Clinical Edge

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Outcomes in FLT3 ITD Mutated AML

Tracking trends over the past 15 years

Improvement in outcomes for patients with FLT3 ITD mutated acute myeloid leukemia (AML) over the last 15 years is probably due to improvement in treatment strategies, according to a study of 224 patients with AML. After grouping the patients into 5 cohorts according to the 3-year era in which they were diagnosed, researchers found:

• Baseline characteristics did not differ across eras.

• Response rates were: era 1 (68%), era 2 (49%), era 3 (72%), era 4 (73%), and era 5 (75%).

• Overall response rate for all eras was 67% for chemotherapy alone and 72.5% for chemotherapy plus FLT3 inhibitor.

• Median times in months to relapse were: era 1 (6), era 2 (3.6), era 3 (7.9), era 4 (8.1), and era 5 (not reached).

• Median times in months for overall survival were: era 1 (9.6), era 2 (7.6), era 3 (14.4), era 4 (15.7), and era 5 (17.8).

Citation: Badar T, Kantarjian HM, Nogueras-Gonzalez GM, et al. Improvement in clinical outcome of FLT3 ITD mutated acute myeloid leukemia patients over the last one and a half decade. [Published online ahead of print August 24, 2015]. Am J Hematol. doi: 10.1002/ajh.24140.