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December 8, 2025BloodOpen Access

Results from paradigm - a phase 2 randomized multi-center study comparing azacitidine and venetoclax to conventional induction chemotherapy for newly diagnosed fit adults with acute myeloid leukemia

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Authors

MSMaximilian StahlPKPaul KollerMMMonzr M. Al Malki

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Overview

Randomized trial demonstrated improved event free survival in adults with acute myeloid leukemia, indicating azacitidine and venetoclax may be preferred.

Key Points

  • Aza-ven significantly improved event free survival and overall response compared to induction chemotherapy in fit AML patients.
  • The trial revealed a composite remission rate of 81% for aza-ven versus 55% for induction chemotherapy (P<0.001).
  • Analysis employed a randomized clinical trial design assessing quality of life and hospitalization metrics across both treatment arms.
  • Advocates for azacitidine and venetoclax as superior options, suggesting re-evaluation of standard induction protocols.

Cite This Study

Stahl et al. (2025) studied this question.

synapsesocial.com/papers/69362f714fa91c937236e189https://doi.org/10.1182/blood-2025-6
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