The WhiMSICAL research team, led by researchers in Australia, has received approval to present their findings during a poster presentation at the American Society of Haematology’s annual meeting in December 2017. This is a significant achievement and validation of their efforts thus far, as not all applicants get approved to present at ASH! Congratulations should go out to all WM patients around the world who have participated thus far, as it is our data that made this possible.

The WhiMSICAL findings will be published after the ASH meeting, and will be made available to the WM community worldwide at that time.

Additionally, IWMF President Carl Harrington and the team will be presenting details and findings at the upcoming 3rd annual IWMF-LLS Strategic Research Roadmap Summit meeting. This is the meeting where leading WM researchers from around the world, gather to evaluate and discuss primary focus areas for WM-specific research. Details about the Research Roadmap are at

While the presentations at both meetings point to the viability of the WhiMSICAL database, there is a CRITICAL need for more patients to participate, and for more data to be entered by participants. With just a few minutes of our time, each of us can make a significant contribution to advance research to develop better treatments and a cure for WM…..and to assist in convincing government agencies to fund treatments for patients! See   more details and to participate at       As Andrew Warden, the Leader of the IWMF affiliate in Australia, WMozzies, stated recently on IWMF Connect (the IWMF’s online discussion group):
“The government funding authorities in the UK and Australia as well as Canada require objective evidence that the high cost of new treatments such as ibrutinib are justified in comparisons with current gold standard treatments. Rare diseases suffer because of lack of the required patient evidence. WhiMSICAL can help provide this evidence.”

The WhiMSICAL database is a vital complement to ongoing clinical trials. Both seek to provide strong relevant information needed to arrive at approvals for novel treatment protocols and to convince decision-makers to provide funding for those treatments.

As  Carl Harrington says, “if you want to ‘pay it forward’ and help current and future WM patients around the world, then participate in WhiMSICAL!  We all have our disease data. All we have to do is enter it in WhiMSICAL to make a difference for WMers now and in the future.”

See more  details about WhiMSICAL and participate now at  Set aside whatever you’re doing and do it now. Please help us reach 1000 participating WMers!

Why WhiMSICAL?  A single worldwide database to help researcher uncover hidden patterns in WM


Why participate?  The more WM patients …. the more useful the data  .. and the closer to a cure. You can help!


Click HERE to participate in WhiMSICAL




VIDEO: Dr. Trotman on BGB-3111 in Patients with WM


[AW1]The efficacy of BGB-3111 (a BTK inhibitor) in WM patients, is shown with Dr. Judith Trotman speaking in a 1 minute   43 second interview, on the website OncLive.  The video interview is at:

Judith Trotman, MD, clinical associate professor, medicine, Concord Clinical School, The University of Sydney and is the co-principal investigator on the WhiMSICAL WM Patient Database

discusses results of a trial investigating BGB-3111 in patients with Waldenström’s macroglobulinemia (WM).

BGB-3111 is a very specific BTK inhibitor that has a very high, very good partial response (VGPR) rate in patients with WM, Trotman explains. Results showed that patients with WM did have very good responses with reduction in IgM from 33 g/L to 6 g/L and a rise in hemoglobin from 100 g/L to 140 g/L.

Patients also tolerated the drug well without any of the toxicities often seen with BTK inhibitors. Adverse events included very minimal bruising as well as minimal serious bleeding. This was an extremely well tolerated BTK inhibitor, with an overall response rate of 90% with 43% of patients achieving VGPR.  “What’s most important is that the patients feel fantastic on this agent! How can you quantitate energy?  , she adds.


WhiMSICAL database  News

Membership of WhiMSICAL database has grown threefold from 69 to 230 in the four months to September 2017.  The International Waldenström’s Macroglobulinemia Foundation (IWMF) and its global affiliates, have driven this growth.  Multiple social media platforms have been used including online discussion forums, Facebook, email mailing lists and community newsletters. The international expansion has confirmed WhiMSICAL CART-WHEEL database as a robust global data-collection platform for WM patient-derived data.


The facility to print out their personal report with graphs and review any missing data with their clinician has proved valuable. The WM patient questionnaire completion has continued to be good in providing data on symptoms, pathology results, treatments, their tolerance and how they were accessed.

 The study Principal Investigators have utilised CART-WHEEL to develop the continuously expanding patient-derived dataset to provide a foundation for hypothesis generation. This has involved utilising independent samples t-test, cross-tabulation and Pearson Chi-squared around to improve the understanding of this rare disease.

 Upon further recruitment and encouragement of more complete and continuous data entry, an expanding and increasingly robust body of data will increase knowledge of the range of presentations and treatment experiences of WM patients. Future graduated database additions will include validated PROs (e.g. EuroQol EQ-5D-5L). WhiMSICAL has the potential to map real-world therapeutic efficacy, along with international patterns of treatment access.

 Initial analysis of real-world clinical data on presentations and treatments from participants in the WhiMSICAL project has been submitted to the American Society of Hematology (ASH) annual meeting in December in Atlanta, the most comprehensive haematology event of the year.

None of the research would have been possible without the WM patients who have contributed their demographic data, tumour type details and gene testing, family cancer gene testing, reports from clinicians, treatments, side-effects and other psychosocial and family information via the CART-WHEEL database. As the number of participants joining the team increases, we will obtain the big data required to make a major impact in the field of WM and see how truly informative this research can be. 

Additional WM clinicians have joined the WhiMSICAL database team, including Dr Marie Jose Kersten (The Netherlands), Dr Ruth Spearing (New Zealand), Dr Lia Palomba and Dr Sheeba Thomas (U.S), Dr Shirley D’Sa (UK), and Dr Loic Ysaebert (France).

New WMozzies flyer draft

Good feedback has been received on the initial draft of the new WMozzies recruitment flyer.

An updated draft is included below.  It will be produced in  a 3 column double  sided fold-out format.

Comments and suggestions are still welcome whilst the final pre-production approval process is in progress.





WM incidence in Australia

Australia has around  90 new cases of WM annually.  Graham W one of our whizz WMozzies researches in Sydney has extracted the latest information from the official Australian Government statistics of the Australian Institute of Health and Welfare as below.   This includes the:

·       WM incidence in Australia 2001-13

·       WM incidence by Age

·       Australian WM population incidence compared to United States

It is estimated that about 10% of WM patients are members of WMozzies.

A new WMozzies A5 flyer has been drafted to assist recruitment of new WMozzies members






WhiMSICAL CART-WHEEL enhancements now give Graphical presentation of pathology test results

The  WhiMSICAL CART-WHEEL enhancements now implemented provide graphical presentation of pathology test results.  Online consent is also  implemented following patient feedback.    The graphs show trend lines for each of the Pathology results entered. The graphs for IgM and Haemoglobin are provided automatically. All graphs are presented in test pairs. Selections may be made with any combination of test results. The graphs include details of treatments received.  


The WhiMSICAL CART-WHEEL Summaries may be printed or downloaded.  The Summaries provide a personal patient record. They are also a valuable  base for discussions in physician / patient discussions.



The upgraded CART-WHEEL application with WhiMSICAL project is now live.

160603 WhiMSICAL banner

WM patients in all countries are invited to participate in this important initiative.160604 Jan Waldenstrom

In Australia data provided by WhiMSICAL is needed to support applications to regulatory authorities to gain treatment funding approval under the Pharmaceutical Benefits Scheme (PBS). Currently PBS funding for WM is not available or has restrictions for available world-wide novel WM treatments such as Bendamustine and ibrutinib (IMBRUVICA)

With  other countries data from WM patients can be be analysed by WhiMSICAL on a country basis for inclusion as supporting evidence to the applicable funding regulatory authorities.

What is WhiMSICAL?

WhiMSICAL is an Australia-initiated, global clinical trial inviting Waldenström’s Macroglobulinemia (WM) patients to provide their clinical data, which will help advance current knowledge and understanding of this disease. CART-WHEEL (Center for Analysis of Rare Tumors) is a database designed to address some of the barriers facing effective research into rare cancers

How does it work?160604 CART-WHEEL logo

CART-WHEEL uses a privacy-protected, internet-based questionnaire. WM patients complete this questionnaire on the website and have control over personal details by providing consent to different uses of entered data. The questions cover areas including:

  • Patient demographics
  • Disease specifics: staging, chronology of symptoms, IgM levels, full blood count information, Somatic MYD88 and CXCR4 mutation status, etc.
  • Treatments, how they were accessed, and treatment side-effects
  • Personal and family medical history

Gathered information is stored securely and treated confidentially. It is analysed by WhiMSICAL and CART-WHEEL researchers only, to gain a better understanding of WM.

Participants can print out a summary of the questions and responses (their profile) for their records and/or review with their specialist. Profiles can be updated at any time and patients are encouraged to do this regularly, e.g. every 6 months.

How Can I take Part?160603 WhiMSICAL Investigators

If you would like to take part, please visit the CART-WHEEL website website ,fill in and post the consent form and enter your information. Your data cannot be utilised for research until the consent form has been received.


If you have any queries about the WhiMSICAL Study, please contact:

A/Prof Judith Trotman, Dr Ibrahim Tohidi-Esfahani (Principal Investigators)

Concord Repatriation General Hospital, Concord, NSW, 2139

Phone: +61 2 9767 7243