FDA OKs Vanflyta for Leukemia
FDA has approved a Daiichi Sankyo NDA for Vanflyta (quizartinib) in certain patients with newly diagnosed acute myeloid leukemia (AML) that is FLT3 internal tandem duplication (ITD)-positive. The approval covers Vanflyta use with standard cytarabine and anthracycline induction and cytarabine consolidation, and as maintenance monotherapy following consolidation chemotherapy. In a simultaneous action, the agency approved the LeukoStrat CDx FLT3 Mutation Assay as a companion diagnostic.
The drug was approved based on data from QuANTUM-First (NCT02668653), a randomized, double-blind, placebo-controlled trial in 539 patients with newly diagnosed FLT3-ITD positive AML, according to an agency news release. The main efficacy outcome measure was overall survival (OS), measured from randomization date until death by any cause. “The trial demonstrated a statistically significant improvement in OS for the quizartinib arm,” it says.
FDA says a boxed warning for quizartinib highlights QT prolongation, torsades de pointes, and cardiac arrest. It notes that the drug is available only through a restricted program under a Risk Evaluation and Mitigation Strategy.