At talks in Munich aimed at reviving the struggling peace process, the 17 countries agreed "to implement a nationwide cessation of hostilities to begin in a target of one week's time", said United States Secretary of State John Kerry after extended talks co-hosted by Russian Foreign Minister Sergei Lavrov.
The International Syria Support Group also agreed "to accelerate and expand the delivery of humanitarian aid beginning immediately".
"Sustained delivery will begin this week, first to the areas where it is most urgently needed ... and then to all the people in need throughout the country, particularly in the besieged and hard-to-reach areas," said Kerry.
The bombardments have forced 50,000 people to flee, left the opposition virtually encircled and killed around 500 people since they began on February 1 - the latest hellish twist in a war that has claimed by some estimates 470,000 lives.
Kerry said talks between rebels and the regime would resume as soon as possible, but warned: "What we have here are words on paper - what we need to see in the next few days are actions on the ground."
Host German Foreign Minister Frank-Walter Steinmeier agreed, adding: "Whether this really is a breakthrough we will see in the next few days. When the whole world sees whether today's agreements are kept and implemented - by the Assad regime and the Syrian opposition, by Hizbollah and opposition militias, and also by Russia."
The atmosphere going into the talks had been gloomy, with Russian Prime Minister Dmitry Medvedev even warning of a "new world war" if Gulf nations sent in troops to support the rebel opposition.
But the working group emerged with a document that showed a surprising level of co-operation between the key players, despite rising tensions over Moscow's bombing campaign.
Lavrov called "for direct contacts between the Russian and US military" in Syria and said negotiations on a political transition "have to start as soon as possible, without ultimatums and preconditions".
Kerry said the cessation of hostilities - an intentionally more tentative phrasing than a full ceasefire - would apply to all groups apart from "the terrorist organisations" of Isis (Islamic State) and al-Qaeda affiliate al-Nusra.
A United Nations task force, co-chaired by Russia and the US, will work over the coming week "to develop the modalities for a long-term, comprehensive and durable cessation of violence", Kerry said.
Another task force will oversee the delivery of aid, including pressure on Syria to open routes, since only around a dozen of 116 UN access requests have been granted.
"This working group will meet tomorrow in Geneva," said Kerry. "It will report weekly on progress, or lack thereof, to ensure consistent and timely and approved access moving forward."
Russia and the US remain starkly at odds on several issues, particularly the fate of Assad.
The two traded accusations yesterday, with the Pentagon claiming Russian air strikes had destroyed hospitals in Aleppo and denying Russian claims that US planes had struck the city.
Syria is a crucial ally and military staging post for Russia and Iran, while observers say Moscow has benefited from the chaos created by the war, particularly the refugee crisis in Europe.
Washington, reluctant to involve itself in another complex war after the quagmires of Afghanistan and Iraq, has also faced criticism for not doing enough to help the rebels.
Instead, it has sought to focus more on combating Isis jihadists, who have taken over swathes of Syria and Iraq, than getting involved in the civil war between the regime and opposition forces.
"The US has given up the idea of toppling Assad," said Camille Grand, of the Foundation for Strategic Research in Paris. "Kerry seems willing to accept pretty much anything to resolve the crisis." The conflict has also strained relations between Turkey and its Western allies.
Turkish President Recep Tayyip Erdogan has slammed Washington's increasingly close alliance with the Kurdish militias in the fight against Isis, saying it was turning the region into "a pool of blood".
Nato warships tackle people smugglers
Nato has launched an unprecedented naval mission in the Aegean Sea to tackle people smugglers taking refugees and migrants from Turkey to Greece, Secretary-General Jens Stoltenberg said.
The alliance will deploy at least three warships after alliance members Germany, Greece and Turkey called for help this week to cope with Europe's biggest migrant crisis since World War II.
The move came despite a threat by Turkish President Recep Tayyip Erdogan to send millions more refugees to Europe amid a row with the European Union over responsibility for handling the crisis.
"This is not about stopping and pushing back [refugee boats] ... but about critical surveillance to help counter human trafficking and criminal networks," Stoltenberg said yesterday after Nato defence ministers approved the mission.
He said Nato was "now directing the standing maritime group to move into the Aegean without delay and start maritime surveillance activities".
The group comprises three ships under German command but there will be more as the situation is reviewed.
EU efforts to tackle the problem have only exposed deep divisions while a November agreement with Turkey has got bogged down in mutual recrimination over who is to blame.
The Nato chief said the migrant crisis, driven by conflict and turmoil in Syria, across the Middle East and North Africa, posed a major security threat to the 28-nation alliance at the same time as it faces new challenges in Europe driven by the Ukraine crisis.
German Chancellor Angela Merkel made the call for help on Monday in Turkey as thousands more refugees fled heavy fighting near Aleppo in northern Syria, only to be held back on the border.
Turkey is home to some 2.5 million refugees and their future is uncertain with prospects of a return home disappearing.
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