HEALTH
Venetoclax and FLAG-IDA: A New Hope for Leukemia Patients
Wed Feb 26 2025
Acute myeloid leukemia (AML) is a tough nut to crack. Even with intense chemotherapy, many patients face a high risk of relapse. Things get even worse for those whose leukemia returns or doesn't respond to treatment. But there's a glimmer of hope with a new combo treatment.
Researchers looked at 138 patients, some newly diagnosed and others with relapsed or refractory AML. They all received a mix of FLAG-IDA and venetoclax. The results were pretty impressive. For those newly diagnosed, the treatment worked 97% of the time, with 95% achieving complete remission. Even better, 90% had no detectable signs of the disease. After three years, 66% were still alive, and 64% were disease-free. These numbers held steady across different risk groups.
For patients whose leukemia had returned or resisted treatment, the combo still showed promise. The overall response rate was 67%, with 41% achieving complete remission. About 74% had no detectable disease. And get this, 57% of these patients went on to have a stem cell transplant. The combo worked especially well for those in their first round of salvage treatment and had a normal TP53 gene. They had a 79% response rate, 74% complete remission, and a 51% survival rate after three years.
But it's not all sunshine and rainbows. Infections and blood-related issues were common. However, the death rates within 30 and 60 days were similar to other intense chemo regimens.
So, what does this all mean? Well, the combo of FLAG-IDA and venetoclax seems to be a powerful tool in the fight against AML. It's not a cure-all, but it's a significant step forward. More research is needed, but for now, it's a beacon of hope for AML patients.
The treatment's success isn't just about the numbers. It's about giving patients more time, more hope, and more chances to beat this brutal disease.
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questions
How do the long-term benefits of venetoclax and FLAG-IDA combination therapy compare to the potential risks and adverse effects?
How does the response rate of patients with relapsed/refractory AML treated with venetoclax and FLAG-IDA compare to those treated with other novel therapies?
What are the ethical considerations in using this combination therapy, particularly in patients with relapsed/refractory AML who may have limited treatment options?
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