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Long-term Remissions with Gilteritinib in Early Relapse After Allogeneic Stem Cell Transplantation of FLT3/NPM1 Mutated Acute Myeloid Leukemia

Overview
Journal Blood Cell Ther
Date 2024 Sep 12
PMID 39263622
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Abstract

Early post-allogeneic hematopoietic stem cell transplantation (allo-HSCT) relapse in patients with acute myeloid leukemia (AML) has an almost invariably dismal prognosis. Recent studies have demonstrated that FLT3 inhibition enhances the graft-versus-leukemia effect in vitro and in vivo. Thus, FLT-3 inhibitors may be viable treatment options in this setting. Here, we report three patients with FLT3 and NPM1 mutated AML who relapsed early after allo-HSCT and were treated with gilteritinib (associated with donor lymphocyte Infusion in two patients) to achieve long-term remission without a second transplantation.

References
1.
Burchert A . Maintenance therapy for -mutated acute myeloid leukemia. Haematologica. 2021; 106(3):664-670. PMC: 7927878. DOI: 10.3324/haematol.2019.240747. View

2.
Perl A, Martinelli G, Cortes J, Neubauer A, Berman E, Paolini S . Gilteritinib or Chemotherapy for Relapsed or Refractory -Mutated AML. N Engl J Med. 2019; 381(18):1728-1740. DOI: 10.1056/NEJMoa1902688. View

3.
Bejanyan N, Weisdorf D, Logan B, Wang H, Devine S, de Lima M . Survival of patients with acute myeloid leukemia relapsing after allogeneic hematopoietic cell transplantation: a center for international blood and marrow transplant research study. Biol Blood Marrow Transplant. 2014; 21(3):454-9. PMC: 4329076. DOI: 10.1016/j.bbmt.2014.11.007. View

4.
Burchert A, Bug G, Fritz L, Finke J, Stelljes M, Rollig C . Sorafenib Maintenance After Allogeneic Hematopoietic Stem Cell Transplantation for Acute Myeloid Leukemia With -Internal Tandem Duplication Mutation (SORMAIN). J Clin Oncol. 2020; 38(26):2993-3002. DOI: 10.1200/JCO.19.03345. View

5.
Zhang Z, Hasegawa Y, Hashimoto D, Senjo H, Kikuchi R, Chen X . Gilteritinib enhances graft-versus-leukemia effects against FLT3-ITD mutant leukemia after allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant. 2022; 57(5):775-780. DOI: 10.1038/s41409-022-01619-4. View