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FLT3+ AML Patients: Assessing the Evidence for New Targeted Treatments

FLT3+ AML Patients: Assessing the Evidence for New Targeted Treatments

Format

Expert Perspective

Time to Complete

45 minutes

Released

January 22, 2019

Expires

January 22, 2020
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Maximum Credits

0.75 / AMA PRA Category 1 CreditTM
0.70 / CNE Contact Hour
0.75 / CE for Pharmacists (0.075 CEU)

Accredited Provider

Co-provided by USF Health and Haymarket Medical Education

Commercial Supporter

Supported by an educational grant from Astellas Pharma US, Inc.

Program Description

For several decades, no new agents had been permanently approved for the treatment of acute myeloid leukemia (AML) in the frontline and relapsed/refractory (R/R) settings. In recent years, the identification and better understanding of specific genetic alterations associated with the development and progression of AML have led to the emergence of a new reformulation of a standard combination therapy and novel agents that target specific “driver” mutations in a given AML patient. In the last 2 years, 8 agents have been approved for treatment of patients with newly diagnosed and R/R AML: a liposomal formulation of cytarabine-daunorubicin (CPX-351); the CD33 inhibitor gemtuzumab ozogamicin; the B-cell lymphoma-2 (BCL-2) inhibitor venetoclax; the isocitrate dehydrogenase-1 (IDH-1) inhibitor ivosidenib; the IDH-2 inhibitor enasidenib; the smoothened receptor inhibitor glasdegib; and the FMS-like tyrosine kinase 3 (FLT3) inhibitors midostaurin and gilteritinib. In light of the approvals of midostaurin and gilteritinib for newly diagnosed and R/R AML, respectively, and of considerable interest in other FLT3 inhibitors in clinical development (eg, quizartinib and crenolanib), Dr. Eytan M. Stein of Memorial Sloan Kettering Cancer Center provides in-depth insight into the nature of FL3 inhibition and the clinical trials data that can provide guidance for therapeutic decision-making for patients with AML. These new treatment choices are likely to reshape the therapeutic landscape of AML.

Intended Audience

Hematologists-oncologists, nurse practitioners (NPs), physician assistants (PAs), oncology nurses, and advanced practitioners in oncology and specialty pharmacists (includes hospital pharmacists and pharmacy specialties such as associate directors, pharmacy directors, clinical coordinators, clinical pharmacist generalists, and clinical pharmacist specialists)

Educational Objectives

At the conclusion of this activity, participants should be better able to:


For Physicians, Nurse Practitioners, and Physician Assistants:

  • Describe the molecular pathways of FLT3, CD33, B-cell lymphoma-2 (BCL-2), and isocitrate dehydrogenase (IDH)-2 and the rationale behind targeted inhibition in acute myeloid leukemia (AML)
  • Recognize FLT3 mutation–positive (FLT3+) relapsed or refractory AML patients
  • Explain the efficacy and safety of new therapies for FLT3+ AML patients
  • Evaluate patient characteristics and preferences to develop personalized treatment plans for patients with AML to improve prognosis and outcomes

For Nurses:

  • Recognize FLT3+ relapsed or refractory AML
  • Explain the efficacy and safety of new therapies for FLT3+ AML patients
  • Counsel patients and caregivers regarding the efficacy and safety of FLT3-specific therapies throughout the course of their treatment plans

For Pharmacists:

  • Recognize FLT3+ relapsed or refractory AML
  • Explain the efficacy and safety of new therapies for FLT3+ AML patients
  • Describe the mechanisms of action of new therapies for FLT3+ patients
  • Counsel patients with FLT3+ AML regarding drug-drug interactions and contraindications for specific targeted therapies

Conflict Of Interest Disclosure Policy

USF Health adheres to ACCME, ANCC, and ACPE Standards regarding commercial support of continuing medical education. It is the policy of USF Health that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity and that relevant conflict(s) of interest are resolved.

Faculty

Eytan M. Stein, MD
Hematologic Oncologist
Memorial Sloan Kettering Cancer Center
New York, NY

Dr. Stein discloses that he is on the advisory boards of Agios Pharmaceuticals, Astellas Pharma US, Inc., Bayer, Celgene Corporation, Daiichi-Sankyo Company Ltd., Novartis Pharmaceuticals Corporation, Pfizer Inc., and Syros Pharmaceuticals Inc. He also receives grants/research support from Agios Pharmaceuticals, Bayer, Celgene Corporation, and Syros Pharmaceuticals Inc.

Accredited Provider Disclosures

The USF Health Office of Continuing Professional Development staff have nothing to disclose.

Planners’ and Managers’ Disclosures

Phyisican, nurse, and pharmacy planning committee members and content reviewers have nothing to disclose.

Publishing Staff Disclosures

Haymarket Medical Education staff involved in the planning of this activity have no relevant financial relationships to disclose.

Credit

0.75

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

USF Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

USF Health designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM  . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit

0.70

Type

CNE Contact Hour(s)

Accreditation Statement

USF Health is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

A maximum of 0.70 contact hour may be earned by learners who successfully complete this continuing nursing education activity.

Credit

0.75

Type

CE for Pharmacists

Accreditation Statement

USF Health is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This knowledge-based program has been approved for 0.75 contact hour (0.075 CEU). Universal Activity Number: 0230-9999-18-049-H01-P

Type: Knowledge-based

Designation Statement

USF Health designates this continuing education activity for 0.75 contact hour (0.075 CEU) of the Accreditation Council for Pharmacy Education.

Additional Credit Information

Physician Assistant Continuing Education
AAPA accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditTM   by ACCME-accredited providers. Physician Assistants who participate will receive a certificate of completion commensurate with the extent of their participation.

Nurse Practitioner Continuing Education
AANPCP accepts certificates of participation for educational activities approved for AMA PRA Category 1 CreditTM   by ACCME-accredited providers. APRNs who participate will receive a certificate of completion commensurate with the extent of their participation.

Disclosure of Unlabeled Use

This educational activity may contain discussion of approved and/or investigational uses of agents that are not indicated by the FDA. Astellas Pharma US, USF Health, and HME do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Astellas Pharma US, USF Health, or HME. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients’ conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

If you have any questions relating to the CME accreditation of this activity, please contact USF Health at 813-224-7860 or cpdsupport@health.usf.edu.

For information about CNE accreditation of this program, please contact USF Health at 813-224-7860 or cpdsupport@health.usf.edu.

For information about the ACPE accreditation of this program, please contact USF Health at 813-224-7860 or cpdsupport@health.usf.edu.

If you have any other questions relating to your certificate or other issues with the activity, please contact myCME.Support@haymarketmedical.com.

Instructions

To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

There are no prerequisites for this activity.

For Pharmacists:
It is the responsibility of the pharmacy participant to ensure the provider has the learner’s birthday and e-Profile ID (ePID)/NABP number; it is the responsibility of the provider to submit to CPE Monitor participant information within 60 days of the activity for all participants who have attended, attested to their participation, and provided their ePID/NABP number and birthdate.

ACPE indicates it is the responsibility of the pharmacy professional to confirm the status of their NABP contact hours before 60 days past the activity. If there are any discrepancies, contact the provider immediately. You may contact USF Health through cpdsupport@health.usf.edu.

Privacy Policy

USF is an Equal Opportunity / Affirmative Action / Equal Access Institution.

myCME privacy policy

SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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