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RECRUITING
NCT04628026
PHASE3

Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Patients With Newly Diagnosed AML or MDS-EB-2

Sponsor: University of Ulm

View on ClinicalTrials.gov

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

Interventions

DRUG

Venetoclax

Venetoclax will be administered in Induction cycle 1, Induction cycle 2 and in the chemo consolidation therapy in addition to the standard chemotherapy

DRUG

Placebo

Placebo will be administered in Induction cycle 1, Induction cycle 2 and in the chemo consolidation therapy in addition to the standard chemotherapy

COMBINATION_PRODUCT

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.

OTHER

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