Recent advances of targeted therapy in relapsed/refractory acute myeloid leukemia
- PMID: 33577442
- PMCID: PMC8292864
- DOI: 10.17305/bjbms.2020.5485
Recent advances of targeted therapy in relapsed/refractory acute myeloid leukemia
Abstract
Despite advances in the understanding of disease pathobiology, treatment for relapsed or refractory acute myeloid leukemia (R/R AML) remains challenging. The prognosis of R/R AML remains extremely poor despite chemotherapy and bone marrow transplants. Discoveries on recurrent and novel genetic mutations, such as FLT3-ITD and IDH1/IDH2, critical signaling pathways, and unique molecular markers expressed on the surface of leukemic cells have been under investigation for the management of R/R AML. Other than monoclonal antibodies, diabodies, and triabodies are new targeted therapies developed in recent years and will be the new direction of immunotherapy. Targeted agents combined intensive regimens can be viable options for salvage therapy and as bridges to allogeneic transplant. Future directions will focus on novel, efficient and targeted combinations, low-toxicity maintenance, and individualized precision strategies. Here, we review the major recent advances of targeted therapies in the treatment of R/R AML.
Conflict of interest statement
Conflict of interest statement: The authors declare no conflict of interests.
Similar articles
-
Relapsed/refractory acute myeloid leukemia: any progress?Curr Opin Oncol. 2017 Nov;29(6):467-473. doi: 10.1097/CCO.0000000000000404. Curr Opin Oncol. 2017. PMID: 28857842 Review.
-
Treatment of Relapsed Acute Myeloid Leukemia.Curr Treat Options Oncol. 2020 Jun 29;21(8):66. doi: 10.1007/s11864-020-00765-5. Curr Treat Options Oncol. 2020. PMID: 32601974 Free PMC article. Review.
-
Update on management and progress of novel therapeutics for R/R AML: an Iberian expert panel consensus.Ann Hematol. 2019 Nov;98(11):2467-2483. doi: 10.1007/s00277-019-03820-w. Epub 2019 Oct 30. Ann Hematol. 2019. PMID: 31667544 Review.
-
Novel treatments for relapsed/refractory acute myeloid leukemia with FLT3 mutations.Expert Rev Hematol. 2019 Aug;12(8):621-640. doi: 10.1080/17474086.2019.1635882. Epub 2019 Jun 30. Expert Rev Hematol. 2019. PMID: 31232619 Review.
-
Treatment of Relapsed/Refractory Acute Myeloid Leukemia.Curr Treat Options Oncol. 2017 Mar;18(3):17. doi: 10.1007/s11864-017-0456-2. Curr Treat Options Oncol. 2017. PMID: 28286924 Review.
Cited by
-
Long-term survival in a patient with primary refractory AML after salvage allogeneic hematopoietic transplantation and post-transplant localized irradiation and venetoclax maintenance: a case report.Front Oncol. 2023 Dec 15;13:1329858. doi: 10.3389/fonc.2023.1329858. eCollection 2023. Front Oncol. 2023. PMID: 38162505 Free PMC article.
-
Aldehyde Dehydrogenase Genes as Prospective Actionable Targets in Acute Myeloid Leukemia.Genes (Basel). 2023 Sep 16;14(9):1807. doi: 10.3390/genes14091807. Genes (Basel). 2023. PMID: 37761947 Free PMC article.
-
Ritanserin suppresses acute myeloid leukemia by inhibiting DGKα to downregulate phospholipase D and the Jak-Stat/MAPK pathway.Discov Oncol. 2023 Jul 1;14(1):118. doi: 10.1007/s12672-023-00737-9. Discov Oncol. 2023. PMID: 37392305 Free PMC article.
-
Real-world experience with selinexor-containing chemotherapy-free or low-dose chemotherapy regimens for patients with relapsed/refractory acute myeloid leukemia and myeloid sarcoma.Front Pharmacol. 2023 Aug 4;14:1217701. doi: 10.3389/fphar.2023.1217701. eCollection 2023. Front Pharmacol. 2023. PMID: 37601075 Free PMC article.
-
Inhibition of NEDD8 NEDDylation induced apoptosis in acute myeloid leukemia cells via p53 signaling pathway.Biosci Rep. 2022 Aug 31;42(8):BSR20220994. doi: 10.1042/BSR20220994. Biosci Rep. 2022. PMID: 35880551 Free PMC article.
References
-
- Ganzel C, Sun Z, Cripe LD, Fernandez HF, Douer D, Rowe JM, et al. Very poor long-term survival in past and more recent studies for relapsed AML patients:The ECOG-ACRIN experience. Am J Hematol. 2018;2018:25162. https://doi.org/10.1002/ajh.25162. - PMC - PubMed
-
- Bergua JM, Montesinos P, Martinez-Cuadron D, Fernandez-Abellan P, Serrano J, Sayas MJ, et al. A prognostic model for survival after salvage treatment with FLAG-Ida +/- gemtuzumab-ozogamicine in adult patients with refractory/relapsed acute myeloid leukaemia. Br J Haematol. 2016;174(5):700–10. https://doi.org/10.1111/bjh.14107. - PubMed
-
- Delia M, Pastore D, Carluccio P, Pasciolla C, Ricco A, Rossi AR, et al. FLAG-Ida regimen as bridge therapy to allotransplantation in refractory/relapsed acute myeloid leukemia patients. Clin Lymphoma Myeloma Leuk. 2017;17(11):767–73. https://doi.org/10.1016/j.clml.2017.06.002. - PubMed
-
- Wang L, Xu J, Tian X, Lv T, Yuan G. Analysis of efficacy and prognostic factors of CLAG treatment in Chinese patients with refractory or relapsed acute myeloid leukemia. Acta Haematol. 2019;141(1):43–53. https://doi.org/10.1159/000493250. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous