A Phase 1b Multi-center Study of the FLT3 Inhibitor Gilteritinib in Combination With the IDH1 Inhibitor Ivosidenib or the IDH2 Inhibitor Enasidenib for Patients With Relapsed or Refractory Acute Myeloid Leukemia Who Have Co-occurring FLT3/IDH1 or FLT3/IDH2 Mutations
Memorial Sloan Kettering Cancer Center
Summary
The researchers are doing this study to see if the combination of gilteritinib with ivosidenib or enasidenib is a safe and effective treatment for people with relapsed/refractory AML with FLT3/IDH1 or FLT3/IDH2 gene mutations. The researchers will also look for the highest dose of the combination of gilteritinib with ivosidenib or enasidenib that causes few or mild side effects. When the highest safe dose is found, they will test that dose in new groups of participants.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Adult patient is ≥18 years of age at the time of signing the informed consent form (ICF) * Patient is willing and able to adhere to the study visit schedule and other protocol requirements. * Patient has a confirmed diagnosis of relapsed AML as per World Health Organization (2016) guidelines. Patients in morphologic remission with the reappearance of MRD are also eligible to participate OR the patient has refractory AML as defined below: 1. For patients who received intensive induction chemotherapy they must have persistent AML (defined as overt disease with over 5% m…
Interventions
- DrugGilteritinib
Dose level (-1) 80mg, (1) 120mg, (2) 120mg
- DrugIvosidenib
Dose level (-1) 250mg, (1) 250mg, (2) 500mg
- DrugEnasidenib
Dose level (-1) 50mg, (1) 50mg, (2) 100mg
Locations (7)
- Memorial Sloan Kettering Basking RidgeBasking Ridge, New Jersey
- Memorial Sloan Kettering MonmouthMiddletown, New Jersey
- Memorial Sloan Kettering BergenMontvale, New Jersey
- Memorial Sloan Kettering Suffolk-CommackCommack, New York
- Memorial Sloan Kettering WestchesterHarrison, New York
- Memorial Sloan Kettering Cancer Center (All Protocol Activities)New York, New York