Your new experience awaits. Try the new design now and help us make it even better

CASE REPORT article

Front. Pediatr.

Sec. Pediatric Hematology and Hematological Malignancies

Volume 13 - 2025 | doi: 10.3389/fped.2025.1646001

This article is part of the Research TopicDiagnosis and Therapy Pediatric Hematological Malignancies - Recent Progress - Volume IIView all 8 articles

Refractory systemic mastocytosis with AML1::ETO+ acute myeloid leukemia driven by rare KIT mutation: remarkable therapeutic efficacy of avapritinib

Provisionally accepted
Song  XueSong Xue1*Man  ChenMan Chen1Hui-Peng  SunHui-Peng Sun1Xingyu  CaoXingyu Cao2*
  • 1Lu Daopei Hospital, Beijing, China
  • 2Hebei Yanda Lu Daopei Hospital, Langfang, China

The final, formatted version of the article will be published soon.

This article describes two pediatric SM with AML1::ETO+ AML patients induced by novel KIT exon11 mutations not previously documented in medical literature. Both patients underwent allogeneic hematopoietic stem cell transplantation, but subsequently developed refractory disease progression unresponsive to multiple salvage regiments. Strikingly, avapritinib intervention achieved unprecedented clinical responses in these complex cases.

Keywords: Systemic mastocytosis (SM), AML1::ETO, KIT activating mutations, allogeneic hematopoietic stem cell transplantation, Avapritinib

Received: 12 Jun 2025; Accepted: 23 Sep 2025.

Copyright: © 2025 Xue, Chen, Sun and Cao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Song Xue, patrickisaksson@foxmail.com
Xingyu Cao, caoxingyu2020@sina.com

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.