AZA + Venetoclax as Maintenance Therapy in Younger Adults With AML in First Remission

NCT ID: NCT05404906

Last Updated: 2022-08-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-25

Study Completion Date

2030-06-30

Brief Summary

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This phase III trial is conducted to evaluate if azacitidine in combination with venetoclax as maintenance therapy improves relapse-free survival (RFS) for younger adults with favorable-risk acute myeloid leukemia (AML) who remained in first complete remission (CR1) following intensive consolidation.

Detailed Description

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Conditions

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Acute Myeloid Leukemia (AML) in Remission

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment (azacytidine+venetoclax)

Participants will receive azacytidine QD, on Days 1-5 and venetoclax QD, on Days 1-14 of each 28-day cycle for 8 cycles.

Group Type EXPERIMENTAL

Azacitidine

Intervention Type DRUG

Given SC

Venetoclax

Intervention Type DRUG

Given PO

Supportive care

Intervention Type OTHER

Patients will receive disease monitoring and supportive care for any complication.

Comparator ( best supportive care)

Participants will receive observation and supportive care during remission.

Group Type EXPERIMENTAL

Supportive care

Intervention Type OTHER

Patients will receive disease monitoring and supportive care for any complication.

Interventions

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Azacitidine

Given SC

Intervention Type DRUG

Venetoclax

Given PO

Intervention Type DRUG

Supportive care

Patients will receive disease monitoring and supportive care for any complication.

Intervention Type OTHER

Other Intervention Names

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5-Azacytidine ABT-199 GDC-0199 Venclexta

Eligibility Criteria

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Inclusion Criteria

1. Diagnosis of favorable-risk acute myeloid leukemia (AML) according to revised 2017 European LeukemiaNet genetic risk stratification and are not immediate candidates for allogeneic stem cell transplant.
2. Aged 18-64 years.
3. Patients who have received remission induction therapy and 3-4 HiDAC or medium-dose cytarabine-based consolidation and are in their first remission.
4. ECOG performance status of \< or = 3.
5. Adequate organ function as follows:

1. Serum total bilirubin \< or = to 3 X the Upper Limit of Normal (ULN)
2. Aspartate Transaminase and alanine transaminase \< or = to 3 x ULN
3. Ccr(Creatinine Clearance Rate) \> or =60 ml/min
4. Left ventricular ejection fraction \> or =50% determined by ultrasound.
6. For females of childbearing age, they should have a negative serum or urine pregnancy test within 10 to 14 days of enrolling.
7. For males of childbearing age, they should take effective contraceptive methods throughout the treatment period and up to 30 days after discontinuing treatment.
8. Ability to understand and sign informed consent.

Exclusion Criteria

1. Acute promyeloid leukemia.
2. Patients with active central nervous system (CNS) leukemia.
3. Previously diagnosed with myelodysplastic syndrome (MDS) or myeloproliferative neoplasm(MPN) and progressed to AML.
4. Patients with other progressive malignancies.
5. Evidence of other clinically significant uncontrolled condition(s) including, but not limited to uncontrolled and/or active systemic infection (viral, bacterial or fungal).
6. Patients who have participated in other trials within 30 days before signing the informed consent.
7. Females who are pregnant or lactating or intending to become pregnant during the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role lead

Responsible Party

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Chen Suning

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Suning Chen

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital of Soochow University

Locations

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First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology

Suzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Suning Chen

Role: CONTACT

+86-13814881746

Facility Contacts

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Suning Chen, PhD

Role: primary

+8613814881746

Suning Chen, Professor

Role: primary

13814881746

Other Identifiers

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SZ-AML124

Identifier Type: -

Identifier Source: org_study_id

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