Venetoclax and azacitidine versus CAG for unfit patients with newly diagnosed acute myeloid leukemia: A propensity score-matched analysis.
2/5 보강
TL;DR
This study evaluated the clinical efficacy of venetoclax and azacitidine versus CAG for newly diagnosed adult acute myeloid leukemia (AML) unfit patients and showed a preference for VEN+AZA regarding OS, and patients with SRSF2 mutation favored CAG in OS.
PICO 자동 추출 (휴리스틱, conf 3/4)
유사 논문P · Population 대상 환자/모집단
248 patients received VEN+AZA and 104 patients received CAG.
I · Intervention 중재 / 시술
VEN+AZA and 104 patients received CAG
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
31.7 % (P = 0.20). Patients with age ≥ 60 y (EFS, P = 0.032), ECOG≥ 2 (EFS, P = 0.047), secondary AML (OS, P = 0.015; EFS, P = 0.039), ELN intermediate-adverse karyotype (OS, P = 0.034; EFS, P = 0.044), RUNX1 mutation (OS, P = 0.003; EFS, P = 0.003) and IDH1/2 mutation (EFS, P = 0.039) showed a preference for VEN+AZA regarding OS, and patients with SRSF2 mutation favored CAG in OS (P = 0.031).
OpenAlex 토픽 ·
Acute Myeloid Leukemia Research
Hematopoietic Stem Cell Transplantation
Neutropenia and Cancer Infections
This study evaluated the clinical efficacy of venetoclax and azacitidine versus CAG for newly diagnosed adult acute myeloid leukemia (AML) unfit patients and showed a preference for VEN+AZA regarding
- p-value P = 0.04
- OR 1.085
APA
Guanghui Chang, Haitao Gao, et al. (2026). Venetoclax and azacitidine versus CAG for unfit patients with newly diagnosed acute myeloid leukemia: A propensity score-matched analysis.. Leukemia research, 163, 108187. https://doi.org/10.1016/j.leukres.2026.108187
MLA
Guanghui Chang, et al.. "Venetoclax and azacitidine versus CAG for unfit patients with newly diagnosed acute myeloid leukemia: A propensity score-matched analysis.." Leukemia research, vol. 163, 2026, pp. 108187.
PMID
41687264 ↗
Abstract 한글 요약
This study evaluated the clinical efficacy of venetoclax and azacitidine (VEN+AZA) versus CAG (cytarabine, aclarubicin, and granulocyte colony-stimulating factor) for newly diagnosed adult acute myeloid leukemia (AML) unfit patients. There were 248 patients received VEN+AZA and 104 patients received CAG. A PSM (Propensity Score-Matching) was conducted using the nearest neighbor method in a 1:2 ratio to minimize bias. As a result, 170 patients in the VEN+AZA cohort were matched with 85 patients in the CAG cohort. In propensity-matched group, VEN+AZA had higher CRc rate than the CAG (all cohort, 67.9 % vs 55.5 %, P = 0.04), especially for age ≥ 60 y (OR=1.085, P = 0.04), secondary AML(OR=1.802, P = 0.028), ELN intermediate-adverse karyotype(OR=1.33, P = 0.045), DNMT3A mutation (OR=1.32, P = 0.047) and IDH1/2 mutation (OR=1.952, P = 0.049), but patients with RUNX1::RUNX1T1 (OR=0.25, P = 0.044) favored CAG in CRc rate. The 3-year OS and EFS for VEN+AZA group and CAG group were 49.8 % VS. 49.8 % (P = 0.81) and 34.3 % VS. 31.7 % (P = 0.20). Patients with age ≥ 60 y (EFS, P = 0.032), ECOG≥ 2 (EFS, P = 0.047), secondary AML (OS, P = 0.015; EFS, P = 0.039), ELN intermediate-adverse karyotype (OS, P = 0.034; EFS, P = 0.044), RUNX1 mutation (OS, P = 0.003; EFS, P = 0.003) and IDH1/2 mutation (EFS, P = 0.039) showed a preference for VEN+AZA regarding OS, and patients with SRSF2 mutation favored CAG in OS (P = 0.031).
🏷️ 키워드 / MeSH 📖 같은 키워드 OA만
- Humans
- Male
- Female
- Leukemia
- Myeloid
- Acute
- Middle Aged
- Aged
- Antineoplastic Combined Chemotherapy Protocols
- Bridged Bicyclo Compounds
- Heterocyclic
- Propensity Score
- Sulfonamides
- Azacitidine
- Adult
- Cytarabine
- Aclarubicin
- Granulocyte Colony-Stimulating Factor
- 80 and over
- Retrospective Studies
- Young Adult
- Prognosis
- Survival Rate
- Mutation
… 외 3개
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