Venetoclax combined with azacitidine in the treatment of secondary myelodysplastic syndrome following multiple myeloma: a case report and literature review - Summary - MDSpire

Venetoclax combined with azacitidine in the treatment of secondary myelodysplastic syndrome following multiple myeloma: a case report and literature review

  • By

  • Lijun Shi

  • Zhongrui Ma

  • Xia Yu

  • Tian Wang

  • Li Wei

  • Yaning Pan

  • Tantian Jiang

  • Xiujin Wu

  • July 14, 2026

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Objective:

To analyze the clinical data of a patient with myelodysplastic syndrome (MDS) secondary to stable multiple myeloma (MM) treated with venetoclax and azacitidine, and to review relevant literature.

Approach:
  • Patient Case: A 74-year-old male with a history of multiple myeloma developed secondary MDS characterized by refractory anemia with excess blasts-2 (MDS-RAEB-II) 51 months post-MM diagnosis and was treated with venetoclax and azacitidine.
  • Literature Review: The article includes a review of literature regarding the efficacy of venetoclax and azacitidine in treating secondary MDS following multiple myeloma.
Key Findings:
  • The patient achieved morphological partial remission of MDS after the first treatment course with venetoclax and azacitidine.
  • Non-adherence to continuous treatment contributed to the patient's eventual death from a secondary infection.
Interpretation:

Adherence to treatment is crucial for successful outcomes.

Limitations:
  • The study is based on a single patient case, limiting the generalizability of the findings.
  • Retrospective analysis may introduce biases in data interpretation.
Conclusion:

This case emphasizes the importance of treatment adherence.

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