Glasdegib plus intensive/nonintensive chemotherapy in untreated acute myeloid leukemia: BRIGHT AML 1019 Phase III trials

被引:39
作者
Cortes, Jorge E. [1 ,7 ]
Dombret, Herve [2 ]
Merchant, Akil [3 ]
Tauchi, Tetsuzo [4 ]
DiRienzo, Christine G. [5 ]
Sleight, Barbara [5 ]
Zhang, Xiaoxi [5 ]
Leip, Eric P. [5 ]
Shaik, Naveed [5 ]
Bell, Timothy [5 ]
Chan, Geoffrey [5 ]
Sekeres, Mikkael A. [6 ]
机构
[1] Augusta Univ, Georgia Canc Ctr, Augusta, GA 30912 USA
[2] Hop St Louis, Inst Univ Hematol, AP HP, Inst Rech St Louis, Paris, France
[3] Univ Southern Calif, Keck Sch Med, Dept Med, Los Angeles, CA 90033 USA
[4] Shin Yurigaoka Gen Hosp, Dept Hematol, Kawasaki, Kanagawa, Japan
[5] Pfizer Inc, Pfizer Oncol, New York, NY 10017 USA
[6] Cleveland Clin, Leukemia Program, Cleveland, OH 44195 USA
[7] Univ Texas MD Anderson Canc Ctr, Dept Leukemia, Houston, TX 77054 USA
关键词
acute myeloid leukemia; glasdegib; Hedgehog signaling pathway; intensive chemotherapy; myelodysplastic syndrome; nonintensive chemotherapy; smoothened inhibitor; HEDGEHOG PATHWAY; OLDER PATIENTS; INHIBITOR; PF-04449913; AZACITIDINE; RECOMMENDATIONS; CLASSIFICATION; MALIGNANCIES; COMBINATION; SURVIVAL;
D O I
10.2217/fon-2019-0373
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Glasdegib, an oral Hedgehog pathway inhibitor, has been associated with significantly improved survival when combined with low-dose cytarabine in patients with untreated acute myeloid leukemia (AML) who were unsuitable for intensive chemotherapy, when compared with low-dose cytarabine alone. BRIGHT AML 1019 (NCT03416179) comprises two independently powered Phase III, randomized (1:1), double-blind global trials evaluating oral glasdegib 100 mg once daily or placebo plus one of two standard chemotherapy regimens in adults with untreated AML. The intensive trial combines glasdegib/placebo with cytarabine and daunorubicin (7 + 3), while the nonintensive trial combines glasdegib/placebo with azacitidine. The primary end point of both studies is overall survival. Secondary end points include response, time to and duration of response, event-free survival, safety, patient-reported outcomes and pharmacokinetics.
引用
收藏
页码:3531 / 3545
页数:15
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