Gilteritinib vs Midostaurin in FLT3 Mutated Acute Myeloid Leukemia
2期
已完成
NCT03836209
| 适应症 | Acute Myeloid Leukemia |
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| 分期 | 2期 |
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| 申办方 | PrECOG, LLC. |
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| 状态 | 已完成 |
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| 受试者人数 | 181 人 |
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| 干预(药物) | Gilteritinib, Midostaurin, Daunorubicin, Cytarabine |
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| 开始日期 | 2019年12月6日 |
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| 完成日期 | 2023年10月17日 |
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| 结果公布日 | 2025年2月28日 |
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摘要
Eligible untreated patients with FLT3 acute myeloid leukemia (AML) between the ages of 18 and 70 will be randomized to receive gilteritinib or midostaurin during induction and consolidation. Patients will also receive standard chemotherapy of daunorubicin and cytarabine during induction and high-dose cytarabine during consolidation. Gilteritinib, is an oral drug that works by stopping the leukemia cells from making the FLT3 protein. This may help stop the leukemia cells from growing faster and thus may help make chemotherapy more effective. Gilteritinib has been approved by the Food and Drug Administration (FDA) for patients who have relapsed or refractory AML with a FLT3 mutation but is not approved by the FDA for newly diagnosed FLT3 AML, and its use in this setting is considered investigational. Midostaurin is an oral drug that works by blocking several proteins on cancer cells, including FLT3 that can help leukemia cells grow. Blocking this pathway can cause death to the leukemic cells. Midostaurin is approved by the FDA for the treatment of FLT3 AML. The purpose of this study is to compare the effectiveness of gilteritinib to midostaurin in patients receiving combination chemo
FLT3 Mutation Negative Composite Complete Response (CRc) [Includes Complete Response (CR) or CR With Incomplete Hematologic Recovery (CRi)] at End of Induction
3 months · Participants
| Arm A | 36 Participants |
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| Arm B | 41 Participants |
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| p-value | 0.366 |
| Proportion Difference | -0.071 (95% CI -0.205–0.062) |
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