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December 8, 2025BloodOpen Access

Phase II trial of venetoclax in combination with azacitidine as maintenance therapy for acute lymphoblastic leukemia following allogeneic stem cell transplantation

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Authors

ESElizabeth J. Shpall

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Overview

Phase II trial showed venetoclax and azacitidine maintenance improves relapse-free survival in acute lymphoblastic leukemia, indicating a well-tolerated treatment option.

Key Points

  • To evaluate the safety and efficacy of venetoclax in combination with azacitidine as maintenance therapy following allogeneic stem cell transplantation in acute lymphoblastic leukemia patients.
  • Phase II trial with high-risk acute lymphoblastic leukemia patients post-allogeneic stem cell transplantation.
  • Participants were in complete remission without detectable measurable residual disease at enrollment.
  • Treatment involved up to 12 cycles of venetoclax and azacitidine.
  • Primary endpoints included relapse-free survival and safety.
  • 77.8% relapse-free survival at 1 year and 2 years after treatment initiation.
  • Overall survival was 85.7% at 1 year and 2 years.
  • Common grade 3–4 adverse events included anemia and neutropenia, with no treatment-related infections.

Cite This Study

Elizabeth J. Shpall (2025) studied this question.

synapsesocial.com/papers/69362f7f4fa91c937236e532https://doi.org/10.1182/blood-2025-2515
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