Evidence map›Paper›PMID 35046058›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Impact of Venetoclax and Azacitidine in Treatment-Naïve Patients with Acute Myeloid Leukemia and IDH1/2 Mutations.

Daniel A Pollyea, Courtney D DiNardo, Martha L Arellano, Arnaud Pigneux, Walter Fiedler, Marina Konopleva, David A Rizzieri, B Douglas Smith, Atsushi Shinagawa, Roberto M Lemoli and 6 more

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 118 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 5 pooled it
24.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02203773 phase1terminatednot on this map

A Phase 1b Study of ABT-199 (GDC-0199) in Combination With Azacitidine or Decitabine in Treatment-Naive Subjects With Acute Myelogenous Leukemia Who Are Greater Than or Equal to 60 Years of Age and Who Are Not Eligible for Standard Induction Therapy

TypeinterventionalSponsorAbbVieRan2014 to 2022Enrolled212ConditionsAcute Myelogenous Leukemia, Myelogenous Leukemia, Treatment Naive AMLArmsPosaconazole, ABT-199, Decitabine, Azacitidine
NCT02993523 phase3active not recruitingnot on this map

A Randomized, Double-Blind, Placebo Controlled Phase 3 Study of Venetoclax in Combination With Azacitidine Versus Azacitidine in Treatment Naïve Subjects With Acute Myeloid Leukemia Who Are Ineligible for Standard Induction Therapy

TypeinterventionalSponsorAbbVieRan2017 to 2026Enrolled443ConditionsAcute Myeloid Leukemia (AML)ArmsAzacitidine, Venetoclax, Placebo
NCT06199557 phase1 / phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Phase 1/2 Multicenter Open-label Study to Investigate Treatment of Hydroxyurea in Combination With Valproic Acid (VPA), or 6- Mercaptopurine in Combination With VPA in Patients With AML or HR-MDS Unfit for Standard Therapy

TypeinterventionalSponsorHaukeland University HospitalRan2024 to 2029Enrolled48ConditionsAcute Myeloid Leukemia, Adult, Myelodysplastic Syndromes, AdultArmsHydroxyurea, Hydroxycarbamide, Valproic acid, 6-Mercaptopurine (6-MP)
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 5 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
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  6. Trial
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  10. Two Decades ofCancers · 2026
    Review
  11. Risk Prognostication After Hypomethylating Agents Combined With Venetoclax in AML: The PRISM Risk Model.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  12. Article
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  14. Review
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  20. Haematologica · 2026
    Article

58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 5 countries.

Daniel A PollyeaDivision of Hematology, School of Medicine, University of Colorado, Aurora, Colorado.ORCID 0000-0001-6519-4860
Courtney D DiNardoDepartment of Leukemia, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-9003-0390
Martha L ArellanoDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia.
Arnaud PigneuxDepartment of Hematology, CHU de Bordeaux, Bordeaux, France.
Walter FiedlerDepartment of Hematology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Marina KonoplevaDepartment of Leukemia, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
David A RizzieriNovant Health Cancer Institute, Charlotte, Durham, North Carolina.
B Douglas SmithDepartment of Oncology, Johns Hopkins Medicine, Baltimore, Maryland.ORCID 0000-0002-0903-7390
Atsushi ShinagawaDepartment of Hematology, Hitachi General Hospital, Hitachi-shi, Japan.
Roberto M LemoliClinic of Hematology, Department of Internal Medicine, University of Genoa, Genoa, Italy.ORCID 0000-0001-9000-562X
Monique DailGenentech Inc., South San Francisco, California.
Yinghui DuanAbbVie Inc., North Chicago, Illinois.ORCID 0000-0001-8680-877X
Brenda ChylaAbbVie Inc., North Chicago, Illinois.ORCID 0000-0003-2594-9696
Jalaja PotluriAbbVie Inc., North Chicago, Illinois.
Catherine L MillerAbbVie Inc., North Chicago, Illinois.ORCID 0000-0002-2488-4758
Hagop M KantarjianDepartment of Leukemia, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-1908-3307
AbbVie (United States) · USThe University of Texas MD Anderson Cancer Center · USAmgen (United States) · USCentre Hospitalier Universitaire de Bordeaux · FREmory University · USHitachi General Hospital · JPJohns Hopkins University · USLevine Cancer Institute · USMartin University · USUniversität Hamburg · DEUniversity of Colorado Anschutz Medical Campus · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate efficacy and safety of venetoclax + azacitidine among treatment-naïve patients with IDH1/2-mutant (mut) acute myeloid leukemia (AML). PATIENTS AND

methodsData were pooled from patients enrolled in a phase III study (NCT02993523) that compared patients treated with venetoclax + azacitidine or placebo + azacitidine and a prior phase Ib study (NCT02203773) where patients were treated with venetoclax + azacitidine. Enrolled patients were ineligible for intensive therapy due to age ≥75 years and/or comorbidities. Patients on venetoclax + azacitidine received venetoclax 400 mg orally (days 1-28) and azacitidine (75 mg/m2; days 1-7/28-day cycle).

resultsIn the biomarker-evaluable population, IDH1/2mut was detected in 81 (26%) and 28 (22%) patients in the venetoclax + azacitidine and azacitidine groups. Composite complete remission [CRc, complete remission (CR)+CR with incomplete hematologic recovery (CRi)] rates (venetoclax + azacitidine/azacitidine) among patients with IDH1/2mut were 79%/11%, median duration of remission (mDoR) was 29.5/9.5 months, and median overall survival (mOS) was 24.5/6.2 months. CRc rates among patients with IDH1/2 wild-type (WT) were 63%/31%, mDoR 17.5/10.3 months, and mOS 12.3/10.1 months. In patients with IDH1mut, CRc rates (venetoclax + azacitidine/azacitidine) were 66.7%/9.1% and mOS 15.2/2.2 months. In patients with IDH2mut, CRc rates were 86.0%/11.1% and mOS not reached (NR)/13.0 months. Patients with IDH1/2 WT AML treated with venetoclax + azacitidine with poor-risk cytogenetics had inferior outcomes compared with patients with IDH1/2mut, who had superior outcomes regardless of cytogenetic risk (mOS, IDH1/2mut: intermediate-risk, 24.5 months; poor-risk, NR; IDH1/2 WT: intermediate, 19.2 and poor, 7.4 months). There were no unexpected toxicities in the venetoclax + azacitidine group.

conclusionsPatients with IDH1/2mut who received venetoclax + azacitidine had high response rates, durable remissions, and significant OS; cytogenetic risk did not mitigate the favorable outcomes seen from this regimen for IDH1/2mut. See related commentary by Perl and Vyas, p. 2719.

Indexed as

DancingLeukemia, Myeloid, AcuteAgedAntineoplastic Combined Chemotherapy ProtocolsAzacitidineBridged Bicyclo Compounds, HeterocyclicHumansIsocitrate DehydrogenaseMutationSulfonamidesAzacitidineBridged Bicyclo Compounds, HeterocyclicIDH1 protein, humanIsocitrate DehydrogenaseSulfonamidesvenetoclax

Identifiers

PMID35046058
PMCPMC9365354
OpenAlexW4206578074

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.