RecruitingPhase 2Phase 3NCT05404906

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

Randomized, Multicenter, Phase 3 Study of Azacytidine (AZA) + Venetoclax as Maintenance Therapy in Patients With AML in Remissionin Younger Adults With Favorable-risk AML in First Remission After Conventional Chemotherapy


Sponsor

The First Affiliated Hospital of Soochow University

Enrollment

124 participants

Start Date

Jun 25, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 18 YearsMax Age: 64 Years

Inclusion Criteria12

  • 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.
  • Aged 18-64 years.
  • Patients who have received remission induction therapy and 3-4 HiDAC or medium-dose cytarabine-based consolidation and are in their first remission.
  • ECOG performance status of \< or = 3.
  • Adequate organ function as follows:
  • Serum total bilirubin \< or = to 3 X the Upper Limit of Normal (ULN)
  • Aspartate Transaminase and alanine transaminase \< or = to 3 x ULN
  • Ccr(Creatinine Clearance Rate) \> or =60 ml/min
  • Left ventricular ejection fraction \> or =50% determined by ultrasound.
  • For females of childbearing age, they should have a negative serum or urine pregnancy test within 10 to 14 days of enrolling.
  • For males of childbearing age, they should take effective contraceptive methods throughout the treatment period and up to 30 days after discontinuing treatment.
  • Ability to understand and sign informed consent.

Exclusion Criteria7

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

Interventions

DRUGAzacitidine

Given SC

DRUGVenetoclax

Given PO

OTHERSupportive care

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


Locations(2)

First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

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

Suzhou, Jiangsu, China

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT05404906


Related Trials