In an effort to advance our understanding and management of this disease,
the WM Program was organized at the Dana Farber Cancer Institute (DFCI) in 1999
with the help of patients, DFCI support staff, clinical and basic science investigators.
In 2005, the Program was officially dedicated the Bing Center for Waldenstroms Research in honor of
Dr. Peter Bing. Its founding has spearheaded national and international efforts to bring innovative basic and
clinical studies to the disease. As a result of these efforts, 25 centers in North America,
Western Europe, South America and Australia have been organized as part of the WM
Clinical Trials Group (WMCTG) based at the DFCI, and chaired by Steven Treon MD, MA,
PhD. Studies examining novel therapeutics including antibody based immunotherapies alone
and in combination with chemotherapy or immunomodulating drugs, as well as radioimmunotherapy,
and proteosome inhibitors have been initiated as part of the WMCTG. In addition to
conducting clinical trials in WM, the Bing Center has initiated several IRB approved
patient centered basic and translational studies in collaboration with centers in the
U.S., Canada, and Europe aimed at i) understanding the genetic basis and pathogenesis of
WM; ii) understanding the mechanisms of action and resistance for immunologically based
therapies directed at WM and other B-cell malignancies; and iii) the identification of novel
serotherapy targets for WM. A selective set of abstracts detailing the outcome of these
studies is appended. Among the highlights of these studies is the identification of cell
surface and secreted antigens which inhibit antibody directed complement and effector cell
mediated cytotoxicity of malignant B-cells; critical contribution of position 158
polymorphisms in patient Fc gamma RIIIa receptor (CD16) expression for the clinical activity of
monoclonal antibody therapy in patients with WM; and identification of novel targets for the
monoclonal antibody therapy of WM. In addition, ongoing studies with encouraging preliminary
findings have resulted from studies aimed at identifying genetic abnormalities in WM through
use of spectral karyotyping, comparative genomic hybridization and VDJH immunoglobulin sequencing
studies.
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