Personalizing therapy for older adults with acute myeloid leukemia: Role of geriatric assessment and genetic profiling.

Abstract:

:Acute myeloid leukemia (AML) presents therapeutic challenges in older adults because of high-risk leukemia biology conferring chemoresistance, and poor functional status resulting in increased therapy-related toxicities. Recent FDA approval of 8 new drugs for AML has increased therapeutic armamentarium and also provides effective low-intensity treatment options. Rational therapy selection strategies that consider individual's risk of therapy-related toxicities and probability of disease control can maximize benefits of available treatments. Studies have demonstrated that fitness level, measured by geriatric assessment can predict therapy-related toxicities, whereas cytogenetic and mutation results correlate with the probability of responses to standard chemotherapy. We are approaching an era when we move from "one size fits all" approach to personalized therapy selection based on geriatric assessment, genetic and molecular profiling.

journal_name

Cancer Treat Rev

journal_title

Cancer treatment reviews

authors

Bhatt VR

doi

10.1016/j.ctrv.2019.04.001

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

52-61

eissn

0305-7372

issn

1532-1967

pii

S0305-7372(19)30053-2

journal_volume

75

pub_type

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