Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT05834244

A Phase Ib Trial of Azacitidine, Venetoclax and Allogeneic NK Cells for Acute Myeloid Leukemia (ADVENT-AML)

Led by M.D. Anderson Cancer Center · Updated on 2026-03-11

32

Participants Needed

2

Research Sites

244 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

To learn if adding a healthy person's natural killer (NK) cells to the combination of Azacitidine and Venetoclax can help to control AML. NK cells are cancer- and infection-fighting immune cells.

CONDITIONS

Official Title

A Phase Ib Trial of Azacitidine, Venetoclax and Allogeneic NK Cells for Acute Myeloid Leukemia (ADVENT-AML)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Confirmed diagnosis of AML or MDS/AML with 10% to 19% blasts per current classification
  • Age 18 years or older for dose escalation cohort with relapsed/refractory AML or MDS/AML without standard treatment options
  • Early first relapse patients with remission duration of 12 months or less eligible in dose escalation cohort
  • Patients relapsing after allogeneic stem cell transplant may participate if recovered and off immunosuppression with no more than grade 1 chronic GVHD
  • Patients with actionable mutations may enroll after exhausting FDA-approved treatments
  • Dose expansion cohort includes older or unfit patients with newly diagnosed adverse or intermediate risk AML or MDS/AML ineligible for intensive chemotherapy or stem cell transplant
  • Adequate liver and kidney function as specified
  • Willingness to use effective contraception during and after study participation
  • Ability to understand and sign informed consent
Not Eligible

You will not qualify if you...

  • Diagnosis with t(15;17), t(8;21), inv(16), or t(16;16) karyotypic abnormalities
  • White blood cell count above 15 x 10⁹/L (supportive care with hydroxyurea or cytarabine allowed)
  • Recent high-dose steroid or immunosuppressive therapy within 1 week or 5 half-lives before NK cell infusion
  • Known symptomatic or uncontrolled central nervous system leukemia
  • Active systemic infections without improvement despite treatment
  • Recent CNS pathology or bleeding within specified time frames
  • Severe gastrointestinal or metabolic conditions interfering with oral drug absorption
  • Uncontrolled heart failure or significant arrhythmia
  • Active hepatitis B, hepatitis C, or HIV infection
  • Prolonged QT interval or history of Torsades de pointes
  • Other medical, psychological, or social conditions interfering with participation or safety
  • Recent major surgery or unhealed major wounds
  • Legal protection measures or uncontrolled psychiatric conditions
  • Hypersensitivity to study drugs or components
  • Nursing women or women of childbearing potential with positive pregnancy test or unwillingness to use contraception
  • Pregnant or breastfeeding women due to risks of study agents
  • Weight less than 50 kg

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Case Western Reserve University

Cleveland, Ohio, United States, 44106

Actively Recruiting

2

M.D. Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

A

Abhishek Maiti, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

2

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A Phase Ib Trial of Azacitidine, Venetoclax and Allogeneic NK Cells for Acute Myeloid Leukemia (ADVENT-AML) | DecenTrialz