关键词: AML FLT3 acute leukaemia allogeneic stem cell transplantation gilteritinib venetoclax

Mesh : Humans Cytarabine Dactinomycin Retrospective Studies Neoplasm Recurrence, Local Leukemia, Myeloid, Acute / drug therapy genetics fms-Like Tyrosine Kinase 3 / genetics Aniline Compounds Pyrazines Sulfonamides Bridged Bicyclo Compounds, Heterocyclic

来  源:   DOI:10.1111/bjh.19318

Abstract:
We have conducted a retrospective, single-centre analysis of 20 patients with relapsed or refractory FLT3-mutated acute myeloid leukaemia (FLT3m AML) who received a salvage quadruplet regimen consisting of gilteritinib, venetoclax, low-dose cytarabine and actinomycin D (G-ACTIVE). G-ACTIVE resulted in a 95% (19/20) overall response rate and 75% (15/20) complete remission and complete remission with an incomplete platelet recovery (CR + CRp) rate. Out of 13 transplant-eligible patients, 11 (86%) proceeded to an allogeneic stem cell transplantation. The median overall survival and relapse-free survival after G-ACTIVE were 32 and 12.9 months respectively. The Day 60 mortality rate was 15%.
摘要:
我们进行了一次回顾,单中心分析20例复发性或难治性FLT3突变型急性髓系白血病(FLT3mAML)患者接受由gilteritinib组成的抢救四联疗法,维尼托克,低剂量阿糖胞苷和放线菌素D(G-ACTIVE)。G-ACTIVE导致95%(19/20)的总体反应率和75%(15/20)的完全缓解和完全缓解,血小板恢复不完全(CRCRp)率。在13名符合移植资格的患者中,11(86%)进行了异基因干细胞移植。G-ACTIVE后中位总生存期和无复发生存期分别为32个月和12.9个月。第60天死亡率为15%。
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