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AThis case series adds six cases to the recently distributed three cases portraying results in patients with AML getting acceptance with CPX-351 and midostaurin. This early clinical experience recommends beginning security of the blend, anyway some potential exceptional poison levels warrant further examination. One patient in this series endured cardiovascular breakdown, which is a known complexity of both CPX-351 and of midostaurin. It is hazy if the mix raises the rate of cardiotoxicity. In a stage I/II examination in which azacitadine was joined with midostaurin, the frequency of diminished launch portion was 11%. Besides, one patient in our series experienced respiratory disappointment, potentially because of medication incited pneumonitis. Bronchoscopy and chest CT couldn’t be performed because of clinical precariousness, and the conclusion couldn’t be affirmed. Medication incited pneumonitis from midostaurin happens in up to 2% of patients and can be dealt with high portion corticosteroids8. The blend seems protected, yet certain chemotherapy and TKI related incidental effects ought to be checked methodicallly to guarantee the mix doesn’t unduly raise the frequency or seriousness of these poison levels.