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Venetoclax-containing regimens in acute myeloid leukemia

Venetoclax in combination with hypomethylating agents (HMAs) or low-dose cytarabine (LDAC) has demonstrated exceptional activity in elderly and unfit patients with newly diagnosed acute myeloid leukemia (AML). Notably, the safety profile of venetoclax-based induction regimens was favorable, with a l...

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Autores principales: Aldoss, Ibrahim, Pullarkat, Vinod, Stein, Anthony S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7882757/
https://www.ncbi.nlm.nih.gov/pubmed/33628408
http://dx.doi.org/10.1177/2040620720986646
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author Aldoss, Ibrahim
Pullarkat, Vinod
Stein, Anthony S.
author_facet Aldoss, Ibrahim
Pullarkat, Vinod
Stein, Anthony S.
author_sort Aldoss, Ibrahim
collection PubMed
description Venetoclax in combination with hypomethylating agents (HMAs) or low-dose cytarabine (LDAC) has demonstrated exceptional activity in elderly and unfit patients with newly diagnosed acute myeloid leukemia (AML). Notably, the safety profile of venetoclax-based induction regimens was favorable, with a low rate of early treatment-related mortality, even in frail study participants. Thus, the introduction of venetoclax has transformed the landscape of AML therapy in elderly patients. Given these promising results, venetoclax in combination with other agents is now being studied as a frontline therapy in younger patients with AML, as well as in relapsed/refractory AML patients. Here, we review clinical data for venetoclax-based therapy in AML, both from prospective as well as retrospective studies, and highlight ongoing novel studies of venetoclax-containing regimens and discuss future research directions.
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spelling pubmed-78827572021-02-23 Venetoclax-containing regimens in acute myeloid leukemia Aldoss, Ibrahim Pullarkat, Vinod Stein, Anthony S. Ther Adv Hematol Review Venetoclax in combination with hypomethylating agents (HMAs) or low-dose cytarabine (LDAC) has demonstrated exceptional activity in elderly and unfit patients with newly diagnosed acute myeloid leukemia (AML). Notably, the safety profile of venetoclax-based induction regimens was favorable, with a low rate of early treatment-related mortality, even in frail study participants. Thus, the introduction of venetoclax has transformed the landscape of AML therapy in elderly patients. Given these promising results, venetoclax in combination with other agents is now being studied as a frontline therapy in younger patients with AML, as well as in relapsed/refractory AML patients. Here, we review clinical data for venetoclax-based therapy in AML, both from prospective as well as retrospective studies, and highlight ongoing novel studies of venetoclax-containing regimens and discuss future research directions. SAGE Publications 2021-02-11 /pmc/articles/PMC7882757/ /pubmed/33628408 http://dx.doi.org/10.1177/2040620720986646 Text en © The Author(s), 2021 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review
Aldoss, Ibrahim
Pullarkat, Vinod
Stein, Anthony S.
Venetoclax-containing regimens in acute myeloid leukemia
title Venetoclax-containing regimens in acute myeloid leukemia
title_full Venetoclax-containing regimens in acute myeloid leukemia
title_fullStr Venetoclax-containing regimens in acute myeloid leukemia
title_full_unstemmed Venetoclax-containing regimens in acute myeloid leukemia
title_short Venetoclax-containing regimens in acute myeloid leukemia
title_sort venetoclax-containing regimens in acute myeloid leukemia
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7882757/
https://www.ncbi.nlm.nih.gov/pubmed/33628408
http://dx.doi.org/10.1177/2040620720986646
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