Actively Recruiting

Phase 3
Age: 29Days - 21Years
All Genders
NCT05183035

Venetoclax in Children With Relapsed Acute Myeloid Leukemia (AML)

Led by PedAL BCU, LLC · Updated on 2026-04-28

130

Participants Needed

89

Research Sites

443 weeks

Total Duration

On this page

Sponsors

P

PedAL BCU, LLC

Lead Sponsor

P

Princess Maxima Center for Pediatric Oncology (European Sponsor)

Collaborating Sponsor

AI-Summary

What this Trial Is About

A study to evaluate if the randomized addition of venetoclax to a chemotherapy backbone (fludarabine/cytarabine/gemtuzumab ozogamicin \[GO\]) improves survival of children/adolescents/young adults with acute myeloid leukemia (AML) in 1st relapse who are unable to receive additional anthracyclines, or in 2nd relapse.

CONDITIONS

Official Title

Venetoclax in Children With Relapsed Acute Myeloid Leukemia (AML)

Who Can Participate

Age: 29Days - 21Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants must have enrolled on APAL2020SC before this study if in USA, Canada, Australia, New Zealand, or Blood Cancer United territory.
  • Participants must be at least 29 days old and no older than 21 years at enrollment.
  • Participants must have AML without FLT3/internal tandem duplication mutation confirmed ideally at current relapse.
  • Participants must have untreated second relapse AML and be fit for intensive chemotherapy, or untreated first relapse AML but unable to tolerate more anthracyclines.
  • Participants must have an ECOG performance status of 0, 1, or 2 (or at least 50% Lansky or Karnofsky score).
  • Participants must have recovered from prior anticancer treatments with required minimum time intervals before starting this study.
  • Participants must have adequate kidney, liver, and heart function as specified.
  • Participant or guardian must provide informed consent and assent when required.
Not Eligible

You will not qualify if you...

  • Participants unable to comply with study requirements.
  • Participants with Down syndrome.
  • Participants with acute promyelocytic leukemia or juvenile myelomonocytic leukemia.
  • Participants with isolated or symptomatic CNS3 disease.
  • Participants with malabsorption or conditions preventing oral venetoclax.
  • Participants currently receiving other investigational drugs not specified.
  • Participants with congenital bone marrow failure syndromes like Fanconi anemia.
  • Participants with known allergy to study drugs.
  • Participants with active uncontrolled infection.
  • Participants with known hepatitis B, hepatitis C, or HIV infection.
  • Participants who have recently taken strong or moderate CYP3A inducers or consumed grapefruit or similar products shortly before treatment.
  • Participants who are pregnant or breastfeeding or unwilling to use effective contraception as required.
  • Participants with history of severe veno-occlusive disease or CD33 negative leukemic blasts for gemtuzumab ozogamicin treatment exclusion.

AI-Screening

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Trial Site Locations

Total: 89 locations

1

Phoenix Children's Hospital

Phoenix, Arizona, United States, 85016

Actively Recruiting

2

Arkansas Children's Hospital

Little Rock, Arkansas, United States, 72202

Actively Recruiting

3

MemorialCare Miller Children's and Women's Hospital Long Beach

Long Beach, California, United States, 90806

Actively Recruiting

4

Children's Hospital of Orange County Main Campus - Orange

Orange, California, United States, 92868

Actively Recruiting

5

Benioff Children's Hospital - Mission Bay

San Francisco, California, United States, 94158

Actively Recruiting

6

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

Actively Recruiting

7

Yale University

New Haven, Connecticut, United States, 06511

Actively Recruiting

8

Nemours Alfred I. Dupont Hospital for Children

Wilmington, Delaware, United States, 19803

Actively Recruiting

9

Golisano Children's Hospital of Southwest Florida

Fort Myers, Florida, United States, 33908

Actively Recruiting

10

University of Florida Health Shands Children's Hospital

Gainesville, Florida, United States, 32610

Actively Recruiting

11

Nemours Children's Specialty Care Jacksonville

Jacksonville, Florida, United States, 32207

Actively Recruiting

12

Nemours Children's Hospital - Orlando

Orlando, Florida, United States, 32827

Actively Recruiting

13

Saint Joseph's Hospital - Tampa

Tampa, Florida, United States, 33607

Actively Recruiting

14

Children's Healthcare of Atlanta

Atlanta, Georgia, United States, 30322

Actively Recruiting

15

Kapi'olani Medical Center for Women and Children

Honolulu, Hawaii, United States, 96826

Actively Recruiting

16

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States, 60611

Actively Recruiting

17

Comer Children's Hospital

Chicago, Illinois, United States, 60637

Actively Recruiting

18

Indiana University School of Medicine

Indianapolis, Indiana, United States, 46202

Actively Recruiting

19

University of Iowa Stead Family Children's Hospital

Iowa City, Iowa, United States, 52242

Actively Recruiting

20

Norton Children's Hospital

Louisville, Kentucky, United States, 40202

Actively Recruiting

21

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

22

C.S. Mott Children's Hospital

Ann Arbor, Michigan, United States, 48109-4259

Actively Recruiting

23

Children's Hospital of Michigan

Detroit, Michigan, United States, 48201

Actively Recruiting

24

Masonic Cancer Center

Minneapolis, Minnesota, United States, 55455

Actively Recruiting

25

University of Mississippi Medical Center

Jackson, Mississippi, United States, 39216

Actively Recruiting

26

The Children's Mercy Hospital - Adele Hall Campus

Kansas City, Missouri, United States, 64108

Actively Recruiting

27

Washington University School of Medicine in St. Louis

St Louis, Missouri, United States, 63110

Actively Recruiting

28

Alliance for Childhood Diseases dba Cure 4 The Kids Foundation

Las Vegas, Nevada, United States, 89135

Actively Recruiting

29

Hackensack University Medical Center, HMH

Hackensack, New Jersey, United States, 07601

Actively Recruiting

30

Morristown Medical Center

Morristown, New Jersey, United States, 07960

Actively Recruiting

31

Columbia University Irving Medical Center

New York, New York, United States, 10032

Actively Recruiting

32

Memorial Sloan Kettering Cancer Center - New York

New York, New York, United States, 10065

Actively Recruiting

33

Cohen Children's Medical Center

Queens, New York, United States, 11040

Actively Recruiting

34

Nationwide Children's Hospital

Columbus, Ohio, United States, 43205

Actively Recruiting

35

Doernbecher Children's Hospital

Portland, Oregon, United States, 97239

Actively Recruiting

36

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

37

Prisma Health Richland Hospital

Columbia, South Carolina, United States, 29203

Actively Recruiting

38

St. Jude Children's Research Hospital

Memphis, Tennessee, United States, 38105-3678

Actively Recruiting

39

Monroe Carell Jr. Children's Hospital at Vanderbilt

Nashville, Tennessee, United States, 37232

Actively Recruiting

40

Harold C. Simmons Comprehensive Cancer Center

Dallas, Texas, United States, 75235

Actively Recruiting

41

Texas Children's Hospital

Houston, Texas, United States, 77030

Actively Recruiting

42

Primary Children's Hospital

Salt Lake City, Utah, United States, 84113

Actively Recruiting

43

Children's Hospital of Richmond at Virginia Commonwealth University

Richmond, Virginia, United States, 23219

Actively Recruiting

44

Seattle Children's Hospital

Seattle, Washington, United States, 98105

Actively Recruiting

45

Children's Health Queensland Hospital and Health Service

South Brisbane, Queensland, Australia, 4101

Actively Recruiting

46

The Royal Children's Hospital - Children's Cancer Centre

Parkville, Victoria, Australia, 3052

Actively Recruiting

47

Perth Children's Hospital

Nedlands, Western Australia, Australia, 6009

Actively Recruiting

48

Sankt Anna-Kinderspital

Vienna, Austria, 1090

Actively Recruiting

49

Universitair Ziekenhuis Gent

Ghent, Oost-Vlaanderen, Belgium, 9000

Actively Recruiting

50

Alberta Children's Hospital

Calgary, Alberta, Canada, T3B 6A8

Actively Recruiting

51

British Columbia Children's Hospital

Vancouver, British Columbia, Canada, V6H 3N1

Completed

52

CancerCare Manitoba

Winnipeg, Manitoba, Canada, R3E 0V9

Actively Recruiting

53

Izaak Walton Killam (IWK) Health Center

Halifax, Nova Scotia, Canada, B3K 6R8

Actively Recruiting

54

Children's Hospital of Eastern Ontario

Ottawa, Ontario, Canada, K1H 8L1

Actively Recruiting

55

SickKids - The Hospital for Sick Children

Toronto, Ontario, Canada, M5G 1X8

Actively Recruiting

56

Fakultni nemocnice v Motole

Prague, Prague, Czechia, 150 06

Actively Recruiting

57

Rigshospitalet

Copenhagen, Capital Region, Denmark, 2100

Actively Recruiting

58

Uusi Lastensairaala

Helsinki, Etelä-Suomen Lääni, Finland, FI-00290

Actively Recruiting

59

CHU de Toulouse - Hôpital des Enfants

Toulouse, Haute-Garonne, France, 31059

Actively Recruiting

60

Hôpital Jeanne de Flandre

Loos, Hauts-de-France, France, 59120

Actively Recruiting

61

CHU de Nantes - Hôpital Femme-Enfant-Adolescent

Nantes, Loire-Atlantique, France, 44093

Actively Recruiting

62

Institut d'Hématologie et d'Oncologie Pédiatrique

Lyon, Rhône, France, 69008

Actively Recruiting

63

Hôpital Armand-Trousseau

Paris, Île-de-France Region, France, 75012

Actively Recruiting

64

Hôpital Universitaire Robert-Debré

Paris, Île-de-France Region, France, 75019

Actively Recruiting

65

Universitätsklinikum Augsburg

Augsburg, Germany, 86156

Actively Recruiting

66

Charité - Universitätsmedizin Berlin

Berlin, Germany, 13353

Actively Recruiting

67

Universitätsklinikum Frankfurt

Frankfurt, Germany, 60590

Actively Recruiting

68

Padiatrische Hamatologie und Onkologie

Münster, Germany, 48149

Actively Recruiting

69

Universitätsklinikum Münster

Münster, Germany, 49149

Actively Recruiting

70

Schneider Children's Medical Center of Israel

Petach Tikvah, Central District, Israel, 4920235

Actively Recruiting

71

Istituto Giannina Gaslini

Genova, Genoa, Italy, 16147

Actively Recruiting

72

Fondazione IRCCS San Gerardo dei Tintori

Monza, Monza and Brianza, Italy, 20900

Actively Recruiting

73

Ospedale Pediatrico Bambino Gesù

Roma, Rome, Italy, 00165

Actively Recruiting

74

Ospedale Infantile Regina Margherita

Torino, Turin, Italy, 10126

Actively Recruiting

75

Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital

Nagoya, Aiti, Japan, 453-8511

Actively Recruiting

76

Hyogo Prefectural Kobe Children's Hospital

Kobe, Hyōgo, Japan, 650-0047

Actively Recruiting

77

Saitama Prefectural Children's Medical Center

Saitama-Shi, Saitama, Japan, 330-8777

Actively Recruiting

78

National Center for Child Health and Development

Setagaya-Ku, Tokyo, Japan, 157-8535

Actively Recruiting

79

Osaka City General Hospital

Osaka, Japan, 534-0021

Actively Recruiting

80

Prinses Maxima Centrum Kinderoncologie

Utrecht, Netherlands, 3584 CS

Actively Recruiting

81

Starship Children's Hospital

Grafton, Auckland, New Zealand, 1023

Actively Recruiting

82

Oslo Universitetssykehus

Oslo, Norway, 0372

Actively Recruiting

83

Instituto Portugues De Oncologia De Lisboa Francisco Gentil

Lisbon, Lisbon District, Portugal, 1099-023

Actively Recruiting

84

Hospital Universitari Vall d'Hebrón

Barcelona, Spain, 08035

Actively Recruiting

85

Hospital Sant Joan de Déu Barcelona

Barcelona, Spain, 08950

Actively Recruiting

86

Hospital Infantil Universitario Niño Jesús

Madrid, Spain, 28009

Actively Recruiting

87

Hospital Universitario La Fe

Valencia, Spain, 46026

Actively Recruiting

88

Karolinska Universitetssjukhuset Solna

Stockholm, Stockholm County, Sweden, 171 76

Actively Recruiting

89

Universitaets - Kinderspital Zürich

Zurich, Switzerland, 8032

Actively Recruiting

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Research Team

G

Gwen Nichols, MD

CONTACT

M

Michel Zwaan

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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