Table: Comparison of trials of chemotherapy ± FLT3 multikinase inhibitor in previously untreated mutant FLT3 AML

TrialRef.Median age (range), yN (FLT3 ITD %)AgentAgent % vs control % (y)Transplant rate overall CR1 %Notes
OSDFS
C10603/Ratify 49 (18-59) 714 (77) Midostaurin 51 vs 43 (5) 46 vs 36 (5) 57 25 Benefit seen in all FLT3 mutant subgroups 
AML 15/17 49 (5-68) 500 (74) Lestaurtinib 46 vs 45 (5) 40 vs 36 (5) 45 25 OS benefit in patients with significant FLT3 inhibition by PIA or on GO + azole 
TrialRef.Median age (range), yN (FLT3 ITD %)AgentAgent % vs control % (y)Transplant rate overall CR1 %Notes
OSDFS
C10603/Ratify 49 (18-59) 714 (77) Midostaurin 51 vs 43 (5) 46 vs 36 (5) 57 25 Benefit seen in all FLT3 mutant subgroups 
AML 15/17 49 (5-68) 500 (74) Lestaurtinib 46 vs 45 (5) 40 vs 36 (5) 45 25 OS benefit in patients with significant FLT3 inhibition by PIA or on GO + azole 

CR1, first complete remission; DFS, disease-free survival; GO, gemtuzumab ozogamicin; PIA, plasma inhibitory assay; Ref., reference.

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