The phase III SIERRA trial compared Iomab-B-led allogeneic HSCT with conventional care in older patients with AML. The prognostic significance of mNPM1 MRD is greatest in AML patients with concomitant FLT3-ITD. Some interventions such as PARP inhibitors can cause adverse events, but others such as HSCT can benefit patients. Sorafenib, a FLT3 inhibitor, led to significantly improved survival compared with placebo in patients with AML.