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RecruitingLast updated: 22 June 2026

QuANTUM-WILD: This study is recruiting people with newly diagnosed acute myeloid leukaemia to compare the effects of targeted therapy versus placebo when given in combination with chemotherapyPhase 3, Double-Blind, Randomized, Placebo-Controlled Trial Of Quizartinib Administered in Combination With Induction and Consolidation Chemotherapy and Administered as Maintenance Therapy in Adult Patients With Newly Diagnosed FLT3-ITD Negative Acute Myeloid Leukemia

Trial purpose

Medical clipboardCancer treatment

Tumor type

Blood Cancers Haematological

Age

People18 - 70

Trial acronym

QuANTUM-WILD

Clinical summary

Summary

You may be eligible for this study if you have newly diagnosed FMS-like tyrosine 3 (FLT3)-internal tandem duplication (ITD) negative acute myeloid leukaemia.

The trial is comparing the effect of a targeted drug called quizartinib versus placebo which will be given with standard induction and consolidation chemotherapy (cytarabine and daunorubicin or idarubicin), then administered as maintenance therapy for up to 36 cycles. Treatment cycles are 28-days.

Eligible participants will be randomly allocated to one of three treatment arms.

In Arm A (Experimental), participants will receive quizartinib + chemotherapy. Quizartinib will be given orally once daily for 14 days starting after the completion of chemotherapy in Induction and Consolidation Phase. In the Maintenance Phase, participants will receive quizartinib orally once daily for up to 36 cycles.

In Arm B (Placebo Comparator), participants will receive a placebo + chemotherapy. Placebo will be given orally once daily for 14 days starting after the completion of chemotherapy in Induction and Consolidation Phase. In the Maintenance Phase, participants will receive placebo orally once daily for up to 36 cycles.

In Arm C (Experimental), participants will receive quizartinib + chemotherapy then placebo maintence. Quizartinib will be given orally once daily for 14 days after the completion of chemotherapy in Induction and Consolidation Phase. In the Maintenence Phase, participants will receive placebo orally once daily for up to 36 cycles.

Conditions

This trial is treating people with newly diagnosed acute myeloid leukaemia

Eligibility

Inclusion

  1. Must be competent and able to comprehend, sign, and date an Ethics Committee (EC)- or Institutional Review Board (IRB)-approved ICF before performance of any trial-specific procedures or tests.
  2. ≥18 years or the minimum legal adult age (whichever is greater) and ≤70 years (at Screening).
  3. Newly diagnosed, morphologically documented primary AML based on the World Health Organization (WHO) 2016 classification (at Screening)
  4. Eastern Cooperative Oncology Group (ECOG) performance status (at the time the participant signs their ICF) of 0-2.
  5. Participant is a candidate for standard "7+3" induction chemotherapy regimen as specified in the protocol per investigator assessment

Exclusion

  1. Diagnosis of acute promyelocytic leukemia (APL), French-American-British classification M3 or WHO classification of APL with translocation, t(15;17)(q22;q12), or BCR-ABL positive leukemia (ie, chronic myelogenous leukemia in blast crisis); participants who undergo diagnostic workup for APL and treatment with all-trans retinoic acid (ATRA), but who are found not to have APL, are eligible (treatment with ATRA must be discontinued before starting induction chemotherapy).
  2. Diagnosis of AML secondary to prior chemotherapy or radiotherapy.
  3. Diagnosis of AML with known antecedent myelodysplastic syndrome (MDS) or a myeloproliferative neoplasm (MPN) or MDS/MPNs including chronic myelomonocytic leukemia (CMML), atypical chronic myeloid leukemia (aCML), juvenile myelomonocytic leukemia (JMML) and others.
  4. Participants with newly diagnosed AML with FLT3-ITD mutations (FLT3-ITD [+]) present at ≥5% VAF (or ≥0.05 SR) based on a validated FLT3 mutation assay.
  5. Prior treatment for AML, except for the following allowances prior to Day 1 of chemotherapy:

    1. Leukapheresis;
    2. Treatment for hyperleukocytosis with hydroxyurea;
    3. Cranial radiotherapy for central nervous system (CNS) leukostasis;
    4. Prophylactic intrathecal chemotherapy

Inclusion

  • You have been diagnosed with cancer, but have not received any treatment.
  • You are able to swallow medication by mouth.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

Recruiting hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov, EU Clinical Trials Register *. View further details about this trial on the registry via the links below:

Trial sponsor

Daiichi Sankyo

Scientific Title

Phase 3, Double-Blind, Randomized, Placebo-Controlled Trial Of Quizartinib Administered in Combination With Induction and Consolidation Chemotherapy and Administered as Maintenance Therapy in Adult Patients With Newly Diagnosed FLT3-ITD Negative Acute Myeloid Leukemia

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