Updates in Acute Myeloid Leukemia
A special issue of Cancers (ISSN 2072-6694).
Deadline for manuscript submissions: closed (31 October 2020) | Viewed by 32695
Special Issue Editor
Interests: clinical hematology; acute leukemias; acute myeloid leukemia; immunophenotyping of hematological malignancies; allogeneic transplantation; measurable residual disease by flow cytometry and molecular techniques
Special Issues, Collections and Topics in MDPI journals
Special Issue Information
Dear Colleagues,
Up until recently, we used to begin our manuscripts by conceding that despite the increasing knowledge of the genetic/cytogenetic landscape of acute myeloid leukemia (AML), the capacity to renew our treatment approach for the majority of patients was minimal and that their eventual outcome inevitably remained poor. However, since 2017, the treatment scenario has substantially changed. A relevant number of new drugs have been licensed for AML, targeting mutated genes (e.g., FLT3, IDH1/2) or growth/apoptosis regulators (e.g., hedgehog, BCL2), whose safety and efficacy have not only been proven in monotherapy but also challenged in combination with conventional chemotherapy. With the availability of a larger set of drugs with a more tolerable safety profile, the validation of more appropriate criteria to determine fitness for intensive or attenuated protocols has allowed clinicians to extend cure-aimed treatments to a much larger population of patients, including older ones or those with comorbidities. In addition to the advances in drug development, biomarkers such as measurable residual disease (MRD) are increasingly being used to prospectively allocate AML patients to a different intensity of post-remission treatment (e.g., allogeneic transplant vs. autologous transplant or chemotherapeutic consolidation). For high-risk disease, the availability of new targeted well-tolerated small molecules has renewed the possibility to administer long-term maintenance treatments to preemptively avoid or delay relapse, even after transplant. Finally, several immunotherapeutic weapons, ranging from antibodies (BiTE, DART, toxin-immunoconjugates, etc.) to monospecific/bispecific CAR-T cells have also been challenged in the AML field.
In the present Special Issue, we will review how all these approaches may be combined in a modern treatment algorithm allowing physicians to tailor AML therapy on each specific category of patients, balancing the intensity of treatment between the biological aggressiveness of disease and the opportunity to give to each patient a reliable improvement of length and quality of life.
Dr. Francesco Buccisano
Guest Editor
Manuscript Submission Information
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Keywords
- new drugs
- combination therapies
- minimal residual disease
- leukemic stem cells
- new pathogenetic pathways
- targeted therapies
- stem-cell transplantation
- immunotherapy
- cellular therapies
- fitness
- quality of life
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