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A Study of ASP2215 (Gilteritinib) by Itself, ASP2215 Combined With Azacitidine or Azacitidine by Itself to Treat Adult Patients Who Have Recently Been Diagnosed With Acute Myeloid Leukemia With a FLT3 Gene Mutation and Who Cannot Receive Standard Chemotherapy

Phase 3 Completed NCT02752035

ConditionAcute Myeloid Leukemia, Acute Myeloid Leukemia With FMS-like Tyrosine Kinase Mutation
PhasePhase 3
SponsorAstellas Pharma Global Development, Inc.
StatusCompleted
Enrollment183 participants
Interventionsgilteritinib, azacitidine
Start dateAug 1, 2016
Completion dateMar 10, 2023
Results postedSep 12, 2025

Summary

This was a clinical study for adult participants who were recently diagnosed with acute myeloid leukemia or AML. AML is a type of cancer. It is when bone marrow makes white blood cells that are not normal. These are called leukemia cells. Some participants with AML have a mutation, or change, in the FLT3 gene. This gene helps leukemia cells make a protein called FLT3. This protein causes the leukemia cells to grow faster. For participants with AML who could not receive standard chemotherapy, azacitidine (also known as Vidaza®) was a current standard of care treatment option in the United States. This clinical study tested an experimental medicine called ASP2215, also known as gilteritinib. Gilteritinib worked by stopping the leukemia cells from making the FLT3 protein. This helped stop the leukemia cells from growing faster. This study compared two different treatments. Participants were assigned to one of these two groups by chance: a medicine called azacitidine, also known as Vidaza®, or an experimental medicine gilteritinib in combination with azacitidine. There was a twice as much chance to receive both medicines combined than azacitidine alone. The clinical study may help show

Overall Survival (OS)

From the date of randomization until the date of death from any cause ( maximum duration up to 79 months) · months

Randomized Cohort: Gilteritinib + AZA9.82 months
Randomized Cohort: AZA9.23 months
Randomized Cohort: Gilteritinib5.24 months
p-value0.523
Hazard Ratio (HR)0.870 (95% CI 0.570–1.329)

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