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Safety and Efficacy of Quizartinib in Children and Young Adults With Acute Myeloid Leukemia (AML), a Cancer of the Blood
Sponsor: Daiichi Sankyo
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.
Official title: A Phase 1/2, Multicenter, Dose-Escalating Study To Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy Of Quizartinib Administered in Combination With Re-Induction Chemotherapy, and as a Single-Agent Continuation Therapy, in Pediatric Relapsed/Refractory AML Subjects Aged 1 Month to <18 Years (and Young Adults Aged up to 21 Years) With FLT3-ITD Mutations
Key Details
Gender
All
Age Range
1 Month - 21 Years
Study Type
INTERVENTIONAL
Enrollment
65
Start Date
2018-08-15
Completion Date
2027-05-01
Last Updated
2026-04-01
Healthy Volunteers
No
Conditions
Interventions
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
Locations (27)
Loma Linda University Cancer Center
Loma Linda, California, United States
University of California, San Francisco
San Francisco, California, United States
Children's Hospital Colorado
Aurora, Colorado, United States
A.I. duPont Hospital for Children
Wilmington, Delaware, United States
Children's National Medical Center
Washington D.C., District of Columbia, United States
Children's Healthcare of Atlanta
Atlanta, Georgia, United States
University of Minnesota/Masonic Cancer Center
Minneapolis, Minnesota, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States
The University of Texas Southwestern Medical Center Children's Health
Dallas, Texas, United States
Seattle Children's Hospital
Seattle, Washington, United States
Universitair Ziekenhuis Gent
Ghent, Belgium
The Hospital for Sick Children
Toronto, Ontario, Canada
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