Gilteritinib combined with venetoclax and azacitidine for relapsed acute myeloid leukemia cocurrent with pure red cell aplasia after allogeneic hematopoietic stem cell transplantation: a case report
Pure red cell aplasia (PRCA) is a rare bone marrow (BM) disorder characterized by ineffective erythropoiesis, reduced reticulocyte count, normocytic anemia, and the absence of erythroid precursors. Here, we present a rare instance of PRCA occurring after ABO-matched allo-HSCT in a refractory/relapse...
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| Published in | Annals of hematology Vol. 103; no. 5; pp. 1775 - 1777 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
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Berlin/Heidelberg
Springer Berlin Heidelberg
01.05.2024
Springer Nature B.V |
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| Abstract | Pure red cell aplasia (PRCA) is a rare bone marrow (BM) disorder characterized by ineffective erythropoiesis, reduced reticulocyte count, normocytic anemia, and the absence of erythroid precursors. Here, we present a rare instance of PRCA occurring after ABO-matched allo-HSCT in a refractory/relapsed acute myeloid leukemia (R/R AML) patient. In this case, the patient received a combination treatment of Gilteritinib, Venetoclax, and Azacitidine. Remarkably, this treatment not only reduced myeloblasts but also facilitated the restoration of erythroid hematopoiesis. |
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| AbstractList | Pure red cell aplasia (PRCA) is a rare bone marrow (BM) disorder characterized by ineffective erythropoiesis, reduced reticulocyte count, normocytic anemia, and the absence of erythroid precursors. Here, we present a rare instance of PRCA occurring after ABO-matched allo-HSCT in a refractory/relapsed acute myeloid leukemia (R/R AML) patient. In this case, the patient received a combination treatment of Gilteritinib, Venetoclax, and Azacitidine. Remarkably, this treatment not only reduced myeloblasts but also facilitated the restoration of erythroid hematopoiesis. Pure red cell aplasia (PRCA) is a rare bone marrow (BM) disorder characterized by ineffective erythropoiesis, reduced reticulocyte count, normocytic anemia, and the absence of erythroid precursors. Here, we present a rare instance of PRCA occurring after ABO-matched allo-HSCT in a refractory/relapsed acute myeloid leukemia (R/R AML) patient. In this case, the patient received a combination treatment of Gilteritinib, Venetoclax, and Azacitidine. Remarkably, this treatment not only reduced myeloblasts but also facilitated the restoration of erythroid hematopoiesis.Pure red cell aplasia (PRCA) is a rare bone marrow (BM) disorder characterized by ineffective erythropoiesis, reduced reticulocyte count, normocytic anemia, and the absence of erythroid precursors. Here, we present a rare instance of PRCA occurring after ABO-matched allo-HSCT in a refractory/relapsed acute myeloid leukemia (R/R AML) patient. In this case, the patient received a combination treatment of Gilteritinib, Venetoclax, and Azacitidine. Remarkably, this treatment not only reduced myeloblasts but also facilitated the restoration of erythroid hematopoiesis. |
| Author | Wang, Jiawen Miao, Kourong Zhu, Han |
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| References | Sawada, Fujishima, Hirokawa (CR1) 2008; 142 Chapuy (CR6) 2018; 379 Longval (CR2) 2021; 193 Roychowdhury, Linker (CR7) 1995; 16 Marco-Ayala (CR5) 2021; 56 Jung (CR3) 2012; 5 Salas, Alahmari, Lipton (CR4) 2020; 104 Saunthararajah (CR8) 2003; 102 Y Saunthararajah (5714_CR8) 2003; 102 CI Chapuy (5714_CR6) 2018; 379 T Longval (5714_CR2) 2021; 193 DF Roychowdhury (5714_CR7) 1995; 16 K Sawada (5714_CR1) 2008; 142 MQ Salas (5714_CR4) 2020; 104 SH Jung (5714_CR3) 2012; 5 J Marco-Ayala (5714_CR5) 2021; 56 |
| References_xml | – volume: 16 start-page: 471 issue: 3 year: 1995 end-page: 472 ident: CR7 article-title: Pure red cell aplasia complicating an ABO-compatible allogeneic bone marrow transplantation, treated successfully with antithymocyte globulin publication-title: Bone Marrow Transpl contributor: fullname: Linker – volume: 56 start-page: 769 issue: 4 year: 2021 end-page: 778 ident: CR5 article-title: Pure red cell aplasia after major or bidirectional ABO incompatible hematopoietic stem cell transplantation: to treat or not to treat, that is the question publication-title: Bone Marrow Transpl doi: 10.1038/s41409-020-01124-6 contributor: fullname: Marco-Ayala – volume: 142 start-page: 505 issue: 4 year: 2008 end-page: 514 ident: CR1 article-title: Acquired pure red cell aplasia: updated review of treatment publication-title: Br J Haematol doi: 10.1111/j.1365-2141.2008.07216.x contributor: fullname: Hirokawa – volume: 193 start-page: 814 issue: 4 year: 2021 end-page: 826 ident: CR2 article-title: Treatment for pure red cell aplasia after major ABO-incompatible allogeneic stem cell transplantation: a multicentre study publication-title: Br J Haematol doi: 10.1111/bjh.17463 contributor: fullname: Longval – volume: 5 start-page: 110 issue: 1 year: 2012 end-page: 113 ident: CR3 article-title: Successful treatment of pure red cell aplasia with Rituximab in patients after ABO-Compatible allogeneic hematopoietic stem cell transplantation publication-title: Case Rep Oncol doi: 10.1159/000337022 contributor: fullname: Jung – volume: 102 start-page: 3865 issue: 12 year: 2003 end-page: 3870 ident: CR8 article-title: Effects of 5-aza-2’-deoxycytidine on fetal hemoglobin levels, red cell adhesion, and hematopoietic differentiation in patients with sickle cell disease publication-title: Blood doi: 10.1182/blood-2003-05-1738 contributor: fullname: Saunthararajah – volume: 379 start-page: 1846 issue: 19 year: 2018 end-page: 1850 ident: CR6 article-title: Daratumumab for delayed red-cell engraftment after allogeneic transplantation publication-title: N Engl J Med doi: 10.1056/NEJMoa1807438 contributor: fullname: Chapuy – volume: 104 start-page: 145 issue: 2 year: 2020 end-page: 147 ident: CR4 article-title: Successful treatment of refractory red cell aplasia after allogeneic hematopoietic cell transplantation with daratumumab publication-title: Eur J Haematol doi: 10.1111/ejh.13343 contributor: fullname: Lipton – volume: 56 start-page: 769 issue: 4 year: 2021 ident: 5714_CR5 publication-title: Bone Marrow Transpl doi: 10.1038/s41409-020-01124-6 contributor: fullname: J Marco-Ayala – volume: 142 start-page: 505 issue: 4 year: 2008 ident: 5714_CR1 publication-title: Br J Haematol doi: 10.1111/j.1365-2141.2008.07216.x contributor: fullname: K Sawada – volume: 104 start-page: 145 issue: 2 year: 2020 ident: 5714_CR4 publication-title: Eur J Haematol doi: 10.1111/ejh.13343 contributor: fullname: MQ Salas – volume: 16 start-page: 471 issue: 3 year: 1995 ident: 5714_CR7 publication-title: Bone Marrow Transpl contributor: fullname: DF Roychowdhury – volume: 379 start-page: 1846 issue: 19 year: 2018 ident: 5714_CR6 publication-title: N Engl J Med doi: 10.1056/NEJMoa1807438 contributor: fullname: CI Chapuy – volume: 5 start-page: 110 issue: 1 year: 2012 ident: 5714_CR3 publication-title: Case Rep Oncol doi: 10.1159/000337022 contributor: fullname: SH Jung – volume: 102 start-page: 3865 issue: 12 year: 2003 ident: 5714_CR8 publication-title: Blood doi: 10.1182/blood-2003-05-1738 contributor: fullname: Y Saunthararajah – volume: 193 start-page: 814 issue: 4 year: 2021 ident: 5714_CR2 publication-title: Br J Haematol doi: 10.1111/bjh.17463 contributor: fullname: T Longval |
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| SubjectTerms | Anemia Aniline Compounds Azacitidine - therapeutic use Bone marrow Bone Marrow Diseases - complications Bridged Bicyclo Compounds, Heterocyclic Case Report Case reports Flow cytometry Hematology Hematopoietic Stem Cell Transplantation - adverse effects Hemoglobin Humans Leukemia Leukemia, Myeloid, Acute - complications Leukemia, Myeloid, Acute - therapy Medicine Medicine & Public Health Morphology Oncology Pathogenesis Patients Pyrazines Red-Cell Aplasia, Pure - etiology Stem cell transplantation Steroids Sulfonamides |
| Title | Gilteritinib combined with venetoclax and azacitidine for relapsed acute myeloid leukemia cocurrent with pure red cell aplasia after allogeneic hematopoietic stem cell transplantation: a case report |
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