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Brief Title: A Phase I/II Study of Gilteritinib and Momelotinib for Patients With Relapsed or Refractory FLT3-Mutated Acute Myeloid Leukemia
Official Title: A Phase I/II Study of Gilteritinib and Momelotinib for Patients With Relapsed or Refractory FLT3-Mutated Acute Myeloid Leukemia
Study ID: NCT06235801
Brief Summary: To learn the recommended dose of momelotinib that can be given in combination with gilteritinib to participants with AML.
Detailed Description: Primary Objectives * Phase I: To establish the minimum safe and biologically-effective dose of momelotinib in combination with gilteritinib in relapsed/refractory FLT3-mutated AML * Phase II: To determine the modified CRc rate of the regimen, including complete remission (CR), CR with incomplete hematologic recovery (CRi) or morphologic leukemia free state (MLFS) Secondary Objectives * To assess other efficacy endpoints (CR rate, measurable residual disease negativity by flow cytometry and FLT3 PCR, relapse-free survival, overall survival) * To assess proportion of participants proceeding to allogeneic hematopoietic stem cell transplantation * To determine the safety of the combination regimen Exploratory Objectives * To evaluate the impact of baseline genomic alterations on response and survival of the combination regimen * To determine the impact of baseline FLT3 allelic ratio on response and survival * To evaluate the pharmacokinetics (e.g. AUC, Cmax, Tmax and half-life) of momelotinib in the combination regimen * To evaluate changes in circulating cytokine levels in response to treatment * To evaluate inhibition of FLT3 signaling and inhibition of JAK/STAT signaling pathways * To evaluate other biomarkers associated with response and resistance to the combination regimen
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
MD Anderson Cancer Center, Houston, Texas, United States
Name: Nicholas Short, MD
Affiliation: MD Anderson Center
Role: PRINCIPAL_INVESTIGATOR