Table 1 Summary of key clinical outcomes in trials leading to recent approvals for AML therapies.
Trial Therapy | Regulatory approval in the US and Australia | Target population | SOC therapy | CR/CRi rates (%) | Median OS (months) | ||
|---|---|---|---|---|---|---|---|
Active | Control | Active | Control | ||||
Midostaurin* | FDA: 28-Apr-2017 TGA: 17-May-2018 PBS: 01-Dec-2018 | FLT3 mutant AML Age 18–59 y | 7 + 3 | 58.9 | 53.5 | 74.7 | 25.6 |
Gemtuzumab ozogamicin† | FDA: 01-Sep-2017 TGA: 09-Apr-2020 PBS: 01-Mar-2022 | De novo AML Age 50–70 y | 7 + 3 | 81.3 | 74.8 | 27.5 | 21.8 |
CPX-351 | FDA: 03-Aug-2017 TGA: 03-Jun-2022 PBS: n/a | Secondary or therapy related AML Age 60–75 y | 7 + 3 | 47.7 | 33.3 | 9.6 | 6.0 |
CC-486 | FDA: 01-Sep-2020 TGA: 08-Apr-2022 PBS: 01-Sep-2023 | AML in CR1 and not candidates for HCT Age ≥55 y | Nil | - | - | 24.7 | 14.8 |
Venetoclax§ | FDA: 21-Nov-2018 TGA: 20-Apr-2020 PBS: 01-Dec-2021 | Age ≥75 y or unfit | AZA | 66.4 | 28.3 | 14.7 | 9.6 |
Venetoclax§ | FDA: 21-Nov-2018 TGA: n/a PBS: n/a | Age ≥75 y or unfit | LDAC | 48 | 13 | 8.4 | 4.1 |
Ivosidenib | FDA: 25-May-2022 TGA: 06-Apr-2023 PBS: n/a | Age ≥75 y or unfit | AZA | 54 | 16 | 24.0 | 7.9 |