Table 1 Summary of key clinical outcomes in trials leading to recent approvals for AML therapies.

From: How comparable are patient outcomes in the “real-world” with populations studied in pivotal AML trials?

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

  1. *Included only CR achieved by 60 days.
  2. Included CR and CRp; median OS as per updated analysis (Lambert, Haematologica 2019).
  3. §Venetoclax in combination with azacitidine, or decitabine, or LDAC was granted accelerated approval by FDA on 21-Nov-2018, followed by full approval on 16-Oct-2020. In Australia, the approval is only for use in combination with azacitidine.
  4. AML acute myeloid leukemia, AZA azacitidine, CR complete remission, CR1 first remission, CRi CR with incomplete hematologic recovery, CRp CR with incomplete platelet recovery, HCT hematopoietic cell transplantation, LDAC low-dose cytarabine, n/a not available, OS overall survival, PBS Pharmaceutical Benefits Scheme, SOC standard of care, TGA Therapeutic Goods Administration, y years.