Sonrotoclax in Combination With Azacitidine for Previously Untreated Higher-risk Myelodysplastic Syndromes
A Prospective, Single-Center, Phase Ⅱ Clinical Study on the Efficacy and Safety of Sonrotoclax Combined With Azacitidine in Previously Untreated Patients With Higher-risk Myelodysplastic Neoplasms
To evaluate the efficacy and safety profile of sotoclax combined with azacitidine in newly diagnosed higher-risk MDS patients, including ORR, CR rate, PFS, OS and treatment-related adverse events
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
- Fase 3
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Zhurhohan Yu
- Telefonnummer: +8617280290731
- E-mail: 1148629702@qq.com
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
-
Aged ≥ 18 years.
-
Diagnosed with myelodysplastic syndromes (MDS) based on bone marrow morphology, immunophenotyping, cytogenetics, and molecular testing, consistent with the WHO 2016 or 2022 classification criteria.
-
High-risk MDS defined by any of the following risk stratification systems:
- nbsp; a) IPSS-R score > 3.5; or
- nbsp; b) IPSS score > 1; or
- nbsp; c) IPSS-M score > 0.
-
No prior anti-tumor treatment for MDS, including hypomethylating agents or chemotherapy.
-
Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
-
Expected survival time ≥ 12 weeks.
-
Adequate major organ function as defined below:
- nbsp; a) Creatinine clearance ≥ 50 mL/min;
- nbsp; b) Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN); Total bilirubin ≤ 1.5 × ULN;Left ventricular ejection fraction (LVEF) ≥ 45%.
-
Written informed consent must be obtained from the patient, legal representative, or guardian prior to any study-related procedures. The study protocol has been approved by the institutional ethics committee.
Exclusion Criteria:
- Diagnosis of acute promyelocytic leukemia (APL).
- Prior treatment with any BCL-2 inhibitor.
- History of other malignant tumors within the past 3 years (excluding cured malignancies).
- Presence of active and uncontrolled infectious diseases.
- Central nervous system (CNS) involvement.
- Severe and uncontrolled cardiac disease.
- Dry tap on bone marrow aspiration or grade 2-3 myelofibrosis.
- Pregnancy or breastfeeding status.
- Any other condition deemed inappropriate for study enrollment by the investigator.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Andet: Sonrotoclax plus Azacitidine in Newly-Diagnosed Higher-Risk Myelodysplastic Syndromes (MDS)
Patients with newly-diagnosed higher-risk MDS receive 28-day cycles of sonrotoclax (BGB-11417) plus azacitidine. Azacitidine 75 mg/m² is given subcutaneously or intravenously on Days 1-7. Sonrotoclax (RP2D 160 mg daily, Days 1-14 per cycle) undergoes 4-day dose ramp-up (20-40-80-160 mg) in Cycle 1, followed by full target dose in later cycles. |
Patients with newly-diagnosed higher-risk MDS receive 28-day cycles of sonrotoclax (BGB-11417) plus azacitidine. Azacitidine 75 mg/m² is given subcutaneously or intravenously on Days 1-7. Sonrotoclax (RP2D 160 mg daily, Days 1-14 per cycle) undergoes 4-day dose ramp-up (20-40-80-160 mg) in Cycle 1, followed by full target dose in later cycles. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Overall Response Rate (ORR)
Tidsramme: Up to 24 months
|
Description: The proportion of participants achieving objective response (CR or PR) per response criteria. Unit of Measure: Proportion |
Up to 24 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Complete Remission (CR) rate
Tidsramme: Up to 24 months
|
Description: The proportion of participants achieving complete remission per response criteria. Unit of Measure: Proportion |
Up to 24 months
|
|
Duration of Response (DOR)
Tidsramme: Up to 36 months
|
Description: Time from the first documented objective response to disease progression or death from any cause. Unit of Measure: Time (months) |
Up to 36 months
|
|
Progression-Free Survival (PFS)
Tidsramme: Up to 36 months
|
Outcome Measure: Progression-Free Survival (PFS) Description: Time from randomization to disease progression or death from any cause. Unit of Measure: Time (months) |
Up to 36 months
|
|
Overall Survival (OS)
Tidsramme: Up to 36 months
|
Outcome Measure: Overall Survival (OS) Description: Time from randomization to death from any cause. Unit of Measure: Time (months) |
Up to 36 months
|
|
Hematological/non-hematological adverse events
Tidsramme: From first study treatment dose to 30 days after last dose
|
Description: Incidence of hematological and non-hematological adverse events, graded per CTCAE. Unit of Measure: Incidence (proportion) |
From first study treatment dose to 30 days after last dose
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2026-MDS-1
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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