Table 3 Response data in single-cell-derived myeloid progenitor cells (CFU-GM colonies) on midostaurin and avapritinib in 13 KIT D816V positive advanced systemic mastocytosis patients stratified in midostaurin + avapritinib responder (cohort #1), midostaurin non-responder + avapritinib-responder (cohort #2), midostaurin + avapritinib non-responder (cohort #3), and midostaurin responderf (cohort 4) according to relative reduction of KIT D816V positive colonies

From: Inhibitory effects of midostaurin and avapritinib on myeloid progenitors derived from patients with KIT D816V positive advanced systemic mastocytosis

#

Midostaurin in vivo (months)

Responsea (Valent et al.) [3]

KIT D816V EAB change in PB on midostaurinb (%) (Jawhar et al.) [20]

OS from diagnosis (months)

Death (yes/no)

KIT D816V positive colonies (%) (prior to treatment)

KIT D816V positive colonies (%) (on midostaurin in vivo)c

KIT D816V positive colonies (%) (on midostaurin in vitro)d

KIT D816V positive colonies (%) (on avapritinib in vitro)e

Cohort #1

  3

6

Yes (MPR)

82 (↓)

42

No

100

40

50

0

  7

23

Yes (IR)

43 (↓)

33

No

70

10

0

  11

13

Yes (IR)

72 (↑)

133

No

80

80

40

10

  13

20

Yes (IR)

76 (↓)

283

No

30

10

10

0

Cohort #2

  1

3

No (PD)

0

23

Yes

40

60

0

  2

3

No (PD)

22

Yes

100

100

0

  5

7

No (PD)

23 (↑)

21

Yes

90

90

90

10

Cohort #3

  4

7

No (PD)

3 (↑)

13

Yes

90

90

90

70

  6

6

No (PD)

0

15

Yes

100

100

100

80

  8

7

No (PD)

113 (↑)

34

Yes

100

100

100

100

  12

11

No (PD)

24 (↓)

20

Yes

95

95

90

100

Cohort #4

  9

31

Yes (MPR)

73 (↓)

54

Yes

90

5

  10

22

Yes (IR)

62 (↓)

46

Yes

100

10

  1. CFU-GM granulocyte-macrophage colony-forming-unit, EAB expressed allele burden, IR incomplete remission, MPR minor partial response, OS overall survival, PB peripheral blood, PD progressive disease
  2. #Patient number
  3. aResponse according to modified Valent response criteria
  4. bKIT D816V EAB change from baseline to month six
  5. cKIT D816V positive colonies from patients on midostaurin at month six
  6. dKIT D816V positive colonies incubated with midostaurin (600 nM) for two weeks
  7. eKIT D816V positive colonies incubated with avapritinib (75 nM) for two weeks
  8. fData on avapritinib was not available