Evidence map›Paper›PMID 40048742›Full record

Trial reportBlood advances2025

Safety run-in and part 1 of GIMEMA AML1718: venetoclax combined with FLAI as induction treatment in non-low-risk AML.

Giovanni Marconi, Alfonso Piciocchi, Ernesta Audisio, Cristina Papayannidis, Marco Cerrano, Clara Minotti, Francesca Paoloni, Fabio Guolo, Monica Bocchia, Michela Rondoni and 25 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03455504 (Study Investigating Safety, Tolerability and Effectiveness of Venetoclax Add in Combination With Fludarabine, Cyratabine and Idarubicine in Induction of New Onset Non-M3 Acute Myelid Leukemia), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03455504 phase2completednot on this map

Study Investigating Safety, Tolerability and Effectiveness of Venetoclax Add in Combination With Fludarabine, Cyratabine and Idarubicine in Induction of New Onset Non-M3 Acute Myelid Leukemia

TypeinterventionalSponsorGruppo Italiano Malattie EMatologiche dell'AdultoRan2018 to 2026Enrolled124ConditionsAcute Myeloid LeukemiaArmsVenetoclax
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

35 authors.

Giovanni MarconiDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Azienda Unità Sanitaria Locale della Romagna, Ospedale Santa Maria delle Croci, Ravenna, Italy.ORCID 0000-0001-6309-0515
Alfonso PiciocchiFondazione Gruppo Italiano Malattie EMatologiche dell'Adulto, Rome, Italy.ORCID 0000-0001-8648-885X
Ernesta AudisioStruttura Complessa Ematologia, Azienda Ospedaliera-Universitari Città della Salute e della Scienza di Torino, Turin, Italy.
Cristina PapayannidisIstituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli," Bologna, Italy.ORCID 0000-0001-8705-8333
Marco CerranoStruttura Complessa Ematologia, Azienda Ospedaliera-Universitari Città della Salute e della Scienza di Torino, Turin, Italy.ORCID 0000-0003-1666-3100
Clara MinottiUnità Operativa Compless Ematologia, Azienda Ospedaliera-Universitari Policlinico Umberto I, Rome, Italy.
Francesca PaoloniFondazione Gruppo Italiano Malattie EMatologiche dell'Adulto, Rome, Italy.
Fabio GuoloDepartment of Internal Medicine, Clinic of Hematology, University of Genoa, Genoa, Italy.ORCID 0000-0003-3166-6078
Monica BocchiaAzienda Ospedaliero-Universitaria Senese, Universita' di Siena, Unità Operativa Compless Ematologia, Siena, Italy.ORCID 0000-0003-3538-3913
Michela RondoniAzienda Unità Sanitaria Locale della Romagna, Ospedale Santa Maria delle Croci, Ravenna, Italy.ORCID 0000-0003-1870-5554
Albana LicoUnità Operativa di Ematologia, Azienda Unità Locale Socio-Sanitaria 8 Berica, Ospedale di Vicenza, Milan, Italy.
Matteo G CarrabbaIstituto di Ricovero e Cura a Carattere Scientifico Ospedale S. Raffaele, Milan, Italy.ORCID 0000-0001-7015-4839
Matteo Giovanni Della PortaDepartment of Biomedical Sciences, Humanitas University, Humanitas Clinical and Research Center, Istituto di Ricovero e Cura a Carattere Scientifico, Milan, Italy.ORCID 0000-0002-6915-5970
Marco FrigeniAzienda Socio-Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.ORCID 0000-0003-2493-7749
Luisa GiacconeAllogeneic Transplant and Cell Therapies Unit, Division of Hematology, Department of Molecular Biotechnology and Health Sciences, University of Torino, Azienda Ospedaliera-Universitari Città della Salute e della Scienza di Torino, Turin, Italy.
Germana BeltramiEmatologia e Terapie Cellulari, Istituto di Ricovero e Cura a Carattere Scientifico Ospedale Policlinico San Martino, Genoa, Italy.
Chiara CattaneoAzienda Socio-Sanitaria Territoriale degli Spedali Civili di Brescia, Brescia, Italy.ORCID 0000-0003-0031-3237
Maria Chiara Di ChioFondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale Tumori Milano, Milan, Italy.
Bianca SerioAzienda Ospedaliera-Universitari San Giovanni di Dio e Ruggi D'Aragona Salerno, Salerno, Italy.
Enrico CreaFondazione Gruppo Italiano Malattie EMatologiche dell'Adulto, Rome, Italy.
Roberto FreiloneStruttura Complessa Ematologia, Azienda Ospedaliera-Universitari Città della Salute e della Scienza di Torino, Turin, Italy.ORCID 0000-0002-6003-3328
Saveria CapriaUnità Operativa Compless Ematologia, Azienda Ospedaliera-Universitari Policlinico Umberto I, Rome, Italy.
Antonio CurtiIstituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli," Bologna, Italy.ORCID 0000-0002-7752-6049
Paola MinettoDepartment of Internal Medicine, Clinic of Hematology, University of Genoa, Genoa, Italy.
Edoardo la SalaFondazione Gruppo Italiano Malattie EMatologiche dell'Adulto, Rome, Italy.ORCID 0000-0002-7033-3973
Jacopo NanniDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy.
Beatrice Anna ZannettiAzienda Unità Sanitaria Locale della Romagna, Ospedale Santa Maria delle Croci, Ravenna, Italy.
Giorgia SimonettiBiosciences Laboratory, Istituto di Ricovero e Cura a Carattere Scientifico Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori," Meldola, Italy.ORCID 0000-0001-6954-969X
Maria Teresa BochicchioBiosciences Laboratory, Istituto di Ricovero e Cura a Carattere Scientifico Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori," Meldola, Italy.ORCID 0000-0001-9299-9189
Giuseppe SaglioAllogeneic Transplant and Cell Therapies Unit, Division of Hematology, Department of Molecular Biotechnology and Health Sciences, University of Torino, Azienda Ospedaliera-Universitari Città della Salute e della Scienza di Torino, Turin, Italy.ORCID 0000-0002-1046-3514
Roberto M LemoliDepartment of Internal Medicine, Clinic of Hematology, University of Genoa, Genoa, Italy.
Adriano VendittiDipartimento di Biomedicina e Prevenzione, Università Tor Vergata, Rome, Italy.ORCID 0000-0002-0245-0553
Marco VignettiFondazione Gruppo Italiano Malattie EMatologiche dell'Adulto, Rome, Italy.ORCID 0000-0003-1278-604X
Paola FaziFondazione Gruppo Italiano Malattie EMatologiche dell'Adulto, Rome, Italy.
Giovanni MartinelliIstituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli," Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractThe standard induction treatment for acute myeloid leukemia (AML) has limited efficacy for patients with non-low-risk AML. We conducted a multicenter study phase 1b/2, Gruppo Italiano Malattie EMatologiche dell'Adulto AML1718, to investigate the safety and efficacy of venetoclax (VEN) combined with fludarabine, cytarabine, and idarubicin (V-FLAI) as an induction therapy for patients with non-low-risk AML aged <65 years and at intermediate or high European LeukemiaNet risk. After a safety run-in, patients were randomly allocated to VEN 400 mg or VEN 600 mg cohorts. The primary objectives were safety and composite complete remission (bone marrow blasts of <5% with any recovery). We report a predefined interim analysis after 57 patients. Median exposure to VEN during induction was 22 days. Effectiveness and safety were similar between VEN 400 mg and VEN 600 mg cohorts. The 60-day mortality rate was 5.8%. Prolonged aplasia was observed in patients receiving high doses of cytarabine during consolidation. Composite CR was achieved in 84% of patients. With a median follow-up of 20.6 months, 1-year overall survival was 71%, 1-year disease-free survival was 66.2%, and 1-year cumulative incidence of relapse was 24%. V-FLAI is an effective induction therapy for young and fit patients. Fifty-five more patients will be enrolled in part 2; they will receive VEN 400 mg + FLAI as predefined and will be evaluated centrally for measurable residual disease. This trial was registered at www.clinicaltrials.gov as #NCT03455504.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBridged Bicyclo Compounds, HeterocyclicLeukemia, Myeloid, AcuteSulfonamidesAdultAgedCytarabineFemaleHumansIdarubicinInduction ChemotherapyMaleMiddle AgedRemission InductionTreatment OutcomeVidarabineBridged Bicyclo Compounds, HeterocyclicCytarabinefludarabineIdarubicinSulfonamidesvenetoclaxVidarabine

Identifiers

PMID40048742
PMCPMC12148491

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.