Study on Venetoclax and Azacitidine for Younger Adults with Untreated Acute Myeloid Leukemia
Sponsor: University of Colorado, Denver
ClinicalTrials ID:NCT03573024
This clinical trial is exploring the use of two drugs, venetoclax and azacitidine, to treat younger adults who have been newly diagnosed with acute myeloid leukemia (AML) and have not received any prior treatment.
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Program Overview
The purpose of this study is to test the effectiveness of two medications, venetoclax and azacitidine, in treating adults aged 18 to 59 who have acute myeloid leukemia (AML) and have not been treated before. Participants can receive up to four cycles of these medications. Depending on their recovery, they may continue with the treatment, receive maintenance therapy, or consider a stem cell transplant.
Description
This study is designed for adults aged 18 to 59 who have been newly diagnosed with acute myeloid leukemia (AML) and have not received any previous treatment. The study will use two drugs, venetoclax and azacitidine, to see how well they work in treating AML. Participants can receive up to four cycles of these medications. After the initial treatment, doctors will assess the patient's recovery. Based on this assessment, patients may either stop the study, continue with the medication, receive maintenance therapy, or consider a stem cell transplant. The study aims to provide new treatment options for younger adults with AML.
Eligibility Criteria
Inclusion Criteria
- Must have a confirmed diagnosis of acute myeloid leukemia (AML) that is not a specific subtype called APL.
- Must not have received any prior treatment for AML.
- Must be between 18 and 59 years old.
- Must not have active disease in the central nervous system.
- Must have a performance status score of 0 to 2, indicating good overall health.
- Must have adequate kidney function, with a creatinine clearance of at least 30 mL/min.
- Must have adequate liver function, with specific liver enzyme levels within acceptable limits.
- Male participants must use contraception and avoid donating sperm during and for 90 days after treatment.
- Female participants of childbearing potential must use two forms of contraception or abstain from sex during and for 90 days after treatment.
- Must sign an informed consent form to participate in the study.
- Must have a specific risk level of disease as defined by medical guidelines.
Exclusion Criteria
- Have received treatment for myelodysplastic syndrome (MDS) or AML, except for a specific scenario involving APL.
- Have a known positive test for HIV.
- Have a known positive test for hepatitis B or C, unless the viral load is undetectable.
- Have taken certain medications or consumed specific fruits that interact with the study drugs within a specified time before starting the study.
- Have significant medical conditions that could affect participation, such as severe heart failure or other serious diseases.
- Have a condition that affects the absorption of oral medications.
- Have an uncontrolled infection requiring treatment.
- Have a history of other cancers, except for certain types that have been treated and are not expected to return.
- Have a high white blood cell count, unless treated with specific medications or procedures.
- Be willing to receive intensive chemotherapy.
- Be pregnant or breastfeeding.
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