Molecular response patterns in relapsed/refractory AML patients treated with selinexor and chemotherapy
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Molecular response patterns in relapsed/refractory AML patients treated with selinexor and chemotherapy. / Klement, Piroska; Fiedler, Walter; Gabdoulline, Razif; Dallmann, Louisa-Kristin; Wienecke, Clara Philine; Schiller, Johannes; Kandziora, Christian; Teich, Katrin; Heida, Bennett; Büttner, Konstantin; Brandes, Maximilian; Funke, Carolin; Wichmann, Martin; Othman, Basem; Chromik, Joerg; Amberg, Stefanie; Kebenko, Maxim; Schlipfenbacher, Vera; Wilke, Anne Christine; Modemann, Franziska; Janning, Melanie; Serve, Hubert; Bokemeyer, Carsten; Theile, Susann; Deppermann, Ute; Kranich, Anne L; Ganser, Arnold; Thol, Felicitas; Heuser, Michael.
in: ANN HEMATOL, Jahrgang 102, Nr. 2, 02.2023, S. 323-328.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Molecular response patterns in relapsed/refractory AML patients treated with selinexor and chemotherapy
AU - Klement, Piroska
AU - Fiedler, Walter
AU - Gabdoulline, Razif
AU - Dallmann, Louisa-Kristin
AU - Wienecke, Clara Philine
AU - Schiller, Johannes
AU - Kandziora, Christian
AU - Teich, Katrin
AU - Heida, Bennett
AU - Büttner, Konstantin
AU - Brandes, Maximilian
AU - Funke, Carolin
AU - Wichmann, Martin
AU - Othman, Basem
AU - Chromik, Joerg
AU - Amberg, Stefanie
AU - Kebenko, Maxim
AU - Schlipfenbacher, Vera
AU - Wilke, Anne Christine
AU - Modemann, Franziska
AU - Janning, Melanie
AU - Serve, Hubert
AU - Bokemeyer, Carsten
AU - Theile, Susann
AU - Deppermann, Ute
AU - Kranich, Anne L
AU - Ganser, Arnold
AU - Thol, Felicitas
AU - Heuser, Michael
N1 - © 2022. The Author(s).
PY - 2023/2
Y1 - 2023/2
N2 - Relapse in patients with acute myeloid leukemia (AML) is common and is associated with a dismal prognosis. Treatment options are limited and the understanding of molecular response patterns is still challenging. We analyzed the clonal response patterns of 15 patients with relapsed/refractory AML treated with selinexor in a phase II trial (SAIL). DNA was analyzed at three time points and showed a decline of mutated alleles in FLT3, SF3B1, and TP53 under SAIL treatment. Overall survival (OS) was similar between patients with declining versus persisting clones. We show an interesting long-term course of a patient who relapsed after allogeneic stem cell transplantation (alloHCT) with SF3B1- and SRSF2-mutated AML and received selinexor as maintenance treatment for 4 years. Measurable residual disease (MRD) remained detectable for 2 weeks after donor lymphocyte infusion (DLI) in this patient and then remained negative under selinexor maintenance treatment. Selinexor was tolerated well and was stopped after 4 years of SAIL treatment. We present an exploratory study and identify subclonal patterns of patients treated with selinexor.
AB - Relapse in patients with acute myeloid leukemia (AML) is common and is associated with a dismal prognosis. Treatment options are limited and the understanding of molecular response patterns is still challenging. We analyzed the clonal response patterns of 15 patients with relapsed/refractory AML treated with selinexor in a phase II trial (SAIL). DNA was analyzed at three time points and showed a decline of mutated alleles in FLT3, SF3B1, and TP53 under SAIL treatment. Overall survival (OS) was similar between patients with declining versus persisting clones. We show an interesting long-term course of a patient who relapsed after allogeneic stem cell transplantation (alloHCT) with SF3B1- and SRSF2-mutated AML and received selinexor as maintenance treatment for 4 years. Measurable residual disease (MRD) remained detectable for 2 weeks after donor lymphocyte infusion (DLI) in this patient and then remained negative under selinexor maintenance treatment. Selinexor was tolerated well and was stopped after 4 years of SAIL treatment. We present an exploratory study and identify subclonal patterns of patients treated with selinexor.
U2 - 10.1007/s00277-022-05075-4
DO - 10.1007/s00277-022-05075-4
M3 - SCORING: Journal article
C2 - 36576532
VL - 102
SP - 323
EP - 328
JO - ANN HEMATOL
JF - ANN HEMATOL
SN - 0939-5555
IS - 2
ER -