how they will receive their drugs. However, measuring drugs “down to the minutiae of the milligrams” helped patients receive the drugs they needed, said Alison Tray. Tray is an advanced oncology certified nurse practitioner and current vice president of ambulatory operations at Rutgers Cancer Institute in New Jersey.  If patients are concerned about getting their cancer drugs, Tray noted that having “an open conversation” between patients and providers is key.  “As a provider and a nurse myself, having that conversation, that reassurance and sharing the information is a two-way conversation,” she said. “So just knowing that we're taking care of you, we're going to make sure that you receive the care that you need is the key takeaway.” In June 2023, many patients were unable to receive certain chemotherapy drugs, such as carboplatin and cisplatin because of an ongoing shortage. By October 2023, experts saw an improvement, although the “ongoing crisis” remained.  READ MORE: Patients With Lung Cancer Face Unmet Needs During Drug Shortages “We’re really proud of the work that we could do and achieve that through a critical drug shortage,” Tray said. “None of our patients missed a dose of chemotherapy and we were able to provide that for them.” Tray sat down with CURE® during the 49th Annual Oncology Nursing Society Annual Congress to discuss the ongoing chemo shortage and how patients and care teams approached these challenges. Transcript: Particularly at Hartford HealthCare, when we established this infrastructure, our goal was to make sure that every patient would get the treatment that they need and require, utilizing the data that we have from ASCO guidelines to ensure that we're getting the optimal high-quality standard of care in a timely fashion that we didn't have to delay therapies. So, we were able to do that by going down to the minutiae of the milligrams on hand, particularly when we had a lot of critical drug shortages. So it was really creating that process to really ensure that every patient would get the treatment that they needed. For more news on cancer updates, research and education, don’t forget to subscribe to CURE®’s newsletters here.
Dr. Andrea Apolo in an interview with CURE
Dr. Kim in an interview with CURE
Dr. Nguyen, from Stanford Health, in an interview with CURE
Dr. Barzi in an interview with CURE
Sue Friedman in an interview with CURE
Dr. Giles in an interview with CURE