Status:

NOT_YET_RECRUITING

Venetoclax in Combination With Ivosidenib and Azacitidine for Newly Diagnosed IDH1-Mutated AML

Lead Sponsor:

Institute of Hematology & Blood Diseases Hospital, China

Conditions:

AML

IDH1 Mutation

Eligibility:

All Genders

14+ years

Phase:

PHASE1

PHASE2

Brief Summary

Venetoclax can bind to the BCL-2 protein, thereby initiating the apoptosis program and exerting anti-AML effects. The induction regimen combining venetoclax with hypomethylating agents (HMA) significa...

Eligibility Criteria

Inclusion

  • Patients who meet AML according to WHO (2022) or AML and MDS/AML defined by ICC standards with IDH1 mutations detected by PCR or second-generation sequencing.
  • Age ≥14 years old, male or female.
  • The physical status assessment (ECOG-PS) of the Eastern Oncology Collaboration group was 0-2 points.
  • Fulfill the requirements of the following laboratory tests (performed within 7 days prior to treatment) :
  • Total bilirubin ≤ 1.5 times the upper limit of normal value (same age);
  • AST and ALT≤ 2.5 times the upper limit of normal value (same age);
  • Blood creatinine \< 2 times the upper limit of normal (same age);
  • Myocardial enzymes \< 2 times the upper limit of normal (same age);
  • Left ventricular ejection fraction \>50% by measure of echocardiogram (ECHO) Informed consent must be signed before the commencement of all specific study procedures, and is signed by the patient himself or his immediate family. Considering the patient\'s condition, if the patient\'s signature is not conducive to the treatment of the condition, the informed consent shall be signed by the legal guardian or the patient\'s immediate family.

Exclusion

  • Subjects who meet any of the following criteria are excluded from the study:
  • Acute promyelocytic leukemia with PML-RARA fusion gene
  • Acute myeloid leukemia with RUNX1-RUNX1T1 or CBFB-MYH11 fusion gene
  • Acute myeloid leukemia with BCR-ABL fusion gene
  • Treated patients (but can receive hydroxyurea or cytarabine to lower tumor burden).
  • Concurrent malignant tumors of other organs (those requiring treatment).
  • Active heart disease, defined as one or more of the following:
  • A history of uncontrolled or symptomatic angina;
  • Myocardial infarction less than 6 months after enrollment;
  • Have a history of arrhythmia requiring drug treatment or severe clinical symptoms;
  • Uncontrolled or symptomatic congestive heart failure (\> NYHA level 2);
  • Serious infectious diseases (uncured tuberculosis, pulmonary aspergillosis).
  • Those who were not considered suitable for inclusion by the researchers.

Key Trial Info

Start Date :

October 30 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2028

Estimated Enrollment :

29 Patients enrolled

Trial Details

Trial ID

NCT06611839

Start Date

October 30 2025

End Date

October 1 2028

Last Update

September 19 2025

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