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ASH 2025 | Evidence for the use of gilteritinib as post-transplant maintenance in R/R AML

Mark Levis, MD, PhD, Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, discusses the use of gilteritinib as post-transplant maintenance in relapsed/refractory (R/R) acute myeloid leukemia (AML). Dr Levis highlights evidence of a clear benefit to continuing the drug after transplant. This interview took place at the 67th ASH Annual Meeting and Exposition, held in Orlando, FL.

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Transcript

So this is in the relapsed/refractory setting. As many know, gilteritinib has an indication in much of the world for the relapsed/refractory setting. If you get a patient in remission, you want to move them to allotransplant if possible. And the obvious, we’ve just talked about post-transplant maintenance with the drug. You want to continue the drug after transplant. Is there a benefit to this? Well, many patients who were bridged to transplant did resume the drug...

So this is in the relapsed/refractory setting. As many know, gilteritinib has an indication in much of the world for the relapsed/refractory setting. If you get a patient in remission, you want to move them to allotransplant if possible. And the obvious, we’ve just talked about post-transplant maintenance with the drug. You want to continue the drug after transplant. Is there a benefit to this? Well, many patients who were bridged to transplant did resume the drug. And while it was not a re-randomization as regulatory authorities would like, it does provide evidence that there’s a clear benefit to resuming the drug post-transplant as expected. So this is just sort of data that reassures practitioners, there’s some evidence that you should resume the drug after transplant.

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