Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid Leukemia

ABSTRACT Background Real‐world evidence for hypomethylating agent (HMA) + venetoclax 50 mg (VEN50) with voriconazole and posaconazole in acute myeloid leukemia (AML), is limited. Methods We evaluated outcomes of patients with newly‐diagnosed AML treated with HMA + VEN50 with either posaconazole (n =...

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Main Authors: Kendall Diebold, Devan Parker, Sarah Worth, Manuel Espinoza‐Gutarra, Pankit Vachhani, Kimo Bachiashvili, Sravanti Rangaraju, Razan Mohty, Ravi Bhatia, Omer Jamy
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:eJHaem
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Online Access:https://doi.org/10.1002/jha2.70049
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author Kendall Diebold
Devan Parker
Sarah Worth
Manuel Espinoza‐Gutarra
Pankit Vachhani
Kimo Bachiashvili
Sravanti Rangaraju
Razan Mohty
Ravi Bhatia
Omer Jamy
author_facet Kendall Diebold
Devan Parker
Sarah Worth
Manuel Espinoza‐Gutarra
Pankit Vachhani
Kimo Bachiashvili
Sravanti Rangaraju
Razan Mohty
Ravi Bhatia
Omer Jamy
author_sort Kendall Diebold
collection DOAJ
description ABSTRACT Background Real‐world evidence for hypomethylating agent (HMA) + venetoclax 50 mg (VEN50) with voriconazole and posaconazole in acute myeloid leukemia (AML), is limited. Methods We evaluated outcomes of patients with newly‐diagnosed AML treated with HMA + VEN50 with either posaconazole (n = 23) or voriconazole (n = 95). Results We report that treatment with HMA + VEN50 with either azole elicits a response rate similar to that described in the VIALE‐A trial. Reducing the VEN dose to 50 mg with either strong CYP3A4 inhibitor did not compromise on the efficacy of the combination. Conclusion HMA + VEN50 with either posaconazole or voriconazole yields comparable responses to higher doses of VEN reported previously. Clinical trial registration The authors have confirmed clinical trial registration is not needed for this submission.
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institution Kabale University
issn 2688-6146
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publishDate 2025-06-01
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spelling doaj-art-e448f4b1d3974b69a05635b6508ee8aa2025-08-20T03:32:04ZengWileyeJHaem2688-61462025-06-0163n/an/a10.1002/jha2.70049Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid LeukemiaKendall Diebold0Devan Parker1Sarah Worth2Manuel Espinoza‐Gutarra3Pankit Vachhani4Kimo Bachiashvili5Sravanti Rangaraju6Razan Mohty7Ravi Bhatia8Omer Jamy9Division of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Hematology and Oncology, Department of Medicine University of Alabama at Birmingham Birmingham Alabama USAABSTRACT Background Real‐world evidence for hypomethylating agent (HMA) + venetoclax 50 mg (VEN50) with voriconazole and posaconazole in acute myeloid leukemia (AML), is limited. Methods We evaluated outcomes of patients with newly‐diagnosed AML treated with HMA + VEN50 with either posaconazole (n = 23) or voriconazole (n = 95). Results We report that treatment with HMA + VEN50 with either azole elicits a response rate similar to that described in the VIALE‐A trial. Reducing the VEN dose to 50 mg with either strong CYP3A4 inhibitor did not compromise on the efficacy of the combination. Conclusion HMA + VEN50 with either posaconazole or voriconazole yields comparable responses to higher doses of VEN reported previously. Clinical trial registration The authors have confirmed clinical trial registration is not needed for this submission.https://doi.org/10.1002/jha2.70049acute myeloid leukemia (AML)posaconazoleVenetoclax 50 mgvoriconazole
spellingShingle Kendall Diebold
Devan Parker
Sarah Worth
Manuel Espinoza‐Gutarra
Pankit Vachhani
Kimo Bachiashvili
Sravanti Rangaraju
Razan Mohty
Ravi Bhatia
Omer Jamy
Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid Leukemia
eJHaem
acute myeloid leukemia (AML)
posaconazole
Venetoclax 50 mg
voriconazole
title Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid Leukemia
title_full Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid Leukemia
title_fullStr Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid Leukemia
title_full_unstemmed Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid Leukemia
title_short Outcomes With Venetoclax 50 mg, Hypomethylating Agents, and Voriconazole or Posaconazole in Acute Myeloid Leukemia
title_sort outcomes with venetoclax 50 mg hypomethylating agents and voriconazole or posaconazole in acute myeloid leukemia
topic acute myeloid leukemia (AML)
posaconazole
Venetoclax 50 mg
voriconazole
url https://doi.org/10.1002/jha2.70049
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