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This combination therapy is a multi-modality regimen being investigated by the Masonic Cancer Center at the University of Minnesota for the treatment of relapsed acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS) following allogeneic hematopoietic cell transplantation (allo-HCT). The regimen consists of ruxolitinib, a Janus kinase (JAK) 1/2 inhibitor; decitabine, a hypomethylating agent; and donor lymphocyte infusion (DLI), a form of cellular immunotherapy. Decitabine is used to induce the expression of tumor-associated antigens and potentially sensitize leukemia cells to the immune system, while ruxolitinib is intended to modulate the immune environment and reduce the risk of graft-versus-host disease (GVHD). The DLI component provides donor-derived T-cells to elicit a graft-versus-leukemia (GVL) effect, aiming to eradicate residual or relapsed malignant cells.
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