Long-term outcomes of azacitidine, venetoclax, and gilteritinib in newly diagnosed FLT3-mutated AML.
Nicholas J Short, Hagop Kantarjian, Naval Daver et al.
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In 30 seconds
This phase II clinical trial evaluated the long-term outcomes of azacitidine, venetoclax, and gilteritinib in 30 adults with newly diagnosed FLT3-mutated acute myeloid leukemia (AML) unfit for intensive chemotherapy. The study found a complete remission rate of 96%, with median relapse-free survival and overall survival of 23.4 and 29.7 months, respectively.
Key findings
- The complete remission rate was 96%, with 47% of patients undergoing allogeneic HSCT in first remission.
- Median relapse-free survival was 23.4 months, and overall survival was 29.7 months.
- 3-year relapse-free survival and overall survival rates were 43% and 46%, respectively.
- Among FLT3-ITD-mutated AML patients, median relapse-free survival was 17.0 months.
Why it matters
The findings suggest that the triplet regimen of azacitidine, venetoclax, and gilteritinib can lead to durable remissions and improved survival in patients with FLT3-mutated AML, highlighting the need for further randomized studies to compare this approach with standard treatments.