Low-dose decitabine plus venetoclax as post-transplant maintenance for high-risk myeloid malignancies

EJHaem Pub Date : 2024-05-15 DOI:10.1002/jha2.915
Katherine Parks, Kendall Diebold, Donna Salzman, Antonio Di Stasi, Zaid Al-Kadhimi, Manuel Espinoza-Gutarra, Ravi Bhatia, Omer Jamy
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Abstract

Relapse remains a major cause of treatment failure following allogeneic stem cell transplantation (allo-SCT) for patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). We retrospectively investigated low-dose decitabine and venetoclax (DEC/VEN) as post-transplant maintenance in 26 older patients with AML and MDS. The cumulative incidence of day 100 gIII-IV acute graft versus host disease (GVHD) and 1-year moderate-severe chronic GVHD was 5% and 26%, respectively. One patient relapsed 14 m after transplant. The 1-year non-relapse mortality and survival were 11% and 84%, respectively. DEC/VEN is a safe and potentially effective strategy to reduce the risk of post-transplant relapse.

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小剂量地西他滨加 venetoclax 作为高风险骨髓恶性肿瘤移植后的维持治疗药物
复发仍是急性髓性白血病(AML)和骨髓增生异常综合征(MDS)患者异基因干细胞移植(allo-SCT)治疗失败的主要原因。我们对26名年龄较大的急性髓细胞白血病和骨髓增生异常综合征患者移植后维持低剂量地西他滨和文替可乐(DEC/VEN)治疗的情况进行了回顾性研究。第100 gIII-IV天急性移植物抗宿主疾病(GVHD)和1年中度-重度慢性GVHD的累积发生率分别为5%和26%。一名患者在移植后14米复发。1年非复发死亡率和存活率分别为11%和84%。DEC/VEN是降低移植后复发风险的一种安全且潜在有效的策略。
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