Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT04659616

Pemigatinib After Chemotherapy for the Treatment of Newly Diagnosed Acute Myeloid Leukemia

Led by OHSU Knight Cancer Institute · Updated on 2025-12-19

32

Participants Needed

2

Research Sites

311 weeks

Total Duration

On this page

Sponsors

O

OHSU Knight Cancer Institute

Lead Sponsor

I

Incyte Corporation

Collaborating Sponsor

AI-Summary

What this Trial Is About

This phase I trial identifies the best dose and clinical benefit of giving pemigatinib following standard induction chemotherapy in patients with newly diagnosed acute myeloid leukemia. Pemigatinib selectively inhibits FGFR (fibroblast growth factor receptor) activity, a receptor that may contribute to the growth of leukemia cells. The genetic changes responsible for activating the growth of leukemia cells can be unique to each patient and can change during the course of the disease. Chemotherapy drugs, such as cytarabine and daunorubicin work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.

CONDITIONS

Official Title

Pemigatinib After Chemotherapy for the Treatment of Newly Diagnosed Acute Myeloid Leukemia

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Able to understand and willing to sign informed consent
  • Age 18 years or older at time of consent
  • Newly diagnosed AML with intermediate or adverse risk cytogenetics or mutations per European Leukemia Net guidelines
  • No FLT3 mutations (wild-type FLT3)
  • ECOG performance status 0-2
  • Consent to bone marrow aspirate/biopsy before and during treatment
  • Serum creatinine clearance at least 30 mL/min
  • Serum phosphate and electrolytes within institutional normal limits or corrected before starting pemigatinib
  • Total serum bilirubin and liver enzymes (AST/ALT) less than or equal to 3 times upper limit of normal
  • Female participants of childbearing potential must use effective contraception during the study and for 6 months after last dose
  • Male participants with partners of childbearing potential must use contraception during the study and for 3 months after last dose and avoid sperm donation
Not Eligible

You will not qualify if you...

  • Diagnosis of acute promyelocytic leukemia (APL) or AML M3 subtype
  • AML with FLT3 mutations qualifying for standard treatment with midostaurin
  • Favorable risk AML based on genetic markers
  • Any cancer treatment within 2 weeks before planned induction except hydroxyurea or all-trans retinoic acid for suspected APL
  • Prior treatment with selective FGFR inhibitors
  • Known liver disease
  • History of calcium/phosphate imbalance with ectopic calcification except common soft tissue calcifications
  • Actively treated hypovitaminosis D with high doses
  • Untreated HIV, active hepatitis B or C infections
  • History of stroke or brain bleeding within 2 months
  • Unable or unwilling to receive blood product infusions
  • Inability to take oral medications
  • Gastrointestinal conditions that affect drug absorption
  • Known or current ectopic mineralization/calcification in certain organs
  • Other active cancers with expected survival less than 1 year
  • Active central nervous system involvement with AML
  • Clinically significant blood clotting disorders
  • Uncontrolled or significant heart disease
  • Abnormal ECG or low heart function
  • Active infection not controlled by treatment
  • Use of certain prohibited medications affecting drug metabolism
  • Allergy to pemigatinib or its ingredients
  • Current eye corneal disorders
  • Pregnancy or breastfeeding
  • Any condition that would make participation unsafe or noncompliant
  • Presence of FLT mutations

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

OHSU Knight Cancer Institute

Portland, Oregon, United States, 97239

Actively Recruiting

2

UT Southwestern/Simmons Cancer Center-Dallas

Dallas, Texas, United States, 75390

Actively Recruiting

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Research Team

O

OHSU Knight Cancer Institute Clinical Trials Information

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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