Evidence map›Paper›PMID 37185614›Full record

ArticleBone marrow transplantation2023

Venetoclax is safe and tolerable as post-transplant maintenance therapy for AML patients at high risk for relapse.

Andrew Kent, Marc Schwartz, Christine McMahon, Maria Amaya, Clayton A Smith, Jennifer Tobin, Kelsey Marciano, Rebecca Rezac, Grace Bosma, Daniel A Pollyea and 1 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Post-HCT maintenance therapy for AML: who, when, why, how long?Hematology. American Society of Hematology. Education Program · 2025
    Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Maintenance strategies for relapse prevention and treatment.Hematology. American Society of Hematology. Education Program · 2024
    Review
  18. Article
  19. Review
  20. Precision medicine in AML: overcoming resistance.International journal of hematology · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andrew KentThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Marc SchwartzThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Christine McMahonThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Maria AmayaThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Clayton A SmithThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Jennifer TobinThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Kelsey MarcianoThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Rebecca RezacThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Grace BosmaThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Daniel A PollyeaThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA.
Jonathan A GutmanThe University of Colorado School of Medicine, Division of Hematology, Aurora, CO, USA. jonathan.gutman@cuanschutz.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapse is the most common cause of mortality in acute myeloid leukemia (AML) patients after allogeneic stem cell transplant (SCT). Post-SCT maintenance strategies that prevent relapse are desirable but must be well tolerated and convenient to administer. We hypothesized single agent venetoclax (ven) may be an effective maintenance therapy among high relapse risk patients. Between February 2019 and December 2021, we administered post-SCT ven maintenance to 49 AML patients at high-risk for relapse as a prospectively defined off-label practice at our institution. Ven was planned to be administered until 1-year post-SCT. While temporary interruptions were common (67.3% of all patients), of those with >1 year follow up, 22/25 (88%) completed the full year of planned therapy. Cytopenias (40.8%) and gastrointestinal adverse events (34.7%) were the most common toxicities. At 1-year post-SCT, overall survival (OS) and relapse-free survival (RFS) were 70% and 67% respectively. Our experience demonstrates single agent ven is a safe, tolerable, and feasible maintenance therapy that may improve RFS and OS in high relapse risk post-SCT patients.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteBridged Bicyclo Compounds, HeterocyclicHumansRecurrenceRetrospective StudiesStem Cell TransplantationSulfonamidesBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclax

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Registered trials

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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.