Status:

RECRUITING

De-Escalation Study Evaluating Venetoclax and Azacitidine Discontinuation in AML Responding Patients

Lead Sponsor:

Institut Paoli-Calmettes

Conditions:

Acute Myeloid Leukemia

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The goal of this clinical trial is to test efficacy and safety of a VENETOCLAX-AZACITIDINE (VEN-AZA) de-escalation strategy in Acute Myeloid Leukemia responding patients. The main objectives of the st...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Female/Male ≥ 18 years of age;
  • Diagnosis of previously untreated AML according to the 2022 International Consensus Classification of Myeloid Neoplasms and Acute Leukemias;
  • VEN-AZA given as first-line treatment;
  • Duration of VEN-AZA therapy of 12 months (+/- 28 days), regardless of duration of VEN-AZA cycles and the doses;
  • Patients in first composite complete remission (CRc) defined as complete remission (CR) or CR with incomplete hematologic recovery (CRi) or CR with partial hematologic recovery (CRh);
  • Absence of detectable minimal residual disease (MRD) performed locally (i.e. MRDneg defined as MCF MRD \<0.1% of CD45 expressing cells with the target immunophenotype in bone marrow, or NPM1 or RUNX1-RUNX1T1 or CBFB-MYH11 MRD copy numbers \<0.1% in the blood);
  • ECOG \<3;
  • Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule;
  • Affiliated to the French Social Security or beneficiary of such a health Insurance;
  • Signed informed consent.
  • Non inclusion Criteria:
  • VEN-AZA given as salvage therapy;
  • Prior allogeneic stem cell transplant;
  • Discontinuation of treatment because of absence or loss of response;
  • Patient in emergency situation or unable to give consent;
  • Severe medical or mental condition precluding the follow up procedures after treatment discontinuation.

Exclusion

    Key Trial Info

    Start Date :

    June 12 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    November 1 2028

    Estimated Enrollment :

    50 Patients enrolled

    Trial Details

    Trial ID

    NCT06557421

    Start Date

    June 12 2025

    End Date

    November 1 2028

    Last Update

    June 18 2025

    Active Locations (1)

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    Institut Paoli-Calmettes

    Marseille, France, 13273