Actively Recruiting

Phase 1
Age: 1Year - 25Years
All Genders
NCT05317403

Venetoclax to Augment Epigenetic Modification and Chemotherapy

Led by Medical College of Wisconsin · Updated on 2026-01-12

40

Participants Needed

1

Research Sites

196 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The investigator is testing the addition of venetoclax to 5-azacitidine and vorinostat followed by standard chemotherapy to enhance treatment response in AML patients.

CONDITIONS

Official Title

Venetoclax to Augment Epigenetic Modification and Chemotherapy

Who Can Participate

Age: 1Year - 25Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 1 to 25 years with measurable AML disease in bone marrow
  • Patients with 1st or greater relapse, refractory disease, or treatment-related AML
  • Patients with CNS or other extramedullary disease without cranial irradiation during therapy
  • Patients with immunophenotypic AML evolving from ALL or acute leukemia NOS with relapsed/refractory disease
  • Patients with Down syndrome
  • Karnofsky performance status >50% for patients >16 years or Lansky >50% for patients 6 years
  • Fully recovered from prior myelosuppressive chemotherapy, immunotherapy, or radiotherapy
  • At least 7 days since last cytotoxic therapy (except intrathecal chemotherapy)
  • At least 90 days post hematopoietic stem cell transplant without active GVHD or therapy
  • At least 7 days since growth factor therapy (14 days if pegfilgrastim)
  • At least 7 days since last biologic agent dose
  • At least 3 half-lives elapsed since last monoclonal antibody dose
  • At least 42 days since completion of any immunotherapy
  • Able to tolerate antifungal prophylaxis during treatment and neutrophil recovery
  • Dose adjustments for patients taking CYP3A4 or P-glycoprotein inhibitors
  • Adequate renal function with creatinine clearance or normal serum creatinine
  • Adequate liver function or approved waiver for liver involvement
  • Adequate cardiac function with shortening fraction 6 27% or ejection fraction 6 50%
  • Negative pregnancy test for females of childbearing potential
  • Agreement to avoid breastfeeding during study
  • Use of effective contraception during and for 6 months after study
  • Ability to understand study and provide informed consent or assent
Not Eligible

You will not qualify if you...

  • Known allergy to any study drug
  • Ongoing systemic infection with persistent symptoms despite treatment
  • Positive fungal culture within 30 days or evidence of disseminated fungal disease
  • Planned non-protocol chemotherapy, radiation, or immunotherapy during study
  • Significant concurrent disease, psychiatric disorder, or social issues affecting safety or compliance
  • DNA fragility syndromes such as Fanconi anemia or Bloom syndrome

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

Children's Wisconsin

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

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Research Team

A

Amberley Kemic, RN

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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