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Gemtuzumab ozogamicine - Cytarabine - Gilteritinib

Phase 2

AML | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Jan 5, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDBiomarker
Total Trials1
Total Enrollment19
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05199051A Phase 2 Study of Gemtuzumab Ozogamicin (GO)-Gilteritinib Combination in Adults With FLT3-ITD and/or FLT3-TKD Relapse/Refractory (R/R) AMLPHASE2 ACTIVE NOT_RECRUITING 19Jun 3, 2023Jul 10, 2028Jan 5, 202612 France
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Study Endpoints
Primary Endpoints
Stage 1 - Safety of the addition of gilteritinib to the AGORA treatment platform
18 months

The primary objective of the first stage is to evaluate the safety of combining gilteritinib with the Gemtuzumab Ozogamicin (GO) -cytarabine AGORA platform in patients with FLT3-ITD and/or FLT3-TKD mutated Relapse/Refractory (R/R) Acute Myeloïd Leukemia (AML), through occurrence of dose-limiting toxicity (DLT).

Stage 2 - Event-free survival (EFS)
60 months

The primary objective of the second extension stage is to evaluate the efficacy of combining gilteritinib with the Gemtuzumab Ozogamicin (GO)-cytarabine AGORA platform in patients with FLT3-ITD and/or FLT3-TKD mutated Relapse/Refractory (R/R) Acute Myeloïd Leukemia (AML) through event-free survival (EFS).

Secondary Endpoints
Response rates to the study treatment
60 months
Early mortality rates, at day-30
30 months
Incidence of subsequent allogeneic Hematopoietic Stem Cell Transplantation (HSCT) overall.
60 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Gemtuzumab ozogamicine - Cytarabine - GilteritinibEXPERIMENTALFor Gemtuzumab ozogamicine administrated during the induction phase at D1, D4 and D7, 3mg/m2/day (5mg max), IV, 2h of infusion. For Cytarabine during induction and consolidation phase at D1 to D5, 1000 mg/m2, IV, 2h of infusion. For Gilteritinib during induction phase from D10 for 14 consecutive days, per os, two doses level study with dose level 1 (80mg/d) in part 1 or dose level 2 (80 or 120mg/d depending of the result of part 1) in part 2. During consolidation (2 cycles max) from D8 for 14 consecutive days, per os, 120mg/d or reduced dose of 80 mg/kg is planned to be used in patients receiving concomitantly CYP3A4 inhibitors. During the maintenance (24 months max) dose level 2 (120mg/d), per os.
Interventions
NameTypeDescription
Gemtuzumab ozogamicine - Cytarabine - GilteritinibCOMBINATION_PRODUCTSee Arms description paragraph
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * Patients aged 18 years old or more * Confirmed diagnosis of R/R AML positive for CD33 antigen as determined locally by immunophenotyping according to routine practice, defined as: * AML refractory to 1 or 2 intensive chemotherapy courses or a treatment by hypomethylating ag...

Countries:France
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05199051primaryCompletionDate: changed
LOWMay 24, 2026NCT05199051studyFirstPostDate: changed