Clinical Edge Journal Scan

Transfusion reliance remains after AML treatment with VEN and HMA


 

Key clinical point: Treatment with a combination of venetoclax (VEN) and hypomethylating agents (HMA) may be an option for younger AML patients, but myelosuppression was a concern, and 43.7% of treated patients were hospitalized for a treatment-related adverse event.

Major finding: In the 26 newly-diagnosed AML patients, the complete remission rate was 53.8%, but only 38.5% in the 39 relapsed/refractory patients; however, 70% remained dependent on red blood cell transfusion and 58.6% remained dependent on platelet transfusion during and after treatment.

Study details: The data come from 65 patients with acute myeloid leukemia and 7 patients with myelodysplastic syndrome who were treated with a combination of VEN and HMA.

Disclosures: The study’s corresponding author was supported by the National Institutes of Health and the National Cancer Institute. Lead author Dr. Feld had no financial conflicts to disclose.

Source: Feld J et al. Hemasphere. 2021 Mar 9. doi: 10.1097/HS9.0000000000000549.

Recommended Reading

Don’t delay: Cancer patients need both doses of COVID vaccine
MDedge Hematology and Oncology
Omidubicel improves on umbilical cord blood transplants
MDedge Hematology and Oncology
Risk factors predict graft failure in pediatric acute leukemia patients
MDedge Hematology and Oncology
Rural AML patients fare as well as urban patients for survival and treatment
MDedge Hematology and Oncology
Early tumor cell response predicts AML treatment success
MDedge Hematology and Oncology
Green tea extract promotes immune system function in older AML patients
MDedge Hematology and Oncology
Venetoclax succeeds for AML remission in untreated older patients
MDedge Hematology and Oncology
Glasdegib and venetoclax show similar success for AML
MDedge Hematology and Oncology
Gene mutation status impacts overall survival in acute myeloid leukemia
MDedge Hematology and Oncology
Loss of tumor suppressor may drive cytarabine resistance in AML
MDedge Hematology and Oncology