Midostaurin Access Program for Newly Diagnosed FLT3 (ITD or TKD) Mutated AML Adult Patients Eligible for Standard Induction and Consolidation Chemotherapy
- Conditions
- FLT3 Mutation, Internal Tandem Duplication (ITD) or Tyrosine Kinase Domain (TKD)Acute Myeloid Leukemia (AML) With
- Registration Number
- NCT02624570
- Lead Sponsor
- Novartis Pharmaceuticals
- Brief Summary
The purpose of this study is to provide access to Midostaurin and gather additional safety data on the combination of Midostaurin and standard of care for adult patients with newly diagnosed Fms-like tyrosine kinase receptor (FLT3) mutated Acute Myeloid Leukemia (AML) who are eligible for standard induction and consolidation chemotherapy.
- Detailed Description
The purpose of this study is to provide Midostaurin (study drug) treatment to newly diagnosed FLT3 mutated (ITD or TKD) AML adult patients (18 years or older) eligible for standard standard induction (cytarabine + daunorubicin/Idarubicin) and consolidation (cytarabine) chemotherapy.
Recruitment & Eligibility
- Status
- NO_LONGER_AVAILABLE
- Sex
- All
- Target Recruitment
- Not specified
Written informed consent must be obtained prior to any screening procedures. Patients must meet all Inclusion Criteria:
- Patient is able to communicate well with the investigator, to understand and comply with the requirements of the study.
- Patients must be 18 years of age or older; elderly patients must be fit to receive intensive induction and consolidation chemotherapy
- Patients must have a documented FLT3 mutation (ITD or TKD)
- Patients must have an ECOG Performance Status of ≤ 2
- Patients must have a documented unequivocal diagnosis of AML according to WHO 2008 classification (>20% blasts in the bone marrow and/or peripheral blood), excluding M3 (acute promyelocytic leukemia).
- Patients requiring intrathecal chemotherapy must have a minimum washout of 48 hours prior to the first dose of midostaurin
- AML patients with a history of antecedent treatment for myelodysplasia (MDS), e.g. azacitidine or decitabine, remain eligible for treatment on this study. These agents must have been discontinued for a period of at least 30 days or 5 half-lives of the drug (whichever is greater) before midostaurin can be administered.
- Secondary AML, e.g. patients with antecedent history of treatment for prior malignancy Patients must have the following laboratory values (Direct Bilirubin ≤ 2.5 x ULN, Serum Creatinine ≤ 2.5 x ULN)
Patients eligible for this study must not meet any of the following criteria:
- Prior therapy for AML with the following exceptions: (emergency leukapheresis, emergency treatment for hyperleukocytosis with hydroxyurea for ≤ 5 days, cranial RT for CNS leukostasis (one dose only), growth factor/cytokine support)
- Patients with LVEF less than 45% (by echocardiogram or MUGA) or symptomatic congestive heart failure, Class III or IV according to New York Heart Association (NYHA) classification
- Patients with any uncontrolled illness, including, but not limited to, acute or chronic pancreatitis or uncontrolled infection
- QTc >500 msec on screening ECG. History of hypersensitivity to any drugs or metabolites of similar chemical classes as the IMP.
- Participation in a prior investigational interventional (drug) study with administration of the investigational product within 30 days or 5 half-lives of the investigational product, whichever is longer.
- Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partners have been sterilized by vasectomy or other means, UNLESS they are using two birth control methods.
- Sexually active males should not father a child during this study and for upto 5 months following.
Study & Design
- Study Type
- EXPANDED_ACCESS
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (44)
City of Hope National Medical Center Department of Hematology & HCT
🇺🇸Duarte, California, United States
The Jordan Research and Education Center ABSMC Comprehensive Cancer Ctr
🇺🇸Berkeley, California, United States
St. Judes Medical Center
🇺🇸Fullerton, California, United States
Memorial Healthcare System Memorial Healthcare System
🇺🇸Hollywood, Florida, United States
University of Calif Irvine Medical Center Family Comp Cancer Cntr
🇺🇸Orange, California, United States
Poudre Valley Hospital Poudre Valley Hospital -U of C
🇺🇸Fort Collins, Colorado, United States
Augusta University Georgia Cancer Center Pharmacy
🇺🇸Augusta, Georgia, United States
University of Chicago Medical Center
🇺🇸Chicago, Illinois, United States
Ft Wayne Medical Oncology and Hematology Inc
🇺🇸Fort Wayne, Indiana, United States
Rush University Medical Center Dept.of Rush UniversityMedCtr.
🇺🇸Chicago, Illinois, United States
Kaiser Permanente NW Region Kaiser Permanente Northwest
🇺🇸Clackamas, Oregon, United States
University of Rochester Medical Center Univ of Rochester (7)
🇺🇸Rochester, New York, United States
Penn State University / Milton S. Hershey Medical Center Penn State Cancer Institute
🇺🇸Hershey, Pennsylvania, United States
Weill Cornell Medical College NY Presbyterian Hospital
🇺🇸New York, New York, United States
University of Pennsylvania Cancer Center University of Pen/Abr Canc ctr
🇺🇸Philadelphia, Pennsylvania, United States
University of Texas Medical Branch University of Texas MB
🇺🇸Galveston, Texas, United States
Intermountain Healthcare - Huntsman Cancer Clinics Intermountain Healthcare (2)
🇺🇸Murray, Utah, United States
Virginia Oncology Associates Virginia Oncology Assoc. (6)
🇺🇸Norfolk, Virginia, United States
Wenatchee Valley Hospital and Clinics
🇺🇸Wenatchee, Washington, United States
Cheyenne Regional Medical Center
🇺🇸Cheyenne, Wyoming, United States
Tufts Medical Center
🇺🇸Boston, Massachusetts, United States
Karmanos Cancer Institute Harper Hosp. Invest. Pharmacy
🇺🇸Detroit, Michigan, United States
Methodist Healthcare System
🇺🇸San Antonio, Texas, United States
Huntsman Cancer Institute Univ of Utah
🇺🇸Salt Lake City, Utah, United States
Mayo Clinic Arizona
🇺🇸Phoenix, Arizona, United States
Henry Ford Hospital SC
🇺🇸Detroit, Michigan, United States
Vanderbilt University Medical Center, Clinical Trials Center Division Hematology/Oncology
🇺🇸Nashville, Tennessee, United States
McGovern Medical School at the University of Texas Health
🇺🇸Houston, Texas, United States
Oncology Consultants Oncology Consultants
🇺🇸Houston, Texas, United States
Swedish Cancer Institute Cancer Institute
🇺🇸Seattle, Washington, United States
Veterans Affairs Puget Sound Health Care System VAMC Seattle, WA Divison
🇺🇸Seattle, Washington, United States
Ochsner Clinic Foundation
🇺🇸New Orleans, Louisiana, United States
Indiana Blood and Marrow Institute Indiana Blood and Marrow Trans
🇺🇸Beech Grove, Indiana, United States
Norton Cancer Institute Norton Cancer Institute
🇺🇸Louisville, Kentucky, United States
Nebraska Cancer Specialist/Missouri Valley Cancer Consortium
🇺🇸Omaha, Nebraska, United States
Medical University of South Carolina Hematology-Oncology Division
🇺🇸Charleston, South Carolina, United States
Mayo Clinic Mayo Clinic
🇺🇸Rochester, Minnesota, United States
University of Louisville / James Graham Brown Cancer Center Louisville 529-539
🇺🇸Louisville, Kentucky, United States
Kaiser Permanente Northwest Kaiser
🇺🇸Denver, Colorado, United States
UF Health Cancer Center at Orlando Health Orlando Health
🇺🇸Orlando, Florida, United States
H Lee Moffitt Cancer Center and Research Institute SC - 5
🇺🇸Tampa, Florida, United States
Tulane University Medical Center
🇺🇸New Orleans, Louisiana, United States
Healthcare Partners Medical Group
🇺🇸Las Vegas, Nevada, United States
Erlanger Medical Center Erlanger Health System
🇺🇸Chattanooga, Tennessee, United States