Figure 2.
Treatment stratification for newly diagnosed patients fit for intensive treatment, modified after Onkopedia Guidelines for AML (www.onkopedia.com).1 APL, acute promyelocytic leukemia excluded. 2 Fit for intensive therapy, based on ECOG status and comorbidity. 3 Genetically defined subgroups according to ELN 2022. 4 AML MR, AML with myelodysplasia-related changes (WHO) or entities “AML with myelodysplasia-related gene mutations”, “AML with myelodysplasia-related cytogenetic abnormalities” and AML with the diagnostic qualifier “Progressed form MDS or MDS/MPN” (ICC). 5 t-AML, therapy-associated AML. 6 7+3, therapy regimen with cytarabine (Ara-C) on 7 days, daunorubicin on 3 days. 7 GO, gemtuzumab ozogamicin, recommended in patients up to 70 years. 8 HDAC, high-dose Ara-C; IDAC, intermediate-dose Ara-C. 9 Low risk of recurrence: NPM1-mut without relevant MRD. High risk of recurrence: NPM1 wildtype or relevant MRD. 10 Allo HCT, allogeneic hematopoietic cell transplantation. 11 This recommendation includes bZIP inframeCEBPA mutated patients. 12 MRD monitoring recommended.