We retrospectively analyzed 79 patients with AML and TP53mut or del17p...treated with front-line IC, and treated with either fludarabine-based therapy (with or without idarubicin, N = 15) or venetoclax + HMA (N = 10) in the subsequent line....Patients that received FLAG had significantly prolonged median overall survival compared to venetoclax + HMA (13.1 m. vs 4.5 m., p = 0.004)….In patients with del17p or TP53mut AML, FLAG-based salvage appears to offer a significant improvement in overall survival following IC failure.