Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc |
Journal website https://jh.elmerpub.com |
Letter to the Editor
Volume 000, Number 000, December 2024, pages 000-000
Venetoclax-Azacitidine Salvage Chemotherapy in Relapsed/Refractory Acute Myeloid Leukemia and Myelodysplastic Syndrome: A Single-Center Experience
Figures
Table
Variable | n (%) |
---|---|
AML: acute myeloid leukemia; CR: complete remission; DLI: donor lymphocyte infusion; ELN: European LeukemiaNet; MDS: myelodysplastic syndrome. | |
Median age | 65 (18 - 77 years) |
Male/female ratio | 1.1:1 |
Indication for venetoclax-azacitidine | |
Primary refractory disease | 6 (31.5%) |
Relapse post consolidation chemotherapy | 2 (10.5%) |
Relapse post allogeneic stem cell transplant | 11 (57.8%) |
ELN risk | |
Favorable risk (NPM1-mutated) | 1 (6.6%) |
Intermediate risk | 4 (26.6%) |
Adverse risk | 10 (66.6%) |
Number of previous lines of AML chemotherapy | |
1 line | 12 (80%) |
2 lines (including FLAG-Ida) | 3 (20%) |
Chemotherapy regimen for the MDS patients | |
Azacitidine | 2 (50%) |
FLAG-Ida | 1 (25%) |
Commonest adverse effects | |
Neutropenia (grade 3-4) | 19 (100%) |
Admission with neutropenic sepsis | 10 (52.6%) |
Transfusion requirements | |
Red cells | 13 (68.4%) |
Median number of red cell units | 7 (1 - 16) units |
Platelets | 8 (42.1%) |
Median number of platelets units | 11 (2 - 23) units |
Response | |
CR/CRi | 15 (78.9%) |
Refractory disease | 4 (20%) |
Relapse | 1 (5.2%) |
Consolidation post venetoclax-azacitidine | |
Allogeneic stem cell transplant | 7 (36%) |
DLI | 6 (31.5%) |