Journal article
Keeping up with venetoclax for leukemic malignancies: key findings, optimal regimens, and clinical considerations
Expert review of clinical pharmacology, Vol.14(12), pp.1497-1512
12/02/2021
DOI: 10.1080/17512433.2021.2008239
PMID: 34791957
Abstract
Introduction Venetoclax has transformed the treatment landscape in hematologic malignancies, especially in elderly population. With high rates of remission, deep and durable responses, and safe toxicity profile, venetoclax in combination therapy has been extremely effective, garnering accelerated approval and becoming standard of care in lymphoid and myeloid malignancies. Areas covered Preclinical and clinical experience of venetoclax monotherapy and combination therapy in relapsed/refractory and frontline CLL, AML, ALL, high-risk MDS and BPDCN with an emphasis on key clinical trials and efficacy of combination regimens in distinct mutational landscapes. Strategies to mitigate myelosuppression and manage dose adjustments and infectious complications are addressed. Expert opinion Targeting BCL-2 offers a safe and highly effective adjunct to available therapies in hematologic malignancies. Despite success and frequent utilization of venetoclax, several resistance mechanisms have been elucidated, prompting the development of novel combinatorial strategies. Further, on-target myelosuppression of venetoclax is a key obstacle in clinical practice, requiring diligent monitoring and practice-based knowledge of dose modifications. Despite these limitations, venetoclax has gained tremendous popularity in hematologic-oncology, becoming an integral component of numerous combination regimes, with ongoing plethora of clinical trials encompassing standard chemotherapy, targeted agents and immune-based approaches.
Details
- Title: Subtitle
- Keeping up with venetoclax for leukemic malignancies: key findings, optimal regimens, and clinical considerations
- Creators
- Maria Siddiqui - The University of Texas MD Anderson Cancer CenterMarina Konopleva - The University of Texas MD Anderson Cancer Center
- Resource Type
- Journal article
- Publication Details
- Expert review of clinical pharmacology, Vol.14(12), pp.1497-1512
- DOI
- 10.1080/17512433.2021.2008239
- PMID
- 34791957
- NLM abbreviation
- Expert Rev Clin Pharmacol
- ISSN
- 1751-2433
- eISSN
- 1751-2441
- Publisher
- Taylor & Francis
- Number of pages
- 16
- Language
- English
- Date published
- 12/02/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984848509502771
Metrics
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