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Clinical Trials in Sweden / NCT03793478
Active, not recruiting Phase 1/2

Safety and Efficacy of Quizartinib in Children and Young Adults With Acute Myeloid Leukemia (AML), a Cancer of the Blood

NCT03793478 · tracked via the Priya Life Science Sweden tracker
Phase
Phase 1/2
Started
2018-08-15
Last updated
2026-04-01

Condition(s) studied

Acute Myeloid Leukemia

Investigational drug(s) / intervention(s)

Quizartinib →Fludarabine →Cytarabine →Intrathecal (IT) triple chemotherapy prophylaxisEtoposide →

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

Sex
ALL
Min age
1 Month
Max age
21 Years
Healthy volunteers
No
Inclusion Criteria: Participants must meet all of the following criteria to be eligible for enrollment into the study: * Has diagnosis of AML according to the World Health Organization (WHO) 2008 classification with ≥5% blasts in bone marrow, with or without extramedullary disease * In first relapse or refractory to first-line high-dose chemotherapy with no more than 1 attempt (1 to 2 cycles of induction chemotherapy) at remission induction - prior HSCT is permitted * Has presence of the FLT3-ITD activating mutation in bone marrow or peripheral blood as defined in the protocol * Is between 1 month and 21 years of age at the time the Informed Consent/Assent form is signed * Has protocol-defined adequate performance status score * Has fully recovered from the acute clinically significant toxicity effects of all prior chemotherapy, immunotherapy, or radiotherapy, per protocol guidelines * Has protocol-defined adequate renal, hepatic and cardiac functions * If of reproductive potential, is permanently sterile or agrees to use highly effective birth control upon enrollment, during the period of therapy, and for 6 months following the last dose of quizartinib, etoposide, fludarabine, methotrexate, or cytarabine, whichever is later * If female of child-bearing potential, tests negative for pregnancy and agrees not to breast feed * Male participants must be surgically sterile or willing to use highly effective birth control during the treatment period, and for 6 months following the last dose of quizartinib, etoposide, fludarabine, methotrexate, or cytarabine, whichever is later. * Participant/legal representative is capable of understanding the investigational nature of the study, potential risks, and benefits, and the patient (and/or legal representative) signs a written assent/informed consent Exclusion Criteria: Participants who meet any of the following criteria will be disqualified from entering the study: * Has been diagnosed with isolated central nervous system relapse, acute promyelocytic leukemia (APL), juvenile myelomonocytic leukemia, French-American-British classification M3 or WHO classification of APL with translocation, or with myeloid proliferations related to Down syndrome * Has uncontrolled or pre-defined significant cardiovascular disease as detailed in the protocol * Has systemic fungal, bacterial, viral or other infection that is exhibiting ongoing signs/symptoms related to the infection without improvement despite appropriate antibiotics or other treatment. The patient must be off vasopressors and have negative blood cultures for at least 48 hours prior to the start of systematic protocol therapy. * Has known active clinically relevant liver disease (e.g., active hepatitis B or active hepatitis C) * Has known history of human immunodeficiency virus (HIV) * Has history of hypersensitivity to any of the study medications or their excipients * Is receiving or is anticipated to receive concomitant chemotherapy, radiation, or immunotherapy other than as specified in the protocol * Has any significant concurrent disease, illness, psychiatric disorder or social issue that would compromise subject safety or compliance, interfere with consent/assent, study participation, follow up, or interpretation of study results * Is currently participating in another investigative interventional procedure (observational or long-term interventional follow-up is allowed) * Is otherwise considered inappropriate for the study by the Investigator

Primary outcome measure(s)

Trial sites (27)

FacilityCityRegionStatus
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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Official registry record

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 Sweden