Targeted Therapies for Acute Myeloid Leukemia
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to find better treatments for acute myeloid leukemia (AML) by testing new drugs and drug combinations tailored to specific genetic profiles of the disease. Researchers place participants in different study groups based on their leukemia's genetic makeup to determine which treatments work best. Ideal participants are adults with newly diagnosed or relapsed AML who have not received significant prior treatment for the disease. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive potentially groundbreaking therapies.
Will I have to stop taking my current medications?
The trial information does not specify if you need to stop taking your current medications. However, it mentions that prior treatment with certain medications is allowed, so it's best to discuss your specific medications with the trial team.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that many treatments for acute myeloid leukemia (AML) have been tested with varying levels of safety and tolerance. Here is a summary of key findings:
1. **AG-120 (Ivosidenib)**: FDA-approved for some AML patients, this drug is generally well-tolerated. Common side effects include nausea and fatigue, which are often manageable.
2. **AG-221 (Enasidenib)**: Past studies have shown this drug to be well-tolerated, with common side effects like nausea and diarrhea. It is not approved for children but shows promise in adults.
3. **Azacitidine**: Used for several blood disorders, this treatment has a known safety profile. Common side effects include low blood counts and fatigue, with no unexpected safety concerns.
4. **AZD5153**: In early testing stages, this drug's safety is still being evaluated. More information will become available as studies continue.
5. **AZD5991**: Initial studies suggest this drug is well-tolerated alone or with other treatments. Reported side effects include nausea and fatigue.
6. **BI 836858**: Studied in combination with other treatments, this drug has shown to be safe. Side effects can include low blood counts, common in many cancer treatments.
7. **Cytarabine and Daunorubicin**: These standard chemotherapy drugs for AML are known for their safety and side effects, which often include low blood counts and infection risk.
8. **Entospletinib**: Generally well-tolerated in studies, with mild side effects like nausea.
9. **Gilteritinib**: Approved for certain AML cases, this drug has a well-established safety profile, though side effects like fever and fatigue are common.
10. **Pevonedistat**: Early studies show it is safe, with side effects similar to other cancer treatments.
11. **SNDX-5613**: FDA-approved for certain types of leukemia, indicating a favorable safety profile.
12. **TP-0903**: Early data suggest it is a feasible treatment with a manageable safety profile.
13. **Venetoclax**: FDA-approved for certain leukemia types, it is generally well-tolerated, though side effects like low blood cell counts and infection can occur.
Overall, these treatments show promise in terms of safety, with mostly known and manageable side effects. Each drug has a unique profile, so discussing options with a healthcare provider will help determine the best fit for individual needs.12345Why are researchers excited about this trial's treatments?
Researchers are excited about these treatments for acute myeloid leukemia (AML) because they target specific genetic mutations and pathways that are not addressed by traditional chemotherapies like daunorubicin and cytarabine. For instance, AG-120 targets the IDH1 mutation, which is a new approach compared to the standard treatments. Gilteritinib is designed to block the FLT3 mutation, which is often associated with aggressive forms of AML. Additionally, combinations like AZD5153 with venetoclax offer a novel mechanism by inhibiting proteins involved in cancer cell survival, potentially providing more effective treatment options for patients with relapsed or refractory AML. These innovations offer hope for better-targeted therapies with the potential for improved outcomes.
What evidence suggests that this trial's treatments could be effective for acute myeloid leukemia?
Research has shown that several new treatments hold promise for acute myeloid leukemia (AML). In this trial, participants with an IDH1 mutation may receive a combination of AG-120 and azacitidine, which led to complete remission in 51% of cases and improved survival rates in previous studies. For those with IDH2 mutations, AG-221 is another treatment option, and studies have suggested it offers better survival compared to standard treatments, with an average survival time of 9.26 months. Participants with FLT3 mutations may receive Gilteritinib, which significantly improved survival rates compared to chemotherapy, with 54% of patients responding well in past research. Pevonedistat, when used with azacitidine, is being tested for its positive results in patients whose AML has returned. Venetoclax, often combined with azacitidine, is approved for AML and effectively improves response rates. These treatments target specific genetic changes in AML, providing personalized options for patients in this trial.678910
Who Is on the Research Team?
John C Byrd, MD
Principal Investigator
Beat AML
Are You a Good Fit for This Trial?
This trial is for adults with acute myeloid leukemia (AML). Group A includes those who haven't been treated before, except possibly with hydroxyurea. People over 60 or certain younger adults with specific genetic markers can join. Group B is for those whose AML has returned or didn't respond to treatment. You can't join if you have brain involvement by AML, active bleeding disorders, isolated myeloid sarcoma without blood/marrow involvement, a type of leukemia called acute promyelocytic leukemia, or other serious medical conditions.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants are assigned to sub-studies based on genomic screening to evaluate investigational therapies or combinations
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- AG-120
- AG-221
- Azacitidine
- AZD5153
- AZD5991
- BI 836858
- Cytarabine
- Daunorubicin
- Entospletinib
- Gilteritinib
- Laboratory Biomarker Analysis
- Pevonedistat
- SNDX-5613
- TP-0903
- Venetoclax
AG-120 is already approved in United States for the following indications:
- Acute myeloid leukemia (AML) with a susceptible IDH1 mutation
Find a Clinic Near You
Who Is Running the Clinical Trial?
Beat AML, LLC
Lead Sponsor