Combination of Midostaurin and Gemtuzumab Ozogamicin in First-line Standard Therapy for Acute Myeloid Leukemia (MOSAIC)

PHASE1/PHASE2RecruitingINTERVENTIONAL
Enrollment

214

Participants

Timeline

Start Date

September 4, 2020

Primary Completion Date

April 30, 2027

Study Completion Date

April 30, 2028

Conditions
Acute Myeloid Leukemia
Interventions
DRUG

MODULE: conventional chemotherapy (Cytarabine+Daunorubicin) in combination with midostaurin+GO

"Midostaurin (IMP) induction: 25 mg or 50 mg peroral BID, days 8 to 21 depending on assigned dose level~GO (IMP) induction: 3 mg/m\^2 i.v. max 4.5 mg, on day1, or on days 1, 4, or days 1, 4, 7 depending on assigned dose level~Daunorubicin (DNR, non-IMP) induction: 60 mg/m\^2/day i.v., days 1 to 3~Cytarabine (AraC, non-IMP) induction: 200 mg/m\^2/day cont. infusion, days 1 to 7"

DRUG

MAGNOLIA-trial: Midostaurin associated with conventional chemotherapy (AraC+DNR)+GO

"Midostaurin (IMP):~RP2D peroral, days 8 to 21, induction cycle 1; 50 mg peroral BID, days 8 to 21 induction cycle 2; 50 mg peroral BID, days 8 to 21, 3 consolidation cycles; 50 mg peroral BID, days 1 to 28, 12 maintenance cycles;~GO (IMP): 3 mg/m\^2 i.v. max 4.5 mg, RP2D, 1 induction cycle only~Daunorubicin (DNR, non-IMP):~60 mg/m\^2 i.v., days 1 to 3 of induction cycle 1 and 2 in good and moderate responders; 50 mg/m\^2/day i.v., days 1 to 3 of induction cycle 2 in non-responders~Cytarabine (AraC, non-IMP):~200 mg/m\^2/day cont. infusion, days 1 to 7 of induction cycles 1 and 2 in good and moderate responders; 3000/1500 mg/m\^2/day i.v. BID, days 1 to 3 of induction cycle 2 in non-responders; 3000/1500 mg/m\^2 i.v. BID, days 1, 3, 5 of consolidation, 3 cycles"

DRUG

MAGNOLIA-trial: conventional chemotherapy (AraC+DNR)+GO

"GO (IMP): 3 mg/m\^2 i.v. max 4.5 mg on days 1, 4, 7; 1 induction cycle only~Daunorubicin (DNR, non-IMP):~60 mg/m\^2/day i.v., days 1 to 3 of induction cycle 1 and 2 in good and moderate responders; 50 mg/m\^2/day i.v., days 1 to 3 of induction cycle 2 in non-responders~Cytarabine (AraC, non-IMP):~200 mg/m\^2/day cont. infusion, days 1 to 7 of induction cycles 1 and 2 in good and moderate responders; 3000/1500 mg/m\^2/day i.v. BID, days 1 to 3 of induction cycle 2 in non-responders; 3000/1500 mg/m\^2 i.v. BID, days 1, 3, 5 of consolidation, 3 cycles"

DRUG

MAGMA-trial:GO associated with conventional chemotherapy (AraC+DNR)+Midostaurin

"Midostaurin (IMP):~RP2D peroral, days 8 to 21, induction cycle 1; 50 mg peroral BID, days 8 to 21, induction cycle 2; 50 mg peroral BID, days 8 to 21, 3 consolidation cycles; 50 mg peroral BID, days 1 to 28, 12 maintenance cycles;~GO (IMP): 3 mg/m\^2 i.v. max 4.5 mg, RP2D, 1 induction cycle only~Daunorubicin (DNR, non-IMP):~60 mg/m\^2/day i.v., days 1 to 3 of induction cycles 1-2 in good and moderate responders; 50 mg/m\^2/day i.v., days 1 to 3 of induction cycle 2 in non-responders~Cytarabine (AraC, non-IMP):~200 mg/m\^2/day cont. infusion, days 1 to 7 of induction cycles 1 and 2 in good and moderate responders; 3000/1500 mg/m\^2/day i.v. BID, days 1 to 3 of induction cycle 2 in non-responders; 3000/1500 mg/m\^2 i.v. BID, days 1, 3, 5 of consolidation, 3 cycles"

DRUG

MAGMA-trial: conventional chemotherapy (AraC+DNR)+Midostaurin

"Midostaurin (IMP):~RP2D peroral, days 8 to 21, induction cycle 1; 50 mg peroral BID, days 8 to 21 induction cycle 2; 50 mg peroral BID, days 8 to 21, 3 consolidation cycles; 50 mg peroral BID, days 1 to 28, 12 maintenance cycles~Daunorubicin (DNR, non-IMP):~60 mg/m\^2/day i.v., days 1 to 3 of induction cycle 1 and 2 in good and moderate responders; 50 mg/m\^2/day i.v., days 1 to 3 of induction cycle 2 in non-responders~Cytarabine (AraC, non-IMP):~200 mg/m\^2/day cont. infusion, days 1 to 7 of induction cycles 1 and 2 in good and moderate responders; 3000/1500 mg/m\^2/day i.v. BID, days 1 to 3 of induction cycle 2 in non-responders; 3000/1500 mg/m\^2 i.v. BID, days 1, 3, 5 of consolidation, 3 cycles"

Trial Locations (21)

24105

RECRUITING

Universitätsklinikum Schleswig-Holstein, Kiel

35043

RECRUITING

Philipps-Universität Marburg Fachbereich Medizin, Marburg

45147

RECRUITING

Universitätsklinikum Essen, Essen

48149

RECRUITING

Universitätsklinikum Münster, Münster

52074

RECRUITING

Universitätsklinikum Aachen, Aachen

56068

RECRUITING

Gemeinschaftsklinikum Mittelrhein gGmbH, Koblenz

60590

RECRUITING

Johann Wolfgang Goethe-Universität, Frankfurt am Main

68167

RECRUITING

Klinikum Mannheim gGmbH, Mannheim

69120

RECRUITING

Universitätsklinikum Heidelberg, Heidelberg

70376

RECRUITING

Robert-Bosch-Krankenhaus, Stuttgart

71364

RECRUITING

Rems-Murr-Klinikum Winnenden, Winnenden

80634

RECRUITING

Rotkreuzklinikum München gGmbH, München

81377

RECRUITING

LMU Klinikum, Campus Großhadern, München

86156

NOT_YET_RECRUITING

Universitätsklinikum Augsburg, Augsburg

90419

NOT_YET_RECRUITING

Klinikum Nürnberg-Nord, Nuremberg

93049

RECRUITING

Krankenhaus Barmherzige Brüder, Regensburg

09116

RECRUITING

Klinikum Chemnitz gGmbH, Chemnitz

01307

RECRUITING

Universitätsklinikum Dresden, Dresden

06120

RECRUITING

Universitätsklinikum Halle, Halle

07740

RECRUITING

Universitätsklinikum Jena, Jena

04103

RECRUITING

Universitätsklinikum Leipzig, Leipzig

Sponsors
All Listed Sponsors
collaborator

Novartis Pharmaceuticals

INDUSTRY

collaborator

Pfizer

INDUSTRY

lead

Technische Universität Dresden

OTHER