Abstract

Acute myeloid leukaemia with mutated IDH1 is most frequently found in the European LeukemiaNet intermediate risk group. The incidence of IDH1 mutations increases with age, and older patients (aged >75 years) with IDH1-mutated acute myeloid leukaemia who are ineligible for intensive chemotherapy are highly sensitive to azacitidine combined with venetoclax.1 A randomised phase 3 trial2 showed that the IDH1 inhibitor ivosidenib combined with azacitidine significantly prolonged event-free survival and overall survival of older patients with IDH1 mutated acute myeloid leukaemia compared with placebo and azacitidine.

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