MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCT
A subset of AML patients are unfit for 7+3 induction at the time of diagnosis. Present case highlights the use of azacitidine and venetoclax in a patient with intermediate risk AML with WT-1 mutation,deemed unfit for intensive induction in view of poor general condition and comorbid illness. After v...
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doaj-38f594ff06174e048ab8fa967e815a202021-09-13T04:13:57ZengElsevierLeukemia Research Reports2213-04892021-01-0116100267MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCTDeepak Kumar Shukla0Satyendra Katewa1Ravikant Porwal2Ravi Dara3Lalit Sharma4Rahul Sharma5Aadesh Arora6Consultant Medical Oncology, Manipal Comprehensive Cancer Center, Manipal Hospital Jaipur, India; Corresponding author.Consultant - Pediatric Hematology Oncology & Bone Marrow Transplant, Manipal Comprehensive Cancer Center , Manipal Hospital Jaipur, IndiaConsultant -Infectious Disease Manipal Hospital Jaipur, IndiaConsultant Immunohematology and Transfusion Medicine Manipal Hospital Jaipur, IndiaConsultant Medical Oncology, Manipal Comprehensive Cancer Center, Manipal Hospital Jaipur, IndiaConsultant - Pediatric Hematology Oncology & Bone Marrow Transplant, Manipal Comprehensive Cancer Center , Manipal Hospital Jaipur, IndiaSenior Resident , Pediatric Hematology Oncology & Bone Marrow Transplant, Manipal Comprehensive Cancer Center , Manipal Hospital Jaipur, IndiaA subset of AML patients are unfit for 7+3 induction at the time of diagnosis. Present case highlights the use of azacitidine and venetoclax in a patient with intermediate risk AML with WT-1 mutation,deemed unfit for intensive induction in view of poor general condition and comorbid illness. After venetoclax and azacitidine patient was negative for measurable residual disease but developed cerebellar toxicity after high dose cytarabine. He underwent successful matched sibling allogeneic stem cell transplant and is presently on routine follow up. This case report suggest possible role of this combination even in young patients unfit for intensive induction.http://www.sciencedirect.com/science/article/pii/S2213048921000340AMLUnfitAzacitidineVenetoclaxYoung |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Deepak Kumar Shukla Satyendra Katewa Ravikant Porwal Ravi Dara Lalit Sharma Rahul Sharma Aadesh Arora |
spellingShingle |
Deepak Kumar Shukla Satyendra Katewa Ravikant Porwal Ravi Dara Lalit Sharma Rahul Sharma Aadesh Arora MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCT Leukemia Research Reports AML Unfit Azacitidine Venetoclax Young |
author_facet |
Deepak Kumar Shukla Satyendra Katewa Ravikant Porwal Ravi Dara Lalit Sharma Rahul Sharma Aadesh Arora |
author_sort |
Deepak Kumar Shukla |
title |
MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCT |
title_short |
MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCT |
title_full |
MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCT |
title_fullStr |
MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCT |
title_full_unstemmed |
MRD negative CR after azacitidine and venetoclax in a young patient with AML, unfit for intensive induction followed by ASCT |
title_sort |
mrd negative cr after azacitidine and venetoclax in a young patient with aml, unfit for intensive induction followed by asct |
publisher |
Elsevier |
series |
Leukemia Research Reports |
issn |
2213-0489 |
publishDate |
2021-01-01 |
description |
A subset of AML patients are unfit for 7+3 induction at the time of diagnosis. Present case highlights the use of azacitidine and venetoclax in a patient with intermediate risk AML with WT-1 mutation,deemed unfit for intensive induction in view of poor general condition and comorbid illness. After venetoclax and azacitidine patient was negative for measurable residual disease but developed cerebellar toxicity after high dose cytarabine. He underwent successful matched sibling allogeneic stem cell transplant and is presently on routine follow up. This case report suggest possible role of this combination even in young patients unfit for intensive induction. |
topic |
AML Unfit Azacitidine Venetoclax Young |
url |
http://www.sciencedirect.com/science/article/pii/S2213048921000340 |
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