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

Figure 1.
Figure 1. The difference in median OS between patients with and without an allograft or DLI post venetoclax-azacitidine. DLI: donor lymphocyte infusion; OS: overall survival.
Figure 2.
Figure 2. OS as per ELN 2022 risk stratification. ELN: European LeukemiaNet; OS: overall survival.

Table

Table 1. Baseline Characteristics of the Study Population
 
Variablen (%)
AML: acute myeloid leukemia; CR: complete remission; DLI: donor lymphocyte infusion; ELN: European LeukemiaNet; MDS: myelodysplastic syndrome.
Median age65 (18 - 77 years)
Male/female ratio1.1:1
Indication for venetoclax-azacitidine
  Primary refractory disease6 (31.5%)
  Relapse post consolidation chemotherapy2 (10.5%)
  Relapse post allogeneic stem cell transplant11 (57.8%)
ELN risk
  Favorable risk (NPM1-mutated)1 (6.6%)
  Intermediate risk4 (26.6%)
  Adverse risk10 (66.6%)
Number of previous lines of AML chemotherapy
  1 line12 (80%)
  2 lines (including FLAG-Ida)3 (20%)
Chemotherapy regimen for the MDS patients
  Azacitidine2 (50%)
  FLAG-Ida1 (25%)
Commonest adverse effects
  Neutropenia (grade 3-4)19 (100%)
  Admission with neutropenic sepsis10 (52.6%)
Transfusion requirements
  Red cells13 (68.4%)
  Median number of red cell units7 (1 - 16) units
  Platelets8 (42.1%)
  Median number of platelets units11 (2 - 23) units
Response
  CR/CRi15 (78.9%)
  Refractory disease4 (20%)
  Relapse1 (5.2%)
Consolidation post venetoclax-azacitidine
  Allogeneic stem cell transplant7 (36%)
  DLI6 (31.5%)