Evidence map›Paper›PMID 41949390›Full record

Trial reportBlood advances2026

Quizartinib for patients with newly diagnosed FLT3-ITD-positive AML who received maintenance therapy in QuANTUM-First.

Mark J Levis, Harry P Erba, Pau Montesinos, Elżbieta Patkowska, Jorge Cortes, Alexander E Perl, Hervé Dombret, Sergio Amadori, Jianxiang Wang, Richard F Schlenk and 6 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Blood advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02668653 (A Phase 3, Double-Blind, Placebo-controlled Study of Quizartinib Administered in Combination With Induction and Consolidation Chemotherapy, and Administered as Continuation Therapy in Subjects 18 to 75 Years Old With Newly Diagnosed FLT3-ITD), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT02668653 phase3completednot on this map

A Phase 3, Double-Blind, Placebo-controlled Study of Quizartinib Administered in Combination With Induction and Consolidation Chemotherapy, and Administered as Continuation Therapy in Subjects 18 to 75 Years Old With Newly Diagnosed FLT3-ITD (+) Acute Myeloid Leukemia (QuANTUM First)

TypeinterventionalSponsorDaiichi SankyoRan2016 to 2023Enrolled539ConditionsAcute Myeloid Leukemia, LeukemiaArmsChemotherapy, Quizartinib, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Observational
  4. Review
  5. Review
  6. 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.

Mark J LevisDivision of Hematologic Malignancies, Johns Hopkins University, Baltimore, MD.ORCID 0000-0003-0473-6982
Harry P ErbaDuke Cancer Institute, Durham, NC.ORCID 0000-0003-1093-2189
Pau MontesinosLa Fe University and Polytechnic Hospital, Valencia, Spain.ORCID 0000-0002-3275-5593
Elżbieta PatkowskaInstitute of Hematology and Blood Transfusion, Warsaw, Poland.ORCID 0000-0001-8691-4310
Jorge CortesAugusta University Medical Center, Augusta, GA.ORCID 0000-0002-8636-1071
Alexander E PerlDivision of Hematology and Oncology, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-1463-2231
Hervé DombretSaint Louis Hospital, University of Paris, Paris, France.ORCID 0000-0002-5454-6768
Sergio AmadoriTor Vergata Polyclinic Hospital Rome, Rome, Italy.ORCID 0000-0002-2356-8681
Jianxiang WangInstitute of Hematology and Blood Diseases Hospital, Tianjin, China.ORCID 0000-0001-9437-9151
Richard F SchlenkNational Center of Tumor Diseases Trial Center, German Cancer Research Center, Department of Internal Medicine V, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-2215-2059
Li LiuDaiichi Sankyo, Basking Ridge, NJ.
Yasser Mostafa KamelDaiichi Sankyo, Basking Ridge, NJ.ORCID 0000-0001-7001-0122
Karima ImadalouDaiichi Sankyo, Basking Ridge, NJ.
Abderrahmane LaademDaiichi Sankyo, Basking Ridge, NJ.
Kristy BurnsDaiichi Sankyo, Basking Ridge, NJ.ORCID 0009-0000-4110-8809
Mikkael A SekeresDivision of Hematology, Sylvester Cancer Center, University of Miami Health System, Miami, FL.ORCID 0000-0003-2009-6524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractQuANTUM-First demonstrated improved overall survival (OS) in patients with newly diagnosed acute myeloid leukemia with FMS-like receptor tyrosine kinase 3-internal tandem duplication (FLT3-ITD) treated with quizartinib + standard chemotherapy. Herein, we evaluated the impact of postconsolidation/posttransplant single-agent maintenance therapy on clinical outcomes in patients receiving maintenance, focusing on measurable residual disease (MRD) status at maintenance onset. OS, event-free survival, and relapse-free survival were prespecified exploratory analyses. Cumulative incidence of relapse, analyses by allogeneic hematopoietic cell transplant (allo-HCT), and analyses by MRD status were post hoc and not powered for statistical significance. Samples for FLT3-ITD MRD analysis were collected from patients with composite complete remission ≤30 days before receiving maintenance and assessed using an ultrasensitive amplicon-based assay. More patients who had received an allo-HCT and quizartinib treatment received maintenance (71%) vs placebo (55%); OS benefit was not demonstrated among these patients. In patients who did not undergo allo-HCT, quizartinib maintenance was associated with a significant OS benefit (hazard ratio [HR], 0.401; 95% confidence interval [CI], 0.192-0.838), including a benefit in patients who were MRD negative at the start of maintenance (OS HR, 0.194; 95% CI, 0.056-0.676). Patients who were MRD negative at the completion of consolidation achieved 89.1% (95% CI, 70.0-96.4) survival at 3 years with quizartinib maintenance in the absence of allo-HCT. These data suggest that for patients who achieve FLT3-ITD MRD negativity after induction and consolidation with quizartinib, maintenance with quizartinib provides a significant survival benefit and, in some patients, may eliminate the need for allo-HCT. This trial was registered at www.clinicaltrials.gov as NCT02668653.

Indexed as

Benzothiazolesfms-Like Tyrosine Kinase 3Leukemia, Myeloid, AcutePhenylurea CompoundsAdultAgedFemaleHematopoietic Stem Cell TransplantationHumansMaintenance ChemotherapyMaleMiddle AgedNeoplasm, ResidualTandem Repeat SequencesTreatment OutcomeBenzothiazolesFLT3 protein, humanfms-Like Tyrosine Kinase 3Phenylurea Compoundsquizartinib

Identifiers

PMID41949390
PMCPMC13263684

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.