Taking people in ChinaPhase 3

Gilteritinib versus sorafenib after stem cell transplant in FLT3-ITD acute myeloid leukemia

Compares gilteritinib with sorafenib as maintenance after transplant in FLT3-ITD acute myeloid leukemia.

Plain-language title generated from the registry record
Registry title: MRD-guided Maintenance Post-HCT: Gilteritini vs Sorafenib

Key facts

Where: Shanghai and Suzhou, ChinaSee the 2 sites
Phase: Phase 3

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for people aged 14 to 70 with acute myeloid leukemia (AML) and a FLT3-ITD mutation who have had an allogeneic stem cell transplant. It compares two maintenance drugs, gilteritinib and sorafenib, after the transplant.

Age: 14 to 70 years (both ages included)
Sex: Men and women can both join.
Disease stage: AML with a FLT3-ITD mutation. Complete remission before the transplant, with FLT3-ITD MRD positive within 30 days before the transplant. After the transplant, blood counts have recovered and donor cells are fully in place (complete donor chimerism). ECOG score 0-2.
Earlier treatment: Must have had an allogeneic hematopoietic stem cell transplant (any donor or graft source). Maintenance treatment starts 60 to 90 days after the transplant. No active acute GVHD needing daily prednisone above 0.5 mg/kg.
Biomarker or test result: FLT3-ITD mutation. FLT3-ITD MRD positive by PCR-NGS (transcript level ≥ 10-6) within 30 days before the transplant. FLT3-ITD MRD must be negative before maintenance therapy starts.

Main reasons for not taking part

Allergy to gilteritinib, sorafenib or any component of the study drugs
FLT3-ITD MRD positive before maintenance therapy
Severe organ failure after the transplant
Positive for HIV antibody, active hepatitis B or C, or a positive syphilis test
Taking part in another clinical trial within the last month

Read by machine on 9 November 2026.

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

Are you between 14 and 70 years old?

Source: NCT07463651, who can take part

Where in China

Ruijin Hospital Shanghai Jiaotong University School of MedicineShanghai, ChinaTaking people
the First Affiliated Hosptital of Soochow UniversitySuzhou, ChinaTaking people

Questions to ask the study team

How often do I need to come in, and for how long each time?
Are travel costs paid?
Can I keep my own doctor?
What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Trial details

Who runs it: The First Affiliated Hospital of Soochow University
Trial code: NCT07463651
Record updated: 20 March 2026
Original description: The study population consisted of FLT3-ITD-mutated AML patients who were FLT3-ITD-positive before allogeneic hematopoietic stem cell transplantation. This open-label, randomized, controlled trial enrolled participants and randomly assigned them in a 1:1 ratio to either the experimental group or the control group. The experimental group received maintenance therapy with gilteritinib, while the control group received maintenance therapy with sorafenib, with 297 cases in each group, totaling 594 enrolled subjects.Read full original descriptionShow less
Post-transplant Optimization Based on Ultra-high Sensitivity MRD Detection: A Prospective, Randomized Controlled Study Comparing Gilteritinib Versus Sorafenib as Post-transplant Maintenance Therapy in FLT3-ITD Mutation-positive Acute Myeloid Leukemia Patients
The study population consisted of FLT3-ITD-mutated AML patients who were FLT3-ITD-positive before allogeneic hematopoietic stem cell transplantation. This open-label, randomized, controlled trial enrolled participants and randomly assigned them in a 1:1 ratio to either the experimental group or the control group. The experimental group received maintenance therapy with gilteritinib, while the control group received maintenance therapy with sorafenib, with 297 cases in each group, totaling 594 enrolled subjects.
All patients' minimal residual disease (MRD) testing was sent to the designated central laboratory and uniformly performed using the PCR-NGS method to ensure consistency and comparability of the test results.
Study Visits: This study includes a screening period (within 30 days prior to HCT) and a 2-year treatment phase, with efficacy and safety follow-up until death, withdrawal of informed consent, or 2 years after the first administration of treatment, whichever occurs first.
Inclusion: Informed consent and willingness to participate in this clinical study; Gender is not limited, age range is 14-70 years old (including threshold); ECOG score 0-2 points; Diagnosed with AML through bone marrow morphology, immunology, cytogenetics, and molecular biology (MICM) typing, and confirmed to have FLT3-ITD mutation; Successfully accepted allo HSCT, with no restrictions on the pre-treatment protocol, allowing any donor source [fully matched cell, unrelated donor (URD), incompatible unrelated donor, haploidentical relative donor or umbilical cord blood], allowing any graft source [umbilical cord blood, bone marrow (BM), peripheral blood (PB)]; ⑥ Patients with complete morphological remission (CR) prior to allo HSCT, and FLT3-ITD MRD positivity detected by PCR-NGS within 30 days prior to allo HSCT (defined as FLT3-ITD transcript level ≥ 10 - 6); ⑦ After transplantation: hematopoietic function implantation (ANC ≥ 500/μ L, platelet count ≥ 20000/μ L and not dependent on infusion), oral administration of investigational drugs, exclusion of overlap syndrome, complete donor chimerism (FDC) status, no activity requiring daily prednisone dose>0.5 mg/kg, acute GVHD; ⑧ Clinical laboratory tests meet the following criteria: a. Serum creatinine ≤ 2.0 times the upper limit of normal value; b. Total bilirubin ≤ 2.5 mg/dL (excluding Gilbert syndrome patients); c. Serum AST and/or ALT<3 times the upper limit of normal values; ⑨ Maintenance treatment should be started 60 to 90 days after transplantation; ⑩ Female participants must meet the following criteria: have undergone menopause (at least 1 year without menstruation) or surgical sterilization (at least 1 month ago) before screening for infertility; Or have the ability to conceive but agree not to plan pregnancy during the study period and within 6 months after the last dose; Conduct pregnancy tests during the screening period; If there is heterosexual behavior, agree to continue using local standard high-efficiency contraceptive measures plus barrier method from the beginning of screening to 6 months after the last administration; Agree not to breastfeed or donate eggs during the study period and for 6 months after the last administration Male participants must meet the following requirements: male participants (even if sterilized) and their reproductive partners must use efficient contraception plus barrier method during the study period and within 127 days after the last dose; Male participants are not allowed to donate sperm during the study period and for 127 days after the last dose.
Exclusion: Allergies to Girotinib or Sorafenib, as well as any components of the therapeutic drugs used during the study period; Any serious comorbidities that make patients unsuitable for participation in this study or may affect protocol compliance; FLT3-ITD molecular MRD positivity before maintenance therapy; Severe organ dysfunction such as organ failure occurs after allogeneic hematopoietic stem cell transplantation; Subjects who are positive for hepatitis B B surface antigen (HBsAg) and whose hepatitis B virus (HBV) DNA titer is higher than the upper limit of the normal value range of the research center, and who are judged by the researchers not suitable for this study; Individuals with positive hepatitis C virus (HCV) antibodies and positive peripheral blood HCV RNA; Individuals who are HIV antibody positive; Positive syphilis test results; ⑥ There is evidence within the first 6 months of enrollment that the patient has other diseases or physiological conditions that may interfere with the evaluation results of this trial, or complications that seriously endanger life, including but not limited to uncontrolled infections, pulmonary arterial hypertension, severe heart failure (NYHA grades III and IV), unstable angina or acute myocardial infarction, poorly controlled refractory hypertension (based on hospitalization medical records diagnosis), etc; ⑦ Individuals with mental or neurological disorders who are unable to express their wishes correctly; ⑧ Individuals who have had active malignant solid tumors within the past 5 years prior to participating in this study, except for cervical cancer, localized prostate cancer in situ, and non melanoma skin cancer that have been cured; ⑨ Have participated in or are currently participating in other clinical trials within one month prior to enrollment; ⑩ Researchers have determined that individuals are not suitable to participate in this clinical trial.
ClinicalTrials.gov NCT07463651