Evidence map›Paper›PMID 37715270›Full record

Trial reportTrials2023

Q-HAM: a multicenter upfront randomized phase II trial of quizartinib and high-dose Ara-C plus mitoxantrone in relapsed/refractory AML with FLT3-ITD.

Sonia Jaramillo, Lucian Le Cornet, Markus Kratzmann, Johannes Krisam, Martin Görner, Mathias Hänel, Christoph Röllig, Maxi Wass, Sebastian Scholl, Mark Ringhoffer and 16 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03989713 (Quizartinib and High-dose Ara-C Plus Mitoxantrone in Relapsed/Refractory AML With FLT3-ITD), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 19% 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.

NCT03989713 phase2terminatednot on this map

Quizartinib and High-dose Ara-C Plus Mitoxantrone in Relapsed/Refractory AML With FLT3-ITD

TypeinterventionalSponsorProf. Dr. Richard F SchlenkRan2020 to 2022Enrolled11ConditionsAML According to WHO 2016 Classification (Except Acute Promyelocytic Leukemia) AND (Refractory to Induction Therapy OR Relapsed After First Line Treatment)ArmsMRD-triggered arm, Prophylactic Arm
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. LncRNAiScience · 2025
    Article
  3. Mitoxantrone-liposome SensitizesJournal of Cancer · 2025
    Article
  4. Article
  5. 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

26 authors at 14 institutions in 1 country.

Sonia JaramilloDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany. Sonia.jaramillosegura@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-2397-3070
Lucian Le CornetNCT-Trial Center, National Center of Tumor Diseases, Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany.
Markus KratzmannNCT-Trial Center, National Center of Tumor Diseases, Heidelberg University Hospital and German Cancer Research Center, Heidelberg, Germany.
Johannes KrisamInstitute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.
Martin GörnerDepartment of Hematology, Oncology and Palliative Medicine, Community Hospital Bielefeld, Bielefeld, Germany.
Mathias HänelDepartment of Medicine III, Hospital Chemnitz gGmbH, Chemnitz, Germany.
Christoph RölligDepartment of Medicine and Polyclinic I, TU Dresden University Hospital, Dresden, Germany.
Maxi WassDepartment of Medicine IV, Halle (Saale) University Hospital, Halle, Germany.
Sebastian SchollDepartment of Medicine II, Jena University Hospital, Jena, Germany.
Mark RinghofferDepartment of Medicine, III, Hospital Karlsruhe, Karlsruhe, Germany.
Alexander ReichartDepartment of Hematology, Oncology and Palliative Medicine, Hospital Winnenden, Winnenden, Germany.
Björn SteffenDepartment of Medicine II, Frankfurt University Hospital, Frankfurt, Germany.
Sabine KayserDepartment of Medicine I - Hematology and Cell Therapy, Leipzig University Hospital, Leipzig, Germany.
Jan-Henrik MikeschDepartment of Medicine A, Münster University Hospital, Münster, Germany.
Kerstin Schaefer-EckartDepartment of Inner Medicine V, North Hospital Nürnberg, Nürnberg, Germany.
Jörg SchubertDepartment of Inner Medicine II, Elbland Hospital Riesa, Riesa, Germany.
Thomas GeerDepartment of Medicine II, Diaconal Hospital Schwäbisch-Hall, Schwäbisch Hall, Germany.
Sonja MartinDepartment of Hematology, Oncology and Palliative Medicine, Robert-Bosch Hospital, Stuttgart, Germany.
Meinhard KieserDepartment of Hematology, Oncology and Palliative Medicine, Robert-Bosch Hospital, Stuttgart, Germany.
Tim SauerDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Katharina KriegsmannDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Michael HundemerDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Hubert ServeDepartment of Medicine II, Frankfurt University Hospital, Frankfurt, Germany.
Martin BornhäuserDepartment of Medicine and Polyclinic I, TU Dresden University Hospital, Dresden, Germany.
Carsten Müller-TidowDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Richard F SchlenkDepartment of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.
Heidelberg University · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DERobert Bosch Hospital · DETechnische Universität Dresden · DEJena University Hospital · DEKlinikum Bielefeld · DEKlinikum Chemnitz · DEMünchen Klinik Schwabing · DENuremberg Hospital · DERems-Murr-Klinikum · DEUniversity Hospital in Halle · DEUniversity Hospital Leipzig · DEUniversity Hospital Münster · DE

Funding

Deutsche Forschungsgemeinschaft DFG- SCHL 2118/2-1
6 · The paper itself

Abstract

backgroundAbout 50% of older patients with acute myeloid leukemia (AML) fail to attain complete remission (CR) following cytarabine plus anthracycline-based induction therapy. Salvage chemotherapy regimens are based on high-dose cytarabine (HiDAC), which is frequently combined with mitoxantrone (HAM regimen). However, CR rates remain low, with less than one-third of the patients achieving a CR. FLT3-ITD has consistently been identified as an unfavorable molecular marker in both relapsed and refractory (r/r)-AML. One-quarter of patients who received midostaurin are refractory to induction therapy and relapse rate at 2 years exceeds 40%. The oral second-generation bis-aryl urea tyrosine kinase inhibitor quizartinib is a very selective FLT3 inhibitor, has a high capacity for sustained FLT3 inhibition, and has an acceptable toxicity profile.

methodsIn this multicenter, upfront randomized phase II trial, all patients receive quizartinib combined with HAM (cytarabine 3g/m

conclusionCurrently, there is no commonly accepted standard for salvage chemotherapy treatment. The objective of the salvage therapy is to reduce leukemic burden, achieve the best possible remission, and perform a hemopoietic stem-cell transplantation. Thus, in patients with FLT3-ITD mutation, the comparison of quizartinib with intensive salvage therapy versus chemotherapy alone appears as a logical consequence in terms of efficacy and safety. ETHICS AND DISSEMINATION: Ethical approval and approvals from the local and federal competent authorities were granted. Trial results will be reported via peer-reviewed journals and presented at conferences and scientific meetings.

trial registrationClinicalTrials.gov NCT03989713; EudraCT Number: 2018-002675-17.

Indexed as

Leukemia, Myeloid, AcuteMitoxantroneBenzothiazolesChronic DiseaseCytarabinefms-Like Tyrosine Kinase 3HumansPhenylurea CompoundsBenzothiazolesCytarabineFLT3 protein, humanfms-Like Tyrosine Kinase 3MitoxantronePhenylurea CompoundsquizartinibAcute myeloid leukemiaMatched threshold crossing approachMeasurable residual diseaseQuizartinibRefractoryRelapse

Identifiers

PMID37715270
PMCPMC10504729
OpenAlexW4386773794

What OpenQuestion holds

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LicenceCC BY
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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.