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Review
. 2021 Aug 1;21(4):409-421.
doi: 10.17305/bjbms.2020.5485.

Recent advances of targeted therapy in relapsed/refractory acute myeloid leukemia

Affiliations
Review

Recent advances of targeted therapy in relapsed/refractory acute myeloid leukemia

Jiale Ma et al. Bosn J Basic Med Sci. .

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.

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Conflict of interest statement

Conflict of interest statement: The authors declare no conflict of interests.

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References

    1. Papaemmanuil E, Gerstung M, Bullinger L, Gaidzik VI, Paschka P, Roberts ND, et al. Genomic classification and prognosis in acute myeloid leukemia. N Engl J Med. 2016;374(23):2209–21. - PMC - PubMed
    1. 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
    1. 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
    1. 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
    1. 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