• A phase 2 study reveals that umbilical cord blood (UCB) infusion, combined with chemotherapy, improves overall survival (OS) in elderly AML patients.
• The consolidation therapy includes decitabine and cytarabine, followed by UCB infusion, demonstrating manageable adverse events and encouraging remission rates.
• Single-cell RNA sequencing analysis suggests UCB infusion modulates the immune microenvironment, potentially enhancing anti-leukemic effects.
• These findings support UCB infusion as a feasible adjuvant strategy for elderly AML patients ineligible for allo-HSCT, warranting further investigation.