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Treatment of Acute Myeloid Leukemia:
Managing the AML Patient When Transplant
is NOT an Option
Harry P. Erba, MD PhD
Professor, Medicine
Director, Leukemia Program
Division of Hematologic Malignancies and Cellular Therapy
Duke University
Durham, NC
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Disclosures of Potential Conflicts of Interest
(09/01/2021 to 11/12/2023)
• Speaker Bureau: AbbVie, BMS, Incyte, Jazz, Novartis, Servier
• Consultant: AbbVie, Astellas, BMS, Daiichi Sankyo, Glycomimetics, Incyte,
Jazz, Kura Oncology, Novartis, Pfizer, Servier, Stemline, Sumitomo Pharma
• Contracted Research: AbbVie, ALX Oncology, Amgen, Aptose, Ascentage,
Daiichi Sankyo, Forma, Gilead, Glycomimetics, Immunogen, Jazz, Kura
Oncology, MacroGenics, Novartis, PTC, Sumitomo Pharma
• Other: BMS (Chair, AML Registry Steering Committee), AbbVie (Chair, IRC
for VIALE A and VIALE C), Glycomimetics (Scientific Steering Committee)
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The Current AML Treatment Algorithm
AML Dx
Fit (appropriate) for
intensive chemotherapy
Unfit (inappropriate) for
intensive chemotherapy
HMA or LoDAC
HMA/venetoclax
LoDAC/venetoclax
LoDAC/glasdegib
Gemtuzumab ozogamicin
FLT3, IDH1m, IDH2m inhibitors
Induction
chemotherapy ALLOGENEIC
STEM CELL
TRANSPLANT
Consolidation
chemotherapy
CONTINUED THERAPY
Response
CR CR
OBSERVATION OR
MAINTENANCE THERAPY