Table 2 Response outcomes in patients with R/R AML based on prior TKI therapy status in the CHRYSALIS and ADMIRAL trials.

From: Clinical outcomes in patients with relapsed/refractory FLT3-mutated acute myeloid leukemia treated with gilteritinib who received prior midostaurin or sorafenib

Response parameter

CHRYSALIS 120-/200-mg Gilteritinib

ADMIRAL 120-mg Gilteritinib vs Salvage Chemotherapy

Prior TKI (n = 33)

No Prior TKI (n = 112)

Gilteritinib

Salvage Chemotherapy

Prior TKI (n = 33)

No Prior TKI (n = 214)

Prior TKI (n = 15)

No Prior TKI (n = 109)

Response ratea, n (%)

CR

1 (3)

16 (14)

6 (18)

46 (21)

0

13 (12)

CRi

10 (30)

25 (22)

7 (21)

56 (26)

3 (20)

11 (10)

CRp

3 (9)

7 (6)

4 (12)

15 (7)

0

0

PR

2 (6)

9 (8)

5 (16)

28 (13)

1 (7)

4 (4)

NR

15 (45)

43 (38)

9 (27)

57 (26)

5 (33)

38 (35)

NE

2 (6)

12 (11)

2 (6)

12 (6)

6 (40)

43 (39)

CRcb

14 (42)

48 (43)

17 (52)

117 (55)

3 (20)

24 (22)

Median duration of CR, months (range)

9.1 (9.1 to 9.1)

15.8 (2.1 to 15.8)

8.9 (0.7+ to 15.7 + )

NE (0.6 to 23.1 + )

NA

1.8 (<0.1+ to 1.8)

Median duration of CRc, months (range)

1.9 (0.3 to 12.6)

6.3 (0.9 to 15.8)

3.7 (0.7 to 15.7 + )

4.8 (<0.1+ to 30.3 + )

NE (<0.1+ to 0.3 + )

NE (<0.1+ to 3.7 + )

By TKI Agent

Sorafenib (n = 33)

Midostaurin (n = 14)

Sorafenib (n = 19)

Midostaurin (n = 9)

Sorafenib (n = 6)

Response ratea

CR

1 (3)

3 (21)

3 (16)

0

0

CRi

10 (30)

4 (29)

3 (16)

3 (33)

0

CRp

3 (9)

1 (7)

3 (16)

0

0

PR

2 (6)

0

5 (26)

1 (11)

0

NR

15 (45)

5 (36)

4 (21)

3 (33)

2 (33)

NE

2 (6)

1 (7)

1 (5)

2 (22)

4 (67)

CRcb

14 (42)

8 (57)

9 (47)

3 (33)

0

Median duration of CR, months (range)

9.1 (9.1 to 9.1)

3.7 (0.7+ to 3.7)

12.9 (4.9 to 15.7 + )

NA

NA

Median duration of CRc, months (range)

1.9 (0.3 to 12.6)

3.0 (0.7 to 3.7)

4.6 (1.0+ to 15.7 + )

NE (0.1+ to 0.3 + )

NA

  1. Bold font indicates aggregate responses.
  2. aIncludes pretransplant and posttransplant response. bDefined as the sum of patients who achieved CR, CRi, and CRc.
  3. AML acute myeloid leukemia, CR complete remission, CRc composite complete remission, CRi complete remission with incomplete hematologic recovery, CRp complete
  4. remission with incomplete platelet recovery, NA not applicable, NE not evaluable, NR no response, PR partial remission, R/R relapsed or refractory, TKI tyrosine kinase inhibitor.