PMID- 38024627 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231201 IS - 2688-6146 (Electronic) IS - 2688-6146 (Linking) VI - 4 IP - 4 DP - 2023 Nov TI - Outcomes of venetoclax combined with homoharringtonine and cytarabine in fit adults patients with de novo adverse-risk acute myeloid leukaemia: A single-centre retrospective analysis. PG - 1208-1211 LID - 10.1002/jha2.792 [doi] AB - Adverse-risk acute myeloid leukemia (AML) has a dismal prognosis. We aimed to investigate the activity and tolerability of venetoclax combined with homoharringtonine (HHT) plus cytarabine (VHA) regimen for de novo adverse-risk AML. Thirteen de novo AML patients with adverse-risk factors were treated with venetoclax (100 mg day 1, 200 mg day 2, 400 mg days 3-21), HHT (1 mg/m(2) days 1-5) and cytarabine (100 mg/m(2) days 1-5) (VHA regimen). Complete remission (CR) was achieved in 11/13 patient (84.6%), all of CR responders were measurable residual disease (MRD) negative detected by multi-parameter flow cytometry (MFC). Grade 3-4 neutropenia, anaemia, and thrombocytopenia occurred in most patients. Grade 3-4 non haematological adverse events (AEs) included febrile neutropenia (4/13, 30.8%). With a median follow-up of 10 months (range 4-19), median overall survival and event-free survival were not reached. VHA may be a promising and well-tolerated regimen in de novo adverse-risk AML. CI - (c) 2023 The Authors. eJHaem published by British Society for Haematology and John Wiley & Sons Ltd. FAU - Song, Bao-Quan AU - Song BQ AUID- ORCID: 0000-0003-4555-1992 AD - National Clinical Research Center for Hematologic Diseases Jiangsu Institute of Hematology The First Affiliated Hospital of Soochow University Suzhou China. AD - Department of Hematology Institute of Blood and Marrow Transplantation Soochow University Suzhou China. FAU - Kong, Xin AU - Kong X AD - National Clinical Research Center for Hematologic Diseases Jiangsu Institute of Hematology The First Affiliated Hospital of Soochow University Suzhou China. FAU - Pu, Yan AU - Pu Y AUID- ORCID: 0000-0001-8598-5037 AD - National Clinical Research Center for Hematologic Diseases Jiangsu Institute of Hematology The First Affiliated Hospital of Soochow University Suzhou China. FAU - Liu, Yin AU - Liu Y AD - National Clinical Research Center for Hematologic Diseases Jiangsu Institute of Hematology The First Affiliated Hospital of Soochow University Suzhou China. FAU - Zhang, Jian AU - Zhang J AD - National Clinical Research Center for Hematologic Diseases Jiangsu Institute of Hematology The First Affiliated Hospital of Soochow University Suzhou China. FAU - Wu, De-Pei AU - Wu DP AD - National Clinical Research Center for Hematologic Diseases Jiangsu Institute of Hematology The First Affiliated Hospital of Soochow University Suzhou China. AD - Department of Hematology Institute of Blood and Marrow Transplantation Soochow University Suzhou China. FAU - Qiu, Hui-Ying AU - Qiu HY AD - National Clinical Research Center for Hematologic Diseases Jiangsu Institute of Hematology The First Affiliated Hospital of Soochow University Suzhou China. AD - Department of Hematology Institute of Blood and Marrow Transplantation Soochow University Suzhou China. LA - eng PT - Journal Article DEP - 20231101 PL - United States TA - EJHaem JT - EJHaem JID - 101761942 PMC - PMC10660102 OTO - NOTNLM OT - Acute myeloid leukemia OT - Adverse-risk OT - Cytarabine OT - Homoharringtonine OT - Venetoclax COIS- The authors declare no conflict of interest. EDAT- 2023/11/29 18:42 MHDA- 2023/11/29 18:43 PMCR- 2023/11/01 CRDT- 2023/11/29 16:13 PHST- 2023/06/22 00:00 [received] PHST- 2023/08/24 00:00 [revised] PHST- 2023/09/05 00:00 [accepted] PHST- 2023/11/29 18:43 [medline] PHST- 2023/11/29 18:42 [pubmed] PHST- 2023/11/29 16:13 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - JHA2792 [pii] AID - 10.1002/jha2.792 [doi] PST - epublish SO - EJHaem. 2023 Nov 1;4(4):1208-1211. doi: 10.1002/jha2.792. eCollection 2023 Nov.