Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America

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Objectives: Venetoclax combinations are a new standard for patients with acute myeloid leukemia (AML). We aimed to evaluate the safety and efficacy of these combinations in a period of accelerated approval in Latin-America. Methods: This observational study evaluated adults with acute myeloid leukem...

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Autores: Gómez-De León, A, Demichelis-Gómez, R, Pinedo-Rodríguez, A, Enriquez-Vera, D, Flores-Jiménez, JA, Ceballos-López, AA, Rodríguez-Mejorada, M, Herrera Riojas, MA, Ovilla-Martínez, R, Báez-Islas, P, Cota-Rangel, X, Neme-Yunes, Y, Inclán-Alarcón, S, López-Flores, NJ, Colunga-Pedraza, PR, Rodríguez-Zúñiga, AC, Gómez-Almaguer, D
Formato: artículo
Fecha de Publicación:2022
Institución:Instituto Nacional de Enfermedades Neoplásicas
Repositorio:INEN-Institucional
Lenguaje:inglés
OAI Identifier:oai:repositorio.inen.sld.pe:20.500.14703/337
Enlace del recurso:https: //doi.org/10.1080/16078454.2021.2024940
https://hdl.handle.net/20.500.14703/337
Nivel de acceso:acceso abierto
Materia:Acute myeloid leukemia
azacytidine
BCL-2 inhibitor
cytarabine
venetoclax
https://purl.org/pe-repo/ocde/ford#3.02.21
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spelling PublicationGómez-De León, ADemichelis-Gómez, RPinedo-Rodríguez, AEnriquez-Vera, DFlores-Jiménez, JACeballos-López, AARodríguez-Mejorada, MHerrera Riojas, MAOvilla-Martínez, RBáez-Islas, PCota-Rangel, XNeme-Yunes, YInclán-Alarcón, SLópez-Flores, NJColunga-Pedraza, PRRodríguez-Zúñiga, ACGómez-Almaguer, D2025-01-02T14:42:50Z2025-01-02T14:42:50Z2022https: //doi.org/10.1080/16078454.2021.2024940https://hdl.handle.net/20.500.14703/337Hematology (United Kingdom)Objectives: Venetoclax combinations are a new standard for patients with acute myeloid leukemia (AML). We aimed to evaluate the safety and efficacy of these combinations in a period of accelerated approval in Latin-America. Methods: This observational study evaluated adults with acute myeloid leukemia who received venetoclax-based therapy in 11 public or private centers in Mexico and Peru for both newly diagnosed or relapsed and refractory AML. Results: Fifty patients were included28 with newly diagnosed (ND) AML and 22 with relapsed/refractory (RR) disease. ND patients were older (64 vs. 40 yearsp < 0.001) with a lower functional capacity (ECOG ≥2 64.3% vs 9%p < 0.001). Venetoclax was frequently combined with azacytidine (60%) and prophylactic azoles (82%) with a median maximum dose of 200 mg (range, 100–600 mg). Hematologic toxicities were common. Complete response rates including patients with incomplete hematopoietic recovery were 78.6% in ND and 45.5% in RR patients, with a median overall survival of 9.6 (95% CI 3.7–15.5) and 8 months (95% CI 4.8–11.2). Discussion: Our study showed a preferred use of venetoclax plus azacytidine over cyatrabine. Patients in the first-line setting were similar to those in the landmark studies, while most patients with relapsed disease had received prior intensive therapies. Responses were favorable, with a median survival in agreement to other reports, albeit shorter than that observed in the randomized phase-3 trials. Conclusion: Venetoclax-based therapy in AML was effective despite dose reductions and prophylactic antifungals in two middle-income countries outside of a clinical trial setting.application/pdfengTaylor and Francis Ltd.UKinfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/4.0/Acute myeloid leukemiaazacytidineBCL-2 inhibitorcytarabinevenetoclaxhttps://purl.org/pe-repo/ocde/ford#3.02.21Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-Americainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:INEN-Institucionalinstname:Instituto Nacional de Enfermedades Neoplásicasinstacron:INENORIGINALVenetoclax-based combinations for acute myeloid leukemia optimizing their use in Latin-America.pdfapplication/pdf1769800https://repositorio.inen.sld.pe/backend/api/core/bitstreams/f7dc5bed-7f21-4718-a983-ef78284a34a0/downloadb67e2bcdc70851ec4da581ac5c6fc761MD51trueAnonymousREADTEXTVenetoclax-based combinations for acute myeloid leukemia optimizing their use in Latin-America.pdf.txtWritten by FormatFilter org.dspace.app.mediafilter.TikaTextExtractionFilter on 2025-08-22T08:04:21Z (GMT).Extracted texttext/plain45725https://repositorio.inen.sld.pe/backend/api/core/bitstreams/afee410a-3439-42bf-b56c-9e431d49e677/download3ef79e0dea63ebaf9f3544941ac2b703MD52falseAnonymousREADTHUMBNAILVenetoclax-based combinations for acute myeloid leukemia optimizing their use in Latin-America.pdf.jpgWritten by FormatFilter org.dspace.app.mediafilter.PDFBoxThumbnail on 2025-08-22T08:04:23Z (GMT).Generated Thumbnailimage/jpeg34591https://repositorio.inen.sld.pe/backend/api/core/bitstreams/edb11290-e8b7-458f-9d36-2ce6d36d9331/download94a6dafa89ba4e3e479f7c0051a96f0aMD53falseAnonymousREAD20.500.14703/337oai:repositorio.inen.sld.pe:20.500.14703/3372026-02-15T18:06:21.957Zhttps://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessopen.accesshttps://repositorio.inen.sld.peRepositorio del Instituto Nacional de Enfermedades Neoplásicasrepositorio@inen.sld.pe
dc.title.none.fl_str_mv Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
title Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
spellingShingle Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
Gómez-De León, A
Acute myeloid leukemia
azacytidine
BCL-2 inhibitor
cytarabine
venetoclax
https://purl.org/pe-repo/ocde/ford#3.02.21
title_short Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
title_full Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
title_fullStr Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
title_full_unstemmed Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
title_sort Venetoclax-based combinations for acute myeloid leukemia: optimizing their use in Latin-America
author Gómez-De León, A
author_facet Gómez-De León, A
Demichelis-Gómez, R
Pinedo-Rodríguez, A
Enriquez-Vera, D
Flores-Jiménez, JA
Ceballos-López, AA
Rodríguez-Mejorada, M
Herrera Riojas, MA
Ovilla-Martínez, R
Báez-Islas, P
Cota-Rangel, X
Neme-Yunes, Y
Inclán-Alarcón, S
López-Flores, NJ
Colunga-Pedraza, PR
Rodríguez-Zúñiga, AC
Gómez-Almaguer, D
author_role author
author2 Demichelis-Gómez, R
Pinedo-Rodríguez, A
Enriquez-Vera, D
Flores-Jiménez, JA
Ceballos-López, AA
Rodríguez-Mejorada, M
Herrera Riojas, MA
Ovilla-Martínez, R
Báez-Islas, P
Cota-Rangel, X
Neme-Yunes, Y
Inclán-Alarcón, S
López-Flores, NJ
Colunga-Pedraza, PR
Rodríguez-Zúñiga, AC
Gómez-Almaguer, D
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gómez-De León, A
Demichelis-Gómez, R
Pinedo-Rodríguez, A
Enriquez-Vera, D
Flores-Jiménez, JA
Ceballos-López, AA
Rodríguez-Mejorada, M
Herrera Riojas, MA
Ovilla-Martínez, R
Báez-Islas, P
Cota-Rangel, X
Neme-Yunes, Y
Inclán-Alarcón, S
López-Flores, NJ
Colunga-Pedraza, PR
Rodríguez-Zúñiga, AC
Gómez-Almaguer, D
dc.subject.none.fl_str_mv Acute myeloid leukemia
azacytidine
BCL-2 inhibitor
cytarabine
venetoclax
topic Acute myeloid leukemia
azacytidine
BCL-2 inhibitor
cytarabine
venetoclax
https://purl.org/pe-repo/ocde/ford#3.02.21
dc.subject.ocde.none.fl_str_mv https://purl.org/pe-repo/ocde/ford#3.02.21
description Objectives: Venetoclax combinations are a new standard for patients with acute myeloid leukemia (AML). We aimed to evaluate the safety and efficacy of these combinations in a period of accelerated approval in Latin-America. Methods: This observational study evaluated adults with acute myeloid leukemia who received venetoclax-based therapy in 11 public or private centers in Mexico and Peru for both newly diagnosed or relapsed and refractory AML. Results: Fifty patients were included
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2025-01-02T14:42:50Z
dc.date.available.none.fl_str_mv 2025-01-02T14:42:50Z
dc.date.issued.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
dc.type.version.none.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.doi.none.fl_str_mv https: //doi.org/10.1080/16078454.2021.2024940
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.14703/337
dc.identifier.journal.none.fl_str_mv Hematology (United Kingdom)
url https: //doi.org/10.1080/16078454.2021.2024940
https://hdl.handle.net/20.500.14703/337
identifier_str_mv Hematology (United Kingdom)
dc.language.iso.none.fl_str_mv eng
language eng
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Taylor and Francis Ltd.
dc.publisher.country.none.fl_str_mv UK
publisher.none.fl_str_mv Taylor and Francis Ltd.
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