A Safety and Tolerability Study of Crenolanib in Combination With Chemotherapy in Newly Diagnosed Acute Myeloid Leukemia Patients With FLT3 Mutations

Inclusion Criteria

• •1. Unequivocal diagnosis of AML based on the WHO classification, excluding acute promyelocytic leukemia
• •2. No prior therapy for AML, except for hydroxyurea, in this setting is allowed.
• •3. Subjects with AML evolving from MDS may have received prior MDS therapy with demethylating agents
• •4. Subjects must have tested positive for FLT3-ITD and/or other FLT3 activating mutations
• •5. Age ≥18 years
• •6. ECOG PS 0 - 2
• •7. Adequate liver function, defined as normal total bilirubin, ALT ≤2.0x ULN, and AST ≤2.0x ULN measured within 24 hours prior to crenolanib commencement
• •8. Adequate renal function, defined as serum creatinine ≤1.5x ULN or GFR \>50 mL/min
• •9. Negative pregnancy test (serum or urine) for women of childbearing potential (WOCBP)
• •• Women considered not of childbearing potential include any of the following: no menses for at least 2 years or menses within 2 years but amenorrheic for at least 2 months and luteinizing hormone (LH) and follicular stimulating hormone (FSH) values within normal range (according to definition of postmenopausal for laboratory used) or bilateral oophorectomy or radiation castration and amenorrheic for at least 3 months or with bilateral tubal ligation
• •10. WOCBP must practice contraception. Acceptable methods of contraception are double barrier methods (condoms with spermicidal jelly or foam and diaphragm with spermicidal jelly or foam), oral, depo provera, or injectable contraceptives, intrauterine devices, tubal ligations, and abstention
• •11. Male patients (except those with prior surgical contraceptive procedures) with female partners who are of childbearing potential: Recommendation is for male and partner to use effective contraceptive methods, such as latex condoms, during the study
• •12. Able and willing to provide written informed consent