Table 1 Summary of treatment response, overall survival and risk factors in newly-diagnosed unfit patients with acute myeloid leukemia treated with Venetoclax and hypomethylating agent therapy.

From: Newly diagnosed acute myeloid leukemia in unfit patients: 2026 treatment algorithms

 

VIALE- A study Venetoclax + Azacitidine

Mayo Clinic study Venetoclax + Azacitidine or Decitabine

N

286

400

CR/CRi rate

67%

62%

Genetic predictors of superior response

Presence of IDH1/IDH2MUT

Presence of NPM1MUT

Presence of IDH2MUT

Presence of NPM1MUT

Presence of DDX41MUT

Absence of FLT3-ITDMUT

Absence of RUNX1MUT

Absence TP53MUT

Relapse rate

52%

40%

Median Overall survival

14.7 months

13.2 months

Risk factors for survival

Absence of MRD-negative CR/CRi

Presence of Adverse cytogenetics

Absence of CR/CRi

Presence of Adverse cytogenetics

Absence of IDH2MUT

Presence of TP53MUT

Presence of KRASMUT

Presence of KMT2Ar

Reference

DiNardo et al., NEJM 2020

Gangat et al., AJH 2025