Measurable Residual Disease Response and Prognosis in Treatment-Naïve Acute Myeloid Leukemia With Venetoclax and Azacitidine.


Journal

Journal of clinical oncology : official journal of the American Society of Clinical Oncology
ISSN: 1527-7755
Titre abrégé: J Clin Oncol
Pays: United States
ID NLM: 8309333

Informations de publication

Date de publication:
10 03 2022
Historique:
pubmed: 16 12 2021
medline: 6 5 2022
entrez: 15 12 2021
Statut: ppublish

Résumé

There is limited evidence on the clinical utility of monitoring measurable residual disease (MRD) in patients with acute myeloid leukemia treated with lower-intensity therapy. Herein, we explored the outcomes of patients treated with venetoclax and azacitidine who achieved composite complete remission (CRc; complete remission + complete remission with incomplete hematologic recovery) and MRD < 10 The patients included in this report were treated with venetoclax and azacitidine. Bone marrow aspirate samples for multiparametric flow cytometry assessments were collected for central analysis at baseline, end of cycle 1, and every three cycles thereafter. MRD-negative response was defined as < 1 residual blast per 1,000 leukocytes (< 10 One hundred sixty-four of one hundred ninety (86%) patients with CRc were evaluable for MRD. MRD < 10 Patients who achieved CRc and MRD < 10

Identifiants

pubmed: 34910556
doi: 10.1200/JCO.21.01546
pmc: PMC8906463
doi:

Substances chimiques

Bridged Bicyclo Compounds, Heterocyclic 0
Sulfonamides 0
Azacitidine M801H13NRU
venetoclax N54AIC43PW

Banques de données

ClinicalTrials.gov
['NCT02993523']

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

855-865

Subventions

Organisme : NCI NIH HHS
ID : P30 CA093373
Pays : United States

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Auteurs

Keith W Pratz (KW)

Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.

Brian A Jonas (BA)

Department of Internal Medicine, Division of Hematology and Oncology, University of California Davis School of Medicine, Sacramento, CA.

Vinod Pullarkat (V)

Department of Hematology and Hematopoietic Cell Transplantation and Gehr Family Center for Leukemia Research, City of Hope Comprehensive Cancer Center, Duarte, CA.

Christian Recher (C)

Centre Hospitalier Universitaire de Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Université de Toulouse 3 Paul Sabatier, Toulouse, France.

Andre C Schuh (AC)

Department of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.

Michael J Thirman (MJ)

Section of Hematology/Oncology, Department of Medicine, The University of Chicago Medicine, Chicago, IL.

Jacqueline S Garcia (JS)

Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.

Courtney D DiNardo (CD)

Department of Leukemia, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.

Vladimir Vorobyev (V)

Department of Hematology, S. P. Botkin City Clinical Hospital, Moscow, Russia.

Nicola S Fracchiolla (NS)

UOC Ematologia, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy.

Su-Peng Yeh (SP)

Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.

Jun Ho Jang (JH)

Department of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Muhit Ozcan (M)

Department of Hematology, Ankara University School of Medicine, Ankara, Turkey.

Kazuhito Yamamoto (K)

Department of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan.

Arpad Illes (A)

University of Debrecen, Faculty of Medicine, Department of Hematology, Debrecen, Hungary.

Ying Zhou (Y)

AbbVie Inc., North Chicago, IL.

Monique Dail (M)

Genentech Inc., South San Francisco, CA.

Brenda Chyla (B)

AbbVie Inc., North Chicago, IL.

Jalaja Potluri (J)

AbbVie Inc., North Chicago, IL.

Hartmut Döhner (H)

Department of Internal Medicine III, Ulm University Hospital, Ulm, Germany.

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Classifications MeSH