Phase 2 Study of Quizartinib in Participants With Acute Myeloid Leukemia (AML) FLT3 Internal Tandem Duplication (FLT3/ITD) Mutation
Phase 2 Open-label, Single-arm Study of Quizartinib (AC220) Monotherapy in Japanese Patients With FLT3-ITD Positive Refractory or Relapsed Acute Myeloid Leukemia
2 other identifiers
interventional
37
1 country
27
Brief Summary
This is a Phase 2, multi-center, open-label study to evaluate the efficacy, safety and pharmacokinetics of quizartinib monotherapy in Japanese subjects with FLT3-ITD positive refractory or relapsed acute myeloid leukemia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Dec 2016
27 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 5, 2016
CompletedFirst Posted
Study publicly available on registry
December 7, 2016
CompletedStudy Start
First participant enrolled
December 8, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 28, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 14, 2018
CompletedResults Posted
Study results publicly available
February 17, 2020
CompletedFebruary 17, 2020
February 1, 2020
1.3 years
December 5, 2016
September 25, 2019
February 4, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Composite Complete Remission (CRc) Rate After Treatment With Quizartinib in Japanese Participants With FLT3-ITD Positive Relapsed or Refractory AML
The composite complete remission (CRc) rate is defined as the proportion of participants whose best response is complete remission \[CR\], CR with incomplete platelet recovery \[CRp\], or CR with incomplete hematological recovery \[CRi\]) after treatment with quizartinib.
Baseline, cycle 2 day 1, cycle 3 day 1, cycle 4 day 1 up until the end of treatment, except for responses from any subsequent AML therapy including transplantation
Secondary Outcomes (11)
Best Response After Treatment With Quizartinib in Japanese Participants With FLT3-ITD Positive Relapsed or Refractory AML
Baseline, cycle 2 day 1, cycle 3 day 1, cycle 4 day 1 until the end of treatment, except for responses from any subsequent AML
Response Rate After Treatment With Quizartinib in Japanese Participants With FLT3-ITD Positive Relapsed or Refractory AML
Baseline, cycle 2 day 1, cycle 3 day 1, cycle 4 day 1 until the end of treatment, except for responses from any subsequent AML
Duration of Composite Complete Remission (CRc) After Treatment With Quizartinib in Japanese Participants With FLT3-ITD Positive Relapsed or Refractory AML
Baseline, cycle 2 day 1, cycle 3 day 1, cycle 4 day 1 up until the end of treatment, except for responses from any subsequent AML therapy including transplantation
Overall Survival (OS) After Treatment With Quizartinib in Japanese Participants With FLT3-ITD Positive Relapsed or Refractory AML
Baseline, cycle 2 day 1, cycle 3 day 1, cycle 4 day 1 until the end of treatment, except for responses from any subsequent AML therapy including transplantation up to 1 year
Event-free Survival (EFS) After Treatment With Quizartinib in Japanese Participants With FLT3-ITD Positive Relapsed or Refractory AML
Baseline, cycle 2 day 1, cycle 3 day 1, cycle 4 day 1 until the end of treatment, except for responses from any subsequent AML therapy including transplantation up to 32 weeks
- +6 more secondary outcomes
Study Arms (2)
Initial dose 30 mg/day quizartinib
EXPERIMENTALParticipants who received an initial dose of 30 mg/day of quizartinib and, if no QT prolongation, the dose escalated to 60 mg/day at Day 15.
Initial dose 20 mg/day quizartinib
EXPERIMENTALParticipants who received a CYP3A4 strong inhibitor received an initial dose of 20 mg/day of quizartinib and, if no QT prolongation, the dose escalated to 30 mg/day at Day 15.
Interventions
Quizartinib was orally administered once daily every morning. Treatment with quizartinib was administered in 28-day cycles and continued until the discontinuation criteria for treatment were met.
Eligibility Criteria
You may qualify if:
- AML patients in first relapse or refractory after all prior therapy
- Presence of the FLT3-ITD activating mutation in bone marrow or peripheral blood
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 to 2
You may not qualify if:
- Diagnosis of acute promyelocytic leukemia
- AML secondary to prior chemotherapy for other neoplasms.
- Persistent, clinically significant \> Grade 1 non-hematologic toxicity from prior AML therapy
- Prior treatment with a FLT3 targeted therapy
- Active infection not well controlled by antibacterial, antifungal and/or antiviral therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Daiichi Sankyo Co., Ltd.lead
- Daiichi Sankyocollaborator
Study Sites (27)
Unknown Facility
Aichi, Japan
Unknown Facility
Akita, Japan
Unknown Facility
Chiba, Japan
Unknown Facility
Fukui, Japan
Unknown Facility
Fukuoka, Japan
Unknown Facility
Fukushima, Japan
Unknown Facility
Gifu, Japan
Unknown Facility
Gunma, Japan
Unknown Facility
Hiroshima, Japan
Unknown Facility
Hokkaido, Japan
Unknown Facility
Ibaraki, Japan
Unknown Facility
Kagoshima, Japan
Unknown Facility
Kanagawa, Japan
Unknown Facility
Kyoto, Japan
Unknown Facility
Miyagi, Japan
Unknown Facility
Nagasaki, Japan
Unknown Facility
Nara, Japan
Unknown Facility
Okayama, Japan
Unknown Facility
Osaka, Japan
Unknown Facility
Saga, Japan
Unknown Facility
Saitama, Japan
Unknown Facility
Shizuoka, Japan
Unknown Facility
Tochigi, Japan
Unknown Facility
Tokyo, Japan
Unknown Facility
Toyama, Japan
Unknown Facility
Yamagata, Japan
Unknown Facility
Yamanashi, Japan
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Contact for Clinical Trial Information
- Organization
- Daiichi Sankyo Co., Ltd.
Study Officials
- STUDY DIRECTOR
Global Clinical Leader
Daiichi Sankyo
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 5, 2016
First Posted
December 7, 2016
Study Start
December 8, 2016
Primary Completion
March 28, 2018
Study Completion
September 14, 2018
Last Updated
February 17, 2020
Results First Posted
February 17, 2020
Record last verified: 2020-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
- Access Criteria
- Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.
De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/