A Pivotal Study of APG-2575 (Lisaftoclax) Combined With Azacitidine in the Treatment of Acute Myeloid Leukemia

NCT ID: NCT06389292

Last Updated: 2025-11-25

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

PHASE3

Total Enrollment

486 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-11

Study Completion Date

2029-03-26

Brief Summary

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A global, multicenter, randomized, double-blind, placebo-controlled, phase III pivotal registration study, to evaluate the efficacy of APG-2575 (Lisaftoclax) combined with azacitidine (AZA) versus placebo combined with azacitidine in newly diagnosed acute myeloid leukemia who are not eligible for standard induction chemotherapy.

Detailed Description

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The newly diagnosed acute myeloid leukemia, who are not eligible for standard induction chemotherapy, will be randomized to the investigational group 'Lisaftoclax (APG-2575) + AZA' or the control group 'placebo+ AZA'.

Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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APG-2575 (Lisaftoclax) combined with Azacitidine

Group Type EXPERIMENTAL

APG-2575(Lisaftoclax )

Intervention Type DRUG

QD, oral administration, every 28 days for a dosing cycle.

Azacitidine Injection

Intervention Type DRUG

QD, subcutaneous or intravenous injection, D1-7 in 28-day cycle.

Placebo combined with Azacitidine

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type OTHER

QD, oral administration, every 28 days for a dosing cycle.

Azacitidine Injection

Intervention Type DRUG

QD, subcutaneous or intravenous injection, D1-7 in 28-day cycle.

Interventions

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APG-2575(Lisaftoclax )

QD, oral administration, every 28 days for a dosing cycle.

Intervention Type DRUG

Placebo

QD, oral administration, every 28 days for a dosing cycle.

Intervention Type OTHER

Azacitidine Injection

QD, subcutaneous or intravenous injection, D1-7 in 28-day cycle.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients must have newly diagnosed AML that meets the criteria for acute myeloid leukemia (AML) and ineligible for standard chemotherapy.
2. Life expectancy of ≥3 months.
3. Be able to accept oral administration.
4. Patients aged ≥70 years with ECOG score of 0-2, or those aged≥18 years and \<70 years with ECOG score of 0-3.
5. Adequate kidney function.
6. White blood cell ≤ 30×10\^9/L.
7. Adequate liver function.
8. Men, women with childbearing potential, and their partners voluntarily use contraception that researchers consider effective.
9. Be able to understand and voluntarily sign written informed consent.
10. Patients must be willing and able to complete study procedures and follow-up examinations.

Exclusion Criteria

1. The patient was diagnosed with acute promyelocytic leukemia or AML BCR-ABL1 positive.
2. Active leukemic infiltration of the central nervous system.
3. Active infection that is uncontrolled and requires systemic treatment.
4. Use of strong inducers of CYP3A4 within 7 days prior to the first dose of the investigational drug, and/or use of moderate to strong inhibitors of CYP3A4 within 7 days or 3-5 half-lives (whichever is longer) prior to the first dose of the investigational drug.
5. Previous treatment for hematologic disorders.
6. Patients who has a cardiovascular disability status of New York Heart Association Class \> 2.
7. Patients have malabsorption syndrome or other conditions that cannot be administered through the gastrointestinal tract or affect drug absorption.
8. Patients had a history of other malignancies prior to study initiation.
9. Any other circumstances or conditions, at the discretion of the investigator, make the patient unsuitable to participate in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ascentage Pharma Group Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jianxiang Wang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Hematology Hospital of the Chinese Academy of Medical Sciences

Jie Jin, M.D.

Role: PRINCIPAL_INVESTIGATOR

Zhejiang University

Locations

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Hematology Hospital of the Chinese Academy of Medical Sciences

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Moscow Multidisciplinary Clinical Center "Kommunarka"

Moscow, , Russia

Site Status RECRUITING

Botkin Moscow Multidisciplinary Research and Clinical Center

Moscow, , Russia

Site Status RECRUITING

Russian Research Institute of Hematology and Transfusiology of the Federal Medical and Biological Agency

Saint Petersburg, , Russia

Site Status RECRUITING

Leningrad Regional Clinical Hospital

Saint Petersburg, , Russia

Site Status RECRUITING

Countries

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China Russia

Central Contacts

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Yifan Zhai, M.D., Ph.D.

Role: CONTACT

+86-20-28068501

Lihui Liu, M.D.

Role: CONTACT

Facility Contacts

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Hui Wei, M.D.

Role: primary

022-23909120

Jie Jin, M.D.

Role: primary

Role: backup

0571-87236896

Natalia CHERNOVA, Dr.Med.Sci

Role: primary

7-916-660-27-63

Vadim DORONIN, MD

Role: primary

7-926-270-83-45

Alexey KUVSHINOV, Ph.D.

Role: primary

7-921-370-88-46

Sergey VOLOSHIN, Ph.D.

Role: primary

7-921-955-07-49

Other Identifiers

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APG2575AG301

Identifier Type: -

Identifier Source: org_study_id

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