Actively Recruiting
Efficacy of Venetoclax Combined With Intensive Chemotherapy in Different Subgroups of Acute Myeloid Leukemia A Multi-center, Single-arm Clinical Trial
Led by Institute of Hematology & Blood Diseases Hospital, China · Updated on 2026-05-13
380
Participants Needed
1
Research Sites
95 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate the effectiveness of combining Venetoclax with intensive chemotherapy in adult patients with acute myeloid leukemia (AML), a common blood cancer. The study focuses on different genetic subgroups of AML to understand which types may benefit most from this combination treatment. It is a phase II clinical trial designed to explore how Venetoclax works with chemotherapy across various molecular and cytogenetic profiles of AML. Participants will receive one course of induction therapy combining daunorubicin, cytarabine, and Venetoclax. Those who achieve complete remission will then undergo three courses of consolidation therapy with intermediate-dose cytarabine combined with Venetoclax. After consolidation, maintenance treatment consists of six courses of Venetoclax combined with azacitidine. For high-risk patients or those with positive measurable residual disease, allogeneic stem cell transplantation is recommended. During the study, participants will be closely monitored through laboratory tests and assessments to track event-free survival up to two years after enrollment. Other outcomes include remission rates, measurable residual disease status, overall survival, relapse-free survival, and short-term mortality rates. The study includes physical status evaluations, echocardiograms, and ongoing safety monitoring throughout the treatment and follow-up periods.
CONDITIONS
Brief Title
Efficacy of Venetoclax Combined With Intensive Chemotherapy in Different Subgroups of AML
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Diagnosed with acute myeloid leukemia (AML) according to WHO (2022) or ICC standards
- Age between 14 and 60 years old, any gender
- Physical status score (ECOG-PS) between 0 and 2
- Laboratory tests within 7 days before treatment showing:
- Total bilirubin no more than 1.5 times upper normal limit
- AST and ALT no more than 2.5 times upper normal limit
- Blood creatinine less than 2 times upper normal limit
- Myocardial enzymes less than 2 times upper normal limit
- Left ventricular ejection fraction greater than 50% by echocardiogram
- Signed informed consent by patient or legal guardian
You will not qualify if you...
- Acute promyelocytic leukemia with PML-RARA fusion gene
- Acute myeloid leukemia with BCR-ABL fusion gene
- Previously treated AML patients (except those treated only with hydroxyurea or cytarabine to reduce tumor burden)
- Concurrent malignant tumors of other organs requiring treatment
- Active heart disease including uncontrolled angina, recent myocardial infarction within 6 months, arrhythmia requiring treatment, or severe heart failure (NYHA > 2)
- Serious infectious diseases such as uncured tuberculosis or pulmonary aspergillosis
- Considered unsuitable for inclusion by researchers for any other reason
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Several months covering induction, consolidation, and maintenance therapies
Participants receive 1 course of intensive chemotherapy combined with venetoclax for induction, followed by 3 courses of intermediate-dose cytarabine combined with venetoclax for consolidation, and then 6 courses of venetoclax combined with azacitidine as maintenance therapy.
Multiple visits during induction, consolidation, and maintenance phases
Trial Site Locations
Total: 1 location
1
Blood Diseases Hospital
Tianjin, Tianjin Municipality, China, 300020
Actively Recruiting
Research Team
H
Hui Wei, MD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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