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Combination therapy involving azacitidine for acute myeloid leukemia patients ineligible for intensive chemotherapy.

Leuk Res

December 2024

Department of Hematology, Taixing People's Hospital Affiliated to Yangzhou University, Taixing, China; Institute of Hematology, affiliated hospital of Yangzhou University, Taixing, China. Electronic address:

Acute myeloid leukemia (AML) is a complex hematological malignancy predominantly affecting the elderly, with a median diagnosis age of 68 years. Despite advances in treatment, elderly AML patients face suboptimal survival outcomes, with an estimated 5-year survival rate below 20 %. Epigenetic dysregulation, notably DNA methylation, is a key factor in the progression of myelodysplastic syndromes (MDS) to AML.

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Article Synopsis
  • It highlights the different treatment combinations available, including monotherapy and pairings like ivosidenib with azacitidine, while exploring their effectiveness and survival benefits.
  • Lastly, it points out ongoing uncertainties in treatment choices and the need for more randomized trials to clarify the best approaches, especially after transplantation and in combination with other therapies.
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Article Synopsis
  • Advances in understanding the molecular pathobiology of acute myeloid leukemia (AML) have led to the development of twelve new targeted therapies approved since 2017, including various inhibitors and antibody-drug conjugates.
  • These therapies, such as venetoclax and FLT3 inhibitors, aim to treat specific AML subsets and improve patient outcomes through precision medicine.
  • Successful treatment of AML requires specialized expertise, access to diverse therapies, and a strong supportive care system, alongside ongoing research into new treatment options and combinations.
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