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Florida AML patient reaches remission in small Miami trial, CBS reports

CBS News reported that a Florida man with adverse-risk acute myeloid leukemia entered remission in a 36-patient Sylvester trial, then had a transplant and has been cancer-free for two years.

What's new
  1. New headline Was: “Clinical trial saves man initially given weeks to live: "Not done yet"”
  2. Our desk filed its story

A Florida father of three who was diagnosed with acute myeloid leukemia in 2024 entered a clinical trial at Sylvester Comprehensive Cancer Center in Miami, later received a bone-marrow transplant, and has been cancer-free for two years, CBS News reported1.

Ryan Goepel, then 49, sought care after knee pain during a trip in September 2024 that he first attributed to gout, according to CBS1. Blood tests led his doctor to send him to a hospital, where he was told he had leukemia and, CBS said he recounted, family members were advised to consider hospice1.

A second-opinion transfer to Sylvester confirmed AML, CBS reported, citing Cleveland Clinic material that the disease has a five-year survival rate of about 30 percent1. Dr. Justin Watts, a hematologist-oncologist who treated Goepel, told CBS the leukemia was adverse-risk, meaning standard chemotherapy was unlikely to control it and could leave him weaker1.

Watts said one opening remained in a trial he oversaw testing two medications typically given to older AML patients in younger people whose disease genetics resembled those of much older patients; Goepel enrolled, CBS reported1. The network did not name the drugs1.

CBS said Goepel began a 28-day course the next day and was in remission a little more than two weeks later1. It attributed to a September Haematologica paper figures that 25 of 36 trial patients had their cancer shrink or disappear and 19 reached complete remission, and that enrolled patients spent less time in the hospital, needed fewer transfusions and had fewer infectious complications than people given standard treatment1. CBS also said about 44 percent of patients with adverse-risk AML see their cancer shrink or disappear with standard treatment1.

Dr. Mihir A. Shukla, a hematologist at NYU Langone's Perlmutter Cancer Center who was not involved in the study, told CBS the trial and a separate Phase 2 study of a similar regimen for patients ineligible for standard chemotherapy were generating questions about long-standing treatment approaches1. He said the findings were interesting and suggested some populations might benefit1.

After the trial, Goepel still needed a transplant; CBS said more than half of trial patients had one1. Both of his sisters were matches, and he underwent the procedure in November 2024, then spent three weeks in the hospital and 100 days isolated at home, with later rotavirus and pneumonia that were treated, CBS reported1. Watts told CBS he probably would not be alive if he had taken the standard path, a judgment CBS presented as the doctor's view, not a controlled comparison1.

Watts said more research on adverse-risk AML is underway, and Goepel continues follow-up, CBS reported1. The Haematologica results as described are from a small, single-center-style trial of 36 patients, not a large randomized comparison to standard care, and CBS did not independently reproduce the journal tables1. This is not medical advice.

Sources

  1. CBS NewsHe thought it was gout. Doctors said he needed hospice. A clinical trial saved his life.