Trial intelligence / Profile preview

Venetoclax and HMA-Based Therapies for Older/Unfit Adults With Newly Diagnosed FLT3-Mutated AML

NCT06317649Phase 2

Key facts

Status
Recruiting
Start
Sep 2024
Primary completion
May 2029
Countries
3
Sponsor
National Cancer Institute
Conditions
acute myeloid leukemia (AML)
01

Overview

Phase 2, randomised, open-label trial of gilteritinib in acute myeloid leukemia (AML) (3 arms), sponsored by National Cancer Institute. Primary endpoint: Rate of measured residual disease negative complete remission. Started Sep 2024; status: recruiting.

02

Design

3 arms
Study design
RandomizedOpen-label
  • Regimen 1 (azacitidine, venetoclax)

    Induction: Azacitidine days 1-7, Venetoclax days 1-28. Consolidation: Azacitidine days 1-7, Venetoclax days 1-28.

  • Regimen 2 (azacitidine, venetoclax, gilteritinib)

    Induction: Azacitidine days 1-7, Venetoclax days 1-28, Gilteritinib days 1-28. Consolidation: Azacitidine days 1-5, Venetoclax days 1-7, Gilteritinib days 1-28.

  • Regimen 3 (azacitidine, venetoclax, gilteritinib)

    Induction: Azacitidine days 1-7, Venetoclax days 1-28, Gilteritinib days 8-21. Consolidation: Azacitidine days 1-5, Venetoclax days 1-14, Gilteritinib days 8-21.

03

Who it enrols

Older (>=60) or unfit adults with newly diagnosed FLT3-mutated AML (ITD, D835, or I836del) without prior AML therapy (except specific emergency treatments), with adequate organ function and no uncontrolled infections.

04

Endpoints

Primary

  • Rate of measured residual disease negative complete remission

Secondary

  • Rate of MRD negative CR/CR with incomplete count recovery/CR with partial hematologic recovery

  • Rate of complete remission

  • Rate of complete remission with incomplete count recovery

  • Rate of complete remission with partial hematologic recovery

  • Overall survival

  • Event-free survival

  • Incidence of adverse events

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