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December 8, 2025BloodOpen Access

Myeloablative fractionated busulfan, fludarabine, cladribine, thiotepa, and venetoclax (Cladillac) conditioning for high-risk AML: A phase 2 trial

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Authors

QBQaiser BashirGCGeorge ChenWFWarren Fingrut

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Overview

Phase 2 trial shows 58% progression-free survival in high-risk AML, suggesting novel Cladillac regimen may enhance outcomes.

Key Points

  • Evaluate the efficacy of the Cladillac conditioning regimen in high-risk AML patients.
  • Phase 2 trial with 50 patients aged 18-70 years.
  • Conditioning involved busulfan, cladribine, thiotepa, and venetoclax.
  • Post-transplant cyclophosphamide was used for GVHD prophylaxis.
  • Primary endpoint was progression-free survival (PFS).
  • One-year PFS was 60% and three-year PFS was 58%.
  • Three-year overall survival was 64%, with 26% disease relapse rate.
  • TP53 wild-type patients had superior outcomes with an OS of 74%.
  • 20% experienced grade 2–4 acute GVHD.

Cite This Study

Bashir et al. (2025) studied this question.

synapsesocial.com/papers/69362f6e4fa91c937236e0cdhttps://doi.org/10.1182/blood-2025-378
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