Evidence map›Paper›PMID 42465749›Full record

ArticleFrontiers in immunology2026

Repeated courses of sequential venetoclax and donor lymphocyte infusions in a patient with relapsed high-risk myelodysplasia following allogeneic stem cell transplantation: a case report.

Federica Gigli, Valentina Fabiola Sangiorgio, Valentina Tabanelli, Giuliana Gregato, Francesco Bertolini, Alessio Maria Edoardo Maraglino, Simona Sammassimo, Rocco Pastano, Enrico Derenzini, Corrado Tarella

Abstract readCase Reports
In one paragraph

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Federica GigliOncohematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Valentina Fabiola SangiorgioOncohematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Valentina TabanelliHaematopathology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Giuliana GregatoLaboratory of Haemato-Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Francesco BertoliniLaboratory of Haemato-Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Alessio Maria Edoardo MaraglinoOncohematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Simona SammassimoOncohematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Rocco PastanoOncohematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Enrico DerenziniOncohematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Corrado TarellaOncohematology Division, IEO, European Institute of Oncology IRCCS, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Allogeneic hematopoietic stem cell transplantation (allo-HSCT) represents the only potentially curative therapy in patients with high-risk myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). However, a considerable proportion of patients experience post-transplant relapse, a condition associated with relevant morbidity and an overall dismal prognosis. In this context, the administration of donor lymphocyte infusion (DLI) has been historically used to exploit the graft- Case description: We report here the successful treatment of a patient with high-risk MDS and relapse onset following allo-HSCT. The patient was started on salvage treatment with azacitidine (AZA) and low-dose VEN. Surprisingly, bone marrow cellularity was restored, with rapid improvement of the hematological parameters and recovery of full chimerism as well after a single initial course of AZA/VEN. Two additional courses of AZA/VEN supplemented with DLI were delivered, and then the patient was placed on a maintenance treatment with the sequence of VEN single agent tightly followed by DLI. Six courses of combined VEN/DLI were delivered at 3-month intervals. This innovative strategy proved to be effective in terms of disease control, absence of infectious complications, and quality of life. The patient is presently alive and well in continuous complete remission (CR) 24 months since disease recurrence. The details of his recent clinical history are reported here. Conclusion: Recurrent courses of VEN in combination with DLI may be exploited for CR maintenance in patients with MDS/AML managed for disease recurrence after allo-HSCT.

Indexed as

Antineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicHematopoietic Stem Cell TransplantationLymphocyte TransfusionMyelodysplastic SyndromesSulfonamidesHumansLeukemia, Myeloid, AcuteMaleMiddle AgedRecurrenceTransplantation, HomologousTreatment OutcomeAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclaxallogeneic hematopoietic stem cell transplantationdonor lymphocyte infusionpost-alloHSCT disease recurrencetherapy-related myelodysplasiavenetoclax

Identifiers

PMID42465749
PMCPMC13372575

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.