Venetoclax Combined With Azactidine in the Treatment of ALAL

NCT ID: NCT05901974

Last Updated: 2025-12-16

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

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-01

Study Completion Date

2026-03-01

Brief Summary

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The prognosis of acute leukaemias of ambiguous lineage is poor. The effect of chemotherapy regimen and hematopoietic stem cell transplantation are still unclear. Therefore, we will explore new therapy to improve the remission rate of acute leukaemias of ambiguous lineage. Venetoclax can significantly improve the remission rate and prolong PFS and OS. At present, venetoclax combined with azacitidine or decitabine has become the preferred treatment regimen for elderly AML patients. It also shows a high response rate in relapsed/refractory AML or MDS patients. There are few clinical studies on the treatment of ALAL. The purpose of this study is to explore the efficacy and safety of venetoclax combined with azacitidine in the treatment of newly diagnosed ALAL patients.

Detailed Description

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Conditions

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Acute Leukemia of Ambiguous Lineage

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Venetoclax Combined With azactidine in the Treatment of Acute Leukaemias of Ambiguous Lineage

Venetoclax combined with azacitidine regimen. Venetoclax orally once daily (100 mg d1, 200 mg d2, 400 mg d3-28); azacitidine 75 mg/m2 subcutaneously once daily on days 1-7 .

Group Type EXPERIMENTAL

Venetoclax

Intervention Type DRUG

Venetoclax orally once daily (100 mg d1, 200 mg d2, 400 mg d3-28);

azactidine

Intervention Type DRUG

azacitidine 75 mg/m2 subcutaneously once daily on days 1-7

Interventions

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Venetoclax

Venetoclax orally once daily (100 mg d1, 200 mg d2, 400 mg d3-28);

Intervention Type DRUG

azactidine

azacitidine 75 mg/m2 subcutaneously once daily on days 1-7

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients aged ≥ 15 years.
2. Patients diagnosed with ALAL according to 5th edition of WHO Acute Leukaemias of Ambiguous Lineage diagnosis standard.
3. New diagnosed patients.
4. ECOG performance status score less than 3.
5. Expected survival time ≥3 months.
6. Patients without serious heart, lung, liver, or kidney disease.
7. Ability to understand and voluntarily provide informed consent.

Exclusion Criteria

1. Patients who are allergic to the study drug or drugs with similar chemical structures.
2. Pregnant or lactating women, and women of childbearing age who do not want to practice effective methods of contraception.
3. Active infection.
4. Active bleeding.
5. Patients with new thrombosis, embolism, cerebral hemorrhage, or other diseases or a medical history within one year before enrollment.
6. Patients with mental disorders or other conditions whereby informed consent cannot be obtained and where the requirements of the study treatment and procedures cannot be met.
7. Liver function abnormalities (total bilirubin \> 1.5 times the upper limit of the normal range, ALT/AST \> 2.5 times the upper limit of the normal range or patients with liver involvement whose ALT/AST \> 1.5 times the upper limit of the normal range), or renal anomalies (serum creatinine \> 1.5 times the upper limit of the normal value).
8. Patients with a history of clinically significant QTc interval prolongation (male \> 450 ms; female \> 470 ms), ventricular heart tachycardia and atrial fibrillation, II-degree heart block, myocardial infarction attack within one year before enrollment, and congestive heart failure, and patients with coronary heart disease who have clinical symptoms and requiring drug treatment.
9. Surgery on the main organs within the past six weeks.
10. Drug abuse or long-term alcohol abuse that would affect the evaluation results.
11. Patients who have received organ transplants (excepting bone marrow transplantation).
12. Patients not suitable for the study according to the investigator's assessment.
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jining Medical University

OTHER

Sponsor Role collaborator

The Second People's Hospital of Huai'an

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Bengbu Medical University

OTHER

Sponsor Role collaborator

Affiliated Hospital of Nantong University

OTHER

Sponsor Role collaborator

Suzhou Hospital of Traditional Chinese Medicine

OTHER

Sponsor Role collaborator

Northern Jiangsu People's Hospital

OTHER

Sponsor Role collaborator

Pingdingshan first people's Hospital

UNKNOWN

Sponsor Role collaborator

The Second Affiliated Hospital of Wannan Medical College

UNKNOWN

Sponsor Role collaborator

Canglang Hospital of Suzhou

UNKNOWN

Sponsor Role collaborator

Sheng-Li Xue, MD

OTHER

Sponsor Role lead

Responsible Party

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Sheng-Li Xue, MD

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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The First Affliated Hospital of Soochow University

Suzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Sheng-Li Xue, MD

Role: CONTACT

0086-0512-67781139

Facility Contacts

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Sheng-Li Xue

Role: primary

Other Identifiers

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SZALAL01

Identifier Type: -

Identifier Source: org_study_id