1. Use the following CASE to answer questions 1 through 3:
AL is a 52-year-old man with relapsed acute myeloid leukemia (AML) following front-line intensive chemotherapy. Molecular testing at relapse reveals an isocitrate dehydrogenase (IDH) 1 mutation.

Which of the following IDH inhibitors would you consider for him?

2. AL would like to know how likely ivosidenib is to work for him. Which of the following statements about its efficacy in clinical trials is true?

3. AL is on cycle 2, day 15 of ivosidenib therapy. He presents to the emergency department with fever, difficulty breathing, and swelling of both legs. His white blood cell count is 4000 cells/mm3, temperature is 101.1°F, and oxygen saturation is 90% on room air. His chest x-ray reveals a pulmonary effusion. Which of the following management strategies is most appropriate for AL?

4. Use the following case to answer questions 4 and 5:
JK is a 70-year-old woman diagnosed with acute myeloid leukemia (AML) and an isocitrate dehydrogenase 2 (IDH2) mutation. She refuses intensive induction chemotherapy and is started on enasidenib 100 mg by mouth daily.

Which of these side effects are most common with enasidenib?

5. Which of the following strategies should be used to effectively manage side effects associated with enasidenib in JK?

Evaluation Questions

6. How confident are you in your decision about treatment for AL in question 3

7. How confident are you in your decision about managing side effects for JK in questions 4 and 5?

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