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.