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Drug Sensitivity Testing Personalizes AML Treatment and Improves Outcomes

• A Finnish study demonstrates that drug sensitivity testing can identify acute myeloid leukemia (AML) patients likely to benefit from venetoclax and azacitidine, improving treatment outcomes. • The study showed that leukemia cells' sensitivity to venetoclax in lab tests correlated with improved patient response and longer survival rates in AML patients. • This personalized approach, involving 104 AML patients, has accelerated access to venetoclax in Finland, reducing adverse effects and the costs of ineffective treatments. • The rapid turnaround of sensitivity data, within three days, enabled more personalized treatment decisions, with potential for testing other drugs in the future.

A Finnish study has revealed that drug sensitivity testing can effectively identify acute myeloid leukemia (AML) patients who are likely to benefit from targeted therapy with venetoclax and azacitidine. This personalized approach promises to enhance treatment outcomes and minimize unnecessary side effects.
The research, spearheaded by hematologist Mika Kontro from Helsinki University Hospital (HUS) and the University of Helsinki, was published in Blood. The study investigated how AML patients’ leukemia cells responded to venetoclax and azacitidine in a laboratory setting and whether this response could predict real-world treatment effectiveness. The findings indicated a strong correlation between sensitivity to venetoclax in lab tests and improved patient response, as well as extended survival rates.

Personalizing Treatment for Relapsed Leukemia

According to Kontro, this method provides an effective means of personalizing treatment, particularly for patients with relapsed leukemia. By identifying individuals most likely to respond positively, clinicians can mitigate adverse effects and avoid the financial burden associated with ineffective treatments. The study involved 104 AML patients from across Finland’s university hospitals and has already expedited access to venetoclax, making it available to Finnish patients three years ahead of schedule. Leukemia cells extracted from patients’ bone marrow were analyzed in the lab to assess drug sensitivity, thereby guiding timely treatment decisions.

Rapid Data Turnaround

Timeliness was a critical factor in the study. The FIMM High Throughput Biomedicine unit provided doctors with sensitivity data on patients’ leukemia cells within three days of sample collection. This rapid access to results facilitated more informed and personalized treatment strategies.

Future Applications

While the study primarily focused on venetoclax, Kontro suggests that the methodology could be expanded to test other drugs, although further research is necessary to broaden its application.
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Reference News

[1]
New test tailors leukemia treatment, boosts survival odds - Helsinki Times
helsinkitimes.fi · Oct 29, 2024

Finnish study shows drug sensitivity testing in lab can predict AML treatment effectiveness with venetoclax and azacitid...

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