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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
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
Prospective, multicenter, double-blind, randomized, placebo-controlled phase 3 clinical study. The randomized phase of the study will be preceded by a feasibility run-in dose-escalation phase in patients with AML in which the venetoclax dose for the phase 3 part will be established. After the feasibility run-in phase, eligible patients will be randomized to intensive chemotherapy with venetoclax or placebo. Patients will receive two cycles of induction chemotherapy; patients achieving CR or CRi after two cycles will continue with consolidation treatment according to initial randomization, and according to Cooperative Group-specific consolidation regimens or investigator choice. Patients achieving morphologic leukemia-free state (MLFS) only, may also continue consolidation treatment on protocol. Assignment to either allogeneic hematopoietic cell transplantation (HCT), conventional chemotherapy or autologous HCT will be done according to institutional standards, and based on (prognostic) disease characteristics, individual patient assessment, and established comorbidity risk scores (e.g., HCT-CI score).
Age
18 - 75 years
Sex
ALL
Healthy Volunteers
No
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
Start Date
September 13, 2022
Primary Completion Date
March 1, 2029
Completion Date
February 1, 2032
Last Updated
March 16, 2026
650
ESTIMATED participants
Venetoclax
DRUG
Placebo
DRUG
Standard chemotherapy
COMBINATION_PRODUCT
Allogeneic stem cell transplantation
OTHER
Lead Sponsor
University of Ulm
Collaborators
NCT06285890
NCT06220162
NCT04065399
Data Source & Attribution
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