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@ARTICLE{Shahswar:277758,
author = {R. Shahswar and G. Beutel and R. Gabdoulline and A.
Schwarzer and A. Kloos and C. Koenecke and M. Stadler and G.
Gohring and Y. L. Behrens and Z. Li and L.-K. Dallmann and
P. Klement and C. Albert and M. Wichmann and Y. Alwie and A.
Benner$^*$ and M. Saadati and A. Ganser and F. Thol and M.
Heuser},
title = {{F}ludarabine, cytarabine, and idarubicin with or without
venetoclax in patients with relapsed/refractory acute
myeloid leukemia.},
journal = {Haematologica},
volume = {109},
number = {1},
issn = {0390-6078},
address = {Pavia},
publisher = {Ferrata Storti Foundation},
reportid = {DKFZ-2023-01475},
pages = {72-83},
year = {2024},
note = {2024 Jan 1;109(1):72-83},
abstract = {Treatment options for relapsed and refractory acute myeloid
leukemia patients (R/R AML) are limited. This retrospective
cohort study compares safety and efficacy of fludarabine,
cytarabine, and idarubicin (FLA-IDA) with or without
venetoclax in patients with R/R AML. Thirty-seven and 81
patients received one course FLA-IDA with or without a 7-day
course of venetoclax, respectively. The overall response
rate (ORR) was significantly higher in FLAVIDA compared to
FLA-IDA treated patients $(78\%$ vs. $47\%;$ P=0.001), while
MRD was negative at a similar proportion in responding
patients $(50\%$ vs. $57\%),$ respectively. Eightyone
percent and $79\%$ of patients proceeded to allogeneic
hematopoietic cell transplantation (alloHCT) or donor
lymphocyte infusion (DLI) after FLAVIDA and FLA-IDA,
respectively. Event-free and overall survival were similar
in FLAVIDA and FLA-IDA treated patients. Refractory patients
could be salvaged more successfully after FLA-IDA compared
to FLAVIDA pretreatment. Neutrophil and platelet recovery
times were similar in the venetoclax and the control group.
In conclusion, short-term venetoclax in combination with
FLA-IDA represents an effective treatment regimen in R/R AML
identifying chemosensitive patients rapidly and inducing MRD
negative remission in a high proportion of R/R AML
patients.},
cin = {C060},
ddc = {610},
cid = {I:(DE-He78)C060-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37470150},
doi = {10.3324/haematol.2023.282912},
url = {https://inrepo02.dkfz.de/record/277758},
}