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A Phase III Study Comparing Mesutoclax + Azacitidine Versus Venetoclax + Azacitidine in Untreated Acute Myeloid Leukemia (AML) Patients

3. november 2026 opdateret af: Beijing InnoCare Pharma Tech Co., Ltd.

A Randomized, Open-label, Multicenter Phase III Study of Mesutoclax Combined With Azacitidine Versus Venetoclax Combined With Azacitidine in the Treatment of Treatment Naive Acute Myeloid Leukemia (AML) Who Are Elderly or Ineligible for Intensive Chemotherapy

A Phase III study comparing Mesutoclax + azacitidine versus venetoclax + azacitidine in newly diagnosed acute myeloid leukemia (AML) patients

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

318

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Zhejiang
      • Hangzhou, Zhejiang, Kina, 310012
        • The First Affiliated Hospital, Zhejiang University school of Medicine
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  1. Study participants with newly diagnosed AML (excluding acute promyelocytic leukemia [APL]) confirmed per the 2022 World Health Organization (WHO) classification criteria.
  2. Age ≥65 years; or age ≥18 years and <65 years and ineligible for intensive chemotherapy.
  3. The participant is expected to have a survival time of at least 12 weeks.
  4. For participants aged ≥65 years: ECOG Performance Status (PS) 0-2; for participants aged ≥18 years and <65 years: ECOG PS 0-3.
  5. Participants must have adequate hepatic and renal function.
  6. Male participants must agree to refrain from unprotected sexual intercourse and sperm donation from the first dose of investigational product through 90 days after the last dose.
  7. Female participants must meet one of the following: postmenopausal; permanently sterilized; or, for females of reproductive potential, have a negative serum pregnancy test within 7 days prior to the first study dose. Females of reproductive potential must agree to use one highly effective contraceptive method plus a supplementary barrier contraceptive method with their partner from the date of ICF signature until 180 days after the last dose.
  8. The participant is able to communicate adequately with the investigator and comply with study procedures as specified in the protocol.
  9. The participant or their legally authorized representative voluntarily provides written informed consent.

Exclusion Criteria:

  1. Prior antitumor treatment for myeloid hematologic malignancies.
  2. Prior history of chronic myeloid leukemia (CML), myelodysplastic syndrome/myeloproliferative neoplasm (MDS/MPN).
  3. Known central nervous system (CNS) involvement of leukemia.
  4. Peripheral blood white blood cell count >25×10^9/L prior to randomization.
  5. Active hepatitis B virus or hepatitis C virus infection.
  6. History of immunodeficiency, including positive human immunodeficiency virus (HIV) antibody.
  7. Use of strong or moderate CYP3A/P-gp inhibitors or inducers (medications, dietary supplements, etc.) within 5 half-lives before the first dose of investigational product.
  8. Diagnosis of another active malignant neoplasm within the past 2 years.
  9. Severe active infection requiring intravenous antimicrobial therapy.
  10. History of severe cardiovascular disease.
  11. Prior history of central nervous system disorders.
  12. History of severe bleeding diathesis.
  13. Known alcohol or substance dependence.
  14. Participants whom the investigator judges cannot adhere to the protocol due to uncontrolled medical, psychological, familial, social or geographic conditions; or participants who are unwilling or unable to follow protocol-required procedures.
  15. Pregnant or breastfeeding female participants.
  16. Malabsorption syndrome or other conditions that preclude oral administration or may interfere with drug absorption.
  17. Known hypersensitivity to the active ingredients/excipients of mesutoclax tablets, venetoclax, azacitidine, or mannitol.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Mesutoclax + Azacitidine

125 mg QD, orally, until disease progression or other reasons for treatment discontinuation, whichever comes first.

75 mg/m2, Day 1-7 or Day 1-5 and Day 8-9 of each Cycle, by injection

Aktiv komparator: Venetoclax + Azacitidine

75 mg/m2, Day 1-7 or Day 1-5 and Day 8-9 of each Cycle, by injection

400 mg QD, orally, until disease progression or other reasons for treatment discontinuation, whichever comes first.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
overall survival (OS)
Tidsramme: through the study completion, approximately up to 4 years
through the study completion, approximately up to 4 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Response rates
Tidsramme: within 3 cycles (each cycle is 28 days) and during study treatment, approximately up to 3 years

Rate of complete remission with negative measurable residual disease (CRMRD-), complete remission (CR) rate, and composite complete remission (CRc) rate (CRc includes CR, CR with incomplete hematologic recovery [CRi] , and/or CR with partial hematological recovery(CRh))

within 3 cycles (each cycle is 28 days) and during study treatment, approximately up to 3 years
Event free survival (EFS)
Tidsramme: approximately up to 3 years
approximately up to 3 years
Duration of CR and CRc
Tidsramme: during study treatment period, approximately up to 3 years

Duration of CR and duration of CRc

during study treatment period, approximately up to 3 years
EFS with molecular MRD relapse
Tidsramme: approximately up to 3 years

Mesured from the date of randomization to date of treatment failure, hematological relapse, MRD relapse, or death from any cause, whichever comes first

approximately up to 3 years
Transfusion independence rate
Tidsramme: approximately up to 3 years

Transfusion independence rate

approximately up to 3 years
Adverse event profile per CTCAE v5.0
Tidsramme: from first dose to 28 days post last dose, approximately up to 3 years

Incidence, category, severity, and other characteristics of adverse events (AEs), assessed per NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

from first dose to 28 days post last dose, approximately up to 3 years
Numbers of Treatment cycle
Tidsramme: during study treatment period, approximately up to 3 years
during study treatment period, approximately up to 3 years
Treatment cycle duration
Tidsramme: during study treatment period, approximately up to 3 years
during study treatment period, approximately up to 3 years
Days of treatment per cycle
Tidsramme: during study treatment period, approximately up to 3 years
during study treatment period, approximately up to 3 years
Patient Reported Outcomes (PRO) by European Organization for Research and Treatment of Cancer -Quality of Life Questionnaire (EORTC-QLQ-C30)
Tidsramme: from first dose to 28 days post last dose, approximately up to 3 years

PROs assessed by EORTC-QLQ-C30 , changes in rating compared to baseline.

from first dose to 28 days post last dose, approximately up to 3 years
PRO by EuroQol 5-Dimension 5-Level (EQ-5D-5L)
Tidsramme: from first dose to 28 days post last dose, approximately up to 3 years

PROs assessed by EQ-5D-5L, changes in rating compared to baseline.

from first dose to 28 days post last dose, approximately up to 3 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Qian Jiang, Peking University People's Hospital
  • Ledende efterforsker: Jie Jin, First Affiliated Hospital of Zhejiang University
  • Ledende efterforsker: Jianxiang Wang, Chinese Academy of Medical Sciences

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. november 2026

Primær færdiggørelse (Anslået)

1. december 2029

Studieafslutning (Anslået)

1. juni 2030

Datoer for studieregistrering

Først indsendt

28. oktober 2026

Først indsendt, der opfyldte QC-kriterier

3. november 2026

Først opslået (Faktiske)

9. november 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

9. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

3. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • ICP-CL-01210

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