Actively Recruiting

Phase 2
Age: 18Years - 65Years
All Genders
ID06394011

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

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

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
Not Eligible

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

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

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

Follow-up

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

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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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