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COMPLETED
NCT07773909
PHASE4

Venetoclax With Hypomethylating Agents in Newly Diagnosed AML Unfit for Intensive Chemotherapy

Sponsor: Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

View on ClinicalTrials.gov

Summary

This single-arm interventional study evaluated the short-term outcome of one 28-day cycle of venetoclax combined with a hypomethylating agent (azacitidine or decitabine) in adults with newly diagnosed acute myeloid leukemia who could not receive intensive induction chemotherapy. Twenty-four patients were enrolled at the Department of Haematology, Dhaka Medical College Hospital, Dhaka, Bangladesh. In addition to older and comorbid patients, the cohort included younger patients for whom intensive chemotherapy was financially inaccessible - a population under-represented in existing trial and registry data. The primary endpoint was the composite remission rate (complete remission plus complete remission with incomplete haematologic recovery) assessed by bone marrow examination on Day 28. Secondary endpoints included change in complete blood count parameters, treatment-emergent adverse events, and 28-day mortality.

Official title: Short-Term Outcome of Newly Diagnosed Acute Myeloid Leukemia Treated With Hypomethylating Agents and Venetoclax in Patients Ineligible for Intensive Chemotherapy: A Single-Centre Prospective Study

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

24

Start Date

2022-06-01

Completion Date

2023-03-01

Last Updated

2026-08-19

Healthy Volunteers

No

Interventions

DRUG

Venetoclax

Oral venetoclax 100 mg on Day 1, 200 mg on Day 2, then 100 mg daily Days 3-28. Dose maintained at 100 mg from Day 3 because of concomitant strong CYP3A4 inhibition by voriconazole.

DRUG

Azacitidine

75 mg/m² intravenously, Days 1-7 of the 28-day cycle.

DRUG

Decitabine

20 mg/m² intravenously, Days 1-5 of the 28-day cycle.

DRUG

Voriconazole

200 mg orally twice daily, Days 3-28, as antifungal prophylaxis.

Locations (1)

Dhaka Medical College Hospital

Dhaka, Dhaka Division, Bangladesh