OncoMatch

OncoMatch/Clinical Trials/NCT07259707

Gilteritinib Plus VA Followed By Consolidation Chemotherapy in Newly Diagnosed FLT3-ITD+ AML

Is NCT07259707 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies GVA + HDAC Consolidation & Gilteritinib Maintenance for acute myeloid leukemia.

Phase 2RecruitingFirst Affiliated Hospital of Zhejiang UniversityNCT07259707Data as of Jun 2026Location: China

Treatment: GVA + HDAC Consolidation & Gilteritinib MaintenanceThis clinical trial aims to evaluate whether molecular MRD-guided chemotherapy can effectively treat FLT3-ITD mutated AML and potentially replace allogeneic hematopoietic stem cell transplantation. It primarily seeks to answer: * What is the complete remission rate after initial induction with Gilteritinib, Venetoclax, and Azacitidine? * What are the survival rates and safety of subsequent high-dose cytarabine consolidation after two cycles of this induction therapy? As a single-arm study, outcomes will be compared against historical data from standard treatments (including transplant) to assess if the new strategy is equally or more effective. Participants will: * Undergo three cycles of high-dose cytarabine consolidation after two cycles of induction therapy, contingent upon achieving deep FLT3-ITD molecular remission. * Start Gilteritinib maintenance therapy after consolidation if FLT3-ITD remains detectable, continuing until deep molecular remission is achieved again.

Check if I qualify

Extracted eligibility criteria

Treatments studied

Other

GVA + HDAC Consolidation & Gilteritinib Maintenance

Cancer type

Acute Myeloid Leukemia

Biomarker criteria

Required: FLT3 internal tandem duplication

FLT3-ITD mutation according to the European LeukemiaNet (ELN) 2022 diagnostic criteria (no VAF requirement)

Excluded: BCR fusion

BCR-ABL positive acute myeloid leukemia

Excluded: ABL1 fusion

BCR-ABL positive acute myeloid leukemia

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Demographics

Ages ≤ 59

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: chemotherapy

AML secondary to previous chemotherapy or radiotherapy

Cannot have received: radiation therapy

AML secondary to previous chemotherapy or radiotherapy

Lab requirements

Kidney function

serum creatinine ≤ 2× uln or crcl ≥ 40 ml/min

Liver function

alt and ast ≤ 3× uln; total bilirubin ≤ 3× uln

Cardiac function

lvef determined by echocardiography is within the normal range (lvef > 50%)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT07259707 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require FLT3?

Yes, FLT3 internal tandem duplication is a required biomarker for enrollment.

Are patients with BCR alterations eligible?

No. BCR fusion is an exclusion criterion.

Are patients with ABL1 alterations eligible?

No. ABL1 fusion is an exclusion criterion.

Is there an age limit?

Yes. Patients must be 59 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

Check if I qualify