PMID- 32967493 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 61 IP - 14 DP - 2020 Dec TI - Selection and management of older patients with acute myeloid leukemia treated with glasdegib plus low-dose cytarabine: expert panel review. PG - 3287-3305 LID - 10.1080/10428194.2020.1817445 [doi] AB - Glasdegib, in combination with low-dose cytarabine (LDAC), is the first smoothened inhibitor approved for treatment of acute myeloid leukemia. Glasdegib plus LDAC is indicated for patients in whom therapy options are limited, e.g. older patients and those ineligible for intensive chemotherapy due to preexisting comorbidities. This review summarizes the recommendations of a panel of hemato-oncologists regarding the selection of patients best suited for treatment with glasdegib plus LDAC and the management during therapy with this combination. The panel considered the impact of concomitant medications and comorbidities during treatment with glasdegib plus LDAC, and discussed common adverse events (AEs) associated with glasdegib plus LDAC. Management strategies for AEs discussed by the panel included dose modifications, supportive care therapies, and prophylactic treatments. Finally, the panel highlighted the importance of patient communication and education regarding the possible AEs that may occur during treatment. FAU - Cortes, Jorge E AU - Cortes JE AUID- ORCID: 0000-0002-8636-1071 AD - Division of Hematology and SCT, Georgia Cancer Center, Augusta, GA, USA. FAU - Candoni, Anna AU - Candoni A AUID- ORCID: 0000-0003-4436-1310 AD - University Hospital of Udine-ASUFC, Udine, Italy. FAU - Clark, Richard E AU - Clark RE AD - Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK. FAU - Leber, Brian AU - Leber B AD - Division of Hematology and Thromboembolism, Department of Medicine, McMaster University Medical Centre, Hamilton, Canada. FAU - Montesinos, Pau AU - Montesinos P AUID- ORCID: 0000-0002-3275-5593 AD - Department of Hematology, Hospital Universitari i Politecnic La Fe, Valencia, Spain. AD - CIBERONC, Instituto de Salud Carlos III, Madrid, Spain. FAU - Vyas, Paresh AU - Vyas P AD - Weatherall Institute of Molecular Medicine, Oxford, UK. FAU - Zeidan, Amer M AU - Zeidan AM AD - Yale School of Medicine, New Haven, CT, USA. FAU - Heuser, Michael AU - Heuser M AD - Hannover Medical School, Hannover, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200924 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Benzimidazoles) RN - 0 (Phenylurea Compounds) RN - 04079A1RDZ (Cytarabine) RN - K673DMO5H9 (glasdegib) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - Benzimidazoles MH - *Cytarabine/adverse effects MH - Humans MH - *Leukemia, Myeloid, Acute/complications/drug therapy MH - Phenylurea Compounds/therapeutic use OTO - NOTNLM OT - Acute myeloid leukemia OT - adverse events OT - comorbidities OT - glasdegib OT - low-dose cytarabine OT - older patients EDAT- 2020/09/25 06:00 MHDA- 2021/04/28 06:00 CRDT- 2020/09/24 05:24 PHST- 2020/09/25 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2020/09/24 05:24 [entrez] AID - 10.1080/10428194.2020.1817445 [doi] PST - ppublish SO - Leuk Lymphoma. 2020 Dec;61(14):3287-3305. doi: 10.1080/10428194.2020.1817445. Epub 2020 Sep 24.