Fungal infection frequency in newly diagnosed acute myeloid leukaemia patients treated with venetoclax plus azacitidine with or without antifungal prophylaxis

. 2024 Nov ; 205 (5) : 1746-1750. [epub] 20240723

Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic

Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie

Perzistentní odkaz   https://www.medvik.cz/link/pmid39044120

Grantová podpora
LX22NPO5102 National Institute for Cancer Research Project
EuropeanUnion-Next Generation EU
Czech Leukemia Study Group for Life (CELL)

Our observational study analysed fungal infection frequency within cohorts with versus without antifungal prophylaxis (AFP) among newly diagnosed first-line venetoclax and azacitidine (VEN + AZA)-treated acute myeloid leukaemias in Czech, Austrian and Slovak haematology centres. Among 186 patients, 85 (46%) received antifungal prophylaxis, while 101 (54%) received no prophylaxis. Fungal infections occurred in 1/85 patients with prophylaxis (1%) and 5/101 patients without prophylaxis (5%) (p = 0.222). No significant difference was recorded between cohorts with and without AFP in terms of death rate (p = 0.296) and overall survival (p = 0.844). In conclusion, most infections were not severe, developing during the first treatment-cycle and did not affect patients' overall outcome.

Zobrazit více v PubMed

DiNardo CD, Jonas BA, Pullarkat V, Thirman MJ, Garcia JS, Wei AH, et al. Azacitidine and venetoclax in previously untreated acute myeloid leukemia. N Engl J Med. 2020;383:617–629.

Stemler J, de Jonge N, Skoetz N, Sinkó J, Brüggemann RJ, Busca A, et al. Antifungal prophylaxis in adult patients with acute myeloid leukaemia treated with novel targeted therapies: a systematic review and expert consensus recommendation from the European Hematology Association. Lancet Haematol. 2022;9:e361–e373. https://doi.org/10.1016/S2352‐3026(22)00073‐4

Chen EC, Liu Y, Harris CE, Winer ES, Wadleigh M, Lane AA, et al. Outcomes of antifungal prophylaxis for newly diagnosed AML patients treated with a hypomethylating agent and venetoclax. Leuk Lymphoma. 2022;63:1934–1941. https://doi.org/10.1080/10428194.2022.2047964

On S, Rath CG, Lan M, Wu B, Lau KM, Cheung E, et al. Characterisation of infections in patients with acute myeloid leukaemia receiving venetoclax and a hypomethylating agent. Br J Haematol. 2022;197:63–70. https://doi.org/10.1111/bjh.18051

Lee R, Cho SY, Lee DG, Choi H, Park S, Cho BS, et al. Infections of venetoclax‐based chemotherapy in acute myeloid leukemia: rationale for proper antimicrobial prophylaxis. Cancers (Basel). 2021;13:6285. https://doi.org/10.3390/cancers13246285

Aldoss I, Dadwal S, Zhang J, Tegtmeier B, Mei M, Arslan S, et al. Invasive fungal infections in acute myeloid leukemia treated with venetoclax and hypomethylating agents. Blood Adv. 2019;23:4043–4049. https://doi.org/10.1182/bloodadvances

Jonas BA, DiNardo C, Fracchiolla N, Pristupa A, Ishizawa K, Jin J, et al. Use of CYP3Ai and impact on outcomes in patients with acute myeloid leukemia treated with venetoclax plus azacitidine in the VIALE‐A study. Am J Hematol. 2022;97:E422–E425. https://doi.org/10.1002/ajh.26707

Hall VG, Tang K, Kumar D, Rotstein C, Chow S, Chan SM, et al. Breakthrough invasive fungal infection after coadministration of venetoclax and voriconazole. Open Forum Infect Dis. 2023;10:ofad134. https://doi.org/10.1093/ofid/ofad134

Sciumè M, Bosi A, Canzi M, Ceparano G, Serpenti F, de Roberto P, et al. Real‐life monocentric experience of venetoclax‐based regimens for acute myeloid leukemia. Front Oncol. 2023;13:1149298. https://doi.org/10.3389/fonc.2023.1149298

Rausch CR, DiNardo CD, Maiti A, Jammal NJ, Kadia TM, Marx KR, et al. Duration of cytopenias with concomitant venetoclax and azole antifungals in acute myeloid leukemia. Cancer. 2021;127:2489–2499. https://doi.org/10.1002/cncr.33508

De la Garza‐Salazar F, Colunga‐Pedraza PR, Gómez‐Almaguer D, García‐Zárate VA, Gómez‐De León A. Low dose venetoclax plus itraconazole outpatient induction in newly diagnosed acute myeloid leukemia: a phase 2 study. Leuk Res. 2023;133:107373. https://doi.org/10.1016/j.leukres.2023.107373

Teh CE, Peng H, Luo MX, Tan T, Trussart M, Howson LJ, et al. Venetoclax treatment in patients with cancer has limited impact on circulating T and NK cells. Blood Adv. 2023;7(12):2733–2745. https://doi.org/10.1182/bloodadvances.2022008221

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...