Safety and Efficacy of Quizartinib in Children and Young Adults With Acute Myeloid Leukemia (AML), a Cancer of the Blood
Condition(s) studied
Investigational drug(s) / intervention(s)
Quizartinib: Administered orally once daily starting on Day 6 and continuing through Day 28; Optional low intensity consolidation with chemotherapy: Administered orally once daily starting on Day 1 and continuing through Day 28
Fludarabine: 30 mg/m\^2/day IV infusion given over 30 minutes on Days 1 through 5 (administered based on body weight)
Cytarabine: 2000 mg/m\^2/day IV infusion given over 3 hours on Days 1 through 5 (begin 4 hours after the start of fludarabine) (administered in accordance with standard of care); Optional high intensity consolidation with chemotherapy and quizartinib: 500 mg/m\^2/day as a continuous 96-hour IV infusion on Days 1 through 4; Optional low intensity consolidation with chemotherapy: 75 mg/m\^2/day as once daily subcutaneous or IV on Days 1 through 4 and Days 15 through 18
Intrathecal (IT) triple chemotherapy prophylaxis: IT cytarabine, methotrexate, and either prednisolone or hydrocortisone; doses are based on the participant's age and standard practice at each site
Etoposide: Optional high intensity consolidation with chemotherapy and quizartinib: 100 mg/m\^2/dose once daily as an IV infusion over 3 hours on Days 1 through 5
Study summary
Quizartinib is an experimental drug. It is not approved for regular use. It can only be used in medical research.
Children or young adults with a certain kind of blood cancer (FLT3-ITD AML) might be able to join this study if it has come back after remission or is not responding to treatment.
Eligibility
Primary outcome measure(s)
- Number of dose-limiting toxicities (Phase 1) — Re-induction Cycle 1 Day 1 up to Day 28 (each cycle is 28 days)
- Composite complete remission (CRc) rate among participants with acute myeloid leukemia (AML) (Phase 1 and 2) — within 8 years, 8 months
CRc rate is defined as percentage of participants with best response of complete remission (CR) or CR with incomplete hematological recovery (CRi) after completion of up to 2 re-induction cycles - Pharmacokinetic parameter area under the concentration curve for quizartinib and AC886 (Phase 1 and 2) — Re-induction Phase 1 and 2,Cycle 1: Days 6, 20:Predose, 1 hour (Phase 1 only), 2, 4, and 6 hours; Days 7 and 21:24 hours; Phase 1 and 2 Cycle 2: Days 6 and 20:predose, 3 hours; Continuation Cycle 1 Days 1 and 15:predose, 2-4 hours (each cycle, 28 days)
- Pharmacokinetic parameter apparent clearance (CL/F) for quizartinib and AC886 (Phase 1 and 2) — Re-induction Phase 1 and 2,Cycle 1: Days 6, 20:Predose, 1 hour (Phase 1 only), 2, 4, and 6 hours; Days 7 and 21:24 hours; Phase 1 and 2 Cycle 2: Days 6 and 20:predose, 3 hours; Continuation Cycle 1 Days 1 and 15:predose, 2-4 hours (each cycle, 28 days)
- Pharmacokinetic parameter apparent volume of distribution (Vz/F) for quizartinib and AC886 (Phase 1 and 2) — Re-induction Phase 1 and 2,Cycle 1: Days 6, 20:Predose, 1 hour (Phase 1 only), 2, 4, and 6 hours; Days 7 and 21:24 hours; Phase 1 and 2 Cycle 2: Days 6 and 20:predose, 3 hours; Continuation Cycle 1 Days 1 and 15:predose, 2-4 hours (each cycle, 28 days)
Trial sites (27)
| Facility | City | Region | Status |
|---|---|---|---|
| Loma Linda University Cancer Center | Loma Linda | California | |
| University of California, San Francisco | San Francisco | California | |
| Children's Hospital Colorado | Aurora | Colorado | |
| A.I. duPont Hospital for Children | Wilmington | Delaware | |
| Children's National Medical Center | Washington D.C. | District of Columbia | |
| Children's Healthcare of Atlanta | Atlanta | Georgia | |
| University of Minnesota/Masonic Cancer Center | Minneapolis | Minnesota | |
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | |
| UPMC Children's Hospital of Pittsburgh | Pittsburgh | Pennsylvania | |
| The University of Texas Southwestern Medical Center Children's Health | Dallas | Texas | |
| Seattle Children's Hospital | Seattle | Washington | |
| Universitair Ziekenhuis Gent | Ghent | Belgium | |
| The Hospital for Sick Children | Toronto | Ontario | |
| British Columbia Children's Hospital | Vancouver | Canada | |
| Rigshospitalet | Copenhagen | Denmark | |
| Centre Léon Bérard | Lyon | France | |
| Hôpital Armand-Trousseau | Paris | France | |
| Hôpital des Enfants | Toulouse | France | |
| Rambam Medical Center | Haifa | Israel | |
| Tel Aviv Sourasky Medical Center | Tel Aviv | Israel | |
| Fondazione IRCCS San Gerardo dei Tintori | Monza | Italy | |
| IRCCS Ospedale Pediatrico Bambino Gesù | Rome | Italy | |
| Ospedale Infantile Regina Margherita | Torino | Italy | |
| Prinses Maxima Centrum voor Kinderoncologie | Utrecht | Netherlands | |
| Hospital Infantil Universitario Nino Jesus | Madrid | Spain | |
| Hospital Universitario La Paz | Madrid | Spain | |
| Sahlgrenska Universitetssjukhuset - Drottning Silvias Barn- och Ungdomssjukhus | Gothenburg | Sweden |
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT03793478 on ClinicalTrials.gov ↗ ← All trials in Italy