Evidence map›Paper›PMID 41626140›Full record

ArticleLeukemia research reports2026

Survival predictors in Vietnamese elderly AML patients treated with decitabine: Real-world evidence from a low- and middle-income country.

Ha Thanh Nguyen, Quoc Khanh Bach, Quoc Nhat Nguyen, Van Nam Nguyen, Thi Van Anh Nguyen, Hai Pham-The

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Article in Leukemia research reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Ha Thanh NguyenDepartment of Chemotherapy, National Institute of Hematology and Blood Transfusion, Hanoi, Vietnam.
Quoc Khanh BachDepartment of Chemotherapy, National Institute of Hematology and Blood Transfusion, Hanoi, Vietnam.
Quoc Nhat NguyenDepartment of Chemotherapy, National Institute of Hematology and Blood Transfusion, Hanoi, Vietnam.
Van Nam NguyenDepartment of Chemotherapy, National Institute of Hematology and Blood Transfusion, Hanoi, Vietnam.
Thi Van Anh NguyenDepartment of Life Sciences, University of Science and Technology of Hanoi, Vietnam Academy of Science and Technology, Hanoi, Vietnam.
Hai Pham-TheDepartment of Life Sciences, University of Science and Technology of Hanoi, Vietnam Academy of Science and Technology, Hanoi, Vietnam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypomethylating agents such as decitabine represent a key treatment option for elderly acute myeloid leukemia (AML) patients who are unfit for intensive chemotherapy. However, real-world evidence from low- and middle-income countries (LMICs), including Vietnam, remains scarce. This study aimed to identify baseline clinical and laboratory predictors of 1-year overall survival (OS) in elderly Vietnamese AML patients treated with decitabine. Methods: This prospective, single-center, observational study was conducted at the National Institute of Hematology and Blood Transfusion, Vietnam, from April 2023 to June 2025. Seventy newly diagnosed AML patients aged ≥ 60 years received decitabine. The primary outcome was 1-year OS. Baseline demographic, clinical, hematologic, and immunophenotypic variables were analyzed using univariate and multivariate Cox regression. Treatment response was descriptively evaluated in patients completing ≥4 cycles. Results: The 1-year OS rate was 38.6 %, with a median survival of 276.0 days. Elevated bone marrow cell count (HR: 1.003, Conclusion: This first prospective real-world study in Vietnam identified accessible predictors of survival in elderly AML patients receiving decitabine. The findings may aid early risk stratification using simple baseline parameters in LMIC settings, where access to molecular diagnostics may be limited, and warrant multicenter validation.

Indexed as

AMLBiomarkersDecitabineElderlyPrognosisReal-worldSurvival

Identifiers

PMID41626140
PMCPMC12857390

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