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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Oncohematology</journal-id><journal-title-group><journal-title xml:lang="en">Oncohematology</journal-title><trans-title-group xml:lang="ru"><trans-title>Онкогематология</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8346</issn><issn publication-format="electronic">2413-4023</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1036</article-id><article-id pub-id-type="doi">10.17650/1818-8346-2025-20-2-126-137</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>SUPPORTIVE THERAPY ASPECTS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АСПЕКТЫ ПОДДЕРЖИВАЮЩЕЙ ТЕРАПИИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Invasive aspergillosis in patients with acute myeloid leukemia: difficulties in choosing first-line therapy in real clinical practice and pharmacoeconomic analysis of the feasibility of using new antifungal drugs</article-title><trans-title-group xml:lang="ru"><trans-title>Инвазивный аспергиллез у пациентов с острым миелоидным лейкозом: сложности выбора первой линии терапии в реальной клинической практике и фармакоэкономический анализ целесообразности применения новых антимикотиков</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9709-380X</contrib-id><name-alternatives><name xml:lang="en"><surname>Osipov</surname><given-names>Yu. S.</given-names></name><name xml:lang="ru"><surname>Осипов</surname><given-names>Ю. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Yuriy Sergeevich Osipov</p><p>2 Akkuratova St., Saint Petersburg 197341 </p></bio><bio xml:lang="ru"><p>Юрий Сергеевич Осипов </p><p>197341 Санкт-Петербург, ул. Аккуратова, 2 </p></bio><email>yosipov88@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2084-4545</contrib-id><name-alternatives><name xml:lang="en"><surname>Antonov</surname><given-names>A. A.</given-names></name><name xml:lang="ru"><surname>Антонов</surname><given-names>А. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Artem Alekseevich Antonov</p><p>Build. 2, 11 Timura Frunze St., Moscow 119034</p></bio><bio xml:lang="ru"><p>Артем Алексеевич Антонов </p><p>119034 Москва, ул. Тимура Фрунзе, 11, корп. 2 </p></bio><email>antonov@r-healthconsult.com</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1536-9313</contrib-id><name-alternatives><name xml:lang="en"><surname>Ivanov</surname><given-names>V. V.</given-names></name><name xml:lang="ru"><surname>Иванов</surname><given-names>В. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>2 Akkuratova St., Saint Petersburg 197341</p></bio><bio xml:lang="ru"><p>197341 Санкт-Петербург, ул. Аккуратова, 2 </p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Salogub</surname><given-names>G. N.</given-names></name><name xml:lang="ru"><surname>Салогуб</surname><given-names>Г. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>2 Akkuratova St., Saint Petersburg 197341</p></bio><bio xml:lang="ru"><p>197341 Санкт-Петербург, ул. Аккуратова, 2 </p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">V.A. Almazov National Medical Research Centre, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России</institution></aff></aff-alternatives><aff id="aff2"><institution>R-Health Consult</institution></aff><pub-date date-type="pub" iso-8601-date="2025-05-22" publication-format="electronic"><day>22</day><month>05</month><year>2025</year></pub-date><volume>20</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>126</fpage><lpage>137</lpage><history><date date-type="received" iso-8601-date="2025-05-20"><day>20</day><month>05</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-05-20"><day>20</day><month>05</month><year>2025</year></date></history><permissions><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://oncohematology.abvpress.ru/ongm/article/view/1036">https://oncohematology.abvpress.ru/ongm/article/view/1036</self-uri><abstract xml:lang="en"><p>The article discusses the epidemiology and difficulties of diagnosing invasive aspergillosis in patients with acute myeloid leukemia, the role of pharmacokinetic and pharmacogenetic studies in choosing the optimal treatment regimen, and an attempt at pharmacoeconomic analysis to create an optimal treatment strategy for this complication.</p></abstract><trans-abstract xml:lang="ru"><p>В статье рассмотрены эпидемиология и сложности диагностики инвазивного аспергиллеза у пациентов с острым миелоидным лейкозом, роль фармакокинетических и фармакогенетических исследований в выборе оптимального режима терапии. Предпринята попытка фармакоэкономического анализа для создания оптимальной стратегии лечения данного осложнения.</p></trans-abstract><kwd-group xml:lang="en"><kwd>invasive aspergillosis</kwd><kwd>invasive mycosis</kwd><kwd>pharmacoeconomic analysis</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>инвазивный аспергиллез</kwd><kwd>изавуконазол</kwd><kwd>фармакоэкономический анализ</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Nganthavee V., Phutthasakda W., Atipas K. et al. High incidence of invasive fungal infection during acute myeloid leukemia treatment in a resource-limited country: clinical risk factors and treatment outcomes [published correction appears in Support Care Cancer 2019;27(9):3623]. Support Care Cancer 2019;27(9):3613–22. 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