» Articles » PMID: 39451755

Maintenance Therapy Post-Hematopoietic Stem Cell Transplantation in Acute Myeloid Leukemia

Overview
Journal Curr Oncol
Publisher MDPI
Specialty Oncology
Date 2024 Oct 25
PMID 39451755
Authors
Affiliations
Soon will be listed here.
Abstract

High-risk acute myeloid leukemia has been associated with a poor outcome. Hematopoietic stem cell transplantation (HSCT) represents the only curative option for eligible patients. Relapse after HSCT is a dramatic event with poor chances of survival. With the aim of reducing the rate of post-HSCT relapse, maintenance treatment has been investigated in this setting. Results from clinical trials suggest an advantage in the use of a maintenance strategy; however, standardized guidelines are not yet available due to the lack of prospective clinical trials. In this review, we have reported the most important strategies adopted as post-HSCT maintenance, highlighting their efficacy, but the current research also opens questions.

References
1.
Lindsley R, Saber W, Mar B, Redd R, Wang T, Haagenson M . Prognostic Mutations in Myelodysplastic Syndrome after Stem-Cell Transplantation. N Engl J Med. 2017; 376(6):536-547. PMC: 5438571. DOI: 10.1056/NEJMoa1611604. View

2.
Wei A, Strickland Jr S, Hou J, Fiedler W, Lin T, Walter R . Venetoclax Combined With Low-Dose Cytarabine for Previously Untreated Patients With Acute Myeloid Leukemia: Results From a Phase Ib/II Study. J Clin Oncol. 2019; 37(15):1277-1284. PMC: 6524989. DOI: 10.1200/JCO.18.01600. View

3.
Jedlickova Z, Schmid C, Koenecke C, Hertenstein B, Baurmann H, Schwerdtfeger R . Long-term results of adjuvant donor lymphocyte transfusion in AML after allogeneic stem cell transplantation. Bone Marrow Transplant. 2015; 51(5):663-7. DOI: 10.1038/bmt.2015.234. View

4.
Liu W, Zhou Z, Chen L, Wang X . Comparison of Azacitidine and Decitabine in Myelodysplastic Syndromes and Acute Myeloid Leukemia: A Network Meta-analysis. Clin Lymphoma Myeloma Leuk. 2021; 21(6):e530-e544. DOI: 10.1016/j.clml.2021.01.024. View

5.
DiNardo C, Ravandi F, Agresta S, Konopleva M, Takahashi K, Kadia T . Characteristics, clinical outcome, and prognostic significance of IDH mutations in AML. Am J Hematol. 2015; 90(8):732-6. PMC: 4612499. DOI: 10.1002/ajh.24072. View