Evidence map›Paper›PMID 39763167›Full record

ReviewEuropean journal of haematology2025

Advances and Challenges in Quizartinib-Based FLT3 Inhibition for Acute Myeloid Leukemia: Mechanisms of Resistance and Prospective Combination Therapies.

Antonella Bruzzese, Enrica Antonia Martino, Caterina Labanca, Francesco Mendicino, Eugenio Lucia, Virginia Olivito, Teresa Rossi, Antonino Neri, Fortunato Morabito, Ernesto Vigna and 1 more

Abstract readReview
In one paragraph

Review in European journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

11 authors.

Antonella BruzzeseHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.ORCID https://orcid.org/0000-0002-9456-2404
Enrica Antonia MartinoHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.
Caterina LabancaHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.
Francesco MendicinoHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.
Eugenio LuciaHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.
Virginia OlivitoHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.
Teresa RossiLaboratorio di Ricerca Traslazionale Azienda USL-IRCSS, Reggio Emilia, Emilia-Romagna, Italy.
Antonino NeriScientific Directorate IRCCS of Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Fortunato MorabitoGruppo Amici Dell'Ematologia Foundation-GrADE, Reggio Emilia, Italy.ORCID https://orcid.org/0000-0002-2585-7073
Ernesto VignaHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.
Massimo GentileHematology Unit, Azienda Ospedaliera Annunziata, Cosenza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

FLT3 mutations are among the most common genetic alterations in acute myeloid leukemia (AML) and are associated with poor prognosis. Significant advancements have been made in developing FLT3 inhibitors (FLT3Is), such as quizartinib, which have improved treatment outcomes in both newly diagnosed and relapsed/refractory AML. Resistance to FLT3Is remains a major clinical challenge, driven by diverse mechanisms including FLT3 point mutations, cellular escape pathways, and the influence of the bone marrow microenvironment. Sustained STAT5 phosphorylation, AXL upregulation, and CXCR4 signaling have been identified as key factors in FLT3I resistance. Additionally, metabolic adaptations have been shown to support the survival of FLT3I-resistant cells. Ongoing clinical trials are investigating various combination regimens, including quizartinib with chemotherapy, Bcl-2 inhibitors, hypomethylating agents, and immune-modulatory drugs, with promising preliminary results. The European LeukemiaNet 2022 guidelines recommend incorporating FLT3Is into treatment regimens; however, questions remain regarding the best timing for the administration of each FLT3I. Additional studies are required to determine the optimal FLT3I-based combinations, reduce resistance emergence, and improve outcomes. This review highlights the current state of FLT3I therapy, ongoing challenges with resistance, and future directions in optimizing treatment for FLT3-mutated AML, focusing on quizartinib.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBenzothiazolesDrug Resistance, Neoplasmfms-Like Tyrosine Kinase 3Leukemia, Myeloid, AcutePhenylurea CompoundsProtein Kinase InhibitorsHumansMolecular Targeted TherapyMutationSignal TransductionBenzothiazolesFLT3 protein, humanfms-Like Tyrosine Kinase 3Phenylurea CompoundsProtein Kinase Inhibitorsquizartinibacute myeloid leukemiaFLT3 inhibitorsFLT3 inhibitors resistanceFLT3‐ITDquizartinib

Identifiers

PMID39763167
PMCPMC11880963

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.