Clinical trial

Study of A Venetoclax-based, Anthracycline-free Regimen in Patients With Newly Diagnosed CBFβ::MYH11-positive Acute Myeloid Leukemia

Name
2023371
Description
This investigator-initiated, single-arm, phase II trial is aimed to evaluate the efficacy and safety of a venetoclax-based, anthracycline-free regimen in patients with newly diagnosed CBFβ::MYH11-positive acute myeloid leukemia.
Trial arms
Trial start
2024-01-01
Estimated PCD
2027-06-30
Trial end
2027-12-31
Status
Recruiting
Phase
Early phase I
Treatment
Venetoclax
Given PO, once daily. Treatment in cycle 1, the dose is 100 mg on day 1, then ramp up to 400mg. In all subsequent cycles, the dose of venetoclax is initiated at 400 mg daily.
Arms:
Venetoclax, Azacitidine/Decitabine/, Cytarabine
Other names:
ABT-199, ABT199, Venclexta
azacitidine
Given SC
Arms:
Venetoclax, Azacitidine/Decitabine/, Cytarabine
Other names:
5 AZC, 5-AZC
decitabine
Given IV
Arms:
Venetoclax, Azacitidine/Decitabine/, Cytarabine
Other names:
Dacogen
Cytarabine
Given IV
Arms:
Venetoclax, Azacitidine/Decitabine/, Cytarabine
Other names:
1-.beta.-Cytosine arabinoside, Ara-C
Size
40
Primary endpoint
composite complete remission rate
after 2 cycles of induction therapy with VEN/HMA (each cycle is 28 days).
Eligibility criteria
Inclusion Criteria: 1. Adults ≥ 18 years. 2. Newly diagnosed CBFβ::MYH11(+) AML. 3. Performance status 0-3 on the Eastern Cooperative Oncology Group (ECOG) Scale. 4. Subject must voluntarily sign and date an informed consent, prior to the initiation of any screening or study-specific procedures. Ferrara's criteria are used to determine whether a patient is unfit, and a patient is deemed unfit if at least one of the following criteria is met: 1. Age\>75 years. 2. There are serious underlying heart, lung, kidney, liver complications. 3. There are active infections that do not respond to anti-infective therapy. 4. There is cognitive impairment. 5. Other comorbidities that the doctor determines are not suitable for intensive chemotherapy. Exclusion Criteria: 1. Subject has received treatment with a hypomethylating agent and/or other chemotherapeutic agents either conventional or experimental or targeted drug therapy for AML (except oral hydroxyurea and/or leukocytometry to reduce white blood cell count). 2. Pregnant or lactating women. 3. To the knowledge of the subject and investigator, subject may not be able to complete all study visits or procedures required by the study protocol, including follow-up visits, and/or be unable to comply with the required study procedures. 4. Other conditions deemed unsuitable for participation in this study by the investigator.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 40, 'type': 'ESTIMATED'}}
Updated at
2024-05-24

1 organization

2 products

2 drugs

1 indication

Product
Venetoclax
Product
Cytarabine