- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05305859
Venetoclax Combining Chidamide and Azacitidine (VCA) in the Treatment of R/R AML
December 7, 2023 updated by: The First Affiliated Hospital of Xiamen University
A Multi-center, Prospective, Single-arm Study of Venetoclax Combining Chidamide and Azacitidine (VCA) in the Treatment of Refractory/Relapsed Acute Myelogenous Leukemia (R/R AML)
The purpose of this study is to evaluate the safety and efficacy of Venetoclax Combining Chidamide and Azacitidine (VCA) in the Treatment of relapsed and/or refractory AML
Study Overview
Status
Recruiting
Intervention / Treatment
Detailed Description
Patients with relapsed and/or refractory AML have inferior outcomes.
The regimen of Venetoclax and Azacitidine has been widely used in the treatment of RR AML and has proved to achieve CR rate of 30% ~ 40%.
However, the median duration of response (DOR) of this regimen is about one year.
Chidamide is a histone deacetylase (HDAC) inhibitor and preclinical data showed adding low-dose Chidamide to venetoclax could significantly promoted apoptosis of leukemia cell lines.
Meanwhile, the Venetoclax Combining Chidamide and Azacitidine (VCA) regimen was applied to 2 patients with refractory AML.
This regimen was well tolerated and both patients achieved CR after one cycle.
Thus, we register this clinical trial and evaluate the safety and efficacy of VCA regimen.
Study Type
Interventional
Enrollment (Estimated)
30
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Bing Xu, M.D.
- Phone Number: +865922137255
- Email: xubingzhangjian@126.com
Study Locations
-
-
Fujian
-
Xiamen, Fujian, China, 361003
- Recruiting
- Bing Xu
-
Contact:
- Bing Xu
-
Principal Investigator:
- Bing Xu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age ≥18
- Relapsed and refractory patients with acute myeloid leukemia via morphology and immunology
- ECOG:0-2
- Life expectancy ≥ 3 months
Adequate laboratory parameters during the screening period as evidenced by the following:
- Creatinine clearance≥30 mL/min and serum Creatinine ≤ 160µmol/L
- ALT and AST ≤ 3 × upper limit of normal (ULN)
- Able to understand and sign an informed consent form (ICF).
Exclusion Criteria:
- Diagnosis of acute promyelocytic leukemia (APL)
- Central nervous system leukemia
Uncontrolled or significant cardiovascular disease, including any of the following:
- Bradycardia of less than 50 beats per minute, unless the subject has a pacemaker; Diagnosis of or suspicion of long QT syndrome (including family history of long QT syndrome);
- Systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥110 mmHg; History of clinically relevant ventricular arrhythmias (eg, ventricular tachycardia, ventricular fibrillation, or Torsade de Pointes);
- History of second (Mobitz II) or third degree heart block (subjects with pacemakers are eligible if they have no history of fainting or clinically relevant arrhythmias while using the pacemaker);
- History of uncontrolled angina pectoris or myocardial infarction within 6 months prior to Screening;
- History of New York Heart Association Class 3 or 4 heart failure;
- Complete left bundle branch block;
- Known history of left ventricular ejection fraction (LVEF) ≤45% or less than the institutional lower limit of normal;
- Active acute or chronic systemic fungal, bacterial, or viral infection not well controlled by antifungal, antibacterial or antiviral therapy;
- Suffered from other non-myeloid malignancies within 2 years, except adequately treated non-melanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated with no evidence of disease
- Females who are pregnant or breastfeeding;
- Mental disorders that hinder research participation
- Previous solid organ transplantation (SCT treatment is allowed in advance, but if the patient has GVHD or is still receiving immunosuppression/GVHD treatment, it is not allowed)
- Any other situation where the investigator believes that the patient should not participate in this trial
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: venetoclax combining chidamide and azacitidine (VCA)
28 days per cycle × at least 2 cycles; 1) chidamide 30mg biw × 2weeks;2) venetoclax 200mg/d × 2 weeks 3) azacitidine 100mg/d d1-7 |
information already included in arm/group descriptions
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Complete remission (CR) rate
Time Frame: 2 months
|
CR was <5% marrow blasts by morphology
|
2 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
1 year leukemia free survival (LFS)
Time Frame: 1 year from treatment initiation
|
Leukemia-free survival (LFS) is defined as survival without evidence of relapse from treatment initiation
|
1 year from treatment initiation
|
1year overall survival (OS)
Time Frame: 1 year from treatment initiation
|
Overall survival(OS)is defined as the time from treatment initiation to death from any cause.
|
1 year from treatment initiation
|
Adverse events
Time Frame: 2 months
|
Adverse event is defined as any untoward medical occurrence associated with treatment
|
2 months
|
objective response rate (ORR)
Time Frame: 2 months
|
ORR is defined as CR, CRi and PR.
Partial remission (PR) is defined as a decrease of at least 50% in the percentage of blasts to 5 to 25% in the bone marrow aspirate and the normalization of blood counts.
|
2 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Bing Xu, The First Affiliated Hospital of Xiamen University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 1, 2022
Primary Completion (Estimated)
January 31, 2024
Study Completion (Estimated)
January 31, 2026
Study Registration Dates
First Submitted
March 8, 2022
First Submitted That Met QC Criteria
March 23, 2022
First Posted (Actual)
March 31, 2022
Study Record Updates
Last Update Posted (Estimated)
December 8, 2023
Last Update Submitted That Met QC Criteria
December 7, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- FXMH-AML-001
- ChiCTR2200056657 (Registry Identifier: Chinese clinical trial registry)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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