Status:

UNKNOWN

A Phase 2 Study of Venetoclax in Combination With Low-dose HHT, G-CSF, and AZA as First-line Treatment for Newly Diagnosed Elderly AML Patients Unfit for Intensive Chemotherapy

Lead Sponsor:

Shanghai Jiao Tong University School of Medicine

Conditions:

Leukemia, Myeloid, Acute

Eligibility:

All Genders

60+ years

Phase:

PHASE2

Brief Summary

Acute myeloid leukemia (AML) is a group of heterogeneous malignancies derived from hematopoietic precursors. Patients older than 65 years can hardly benefit from standard intensive chemotherapy while ...

Eligibility Criteria

Inclusion

  • Participant must have confirmation of Acute Myeloid Leukemia (AML) by World Health Organization (WHO) criteria, previously untreated and unfit for intensive chemotherapy
  • Participant must be \>= 60 years of age.
  • Participant must have a projected life expectancy of at least 12 weeks.
  • Participant must have adequate renal function as demonstrated by a creatinine \>= 30 mL/min;determined via urine collection for 24-hour creatinine clearance or by the Cockcroft Gault formula
  • Participant must have adequate liver function as demonstrated by:
  • aspartate aminotransferase (AST) \<= 3.0 x ULN\*
  • alanine aminotransferase (ALT) \<= 3.0 x ULN\*
  • bilirubin \<= 1.5 x ULN\* \* Unless considered to be due to leukemic organ involvement i. Subjects who are \< 75 years of age may have a bilirubin of \<= 3.0 x ULN

Exclusion

  • Participant has history of myeloproliferative neoplasm (MPN) including myelofibrosis, essential thrombocythemia, polycythemia vera, chronic myeloid leukemia (CML) with or without BCR-ABL1 translocation and AML with BCR-ABL1 translocation
  • Participant has acute promyelocytic leukemia
  • Participant has known active central nervous system (CNS) involvement with AML
  • Participant is known to be positive for hepatitis B or C infection
  • Participant has received anticancer therapies including chemotherapy, radiotherapy or other investigational therapy, including targeted small molecule agents within 5 half-lives prior to first dose of study drug
  • Participant has received biologic agents (e.g. monoclonal antibodies) for anti-neoplastic intent within 30 days prior to first dose of study drug
  • Participant has received the following within 7 days prior to the first dose of the study drug:
  • Steroid therapy for anti-neoplastic intent;
  • Strong and Moderate CYP3A inhibitors (see Appendix A for examples)
  • Strong and Moderate CYP3A inducers (see Appendix A for examples)
  • Participant exhibits evidence of other clinically significant uncontrolled systemic infection requiring therapy
  • Participant has a serious cardiovascular, pulmonary or renal disability
  • Participant has a history of other malignancies within 2 years prior to study entry, with the exception of:
  • Adequately treated in situ carcinoma of the cervix uteri or carcinoma in situ of breast;
  • Basal cell carcinoma of the skin or localized squamous cell carcinoma of the skin;
  • Previous malignancy confined and surgically resected (or treated with other modalities) with curative intent; requires discussion with TA MD.

Key Trial Info

Start Date :

March 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2024

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT04824924

Start Date

March 1 2021

End Date

March 1 2024

Last Update

April 1 2021

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