[Venetoclax combined with dose-reduced HAD as induction treatment for patients with de-novo acute myeloid leukemia].

Z S Yan, Y Li, B Zhang, J S He, J S Li, S N Wei, Q Wang, Q L Li, K Q Liu, Y C Mi
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Abstract

The efficacy and safety of venetoclax combined with reduced dose HAD regimen in the treatment of newly diagnosed acute myeloid leukemia (AML) was investigated. From May 2022 to January 2023, a total of 25 patients with newly diagnosed AML were treated with venetoclax combined with reduced-dose HAD regimen as induction therapy. Accoding to the 2017 ELN recommendations, 13 (52.0%) in favoable, 3 (12.0%) in intemediate, and 9 (36.0%) in adverse. The ORR (CR rate+PR rate) was 88.0%, and the CR rate was 84.0%. By May 30, 2023, with a median follow-up of 9 months, 1 year overall survival, event-free survival, and relapse-free survival were 100%, 94.7%, and 94.7%, respectively. All patients received 1-5 cycles of consolidation therapy and two median cycles. Treatment with venetoclax and reduced dose of HAD regimen in the treatment of patients with newly diagnosed AML was high effective and safe.

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[Venetoclax联合剂量降低的HAD作为新发急性髓性白血病患者的诱导治疗]。
研究了文替曲塞(venetoclax)联合减量HAD方案治疗新诊断急性髓性白血病(AML)的有效性和安全性。自2022年5月至2023年1月,共有25名新诊断AML患者接受了venetoclax联合减量HAD方案的诱导治疗。根据2017年ELN建议,13例(52.0%)为可取,3例(12.0%)为中等,9例(36.0%)为不良。ORR(CR率+PR率)为88.0%,CR率为84.0%。截至2023年5月30日,中位随访时间为9个月,1年总生存率、无事件生存率和无复发生存率分别为100%、94.7%和94.7%。所有患者均接受了1-5个周期的巩固治疗和两个中位周期的治疗。在治疗新诊断的急性髓细胞性白血病患者时,使用venetoclax和减少剂量的HAD方案是高效、安全的。
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