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2017 ; 10
(1
): 93
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Emerging therapies for acute myeloid leukemia
#MMPMID28420416
Saygin C
; Carraway HE
J Hematol Oncol
2017[Apr]; 10
(1
): 93
PMID28420416
show ga
Acute myeloid leukemia (AML) is characterized by clinical and biological
heterogeneity. Despite the advances in our understanding of its pathobiology, the
chemotherapy-directed management has remained largely unchanged in the past
40 years. However, various novel agents have demonstrated clinical activity,
either as single agents (e.g., isocitrate dehydrogenase (IDH) inhibitors,
vadastuximab) or in combination with standard induction/consolidation at
diagnosis and with salvage regimens at relapse. The classes of agents described
in this review include novel cytotoxic chemotherapies (CPX-351 and vosaroxin),
epigenetic modifiers (guadecitabine, IDH inhibitors, histone deacetylase (HDAC)
inhibitors, bromodomain and extraterminal (BET) inhibitors), FMS-like tyrosine
kinase receptor 3 (FLT3) inhibitors, and antibody-drug conjugates (vadastuximab),
as well as cell cycle inhibitors (volasertib), B-cell lymphoma 2 (BCL-2)
inhibitors, and aminopeptidase inhibitors. These agents are actively undergoing
clinical investigation alone or in combination with available chemotherapy.