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[Venetoclax Combined with Dose-reduced HAD As Induction Treatment for Patients with De-novo Acute Myeloid Leukemia]

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Specialty Hematology
Date 2024 Jul 1
PMID 38951068
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Abstract

The efficacy and safety of venetoclax combined with reduced dose HAD regimen in the treatment of newly diagnosed acute myeloid leukemia (AML) was investigated. From May 2022 to January 2023, a total of 25 patients with newly diagnosed AML were treated with venetoclax combined with reduced-dose HAD regimen as induction therapy. Accoding to the 2017 ELN recommendations, 13 (52.0%) in favoable, 3 (12.0%) in intemediate, and 9 (36.0%) in adverse. The ORR (CR rate+PR rate) was 88.0%, and the CR rate was 84.0%. By May 30, 2023, with a median follow-up of 9 months, 1 year overall survival, event-free survival, and relapse-free survival were 100%, 94.7%, and 94.7%, respectively. All patients received 1-5 cycles of consolidation therapy and two median cycles. Treatment with venetoclax and reduced dose of HAD regimen in the treatment of patients with newly diagnosed AML was high effective and safe.

References
1.
Griffioen M, De Leeuw D, Janssen J, Smit L . Targeting Acute Myeloid Leukemia with Venetoclax; Biomarkers for Sensitivity and Rationale for Venetoclax-Based Combination Therapies. Cancers (Basel). 2022; 14(14). PMC: 9318140. DOI: 10.3390/cancers14143456. View

2.
Wei A, Montesinos P, Ivanov V, DiNardo C, Novak J, Laribi K . Venetoclax plus LDAC for newly diagnosed AML ineligible for intensive chemotherapy: a phase 3 randomized placebo-controlled trial. Blood. 2020; 135(24):2137-2145. PMC: 7290090. DOI: 10.1182/blood.2020004856. View

3.
Jin J, Wang J, Chen F, Wu D, Hu J, Zhou J . Homoharringtonine-based induction regimens for patients with de-novo acute myeloid leukaemia: a multicentre, open-label, randomised, controlled phase 3 trial. Lancet Oncol. 2013; 14(7):599-608. DOI: 10.1016/S1470-2045(13)70152-9. View

4.
. [Chinese guidelines for the diagnosis and treatment of adult acute myeloid leukemia (not APL) (2021)]. Zhonghua Xue Ye Xue Za Zhi. 2021; 42(8):617-623. PMC: 8501285. DOI: 10.3760/cma.j.issn.0253-2727.2021.08.001. View

5.
Chua C, Roberts A, Reynolds J, Fong C, Ting S, Salmon J . Chemotherapy and Venetoclax in Elderly Acute Myeloid Leukemia Trial (CAVEAT): A Phase Ib Dose-Escalation Study of Venetoclax Combined With Modified Intensive Chemotherapy. J Clin Oncol. 2020; 38(30):3506-3517. DOI: 10.1200/JCO.20.00572. View