Blood Research

New agents for AML with recent U.S. FDA approval.

Molecular target Indication (setting) Representative trials OS benefit FDA approval In Korea (Jan. 2020)

New Rel/ref
Midostaurin FLT3 ITD/TKD O (combia)) Phase 3 RATIFY Yes Apr. 2017 Available
Gilteritinib FLT3 ITD/TKD O (single) Phase 3 ADMIRAL Yes Nov. 2018 Not available
Gemtuzumab ozogamicin (GO) CD33+ O (combi or single) O (combi or single) Phase 3 ALFA-0701 No (but benefit in EFS) Jul. 2017 Available (via KOEDC)
Phase 3 AML-19 Yes
Phase 2 MyloFrance-1 NA
CPX-351 t-AML O Phase 3 (NCT01696084) Yes Aug. 2017 Not available
AML-MRC
Enasidenib IDH2 O (single) Phase 1/2 study (NCT01915498) NA Aug. 2017 Not available
Ivosidenib IDH1 O (single) Phase 1 dose-escalation/dose-expansion study (NCT02074839) NA Jul. 2018 Not available
Venetoclax BCL2 O (combib)) Phase 1 dose-escalation study (NCT02203773) NA Nov. 2018 Available
Phase 1/2 study (NCT02287233) NA
Glasdegib Hedgehog signaling pathway O (combic)) Phase 2 (NCT01546038) Yes Nov. 2018 Not available

a)Midostaurin in combination with daunorubicin and cytarabine induction and cytarabine consolidation.

b)Hypomethylating agents (HMA) such as decitabine or azacitidine with venetoclax (400 mg); low dose Ara-C (LDAC) with venetoclax (600 mg).

c)Glasdegib and LDAC.

Abbreviations: BCL2, B-cell lymphoma 2; EFS, event-free survival; FLT3, FMS-like tyrosine kinase 3; IDH, isocitrate dehydrogenase; ITD, internal tandem duplication; KOEDC, Korea Orphan & Essential Drug Center; NA, not assessable; OS, overall survival; rel/Ref, relapsed or refractory; t-AML, therapy-related AML; AML-MRC, AML with myelodysplasia related changes; TKD, tyrosine kinase domain.

Blood Res 2020;55:S14~S18 https://doi.org/10.5045/br.2020.S003
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