Clinical Edge Journal Scan

Enasidenib vs. standard of care therapies prolongs survival in patients with R/R AML with IDH2 mutation


 

Key clinical point: Enasidenib was associated with superior overall survival (OS) compared to standard of care (SoC) therapies in patients with relapsed/refractory (R/R) acute myeloid leukemia (AML) with an isocitrate dehydrogenase 2 ( IDH2) mutation who were ineligible for hematopoietic stem cell transplantation (HSCT).

Major finding: Enasidenib vs. SoC was associated with a significantly longer OS (hazard ratio 0.67; 95% CI 0.47-0.97).

Study details: Findings are from a propensity score-matching analysis including adult patients with R/R AML with an IDH2 mutation ineligible for HSCT treated with enasidenib (n=195) from the AG221 C-001 trial or SoC therapies (n=78) from the French Chart Review study.

Disclosures: This study was sponsored and funded by Bristol Myers Squibb Some investigators, including the lead author, reported ties with various pharmaceutical companies, including Bristol Myers Squibb.

Source: de Botton S et al. Cancer Med. 2021 Aug 24. doi: 10.1002/cam4.4182 .

Recommended Reading

Worse outcomes with DEC10-VEN in patients with TP53 mutated AML
MDedge Hematology and Oncology
R/R AML: DEC10-VEN yields better outcomes vs IC-based regimens
MDedge Hematology and Oncology
High-risk AML: Induction chemotherapy with ID-AraC followed by allo-HSCT improves survival
MDedge Hematology and Oncology
Survival benefit with high-intensity chemotherapy followed by second allo-SCT or DLI in AML relapse after allo-SCT
MDedge Hematology and Oncology
Fluid overload impairs survival in AML patients receiving induction chemotherapy
MDedge Hematology and Oncology
CBF-AML: Different prognostic values of pretransplant MRD
MDedge Hematology and Oncology
Monitoring TP53 mutations over the course of AML therapy may have clinical utility
MDedge Hematology and Oncology
SRSF2 mutations do not affect outcomes in transplanted AML patients
MDedge Hematology and Oncology
Clinical Edge Journal Scan Commentary: AML September 2021
MDedge Hematology and Oncology
No benefits of decitabine+sapacitabine over decitabine monotherapy in older patients with newly diagnosed AML
MDedge Hematology and Oncology