Donor lymphocyte infusion combined with azacitidine after allogeneic HSCT in pediatric AML: a single-center retrospective analysis

Azacitidine combined with DLI is feasible and safe in pediatric AML after HSCT, particularly when applied prophylactically or preemptively to restore donor chimerism or eradicate MRD. Therapeutic use in overt relapse remains challenging and provides limited benefit. Prospective multicenter studies are needed to define optimal timing, dosing, and combination strategies for integrating azacitidine with DLI in this high-risk pediatric population.

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Publication Details

Journal
Frontiers in Pharmacology
Published
2026-01-08
DOI
https://doi.org/10.3389/fphar.2025.1727492
Primary Topic
Acute Myeloid Leukemia Research
Type
article
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Donor lymphocyte infusion combined with azacitidine after allogeneic HSCT in pediatric AML: a single-center retrospective analysis

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Frontiers in Pharmacology
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Donor lymphocyte infusion combined with azacitidine after allogeneic HSCT in pediatric AML: a single-center retrospective analysis

Cristina Jercan, Andrei Coliţă, Anca Coliţă, Andra Marcu, Ileana Constantinescu, Delia Codruţa Popa, Ana Bica, Andreea Nicoleta Serbanica, Irina Avramescu, Iuliana Iordan, Alexandra Mihaela Ichim, Matei Colita
article en

Abstract

Azacitidine combined with DLI is feasible and safe in pediatric AML after HSCT, particularly when applied prophylactically or preemptively to restore donor chimerism or eradicate MRD. Therapeutic use in overt relapse remains challenging and provides limited benefit. Prospective multicenter studies are needed to define optimal timing, dosing, and combination strategies for integrating azacitidine with DLI in this high-risk pediatric population.

Frontiers in PharmacologyVol. 16
Carol Davila University of Medicine and Pharmacy (RO), Clinical Emergency Hospital Bucharest (RO), Institutul Clinic Fundeni (RO)
Openalex Percentile: Top 95%
Acute Myeloid Leukemia Research
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