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September 5, 2026Clinical and Experimental MedicineOpen Access

Real-world evidence on the use of lower-intensity treatment with venetoclax and azacitidine in newly diagnosed AML in younger patients

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Authors

MPMarta Isabel PereiraBMBárbara MarquesSMSandra Marini

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Overview

Cohort study reveals favorable survival with venetoclax and azacitidine in newly diagnosed acute myeloid leukemia, indicating lower-intensity therapy benefits younger high-risk patients.

Key Points

  • To assess real-world outcomes of first-line venetoclax plus azacitidine in newly diagnosed acute myeloid leukemia patients who are chemotherapy-ineligible or chemotherapy-eligible with poor expected response to induction.
  • Conducted a real-world cohort study of N=53 newly diagnosed AML patients (median age 65.8 years; 75.5% adverse risk) receiving first-line venetoclax plus azacitidine.
  • Tracked treatment response, measurable residual disease (MRD), and overall survival (OS) over a median follow-up of 17.3 months.
  • Bone marrow complete remission rates in hematologic responders exceeded 90% overall and reached 100% in intensive chemotherapy-eligible patients, with MRD negativity in over 90% of complete responders.
  • Median overall survival was 19.4 months, with an estimated 3-year survival rate of 65.9% (median not reached) in patients aged 65–74 and 57.3% (median not reached) in intensive chemotherapy-eligible patients with non-favorable risk.

Cite This Study

Pereira et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4726b95aff0620ec34dhttps://doi.org/10.1007/s10238-026-02307-z
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Also Consider

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

  1. 1Venetoclax and azacitidine for younger acute myeloid leukemia patients independent of fitness for intensive chemotherapy2026 · 4 citations
  2. 2Real-life multicenter experience of long-term treatment with venetoclax plus azacitidine for acute myeloid leukemia in China2026
  3. 3Real-world outcomes of newly diagnosed AML treated with venetoclax and azacitidine or low-dose cytarabine in the UK NHS2024 · 43 citations
  4. 4Intensive chemotherapy versus venetoclax–hypomethylating agents therapy for acute myeloid leukemia: A large real-world propensity-matched study.2026
  5. 5Long‐term follow‐up of <scp>VIALE‐A</scp>: Venetoclax and azacitidine in chemotherapy‐ineligible untreated acute myeloid leukemia2024 · 226 citations