Evidence map›Paper›PMID 32040554›Full record

ArticleBlood advances2020

Gilteritinib is a clinically active FLT3 inhibitor with broad activity against FLT3 kinase domain mutations.

Theodore C Tarver, Jason E Hill, Leena Rahmat, Alexander E Perl, Erkut Bahceci, Kenichi Mori, Catherine C Smith

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 76 citations in OpenAlex.

  1. Azacitidine, Venetoclax, and Gilteritinib in Newly Diagnosed and Relapsed or RefractoryJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
  2. FDA Approval Summary: Gilteritinib for Relapsed or Refractory Acute Myeloid Leukemia with aClinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  3. Article
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  11. Acute Myeloid Leukemia With a Non-CanonicalJournal of medical cases · 2026
    Article
  12. Article
  13. Article
  14. Anti-Tumor Effects of Gilteritinib onOncoTargets and therapy · 2025
    Article
  15. Molecular medicine reports · 2024
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Theodore C TarverDivision of Hematology-Oncology, Department of Medicine, University of California, San Francisco, San Francisco, CA.
Jason E HillAstellas Pharma US, Inc., Northbrook, IL.
Leena RahmatDivision of Oncology-Hematologic Malignancies, Department of Medicine, Johns Hopkins University, Baltimore, MD.
Alexander E PerlDivision of Hematology-Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA; and.
Erkut BahceciAstellas Pharma US, Inc., Northbrook, IL.
Kenichi MoriAstellas Pharma, Inc., Tokyo, Japan.
Catherine C SmithDivision of Hematology-Oncology, Department of Medicine, University of California, San Francisco, San Francisco, CA.
Astellas Pharma (United States) · USUniversity of California, San Francisco · USAstellas Pharma (Japan) · JPJohns Hopkins University · USUniversity of Pennsylvania · US

Funding

Investigating Resistance to FLT3 Inhibitors in AMLK08CA187577 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SMITH, CATHERINE CHOY · 2014 to 2017
$703k
How Does FLT3 Mutation Regulate Myeloid Differentiation in Acute Myeloid LeukemiaR21CA198621 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CARROLL, MARTIN · 2015 to 2016
$396k
NCI NIH HHS K08 CA187577NCI NIH HHS R21 CA198621
6 · The paper itself

Abstract

Gilteritinib is the first FMS-like tyrosine kinase 3 (FLT3) tyrosine kinase inhibitor (TKI) approved as monotherapy in acute myeloid leukemia with FLT3 internal tandem duplication and D835/I836 tyrosine kinase domain (TKD) mutations. Sequencing studies in patients have uncovered less common, noncanonical (NC) mutations in FLT3 and have implicated secondary TKD mutations in FLT3 TKI resistance. We report that gilteritinib is active against FLT3 NC and TKI resistance-causing mutations in vitro. A mutagenesis screen identified FLT3 F691L, Y693C/N, and G697S as mutations that confer moderate resistance to gilteritinib in vitro. Analysis of patients treated with gilteritinib revealed that 2/9 patients with preexisting NC FLT3 mutations responded and that secondary TKD mutations are acquired in a minority (5/31) of patients treated with gilteritinib. Four of 5 patients developed F691L mutations (all treated at <200 mg). These studies suggest that gilteritinib has broad activity against FLT3 mutations and limited vulnerability to resistance-causing FLT3 TKD mutations, particularly when used at higher doses.

Indexed as

fms-Like Tyrosine Kinase 3Protein Kinase InhibitorsAniline CompoundsHumansMutationPyrazinesAniline CompoundsFLT3 protein, humanfms-Like Tyrosine Kinase 3gilteritinibProtein Kinase InhibitorsPyrazines

Identifiers

PMID32040554
PMCPMC7013266
OpenAlexW3004930166

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.