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Leukemia ASH 2024 Highlights - Menin Inhibitors, CPX 351 vs 7+3, Venetoclax Based Regimens


Key Points:

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•⁠  ⁠The importance of NGS testing in identifying targetable mutations in AML.
•⁠  ⁠Promising response rates and manageable toxicities associated with Menin inhibitors.
•⁠  ⁠The ongoing debate regarding the best induction therapy for AML patients.

In this episode of the Oncology Brothers podcast, we dive into the highlights from ASH 2024, focusing specifically on key studies in leukemia. Drs. Rahul & Rohit Gosain, had the pleasure of discussing these important findings with Dr. Uma Borate from The Ohio State University.

We kicked off our discussion with the KOMET 007 study, which explores the menin inhibitor Ziftomenib in a Phase 1 trial. This study highlights the significance of next-generation sequencing (NGS) in identifying patients with NPM1 mutations or KMT2A rearrangements, who may benefit from targeted therapies. The results showed impressive response rates, with a composite complete remission rate exceeding 90%, and manageable toxicity profiles.

Next, we examined the liposomal formulation CPX351, and its efficacy compared to the traditional 7+3 induction therapy. Dr. Borate emphasized that CPX351 is particularly beneficial for patients with myelodysplasia-related mutations, leading to better remission rates and overall survival, especially in older patients.

Finally, we discussed the role of venetoclax in combination therapies for AML, particularly in patients without actionable mutations. Dr. Borate likened venetoclax to "hot sauce," enhancing the effectiveness of various treatment regimens. However, we acknowledged the need for more randomized studies to establish its long-term benefits and overall survival data.

Throughout the episode, we reiterated the critical importance of NGS testing in identifying targetable mutations in AML, as well as the evolving landscape of precision medicine in this field. We hope our listeners find this discussion insightful and informative as we continue to explore advancements in oncology. Thank you for joining us on the Oncology Brothers podcast!