A Phase III Study Comparing Standard Chemotherapy to Treatment with CPX-351 and/or Gilteritinib for Children Newly Diagnosed with Acute Myeloid Leukemia

Full Title

A Phase 3 Randomized Trial for Patients with de novo AML Comparing Standard Therapy Including Gemtuzumab Ozogamicin (GO) to CPX-351 with GO, and the Addition of the FLT3 Inhibitor Gilteritinib for Patients with FLT3 Mutations (AAML1831) (CIRB)

Purpose

Daunorubicin, cytarabine, and gemtuzumab ozogamicin are different chemotherapy drugs used to treat acute myeloid leukemia (AML). CPX-351 is made up of daunorubicin and cytarabine. It is created in a way that makes the drugs stay in the bone marrow longer and could be less likely to cause heart problems than traditional anthracycline drugs, a common class of chemotherapy drugs used in cancer care.

Some patients with AML have an abnormality in a gene called FLT3, which plays an important role in the production of blood cells. This gene can have permanent changes that make cancer cells grow. Gilteritinib may block the abnormal function of the FLT3 gene.

In this study, researchers are comparing different treatment regimens in children, adolescents, and young adults newly diagnosed with AML. Patients will be randomly assigned to one of these groups:

  • Standard chemotherapy with or without gilteritinib
  • CPX-351 with or without gilteritinib
Protocol
20-483
Phase
Phase III (phase 3)
Disease Status
Newly Diagnosed
Investigator
ClinicalTrials.gov ID
NCT04293562