Actively Recruiting

Phase 1
Age: 18Years - 75Years
All Genders
NCT07044544

Trial of Novel Anti-leukemia Agents in Flu/Mel RIC Transplant for Myeloid Malignancies

Led by University of Alabama at Birmingham · Updated on 2026-03-04

20

Participants Needed

1

Research Sites

76 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of this study is to determine the safety of adding Decitabine and Venetoclax to patients undergoing reduced intensity allogenic transplantation for treatment of hematologic malignances with Fludarabine and Melphalan.

CONDITIONS

Official Title

Trial of Novel Anti-leukemia Agents in Flu/Mel RIC Transplant for Myeloid Malignancies

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 to 75 years
  • Have a related or unrelated peripheral blood stem cell donor meeting specified HLA matching and donation criteria
  • Candidate for reduced intensity preparative regimen due to age 60 or older, HCT-CI score 4 or higher, or physician assessment of high myeloablative toxicity risk
  • Cardiac ejection fraction over 40%
  • Creatinine clearance greater than 50 mL/min
  • Pulmonary function with DLCO and FEV1 at least 50%
  • Liver function with total bilirubin less than 1.5 times upper normal limit (or up to 3 mg/dl if diagnosed with Gilbert's Disease) and ALT/AST less than 2.5 times upper normal limit
  • Female subjects must use two effective contraception methods or abstain from heterosexual intercourse unless postmenopausal or surgically sterilized
  • Male subjects or their partners must use effective barrier contraception or abstain from heterosexual intercourse
  • Karnofsky performance status of 70 or higher
  • Diagnosis of AML with active or adverse risk disease, MDS with high risk or blasts, or MDS/MPN with blasts and spleen size under 22 cm
  • Willing and able to sign informed consent and follow study protocol
Not Eligible

You will not qualify if you...

  • Autologous stem cell transplant within the last 3 months
  • Previous allogeneic stem cell transplant
  • Uncontrolled angina, severe uncontrolled arrhythmias, or acute EKG abnormalities
  • Known allergy to Decitabine, Venetoclax, or ATG
  • Pregnant or breastfeeding
  • HIV infection or positive HIV serology
  • Current uncontrolled infections with progressing symptoms
  • Non-hematologic cancer within the past 3 years except certain skin or cervical cancers; cancers in remission for less than 5 years must be approved
  • Participation in another investigational drug study within last 28 days
  • Documented liver cirrhosis confirmed by imaging or biopsy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

Actively Recruiting

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Research Team

O

Omer Jamy, MD

CONTACT

M

Margaret A Thomas, MPH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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Trial of Novel Anti-leukemia Agents in Flu/Mel RIC Transplant for Myeloid Malignancies | DecenTrialz