Actively Recruiting
Study on Venetoclax and Azacitidine Combined With HAAG for Induction Treatment of Intermediate and High-risk Acute Myeloid Leukemia
Led by The First Affiliated Hospital of Soochow University · Updated on 2024-05-01
60
Participants Needed
1
Research Sites
30 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the safety and effectiveness of a combination treatment using venetoclax, azacitidine, and the HAAG regimen for patients newly diagnosed with intermediate and high-risk acute myeloid leukemia (AML). This single-center, single-arm, prospective clinical study focuses on induction treatment for these AML patients, aiming to assess how well this combined approach works and its safety profile. Participants will receive venetoclax orally with a dose escalation schedule from day 1 to day 10, azacitidine as a daily subcutaneous injection for seven days, and the HAAG regimen consisting of homoharringtonine, aclarubicin, cytarabine, and granulocyte colony-stimulating factor administered through intravenous or subcutaneous injections over specific days. The treatment is planned during the induction phase, and the study is designed to closely monitor patients receiving this combined therapy. During the study, participants will undergo evaluations including response rates measured between days 28 and 35 of induction, along with monitoring for adverse events over two years. The research team will also track relapse-free survival and overall survival for up to three years. Patients will be assessed through clinical visits and laboratory tests to monitor treatment effects and safety throughout the study period, which spans from enrollment until the end date in December 2026.
CONDITIONS
Brief Title
Study of VA Combined With HAAG Regimen in Newly Diagnosed Intermediate and High-risk AML Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Newly diagnosed intermediate and high-risk AML according to WHO (2022) classification (non-APL)
- Age between 18 and 65 years
- ECOG performance status score of 0 to 2
- No previous chemotherapy or targeted therapy
- Serum total bilirubin less than or equal to 2 times upper limit of normal (ULN)
- Alanine aminotransferase (ALT) less than or equal to 1.5 times ULN
- Aspartate aminotransferase (AST) less than or equal to 1.5 times ULN
- Creatinine clearance rate greater than or equal to 30 mL/min
- Serum lipase and amylase less than or equal to 1.5 times ULN
- Able to understand and willing to participate with signed informed consent
You will not qualify if you...
- AML transformed from chronic myelogenous leukemia
- Acute promyelocytic leukemia (type M3)
- Second malignancy requiring treatment
- Uncontrolled active infection
- Left ventricular ejection fraction less than 0.5 or grade III/IV cardiovascular dysfunction
- Hepatic and renal insufficiency: bilirubin greater than or equal to 2.0 mg/dL, AST greater than or equal to 3 times ULN, creatinine clearance less than 50 mL/min
- Arterial oxygen saturation below 95%
- HIV infection
- Active hepatitis B or hepatitis C infection
- Other conditions considered unsuitable by the investigators
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 - 10 days
Participants receive venetoclax, azacitidine combined with the HAAG regimen as induction treatment for acute myeloid leukemia.
Daily visits or assessments during the 10-day treatment period
Duration - Up to 3 years
Participants are monitored for treatment response, adverse events, relapse-free survival, and overall survival after treatment.
Regular follow-up visits during 3 years
Trial Site Locations
Total: 1 location
1
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China, 215006
Actively Recruiting
Research Team
X
Xiaowen Tang, Ph.D
D
Depei Wu, Ph.D
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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