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Hematologic Oncology Update

Meet The Professor: Optimizing the Management of Acute Myeloid Leukemia and Myelodysplastic Syndromes — Part 1 of a 3-Part Series

Oct 20, 2023
Dr Naval Daver from The University of Texas MD Anderson Cancer Center discusses optimizing the management of acute myeloid leukemia and myelodysplastic syndromes. Topics include the productivity of researchers in leukemia, the potential of checkpoint inhibitors, challenges of managing TP53 mutated disease, various drug therapies for AML and MDS, management of qtc prolongation, combination therapy, and the continuation of Van Aza treatment.
01:01:44

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Quick takeaways

  • Targeted therapies like flip 3 inhibitors or ideh inhibitors show promise for specific molecular mutations in AML and MDS patients.
  • In managing AML and MDS, performing a bone marrow biopsy at the end of a treatment cycle is crucial for assessing response and adjusting treatment plans.

Deep dives

Treatment options for MDS and AML

The management of AML and MDS often involves a multidimensional approach. The use of targeted therapies, such as flip 3 inhibitors or ideh inhibitors, can be effective, especially in patients with specific molecular mutations. Combination therapies, such as HMAVN or HMAVN with a targeted therapy, show promise in elderly patients. The decision to pursue intensive treatment versus non-intensive treatment depends on factors such as age, comorbidities, and the potential for stem cell transplantation. In certain cases, oral hypomethylating agents, like oral decidobene, could be used for convenience. Maintenance therapy, especially after achieving remission, is being explored as a way to improve outcomes. Lastly, the use of antibody drug conjugates, like C-D123 ADC, shows potential for specific subsets of AML. However, further research is needed to fully understand their efficacy.

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