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Sorafenib + Gilteritinib refers to the use of the tyrosine kinase inhibitors sorafenib and gilteritinib as maintenance therapy options for patients with acute myeloid leukemia (AML) or myelodysplastic syndromes (MDS) following allogeneic hematopoietic stem cell transplantation (allo-HSCT). This regimen is part of a genetics-guided umbrella study (NCT05343949) at Ruijin Hospital, where patients with FLT3 mutations receive one of these agents to prevent post-transplant relapse. Sorafenib is a first-generation multi-kinase inhibitor targeting the Raf/MEK/ERK pathway, VEGFR, and PDGFR, whereas gilteritinib is a second-generation inhibitor with high selectivity for FLT3 (both ITD and TKD mutations) and AXL. The treatment aims to provide targeted suppression of leukemic clones during the high-risk post-transplant period.
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