Evidence map›Paper›PMID 33853292›Full record

Trial reportHaematologica2021

A phase I/II study of the combination of quizartinib with azacitidine or low-dose cytarabine for the treatment of patients with acute myeloid leukemia and myelodysplastic syndrome.

Mahesh Swaminathan, Hagop M Kantarjian, Mark Levis, Veronica Guerra, Gautam Borthakur, Yesid Alvarado, Courtney D DiNardo, Tapan Kadia, Guillermo Garcia-Manero, Maro Ohanian and 14 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Long-term outcomes inHaematologica · 2026
    Article
  4. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 2 institutions in 1 country.

Mahesh SwaminathanDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Hagop M KantarjianDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Mark LevisDepartment of Hematological Malignancies, Johns Hopkins Sidney Kimmel Comprehensive Cancer Center.
Veronica GuerraDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Gautam BorthakurDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Yesid AlvaradoDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Courtney D DiNardoDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Tapan KadiaDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Guillermo Garcia-ManeroDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Maro OhanianDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Naval DaverDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Marina KonoplevaDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Naveen PemmarajuDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Alessandra FerrajoliDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Michael AndreeffDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Nitin JainDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Zeev EstrovDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Elias J JabbourDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
William G WierdaDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Sherry PierceDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Maria Rhona PinsoyDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Lianchun XiaoDepartment of Biostatistics, University of Texas MD Anderson Cancer Center.
Farhad RavandiDepartment of Leukemia, University of Texas MD Anderson Cancer Center.
Jorge E CortesDepartment of Leukemia, University of Texas MD Anderson Cancer Center. Jorge.cortes@augusta.edu.
The University of Texas MD Anderson Cancer Center · USSidney Kimmel Comprehensive Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

FMS-like tyrosine kinase 3-internal tandem duplication (FLT3-ITD) mutation in acute myeloid leukemia (AML) is associated with poor prognosis. We hypothesized that quizartinib, a selective and potent FLT3 inhibitor, with azacitidine (AZA) or low-dose cytarabine (LDAC) might improve the outcomes in patients with FLT3-ITD-mutated AML. In this open-label phase I/II trial, patients of any age receiving first-salvage treatment for FLT3-ITD AML or age >60 years with untreated myelodysplastic syndrome or AML were treated with quizartinib plus AZA or LDAC. Seventy-three patients were treated (34 frontline, 39 first-salvage). Among previously untreated patients, composite response (CRc) was achieved in 13/15 (87%, 8 CR, 4 Cri, 1 CRp) treated with quizartinib/AZA and 14/19 (74%, 1 CR, 8 CRi, 5 CRp) in quizartinib/LDAC. The median OS was 19.2 months for quizartinib/AZA and 8.5 months for quizartinib/LDAC cohort; RFS was 10.5 and 6.4 months, respectively. Among previously treated patients, 16 (64%) achieved CRc in quizartinib/AZA and 4 (29%) in quizartinib/LDAC. The median OS for patients treated with quizartinib/AZA and quizartinib/LDAC was 12.8 vs. 4 months, respectively. QTc prolongation grade 3 occurred in only 1 patient in each cohort. Quizartinib-based combinations, particularly with AZA, appear effective in both frontline and first-salvage for patients with FLT3-ITD-mutated AML and are well tolerated.

Indexed as

Leukemia, Myeloid, AcuteMyelodysplastic SyndromesAzacitidineBenzothiazolesCytarabinefms-Like Tyrosine Kinase 3HumansMiddle AgedMutationPhenylurea CompoundsAzacitidineBenzothiazolesCytarabinefms-Like Tyrosine Kinase 3Phenylurea Compoundsquizartinib

Identifiers

PMID33853292
PMCPMC8327731
OpenAlexW3153501712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.