Safety and Efficacy of Venetoclax, Cytarabine and Metformin (VenCM) for Relapsed-Refractory and Induction-Ineligible Acute Myeloid Leukemia

NCT ID: NCT06537843

Last Updated: 2024-08-05

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-01

Study Completion Date

2028-07-01

Brief Summary

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Phase 2 clinical trial to evaluate the combination of venetoclax, cytarabine and metformin in relapsed-refractory and induction ineligible acute myeloid leukemia.

Detailed Description

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Subjects will be included voluntarily after informed consent. Diagnosis of AML in accordance with the WHO classification and determination of inegibility to induction therapy or refractory or relapsed disease after initial treatment.

Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Cohort 1: Newly diagnosed, induction-ineligible AML patients Cohort 2: Relapsed-refractory AML patients
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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VenCM

Venetoclax, Cytarabine, Metformin

Group Type EXPERIMENTAL

Venetoclax

Intervention Type DRUG

Venetoclax, PO (tablet), 200 - 400mg, once-daily, 10 days per cycle (cycle 1), 5 days per cycle (cycle 2 and subsequent cycles).

Cytarabine Injection

Intervention Type DRUG

Cytarabine, Subcutaneous injection, 10 - 100mg per square meter, once-daily, 10 days per cycle (cycle 1), 5 days per cycle (cycle 2 and subsequent cycles).

Metformin

Intervention Type DRUG

Metformin, PO (tablet), 850mg, three times a day, 10 days per cycle (cycle 1), 5 days per cycle (cycle 2 and subsequent cycles).

Interventions

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Venetoclax

Venetoclax, PO (tablet), 200 - 400mg, once-daily, 10 days per cycle (cycle 1), 5 days per cycle (cycle 2 and subsequent cycles).

Intervention Type DRUG

Cytarabine Injection

Cytarabine, Subcutaneous injection, 10 - 100mg per square meter, once-daily, 10 days per cycle (cycle 1), 5 days per cycle (cycle 2 and subsequent cycles).

Intervention Type DRUG

Metformin

Metformin, PO (tablet), 850mg, three times a day, 10 days per cycle (cycle 1), 5 days per cycle (cycle 2 and subsequent cycles).

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of AML in accordance with the World Health Organization criteria.
* Ineligibility for induction chemotherapy due to age (≥ 70 years) or, for patients 18 to 74 years of age, ECOG-PS 2 or 3, creatinine clearance below 60 mL/min/1,73m², left ventricular ejection fraction ≤ 50%.
* Projected life expectancy of at least 12 weeks.
* Not requiring supplemental oxygen or substitutive renal therapy.
* Female participants must be either postmenopausal, surgically sterile or practicing at least one protocol specified method of birth control starting at Study Day 1 through at least 180 days after the last dose of study drug.
* Male participants must agree, from Study Day 1 through at least 180 days after the last dose of study drug, to practice protocol specified methods of contraception and to refrain from sperm donation from initial study drug administration through at least 180 days after the last dose of study drug.
* Participant must voluntarily sign and date an informed consent form, approved by an Independent Ethics Committee (IEC)/Institutional Review Board (IRB), prior to the initiation of any screening or study-specific procedures.

Exclusion Criteria

* Diagnosis of acute promyelocytic leukemia (APL).
* Known central nervous system (CNS) involvement with AML.
* Known human immunodeficiency virus (HIV) infection, hepatitis B virus (HBV), or hepatitis C virus (HCV) infection, or other active viral, bacterial or fungal infection requiring treatment.
* History of other malignancies prior to study entry, with the exception of non-melanoma skin cancer.
* Chronic Liver Disease and Cirrhosis with a class B or C Child-Pugh score.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital de Clínicas da UFPR. Curitiba, PR, Brazil

UNKNOWN

Sponsor Role collaborator

Hospital Ophir Loyola. Belem, PA, Brazil

UNKNOWN

Sponsor Role collaborator

Hospital Universitario Polydoro Ernani de São Thiago. Florianopolis, SC, Brazil

UNKNOWN

Sponsor Role collaborator

Hospital Amaral Carvalho. Jau, SP, Brazil

UNKNOWN

Sponsor Role collaborator

Hospital Municipal São José

OTHER

Sponsor Role lead

Responsible Party

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Marcelo Pitombeira de Lacerda

MD, PhD, Hematology Specialist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Ophir Loyola

Belém, , Brazil

Site Status NOT_YET_RECRUITING

Hospital de Clínicas da UFPR

Curitiba, , Brazil

Site Status NOT_YET_RECRUITING

Hospital Universitario Polydoro Ernani de Sao Thiago

Florianópolis, , Brazil

Site Status NOT_YET_RECRUITING

Hospital Amaral Carvalho

Jaú, , Brazil

Site Status RECRUITING

Hospital Municipal Sao Jose

Joinville, , Brazil

Site Status RECRUITING

Countries

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Brazil

Facility Contacts

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Thiago Carneiro, MD, PhD

Role: primary

Elenaide Nunes, MD, PhD

Role: primary

Giovanna Steffenello, MD, MSc

Role: primary

Ederson Mattos, MD

Role: primary

+55 (14) 3602-1200

Marcelo Lacerda, MD, PhD

Role: primary

+55 (47) 3441-6600

Other Identifiers

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VenCM-001

Identifier Type: -

Identifier Source: org_study_id

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