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Day + 30 detection of minimal residual FLT3-ITD by high-sensitivity PCR-NGS predicts relapse risk and guides post-transplant maintenance in AML - PubMed

3 hours ago
  • #HSCT
  • #AML
  • #FLT3-ITD
  • Detection of minimal residual FLT3-ITD by high-sensitivity PCR-NGS at day +30 post-HSCT predicts relapse risk in AML patients.
  • FLT3-ITD-positive patients had a higher cumulative incidence of relapse (40.3% vs. 18.8%, p = 0.001).
  • FLT3 inhibitor maintenance therapy prevented relapses in FLT3-ITD-positive patients.
  • FLT3-ITD-negative patients without high-risk factors showed limited benefit from maintenance therapy.
  • The study supports individualized post-transplant maintenance therapy based on FLT3-ITD detection.