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clinical / clinicalRATIFY midostaurin PI, FLT3 inhibitors, AML front-line trial design

Richard M. Stone

理查德·斯通

MD

🏢Dana-Farber Cancer Institute / Harvard Medical School(丹娜-法伯癌症研究所 / 哈佛医学院)🌐USA

Chief, Adult Leukemia Program, Dana-Farber Cancer Institute; Professor of Medicine, Harvard Medical School丹娜-法伯癌症研究所成人白血病项目主任;哈佛医学院医学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Richard M. Stone, MD is Chief of the Adult Leukemia Program at Dana-Farber Cancer Institute and Professor of Medicine at Harvard Medical School, where he has led one of the most productive AML clinical research programs in the United States for more than three decades. He is most prominently known as the overall Principal Investigator of the phase III RATIFY trial (NEJM 2017), the definitive study demonstrating that midostaurin combined with standard 7+3 induction and consolidation chemotherapy significantly improved overall survival in FLT3-mutated AML (HR 0.78; 4-year OS 51.4% vs. 44.3%), leading to the first FDA approval of a kinase inhibitor in AML front-line therapy. Dr. Stone has been a central figure in the clinical development of all generations of FLT3 inhibitors, including early trials of sorafenib, midostaurin, and quizartinib, as well as the more selective gilteritinib. He has led or co-led major cooperative group trials through ECOG-ACRIN, ALLIANCE, and the Blood and Marrow Transplant Clinical Trials Network (BMT CTN), including studies of post-transplant maintenance in FLT3-AML. Dr. Stone is the former Chair of the ECOG Leukemia Committee and has authored over 400 peer-reviewed publications. He is a frequent invited speaker at ASH and ASCO and has trained many of the leading leukemia physicians practicing in the United States today.

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🧪Research Fields 研究领域

RATIFY Trial — Midostaurin plus Chemotherapy in FLT3-Mutated AML (Principal Investigator)RATIFY试验——米哚妥林联合化疗在FLT3突变AML中的应用(首席研究员)
FLT3 Inhibitor Development — Midostaurin, Quizartinib, Gilteritinib in AMLFLT3抑制剂开发——米哚妥林、奎扎替尼、吉瑞替尼在AML中的应用
AML Front-Line Treatment Strategies and Induction OptimizationAML一线治疗策略与诱导优化
Post-Remission Consolidation in AML — HSCT Decisions and Novel MaintenanceAML缓解后巩固治疗——造血干细胞移植决策与新型维持治疗
Midostaurin Maintenance After Allogeneic Transplant in FLT3-AMLFLT3-AML异基因移植后米哚妥林维持治疗

🎓Key Contributions 主要贡献

RATIFY Trial — Overall Principal Investigator, Midostaurin in FLT3-AML

Served as overall Principal Investigator of the international phase III RATIFY trial (NEJM 2017), the definitive study of 717 patients demonstrating that midostaurin added to 7+3 induction plus consolidation chemotherapy improved overall survival (HR 0.78; p=0.009) and event-free survival in FLT3-mutated AML. RATIFY led to FDA and EMA approval of midostaurin in April 2017 as the first targeted therapy for AML in the front-line setting and established FLT3 as a validated therapeutic target, catalyzing the development of all subsequent FLT3 inhibitor trials.

FLT3 Inhibitor Development — Early Clinical Leadership

Conducted and led early-phase clinical trials of successive FLT3 inhibitors at Dana-Farber, including sorafenib, midostaurin (early phase I/II), and quizartinib, characterizing their pharmacokinetics, target engagement, response rates, resistance mechanisms, and toxicity profiles. This body of clinical work provided the evidence base for regulatory development and informed the design of the next generation of FLT3 inhibitor trials.

Post-Transplant Midostaurin Maintenance in FLT3-AML

Led investigations into the role of FLT3 inhibitor maintenance after allogeneic stem cell transplantation in FLT3-mutated AML, including co-leading the BMT CTN 1506 / MORPHO trial of gilteritinib maintenance post-transplant, examining whether molecular MRD-directed maintenance with FLT3 inhibitors can reduce relapse risk and improve survival following transplant consolidation.

ECOG Leukemia Committee Leadership and Cooperative Group Trial Design

Served as Chair of the ECOG-ACRIN Leukemia Committee for multiple years, overseeing the design and conduct of cooperative group AML trials that enrolled thousands of patients nationally, ensuring rigorous translational substudies, biobanking, and molecular correlative analyses to advance the scientific understanding of AML biology alongside clinical outcomes.

Representative Works 代表性著作

[1]

Midostaurin plus Chemotherapy for Acute Myeloid Leukemia with a FLT3 Mutation (RATIFY)

New England Journal of Medicine (2017)

Phase III RATIFY trial as overall PI demonstrating midostaurin significantly improved OS in FLT3-mutated AML and leading to the first kinase inhibitor FDA approval in AML front-line therapy.

[2]

Quizartinib versus salvage chemotherapy in relapsed or refractory FLT3-ITD+ AML (QuANTUM-R)

Lancet Oncology (2019)

Phase III QuANTUM-R trial showing quizartinib improved OS versus salvage chemotherapy in relapsed/refractory FLT3-ITD AML, contributing to regulatory approvals in Japan and the US.

[3]

Acute myeloid leukemia

New England Journal of Medicine (1993)

Early authoritative NEJM review of AML biology and treatment that shaped a generation of hematologists' approach to this disease.

[4]

Phase IIb randomized, placebo-controlled study of midostaurin with induction and consolidation in FLT3-mutated AML

Journal of Clinical Oncology (2015)

Phase IIb bridging study that established the efficacy signal and dose of midostaurin that supported the RATIFY phase III trial design.

🏆Awards & Recognition 奖项与荣誉

🏆ECOG-ACRIN Leukemia Committee Chair
🏆Dana-Farber Cancer Institute Adult Leukemia Program Chief
🏆ASH Scientific Program Committee Member
🏆NCCN AML Guidelines Panel Member
🏆American College of Physicians Mastership

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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