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December 8, 2025BloodOpen Access

Venetoclax (VEN) and azacitidine (AZA) with gilteritinib (GILT) in patients with newly diagnosed (ND) FLT3mut+ Acute Myeloid Leukemia (AML) ineligible for intensive induction chemotherapy (chemo): Interim results from the phase 1/2 VICEROY study

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Authors

APAlexander E. PerlYDYehuda E. DeutschMBMaria R. Baer

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Overview

Interim results show promising efficacy of triplet therapy in patients with newly diagnosed FLT3mut+ acute myeloid leukemia ineligible for intensive chemo.

Key Points

  • Evaluate the efficacy, safety, and optimal dosing of venetoclax, azacitidine, and gilteritinib in patients with newly diagnosed FLT3mut+ acute myeloid leukemia ineligible for intensive induction chemotherapy.
  • Phase 1/2 open-label study with randomization to two venetoclax doses (200mg or 400mg).
  • All patients received azacitidine and gilteritinib in 28-day cycles.
  • Bone marrow testing was performed to assess the impact on blasts and subsequent treatment adjustment.
  • Complete remission rate was 70% for VEN200 and 65% for VEN400.
  • 12-month overall survival rate was 64% for VEN200 and 77% for VEN400.
  • Safety events reported included febrile neutropenia and increased liver enzymes, with a main focus on dose-limiting toxicities.

Cite This Study

Perl et al. (2025) studied this question.

synapsesocial.com/papers/69362f3a4fa91c937236d447https://doi.org/10.1182/blood-2025-654
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Phase I/II study of decitabine/cedazuridine (ASXT727), venetoclax, and gilteritinib for patients with FLT3-mutated Acute Myeloid Leukemia or high-risk myelodysplastic syndrome2025 · 2 citations
  2. 2Hypomethylating agents or chemotherapy in combination with venetoclax and gilteritinib for FLT3-mutated Acute Myeloid Leukemia2025 · 1 citations
  3. 3Venetoclax combined with three-day multi-frequency decitabine (DEC3-VEN) VS venetoclax combined with azacitidine in elderly patients with Acute Myeloid Leukemia:a phase III, prospective, multicenter, randomized controlled trial2025 · 1 citations
  4. 4Venetoclax in the treatment of acute myeloid leukemia: Beyond <scp>VIALE‐A</scp>2024 · 3 citations
  5. 5Efficacy of the triplet therapy with venetoclax, azacitidine and gilteritinib for the treatment of FLT3-ITD mutated AML patients with refractory/relapsed disease or persistent minimal residual disease bridging to allogeneic hematopoietic stem cell transplantation2025 · 2 citations