A Study of Gilteritinib Versus Midostaurin in Combination With Induction and Consolidation Therapy Followed by One-year Maintenance in Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndromes With Excess Blasts-2 With FLT3 Mutations Eligible for Intensive Chemotherapy
NCT04027309 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 777
Last updated 2024-12-17
Summary
Activating mutations in the fms like tyrosine kinase 3 (FLT3) gene are observed in approximately 30% of patients with newly diagnosed acute myeloid leukemia (AML). Addition of the multitargeted kinase inhibitor midostaurin to standard chemotherapy prolongs event-free survival (EFS) and overall survival (OS) in patients with a FLT3 mutation. Gilteritinib is a more potent and more specific inhibitor of mutant FLT3 in comparison to midostaurin and has shown promising clinical activity in AML.
Conditions
- Acute Myeloid Leukemia
- Myelodysplastic Syndrome With Excess Blasts-2
Interventions
- DRUG
-
Gilteritinib
Patients with a FLT3 mutation w ill be randomized to receive either the investigational drug gilteritinib or midostaurin given sequentially to standard induction and consolidation chemotherapy. After completing induction and consolidation treatment, patients who achieve CR/CRi/MLFS will receive maintenance therapy with gilteritinib or midostaurin
- DRUG
-
Midostaurin
Patients with a FLT3 mutation w ill be randomized to receive either the investigational drug gilteritinib or midostaurin given sequentially to standard induction and consolidation chemotherapy. After completing induction and consolidation treatment, patients who achieve CR/CRi/MLFS will receive maintenance therapy with gilteritinib or midostaurin
Sponsors & Collaborators
-
Deutsch-Österreichische Studiengruppe Akute Myeloische Leukämie (AMLSG)
collaborator UNKNOWN -
Astellas Pharma Global Development, Inc.
collaborator INDUSTRY -
Stichting Hemato-Oncologie voor Volwassenen Nederland
lead OTHER
Principal Investigators
-
M. Raaijmakers, Prof. Dr. · Erasmus MC / HOVON
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-12-20
- Primary Completion
- 2025-10-31
- Completion
- 2033-06-30
Countries
- Australia
- Austria
- Belgium
- Finland
- France
- Germany
- Ireland
- Lithuania
- Netherlands
- Norway
- Spain
- Sweden
- Switzerland
Study Locations
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