TO THE EDITOR:
Over the past 5 decades, the combination of an anthracycline and cytarabine (“3+7”) remains the standard of care for patients with newly diagnosed acute myeloid leukemia (AML) who are suitable for intensive induction therapy.1 Complete remission (CR) can be achieved in 65% to 75% of younger patients (≤60 years) and in 40% to 60% of older patients (>60 years).2,3 However, patients in the adverse-risk category who received intensive chemotherapy (IC) had significantly lower CR rates and more dismal outcomes than those in favorable- and intermediate-risk categories based on the revised 2017 European LeukemiaNet (ELN) genetic risk stratification. The adverse-risk patients had a disappointing CR rate of 43% to 45% under age of 60.4,5 Venetoclax (VEN), in combination with low-dose cytarabine or hypomethylating agents, has shown safety and efficacy in older patients...
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