Evidence map›Paper›PMID 41145917›Full record

SynthesisAnnals of hematology2025

Efficacy and safety of venetoclax plus azacitidine based regimens in the treatment of relapsed or refractory acute myeloid leukemia: a systematic review and meta-analysis.

Qinyi Cai, Jiayi Xiao, Chenxiang Weng, Huiling Chen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

4 authors.

Qinyi CaiThe Second Hospital and Clinical Medical School, Lanzhou University, Lanzhou, 730000, China.
Jiayi XiaoThe Second Hospital and Clinical Medical School, Lanzhou University, Lanzhou, 730000, China.
Chenxiang WengThe First Hospital and Clinical Medical School, Lanzhou University, Lanzhou, 730000, China.
Huiling ChenThe Second Hospital and Clinical Medical School, Lanzhou University, Lanzhou, 730000, China. chenhuiling618@163.com.

Funding

Cuiying Scientific and Technological Innovation Program of The Second Hospital & Clinical Medical School, Lanzhou University no. CY2023-MS-B18Higher Education Innovation Fund project of Gansu Province no. 2025B-23
6 · The paper itself

Abstract

This meta-analysis aimed to evaluate the efficacy and safety of venetoclax plus azacitidine (VEN + AZA) regimens in patients with relapsed or refractory acute myeloid leukemia (R/R AML) and to explore the effects of different combination strategies, including chemotherapy and targeted agents, on clinical outcomes. A systematic search of PubMed, Web of Science, Embase, and Cochrane Library databases was performed up to February 2025. Studies that reported complete remission or complete remission with incomplete hematologic recovery (CR/CRi) were included. Study quality was assessed using the Newcastle-Ottawa Scale (NOS) for Non-Randomized Controlled Trials (NRCTs). Pooled estimates were calculated using random-effects models, and subgroup analyses were performed. The CR/CRi rate for VEN + AZA-based regimens was 43% (95% CI: 33-53%), with substantial heterogeneity (I²=89.20%). Subgroup analysis indicated higher CR/CRi rates for VEN + AZA combined with chemotherapy (68%, 95% CI: 62-73%) compared to VEN + AZA alone (38%, 95% CI: 28-47%) or VEN + AZA with targeted agents (28%, 95% CI: 18-40%). The most common grade ≥ 3 adverse events were neutropenia (89%) and thrombocytopenia (82%). VEN + AZA combined with chemotherapy significantly improved CR/CRi rates in R/R AML compared to VEN + AZA alone or with targeted agents.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAzacitidineBridged Bicyclo Compounds, HeterocyclicLeukemia, Myeloid, AcuteSulfonamidesHumansRecurrenceTreatment OutcomeAzacitidineBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclaxAcute myeloid leukemiaAzacitidineMeta-analysisRefractoryRelapsedVenetoclax

Identifiers

PMID41145917
PMCPMC12619768

What OpenQuestion holds

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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.