AML with t(8; 21)(q22; q22) or inv(16)(p13; q22)/t(16; 16)(p13; q22) is known as CBF-AML. KIT mutations are common in CBF-AML, which have a worse prognosis.This study is aimed to evaluate the efficacy of Avapritinib, an highly specific inhibitor of the KIT gene, in CBF-AML with KIT mutations.
Acute Myeloid Leukemia (AML) with the chromosomal abnormality of t(8; 21)(q22; q22) or inv(16)(p13; q22)/t(16; 16)(p13; q22) is known as the Core Binding Factor AML (CBF-AML). KIT mutation is a common mutation in CBF-AML, which is more likely to relapse and have a worse prognosis. Avapritinib is an oral tyrosine kinase inhibitor (TKI) with selective inhibitory activity against KIT and PDGFRA. Avapritinib has been approved by FDA for the treatment of gastrointestinal stromal tumors(GIST) with PDGFRA mutations and Advanced systemic mastocytosis (AdvSM). However, the efficacy of avapritinib in AML with KIT mutations is uncertain. This prospective, multicenter clinical study of the efficacy and safety of avapritinib in relapsed refractory or molecular minimal residual disease (MRD)-positive AML with KIT mutations.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
50
administered orally
First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China
RECRUITINGComposite complete remission (CRc)
The proportion of participants who achieve Composite complete remission (CRc),which includes complete remission (CR)、CR with partial hematologic recovery (CRh)、CR with incomplete blood count recovery (CRi) and morphology leukemia free (MLFS) based on response criteria for AML.
Time frame: Assessed at protocol-defined timepoints through end of study, up to approximately 36 months.
MRD-negative rate
The proportion of participants who achieve a negative molecular MRD.
Time frame: Assessed at protocol-defined timepoints through end of study, up to approximately 36 months.
Progression-free survival (PFS)
The Kaplan-Meier method will be used to assess PFS probabilities.
Time frame: From the first day of treatment until any failure (resistant disease, relapse, or death), assessed up to 1 to 3 years.
Overall survival (OS)
The Kaplan-Meier method will be used to assess OS probabilities.
Time frame: From the first day of treatment to time of death from any cause, assessed up 1 to 3 years.
Incidence of adverse events (AEs)
Terminology Criteria for Adverse Events (CTCAE) version (v) 5.0. The proportion of patients with AEs will be estimated, along with the 95% credible interval.
Time frame: Up to approximately 1 to 3 years.
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