FLT3

7 EU-approved indications of 3 drugs need a FLT3 result, in 1 tumour type, most of them in acute myeloid leukaemia.

Approved indications7

DrugBiomarker requirementRegimenSettingConditions
Acute myeloid leukaemia7
+ standard daunorubicin and cytarabine
Induction
Then maintenance monotherapy
Vanflyta
FLT3-ITD
+ standard cytarabine and anthracycline induction chemotherapy
Induction
Then maintenance monotherapy
Monotherapy
Maint.
After standard daunorubicin and cytarabine induction and high-dose cytarabine consolidation chemotherapy; Complete response
Vanflyta
FLT3-ITD
Monotherapy
Maint.
After quizartinib + standard cytarabine and anthracycline induction and standard cytarabine consolidation chemotherapy without progression
+ high-dose cytarabine
Consol.
After standard daunorubicin and cytarabine induction chemotherapy
Vanflyta
FLT3-ITD
+ standard cytarabine consolidation chemotherapy
Consol.
After quizartinib + standard cytarabine and anthracycline induction chemotherapy
Monotherapy
2L
Relapsed or refractory

FLT3 by tumour

Label wording7

The sentence from section 4.1 of the SmPC that each indication above comes from.

  1. Quizartinib (Vanflyta)
    VANFLYTA is indicated in combination with standard cytarabine and anthracycline induction and standard cytarabine consolidation chemotherapy, followed by VANFLYTA single-agent maintenance therapy for adult patients with newly diagnosed acute myeloid leukaemia (AML) that is FLT3-ITD positive.
  2. Quizartinib (Vanflyta)
    VANFLYTA is indicated in combination with standard cytarabine and anthracycline induction and standard cytarabine consolidation chemotherapy, followed by VANFLYTA single-agent maintenance therapy for adult patients with newly diagnosed acute myeloid leukaemia (AML) that is FLT3-ITD positive.
  3. Quizartinib (Vanflyta)
    VANFLYTA is indicated in combination with standard cytarabine and anthracycline induction and standard cytarabine consolidation chemotherapy, followed by VANFLYTA single-agent maintenance therapy for adult patients with newly diagnosed acute myeloid leukaemia (AML) that is FLT3-ITD positive.
  4. Gilteritinib (Xospata)
    Xospata is indicated as monotherapy for the treatment of adult patients who have relapsed or refractory acute myeloid leukaemia (AML) with a FLT3 mutation (see sections 4.2 and 5.1).
  5. Midostaurin (Rydapt)
    in combination with standard daunorubicin and cytarabine induction and high-dose cytarabine consolidation chemotherapy, and for patients in complete response followed by Rydapt single agent maintenance therapy, for adult patients with newly diagnosed acute myeloid leukaemia (AML) who are FLT3 mutation-positive (see section 4.2);
  6. Midostaurin (Rydapt)
    in combination with standard daunorubicin and cytarabine induction and high-dose cytarabine consolidation chemotherapy, and for patients in complete response followed by Rydapt single agent maintenance therapy, for adult patients with newly diagnosed acute myeloid leukaemia (AML) who are FLT3 mutation-positive (see section 4.2);
  7. Midostaurin (Rydapt)
    in combination with standard daunorubicin and cytarabine induction and high-dose cytarabine consolidation chemotherapy, and for patients in complete response followed by Rydapt single agent maintenance therapy, for adult patients with newly diagnosed acute myeloid leukaemia (AML) who are FLT3 mutation-positive (see section 4.2);