Clinical Edge Journal Scan

Relapsed/refractory AML: MIV alone or in combination with venetoclax shows promise in phase 1


 

Key clinical point: In patients with relapsed/refractory acute myeloid leukemia (AML), mivebresib (MIV) was tolerated and showed antileukemic activity as monotherapy (MIV-mono) and in combination with venetoclax (MIV-Ven).

Major finding: In the MIV-mono cohort, response included complete remission with incomplete blood count recovery (5%) and resistant disease (79%). In patients receiving MIV-Ven, responses were complete remission (7%), partial remission (7%), leukemia-free state (7%), resistant disease (40%), and aplasia (3%). Treatment-emergent adverse events ( TEAEs) were reported in 100% of patients, with serious TEAEs in 74%, 88%, and 40% of patients in MIV-mono, MIV-Ven, and patients who switched from MIV-mono to MIV-Ven groups, respectively.

Study details : Findings are from phase 1 study including 44 adult patients with relapsed/refractory AML who received either MIV-mono (n=19) or MIV-Ven (n=25). Because of disease progression, 5 patients switched from MIV-mono to MIV-Ven.

Disclosures: This study was funded by AbbVie. Investigators including the lead author reported ties with various pharmaceutical companies including AbbVie.

Source: Borthakur G et al. Cancer. 2021 May 2. doi: 10.1002/cncr.33590 .

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