The aim of this study is to reveal the influence of gene mutations on the treatment response of the regimen of HHT combined with Venetoclax plus AZA versus venetoclax plus HMA in the salvage therapy of RR-AML.
Venetoclax-based regimens have heen used in the salvage therapy of relapsed/resfractory (RR) acute myeloid leukemia (AML). More and more studies have shown that molecular abnormalities and venetoclax combined regimens significantly impact the response of venetoclax-based therapy. Our exploratory study revealed that venetoclax plus azacytidine combined with homoharringtonine (VAH) had remarkably higher response than venetoclax plus hypomethylating agents (HMA) in RR-AML. Yet the influence of molecular abnormalities on the response of VAH regimen remains unknown.
Study Type
OBSERVATIONAL
Enrollment
231
VEN was prescribed as 100mg day 1, 200mg day 2, 400mg day 3-14; AZA was used at the dose of 75 mg/m2, day 1-7; HHT was given at a dose of 1mg/m2, day 1-7. The dose of VEN was reduced to 100mg/d if co-administered with posaconazole or voriconazole.
VEN was prescribed as 100mg day 1, 200mg day 2, 400mg day 3-28; AZA was used at the dose of 75 mg/m2, day 1-7 or DEC 20mg/m2 day 1-5. The dose of VEN was reduced to 100mg/d if co-administered with posaconazole or voriconazole.
Department of Hematology,Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, China
CR/CRi
Complete remission and CR with incomplete count recovery
Time frame: At the end of Cycle 2 (each cycle is 28 days)
MRD negative
MRD was detected with FCM and defined negative as a ratio \< 0.1%
Time frame: At the end of Cycle 2 (each cycle is 28 days)
Overall response
Overall response included CR/CRi, MLFS and PR.
Time frame: At the end of Cycle 2 (each cycle is 28 days)
Overall survival
The time from enrolling to death or the last follow up
Time frame: 2 years
Event-free survival
The time from enrolling to no response, relapse, death or the last follow up
Time frame: 2 years
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