Evidence map›Paper›PMID 40884550›Full record

Trial reportEuropean journal of clinical pharmacology2025

Validation of pharmacokinetic model for quizartinib quantified by UPLC-MS/MS in patients with FLT3-ITD negative newly diagnosed acute myeloid leukemia.

Antonio Solana-Altabella, Carles Iniesta-Navalón, Maria Chovi-Trull, Rebeca Rodriguez-Veiga, Marina Lopez-Nogueroles, David Martínez-Cuadrón, Mayte Gil-Candel, Laura Torres-Miñana, Evelyn Acuña-Cruz, Isabel Cano-Ferri and 11 more

Registry-linked trialAbstract readValidation StudyClinical Trial, Phase II
In one paragraph

Trial report in European journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04107727 (A 2), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04107727 phase2completednot on this map

A 2:1 Randomized Phase II Trial to Compare the Efficacy and Safety of Standard Chemotherapy Plus Quizartinib Versus Standard Chemotherapy Plus Placebo in Adult Patients With Newly Diagnosed FLT3 Wild-type AML

TypeinterventionalSponsorPETHEMA FoundationRan2019 to 2025Enrolled273ConditionsAcute Myeloid LeukemiaArmsQuizartinib, Placebo oral tablet, Cytarabine, Idarubicin
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

21 authors.

Antonio Solana-AltabellaPharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain. solana_ant@gva.es.ORCID http://orcid.org/0000-0002-8804-3878
Carles Iniesta-NavalónPharmacy Department. Hospital Reina Sofia, Murcia, Spain. carles.iniesta@carm.es.ORCID http://orcid.org/0000-0002-3950-7250
Maria Chovi-TrullPharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID http://orcid.org/0009-0000-3169-5253
Rebeca Rodriguez-VeigaAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.
Marina Lopez-NoguerolesAnalytical Unit Platform, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.ORCID http://orcid.org/0000-0003-3114-2231
David Martínez-CuadrónAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.ORCID http://orcid.org/0000-0001-7540-4091
Mayte Gil-CandelPharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0002-7398-8350
Laura Torres-MiñanaAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.
Evelyn Acuña-CruzAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.
Isabel Cano-FerriAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.
Blanca BoludaAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.ORCID http://orcid.org/0000-0002-1785-5561
Irene Navarro-VicenteAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.
Pilar Lloret-MadridAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.
Eva BarragánAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.
Jose Vicente GilAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.ORCID http://orcid.org/0000-0003-2097-4796
Mario Rodenas-RoviraPharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-2256-3595
Juan Eduardo Megías-VericatPharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0002-0369-5341
Jorge LabradorResearch Unit, Hospital Universitario de Burgos, Burgos, Spain.ORCID http://orcid.org/0000-0002-3696-0287
José Esteban Peris-RiberaFaculty of Pharmacy, Universitat de València, Valencia, Spain.ORCID http://orcid.org/0000-0002-4811-239X
Jose Luis Poveda-AndrésPharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-1800-6198
Pau MontesinosAccredited Research Group On Hematology, Instituto de Investigación Sanitaria La Fe (IISLAFE), Valencia, Spain.ORCID http://orcid.org/0000-0002-3275-5593

Funding

Fundación Española de Farmacia Hospitalaria (FEFH) 2022-829-1Fundación para la Investigación del Hospital Universitari La Fe 2023-432-1Instituto de Salud Carlos III CM23/00148PETHEMA foundation 2020-017-1
6 · The paper itself

Abstract

purposeQuizartinib pharmacokinetics in FLT3-ITD negative acute myeloid leukemia (AML) remain largely unexplored. This study aims to validate a population pharmacokinetics model (popPK) for quizartinib in plasma samples of FLT3-ITD negative AML patients. To do so, an ultra-performance liquid chromatography coupled with tandem mass spectrometry (UPLC-MS/MS) method has been developed and validated for the quantification of quizartinib.

methodsPlasma samples were collected from FLT3-ITD negative newly diagnosed AML patients undergoing quizartinib therapy at induction in the QUIWI phase II clinical trial [NCT04107727, PETHEMA group] between March 2020 and February 2022. The UPLC-MS/MS method was developed and validated. A previously described popPK model was validated using external validation techniques and implemented using the software NONMEM v7.5.

resultsThe developed UPLC-MS/MS method demonstrated high accuracy and precision with a linear range of 6 to 200 ng/mL, with relative standard deviation between 3-11 and accuracy of 88-97% from nominal values. The external validation of the quizartinib popPK model showed minimal bias at the population level (MdPE: -9.86%; ME: 0.50 ng/mL, p = 0.964), but moderate imprecision (MdAPE: 32.28%) and suboptimal accuracy (F20: 24.5%; F30: 43.4%). Individual predictions improved performance, with negligible bias (MdPE: -0.50%), acceptable precision (MdAPE: 11.27%), and F20 (64.2%) and F30 (77.4%) exceeding predefined thresholds. Visual predictive checks confirmed adequate prediction of median concentrations, though some deviations occurred at extremes.

conclusionThis study presents a replicable UPLC-MS/MS method for the determination of quizartinib in plasma. The validated popPK model can be used to optimize dosing strategies in future clinical studies.

Indexed as

Antineoplastic AgentsBenzothiazolesLeukemia, Myeloid, AcuteModels, BiologicalPhenylurea CompoundsProtein Kinase InhibitorsAdultAgedChromatography, High Pressure LiquidFemalefms-Like Tyrosine Kinase 3HumansLiquid Chromatography-Mass SpectrometryMaleMiddle AgedReproducibility of ResultsAntineoplastic AgentsBenzothiazolesFLT3 protein, humanfms-Like Tyrosine Kinase 3Phenylurea CompoundsProtein Kinase InhibitorsquizartinibAcute myeloid leukemiaFLT3-ITD negativeNewly diagnosedPopulation pharmacokineticsQuizartinibUPLC-MS/MS

Identifiers

PMID40884550
PMCPMC12511262

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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.