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Venetoclax-based low-intensity therapy in pediatric AML: A viable option for chemotherapy-intolerant patients.

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American journal of blood research 2026 Vol.16(1) p. 23-27 OA
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Dhariwal N, Srinivasan S

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Childhood acute myeloid leukemia (AML) comprises 15-20% of pediatric leukemias and carries promising survival rates (60-70%) in high-income countries with use of intensive chemotherapy.

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APA Dhariwal N, Srinivasan S (2026). Venetoclax-based low-intensity therapy in pediatric AML: A viable option for chemotherapy-intolerant patients.. American journal of blood research, 16(1), 23-27. https://doi.org/10.62347/VCKT6128
MLA Dhariwal N, et al.. "Venetoclax-based low-intensity therapy in pediatric AML: A viable option for chemotherapy-intolerant patients.." American journal of blood research, vol. 16, no. 1, 2026, pp. 23-27.
PMID 41877936 ↗
DOI 10.62347/VCKT6128

Abstract

Childhood acute myeloid leukemia (AML) comprises 15-20% of pediatric leukemias and carries promising survival rates (60-70%) in high-income countries with use of intensive chemotherapy. This is associated with high treatment-related mortality in low- and middle-income countries, especially during induction, due to malnutrition, infections, and insufficient resources. Venetoclax, a BCL-2 inhibitor effective in older adults unfit for standard therapy, has shown potential in pediatric relapse AML. Here, we describe two children with newly diagnosed AML who developed life-threatening toxicities with intensive chemotherapy and were subsequently treated with venetoclax-based low-intensity regimens. Both patients achieved complete remission, attained measurable residual disease negativity, and maintained durable responses with minimal toxicity, allowing largely outpatient management. These cases suggest a promising, feasible alternative for chemotherapy-intolerant patients.

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