Expanded Access Study of Gilteritinib (ASP2215) in Patients With FMS-like Tyrosine Kinase 3 (FLT3… (NCT03070093) | Clinical Trial Compass
APPROVED_FOR_MARKETINGNot Applicable
Expanded Access Study of Gilteritinib (ASP2215) in Patients With FMS-like Tyrosine Kinase 3 (FLT3) Mutated Relapsed or Refractory Acute Myeloid Leukemia (AML) or FLT3-Mutated AML in Complete Remission (CR) With Minimal Residual Disease (MRD)
United States
Plain-language summary
The purpose of this study is to provide expanded access to ASP2215 for subjects with FLT3-mutated relapsed or refractory AML or FLT3-mutated AML in composite complete remission (CRc) (complete remission \[CR\], complete remission with incomplete hematologic recovery \[CRi\], complete remission with incomplete platelet recovery \[CRp\]) with MRD without access to comparable or alternative therapy.
Who can participate
Age range18 Years
SexALL
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Inclusion Criteria:
* Subject is considered an adult according to local regulation at the time of signing informed consent.
* Subject has a diagnosis of primary AML or AML secondary to myelodysplastic syndrome (MDS) or therapy-related AML according to World Health Organization (WHO) classification.
* Subject has presence of the FLT3-mutated relapsed or refractory AML or FLT3-mutated AML in CRc (CR, CRi, CRp) with MRD in bone marrow or peripheral blood. \[Specific to investigational sites in Japan: FLT3-mutated AML in CRc (CR, CRi, CRp) with MRD subjects will not be included.\]
* Subject has refractory or relapsed AML (with or without hematopoietic stem cell transplant \[HSCT\]) or AML in CRc (CR, CRi, CRp) with MRD by flow cytometry or genetic testing for the FLT3 mutation after induction/consolidation regimen or HSCT. \[Specific to investigational sites in Japan: FLT3-mutated AML in CRc (CR, CRi, CRp) with MRD subjects will not be included.\]
* Subject must wait for at least 5 half-lives after stopping therapy with any investigational agent and before starting ASP2215.
* Subject must meet the following criteria as indicated on clinical laboratory tests:
* Serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3x institutional upper limit of normal (ULN)
* Serum total bilirubin ≤ 2.5 mg/dL, except for subjects with Gilbert's syndrome
* Serum potassium and serum magnesium ≥ institutional lower limit of normal (LLN).
* Subject is able to tolerate or…