Table 3:
Select Novel AML Therapies in Clinical Trials
Therapy | Type | Target | Development Status |
Potential Patient Population |
---|---|---|---|---|
Venetoclax | Small molecule inhibitor | BCL2 | Randomized phase III | Newly diagnosed ineligible for standard induction |
Sorafenib | Small molecule kinase inhibitor | Multikinase including FLT3 | Randomized phase II | FLT3-mutated newly diagnosed, R/R, and possible maintenance |
Gilteritinib | Small molecule kinase inhibitor | FLT3-ITD/FLT3-TKD/AXL | Randomized phase III | FLT3-mutated, both newly diagnosed and R/R |
Crenolanib | Small molecule kinase inhibitor | FLT3-ITD/FLT3-TKD | Randomized phase III | FLT3-mutated, both newly diagnosed and R/R |
Quizartinib | Small molecule kinase inhibitor | FLT3-ITD | Randomized phase III | FLT3-mutated, both newly diagnosed and R/R |
Ivosidenib | Small molecule | IDH1 | Randomized Phase III | Newly diagnosed IDH1-mutated ineligible for intensive therapy |
Pevonedistat | Small molecule inhibitor | NAE | Randomized phase III | Newly diagnosed low blast count(20-30%) |
CAR-T cells | Adoptive cell therapy | CD33/CD123/others | Phase I | R/R |
Flotetuzumab | DART | CD123 | Phase I | R/R |
Abbreviations: BCL2, B-cell Lymphoma 2; FLT3-ITD, fms like tyrosine kinase 3- internal tandem duplication; FLT3-TKD, fms like tyrosine kinase 3- tyrosine kinase domain; IDH1, isocitrate dehydrogenase 1; NAE, Nedd8-activating enzyme; CAR-T, chimeric antigen receptor T-cells; DART, dual-affinity re-targeting antibody.