A team of researchers at Miami University’s Miller School of Medicine is considering whether to use Venetoclax (VEN) plus a hypomethylating agent (HMA), collectively referred to as VEN-HMA, for their older patients. The researchers contend that their study found a significant number of older patients may benefit from VEN-HMA and therefore they question whether it should be ruled out completely.
Results of the trial found that VEN-HMA prolonged the lives of almost 25% of older patients in the study (aged 80 to 90). The team developed a better understanding of the survival of 154 patients in the study who were treated with VEN-HMA after analyzing their medical records dating from March of 2015 through April 2022. Six medical systems in Italy and the U.S. supplied data for the study.
• 69% of patients in the study were male
• 77% were recently diagnosed
• 10% had were refractory (not responding to treatment)
• 14% had an undiagnosed disease
• 72% had modifications to their dosage
Treating AML can become intensive, often suppressing the immune system. As a result, various complications may arise rendering many older patients ineligible or unable to proceed with intensive treatment regimens.
The Analysis
A further analysis of the medical records indicated that 20 to 25% of patients participating in the group survived 13.2 months of those responding to VEN-HMA versus 8.1 months for the entire study group. A follow-up just short of 8 months found 23% of patients still in remission. The remaining 20% were still undergoing treatment. Biomarkers were also found that could identify patients who may be able to tolerate the treatment.
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Last modified: June 4, 2024