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Spots Global Cancer Trial Database for Expanded Access Study of Gilteritinib (ASP2215) in Patients With FMS-like Tyrosine Kinase 3 (FLT3) Mutated Relapsed or Refractory Acute Myeloid Leukemia (AML) or FLT3-Mutated AML in Complete Remission (CR) With Minimal Residual Disease (MRD)

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Trial Identification

Brief Title: Expanded Access Study of Gilteritinib (ASP2215) in Patients With FMS-like Tyrosine Kinase 3 (FLT3) Mutated Relapsed or Refractory Acute Myeloid Leukemia (AML) or FLT3-Mutated AML in Complete Remission (CR) With Minimal Residual Disease (MRD)

Official Title: A Multicenter, Open-label Treatment Protocol of Gilteritinib (ASP2215) in Patients With FMS-like Tyrosine Kinase 3 (FLT3) Mutated Relapsed or Refractory Acute Myeloid Leukemia (AML) or FLT3-Mutated AML in Complete Remission (CR) With Minimal Residual Disease (MRD)

Study ID: NCT03070093

Interventions

gilteritinib

Study Description

Brief Summary: The purpose of this study is to provide expanded access to ASP2215 for subjects with FLT3-mutated relapsed or refractory AML or FLT3-mutated AML in composite complete remission (CRc) (complete remission \[CR\], complete remission with incomplete hematologic recovery \[CRi\], complete remission with incomplete platelet recovery \[CRp\]) with MRD without access to comparable or alternative therapy.

Detailed Description: The United States Food and Drug Administration (FDA), the Japanese Ministry of Health, Labour and Welfare (MHLW) and Health Canada have approved ASP2215/Gilteritinib (XOSPATA®) for the treatment of adult patients who have relapsed or refractory acute myeloid leukemia (AML) with a FLT3 mutation. This treatment protocol is being conducted while phase 3 ASP2215 studies are ongoing in FLT3-mutated AML subjects. Subjects will complete visits on cycle 1 - days 1, 4, 8, 15; cycle 2 - days 1, 15; cycles 3 to 6 - day 1; and day 1 of every 2 cycles thereafter (i.e., cycle 8 day 1, cycle 10 day 1, etc.) until discontinued from the study. Subjects will be provided with study medication until the investigator determines the subject is no longer receiving clinical benefit. An end of treatment visit will be performed within 7 days after last dose of investigational product (ASP2215), or prior to initiation of another anticancer therapy, whichever occurs earlier, followed by a 30-day follow-up. \[Specific to investigational sites in Japan: Study population does not include subjects with FLT3-mutated AML in CRc (CR, CRi, CRp) with MRD. Hence, efficacy (MRD response rate and duration of response) data will not be collected for subjects enrolled in Japan.\]

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

UCLA, Los Angeles, California, United States

Rocky Mountain Cancer Center-M, Aurora, Colorado, United States

Memorial Healthcare System, Pembroke Pines, Florida, United States

Northside Hospital, Atlanta, Georgia, United States

Georgia Cancer Center at Augusta University, Augusta, Georgia, United States

Northwestern University Medical Center, Chicago, Illinois, United States

University of Chicago, Chicago, Illinois, United States

Indiana Blood and Marrow Transplantation at Franciscan Health Indianapolis, Indianapolis, Indiana, United States

Norton Cancer Institute, Louisville, Kentucky, United States

Tulane University, New Orleans, Louisiana, United States

University of Maryland Medical Center, Baltimore, Maryland, United States

Johns Hopkins Hospital, Baltimore, Maryland, United States

The Sidney Kimmel Comprehensive Cancer Center -Johns Hopkins University, Baltimore, Maryland, United States

Massachusetts General Hospital, Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States

Dana Farber Cancer Institute, Boston, Massachusetts, United States

West Michigan Regional Cancer Center, Kalamazoo, Michigan, United States

Washington University School of Medicine, Saint Louis, Missouri, United States

New Mexico Cancer Care Alliance, Albuquerque, New Mexico, United States

Roswell Park Cancer Institute, Buffalo, New York, United States

Memorial Sloan Kettering, New York, New York, United States

Weill Cornell Medical College, New York, New York, United States

Duke University Medical Center, Durham, North Carolina, United States

Wake Forest Baptist Hospital, Winston-Salem, North Carolina, United States

Ohio State University, Columbus, Ohio, United States

Providence Portland Medical Center, Portland, Oregon, United States

Penn State Hershey Medical Center, Hershey, Pennsylvania, United States

Thomas Jefferson University, Philadelphia, Pennsylvania, United States

UPCI, Pittsburgh, Pennsylvania, United States

Vanderbilt University, Nashville, Tennessee, United States

Huntsman Cancer Institute University of Utah, Salt Lake City, Utah, United States

WVU Medicine Cancer, Morgantown, West Virginia, United States

Site CA15002, Halifax, Nova Scotia, Canada

Site CA15003, Toronto, Ontario, Canada

Site CA15001, Montreal, Quebec, Canada

Site CA15005, Vancouver, , Canada

Site JP81001, Nagoya, Aichi, Japan

Site JP81002, Shinagawa-ku, Tokyo, Japan

Site JP81003, Fukuoka, , Japan

Contact Details

Name: Medical Director

Affiliation: Astellas Pharma Global Development, Inc.

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

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