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How do you manage persistent cytopenias in patients with AML who achieve a complete remission with incomplete count recovery after venetoclax and HMA?
2 Answers
Mednet Member
Medical Oncology · UNC Lineberger Comprehensive Cancer Center
This is an important question. How to manage cytopenias on HMA + venetoclax-based regimens is one of the biggest conundrums in the management of AML. The clinical trials to date have not uniformly answered this question based on level 1 evidence. These recommendations are mainly based on anecdotal d...
Mednet Member
Medical Oncology · Roswell Park Cancer Center
This is a challenging and frequent question regarding the upfront use of venetoclax and hypomethylating agents in older individuals. Our practice is as outlined by @Dr. First Last, except that we perform a bone marrow biopsy on day 21 of first cycle of therapy. If there is evidence of cytoreduction ...