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Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Patients With Newly Diagnosed AML or MDS-EB-2
Sponsor: University of Ulm
Summary
A Randomized, Placebo-Controlled Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Adult Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndrome With Excess Blasts-2
Official title: A Randomized, Placebo-Controlled Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Adult Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndrome With Excess Blasts-2
Key Details
Gender
All
Age Range
18 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
650
Start Date
2022-09-13
Completion Date
2032-02
Last Updated
2026-04-02
Healthy Volunteers
No
Conditions
Interventions
Venetoclax
Venetoclax will be administered in Induction cycle 1, Induction cycle 2 and in the chemo consolidation therapy in addition to the standard chemotherapy
Placebo
Placebo will be administered in Induction cycle 1, Induction cycle 2 and in the chemo consolidation therapy in addition to the standard chemotherapy
Standard chemotherapy
Induction cycle 1: Patients will receive cytarabine 200 mg/m2 continuous IV (days 1-7) and daunorubicin 60 mg/m2 IV (days 1-3). Induction cycle 2: Patients ≤ 60 yrs will receive cytarabine 1000 mg/m2 BID (3h IV), days 1-4, and daunorubicin 60 mg/m2 IV (days 1-3). Patients \>60 yrs will receive cytarabine 1000 mg/m2 BID (3h IV), days 1-4 without daunorubicin. Consolidation chemotherapy with intermediate doses of cytarabine. Patients ≤60 yrs will receive up to 3 cycles of IDAC (single dose 1500 mg/m2 every 12 hours, days 1-3). Patients who are \>60 yrs will receive up to 3 cycles of IDAC with single doses of 1000 mg/m2, every 12 hours, days 1-3. In patients \>60 yrs less than 3 cycles of IDAC or dose-reduced IDAC (500 mg/m2 per single dose) may be given based on an individual risk assessment.
Allogeneic stem cell transplantation
Generally, patients will proceed to allogeneic HCT upon completion of remission induction chemotherapy. It is however allowed, as per investigator's discretion, for a patient to receive 'bridging' consolidation chemotherapy in exceptional cases of delay towards transplantation. At baseline, HLA-compatible donor search must be initiated as soon as possible, first among siblings and second in the world donor bank for unrelated donors or cord blood. In order to avoid inappropriate delay in cases where no suitable sibling is present, high-resolution HLA typing should be performed immediately after registration, enabling a more rapid matched-unrelated donor search. In case no sibling or unrelated donor can be identified, haploidentical allogeneic HCT is allowed. Conditioning and GVHD prophylaxis will take place according to institutional guidelines. Patients who undergo allogeneic HCT will not receive venetoclax during conditioning, engraftment or after hematologic recovery.
Locations (91)
Tirol Kliniken GmbH
Innsbruck, Austria
Kepler Universitaetsklinikum GmbH
Linz, Austria
Ordensklinikum Linz GmbH
Linz, Austria
Landeskrankenhaus (LKH) Rankweil, Interne E am Landeskrankenhaus Rankweil
Rankweil, Austria
Gemeinnuetzige Salzburger Landeskliniken Betriebsgesellschaft mbH
Salzburg, Austria
Hanusch Krankenhaus Der Wiener Gebietskrankenkasse
Vienna, Austria
Ziekenhuis Aan De Stroom
Antwerp, Belgium
Az St-Jan Brugge-Oostende A.V.
Bruges, Belgium
Universitair Ziekenhuis Brussel
Brussels, Belgium
Katholieke Universiteit te Leuven
Leuven, Belgium
Algemeen Ziekenhuis Delta
Roeselare, Belgium
CHU UCL NAMUR - Mont Godinne
Yvoir, Belgium
North Estonia Medical Centre Foundation
Tallinn, Estonia
Tartu University Hospital
Tartu, Estonia
Helsinki University Central Hospital Meilahden Kolmiosairaala
Helsinki, Finland
Tampere University Hospital
Tampere, Finland
Klinikum Aschaffenburg-Alzenau gGmbH
Aschaffenburg, Germany
HELIOS Klinikum Bad Saarow GmbH
Bad Saarow, Germany
Charité Berlin - Campus Mitte
Berlin, Germany
Charité Berlin - Campus Benjamin Franklin
Berlin, Germany
Charité Berlin - Campus Virchow Klinikum
Berlin, Germany
Vivantes am Urban
Berlin, Germany
Vivantes Neukölln
Berlin, Germany
Vivantes Spandau
Berlin, Germany
Knappschaftskrankenhaus Bochum-Langendreer
Bochum, Germany
Uniklinikum Bonn
Bonn, Germany
Staedtisches Klinikum Braunschweig
Braunschweig, Germany
Gesundheit Nord gGmbH Klinikverbund Bremen
Bremen, Germany
Klinikum Darmstadt GmbH
Darmstadt, Germany
St. Johannes Hospital Dortmund
Dortmund, Germany
Marien Hospital Duesseldorf GmbH
Düsseldorf, Germany
Klinikum Frankfurt Hoechst GmbH
Frankfurt, Germany
Justus-Liebig-Universitaet Giessen
Giessen, Germany
Wilhelm-Anton-Hospital Goch
Goch, Germany
Universitätsmedizin Greifswald
Greifswald, Germany
Univeritätsklinikum
Halle, Germany
Universitätsklinikum Hamburg-Eppendorf
Hamburg, Germany
Asklepios Klinik Altona
Hamburg, Germany
Asklepios Klinik St Georg
Hamburg, Germany
Medizinische Hochschule Hannover
Hanover, Germany
KRH Klinikum Siloah
Hanover, Germany
SLK-Kliniken Heilbronn GmbH
Heilbronn, Germany
Marien Hospital Herne
Herne, Germany
Universitaetsklinikum des Saarlandes AöR
Homburg, Germany
Wespfalz-Klinikum
Kaiserslautern, Germany
Städtisches Klinikum Karlsruhe
Karlsruhe, Germany
Staedtisches Klinikum Karlsruhe gGmbH
Karlsruhe, Germany
Klinikum der Stadt Ludwigshafen am Rhein gGmbH
Ludwigshafen, Germany
UNIVERSITÄTSKLINIKUM Schleswig-Holstein
Lübeck, Germany
Otto Von Guericke Universitaet Magdeburg
Magdeburg, Germany
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
Mainz, Germany
Klinikum Hochsauerland GmbH
Meschede, Germany
Muhlenkreiskliniken AöR
Minden, Germany
Klinikum rechts der Isar der TU Muenchen AöR
München, Germany
Ortenauklinikum
Offenburg, Germany
Klinikum Oldenburg AöR
Oldenburg, Germany
Universitaetsklinikum Regensburg AöR
Regensburg, Germany
Universitaetsklinikum
Rostock, Germany
Diakonie Klinikum Stuttgart
Stuttgart, Germany
Klinikum Traunstein
Traunstein, Germany
Barmherzige Brueder Trier gGmbH
Trier, Germany
Klinikum Mutterhaus der Borromaerinnen
Trier, Germany
Uniklinikum Tübingen
Tübingen, Germany
University Hospital Ulm
Ulm, Germany
Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH
Villingen-Schwenningen, Germany
Helios Universitaetsklinikum Wuppertal
Wuppertal, Germany
Vilnius University Hospital Santaros Klinik
Vilnius, Lithuania
Jeroen Bosch ziekenhuis
's-Hertogenbosch, Netherlands
Meander Medisch Centrum
Amersfoort, Netherlands
Amsterdam UMC Stichting
Amsterdam, Netherlands
OLVG
Amsterdam, Netherlands
Rijnstate Ziekenhuis Stichting
Arnhem, Netherlands
Amphia Hospital
Breda, Netherlands
Reinier de Graaf Gasthuis
Delft, Netherlands
Albert Schweitzer Ziekenhuis
Dordrecht, Netherlands
Maxima Medisch Centrum
Eindhoven, Netherlands
Medisch Spectrum Twente
Enschede, Netherlands
UMCG
Groningen, Netherlands
Medisch Centrum Leeuwarden B.V.
Leeuwarden, Netherlands
Leids Universitair Medisch Centrum (LUMC)
Leiden, Netherlands
Maastricht University Medical Center+ (MUMC+)
Maastricht, Netherlands
Sint Antonius Ziekenhuis Stichting
Nieuwegein, Netherlands
Radboudumc
Nijmegen, Netherlands
Erasmus MC - Daniel
Rotterdam, Netherlands
Hagaziekenhuis, locatie Leyweg
The Hague, Netherlands
UMCU
Utrecht, Netherlands
Isala Klinieken Stichting
Zwolle, Netherlands
Haukeland University Hospital
Bergen, Norway
Stavanger Univ. Hosp.-Rogaland Hosp.
Oslo, Norway
University Hospital of North Norway
Tromsø, Norway
St. Olavs Hospital
Trondheim, Norway