Evidence map›Paper›PMID 33415416›Full record

ArticleCancer chemotherapy and pharmacology2021

Concentration-QTc analysis of quizartinib in patients with relapsed/refractory acute myeloid leukemia.

Dongwoo Kang, Elizabeth Ludwig, David Jaworowicz, Hannah Huang, Jill Fiedler-Kelly, Jorge Cortes, Siddhartha Ganguly, Samer Khaled, Alwin Krämer, Mark Levis and 6 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cancer chemotherapy and pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02039726 (A Phase 3 Open-label Randomized Study of Quizartinib), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT02039726 phase3completednot on this map

A Phase 3 Open-label Randomized Study of Quizartinib (AC220) Monotherapy Versus Salvage Chemotherapy in Subjects With Tyrosine Kinase 3 - Internal Tandem Duplication (FLT3-ITD) Positive Acute Myeloid Leukemia (AML) Refractory to or Relapsed After First-line Treatment With or Without Hematopoietic Stem Cell Transplantation (HSCT) Consolidation

TypeinterventionalSponsorDaiichi SankyoRan2014 to 2020Enrolled367ConditionsAMLArmsQuizartinib, Salvage Chemotherapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Observational
  4. Beyond the linear model in concentration-QT analysis.Journal of pharmacokinetics and pharmacodynamics · 2025
    Article
  5. Article
  6. Review
  7. 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

16 authors at 10 institutions in 4 countries.

Dongwoo KangDaiichi Sankyo, Inc, Basking Ridge, NJ, USA. dkang@dsi.com.ORCID 0000-0001-9057-6748
Elizabeth LudwigCognigen Corporation, a Simulations Plus Company, Buffalo, NY, USA.
David JaworowiczCognigen Corporation, a Simulations Plus Company, Buffalo, NY, USA.
Hannah HuangCognigen Corporation, a Simulations Plus Company, Buffalo, NY, USA.
Jill Fiedler-KellyCognigen Corporation, a Simulations Plus Company, Buffalo, NY, USA.
Jorge CortesGeorgia Cancer Center at Augusta University, Augusta, GA, USA.
Siddhartha GangulyUniversity of Kansas Cancer Center, Fairway, KS, USA.
Samer KhaledCity of Hope, Arcadia, CA, USA.
Alwin KrämerClinical Cooperation Unit Molecular Hematology/Oncology, Department of Internal Medicine V, University of Heidelberg, Heidelberg, Germany.
Mark LevisThe Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University, Baltimore, MD, USA.
Giovanni MartinelliIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Alexander PerlDivision of Hematology and Oncology, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Nigel RussellCentre for Clinical Haematology, Nottingham University Hospital, Nottingham, UK.
Malaz AbutarifDaiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Youngsook ChoiDaiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Ophelia YinDaiichi Sankyo, Inc, Basking Ridge, NJ, USA.
Daiichi Sankyo (United States) · USSimulations Plus (United States) · USArcadia · USAugusta University Health · USHeidelberg University · DEIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITJohns Hopkins University · USThe University of Kansas Cancer Center · USUniversity of Nottingham · GBUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis analysis evaluated the relationship between concentrations of quizartinib and its active metabolite AC886 and QT interval corrected using Fridericia's formula (QTcF) in patients with relapsed/refractory acute myeloid leukemia (AML) treated in the phase 3 QuANTUM-R study (NCT02039726).

methodsThe analysis dataset included 226 patients with AML. Quizartinib dihydrochloride was administered as daily doses of 20, 30, and 60 mg. Nonlinear mixed-effects modeling was performed using observed quizartinib and AC886 concentrations and time-matched mean electrocardiogram measurements.

resultsObserved QTcF increased with quizartinib and AC886 concentrations; the relationship was best described by a nonlinear maximum effect (E

conclusionQTcF increase was dependent on quizartinib and AC886 concentrations, but patient factors, including sex and age, did not affect the concentration-QTcF relationship. Because concomitant strong cytochrome P450 3A (CYP3A) inhibitor use significantly increases quizartinib concentration, these results support the clinical recommendation of quizartinib dose reduction in patients concurrently receiving a strong CYP3A inhibitor. CLINICAL

trial registrationNCT02039726 (registered January 20, 2014).

Indexed as

AdultAgedAged, 80 and overBenzothiazolesCytochrome P-450 CYP3A InhibitorsDose-Response Relationship, DrugElectrocardiographyFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedPhenylurea CompoundsBenzothiazolesCytochrome P-450 CYP3A InhibitorsPhenylurea CompoundsquizartinibAC886Acute myeloid leukemiaConcentration–QTc analysisQuizartinibRelapsed/refractory

Identifiers

PMID33415416
PMCPMC7946665
OpenAlexW3120185266

What OpenQuestion holds

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Registered trials

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.