Questa pagina è stata tradotta automaticamente e l'accuratezza della traduzione non è garantita. Si prega di fare riferimento al Versione inglese per un testo di partenza.

Testare l'aggiunta di venetoclax o gemtuzumab ozogamicina (GO) al solito regime di trattamento (citarabina e daunorubicina, "7+3") per il fattore di legame core di leucemia mieloide acuta (CBF-AML) per migliorare la risposta (una sperimentazione di trattamento con mieelomatch)

3 novembre 2026 aggiornato da: National Cancer Institute (NCI)

Phase II Study of Cytarabine + Daunorubicin (7 + 3) + Gemtuzumab Ozogamicin vs. Cytarabine + Daunorubicin (7 + 3) + Venetoclax for the Treatment of Newly Diagnosed Core Binding Factor Acute Myeloid Leukemia (CBF-AML) in Younger Adults: A MyeloMATCH Substudy

This phase II MYELOMATCH treatment trial compares the effect of venetoclax to gemtuzumab ozogamicin, when given with cytarabine and daunorubicin ("7+3" regimen), for the treatment of patients with core binding factor acute myeloid leukemia (CBF-AML). Venetoclax is in a class of medications called B-cell lymphoma-2 (BCL-2) inhibitors. It may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Gemtuzumab ozogamicin is a monoclonal antibody, called gemtuzumab, linked to an antitumor antibiotic drug, called ozogamicin. Gemtuzumab is a form of targeted therapy because it attaches to specific molecules (receptors) on the surface of cancer cells, known as CD33 receptors, and delivers ozogamicin to kill them. Chemotherapy drugs, such as cytarabine and daunorubicin work in different ways to stop the growth of cancer cells either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving venetoclax with cytarabine and daunorubicin may have fewer side effects and be as effective or better than the combination with gemtuzumab ozogamicin in treating patients with core binding factor AML.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

PRIMARY OBJECTIVE:

I. Compare the rates of complete remission (CR) without measurable residual disease (CRMRD-) by multiparameter flow cytometry following induction therapy between the two treatment arms in each cohort separately.

SECONDARY OBJECTIVES:

I. To compare the rates of CR and composite complete remission (CRc) (CR+complete remission with incomplete hematologic recovery [CRi]+complete remission with partial hematologic recovery [CRh]) between the treatment arms.

II. To compare the overall survival (OS) between the treatment arms. III. To compare the event-free survival (EFS). IV. To compare the cumulative incidence of relapse (CIR). V. To compare the cumulative incidence of death (CID) between the treatment arms.

VI. To compare the rate of early death at 30 days and 60 days between the treatment arms.

VII. To assess the rate and frequency of adverse events between treatment arms. VIII. To evaluate mutant RAS and mutant KIT as predictive biomarkers for CRMRD- rate in CBF AML.

EXPLORATORY OBJECTIVE:

I. To compare MRD (and its clinical implication, e.g., relapse rates) between flow cytometry (FC) and next generation sequencing (NGS)-based (RUNX1::RUNX1T1 or CBFB::MYH11).

CORRELATIVE OBJECTIVES:

I. To evaluate the frequency and clinical impact of variant allele frequency (VAF) of KIT mutation, KIT mutations in different exons (e.g., exon 8 or 17), CD33 expression, additional (secondary) mutations and cytogenetic abnormalities.

II. To evaluate the differences in clinical and molecular outcomes in patients with RUNX1::RUNX1T1 mutated versus CBFB::MYH11 mutated CBF AML.

OUTLINE: Patients are randomized to 1 of 2 regimens.

REGIMEN 1: Patients receive gemtuzumab ozogamicin intravenously (IV) on day 1, 2 or 3 and on day 4, 5, or 6 (NOTE: two doses must be at least 3 days apart), as well as cytarabine IV, continuously, on days 1-7 and daunorubicin IV on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo standard of care consolidation/post-remission treatment at the discretion of the treating physician. Patients undergo echocardiography or multigated acquisition (MUGA) scan during screening, as well as bone marrow aspiration and blood sample collection throughout the study.

REGIMEN 2: Patients receive venetoclax orally (PO) once daily (QD) on days 1-11, cytarabine IV, continuously, on days 2-8 and daunorubicin IV on days 2-4 in the absence of disease progression or unacceptable toxicity. Patients then undergo standard of care consolidation/post-remission treatment at the discretion of the treating physician. Patients undergo echocardiography or MUGA scan during screening and bone marrow aspiration, as well as blood sample collection throughout the study.

After completion of study treatment, patients are followed up at relapse and every 3 months for 2 years, then every 6 months until 5 years.

Tipo di studio

Interventistico

Iscrizione (Stimato)

162

Fase

  • Fase 2

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Porto Rico
      • San Juan, Porto Rico, 00927
        • Reclutamento
        • Centro Comprensivo de Cancer de UPR
        • Investigatore principale:
          • Luis J. Santos Reyes
        • Contatto:
      • San Juan, Porto Rico, 00936
        • Reclutamento
        • San Juan City Hospital
        • Investigatore principale:
          • Luis J. Santos Reyes
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 787-763-1296
  • Stati Uniti
    • Alabama
      • Birmingham, Alabama, Stati Uniti, 35233
        • Reclutamento
        • University of Alabama at Birmingham Cancer Center
        • Investigatore principale:
          • Razan Mohty
        • Contatto:
    • California
      • La Jolla, California, Stati Uniti, 92093
        • Reclutamento
        • UC San Diego Moores Cancer Center
        • Contatto:
        • Investigatore principale:
          • Tiffany N. Tanaka
    • Florida
      • Pembroke Pines, Florida, Stati Uniti, 33028
        • Reclutamento
        • Memorial Hospital West
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 954-265-4325
        • Investigatore principale:
          • Yehuda E. Deutsch
    • Idaho
      • Coeur d'Alene, Idaho, Stati Uniti, 83814
        • Reclutamento
        • Kootenai Health - Coeur d'Alene
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Post Falls, Idaho, Stati Uniti, 83854
        • Reclutamento
        • Kootenai Clinic Cancer Services - Post Falls
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Sandpoint, Idaho, Stati Uniti, 83864
        • Reclutamento
        • Kootenai Clinic Cancer Services - Sandpoint
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
    • Illinois
      • Chicago, Illinois, Stati Uniti, 60637
        • Reclutamento
        • University of Chicago Comprehensive Cancer Center
        • Contatto:
        • Investigatore principale:
          • Olatoyosi M. Odenike
      • Chicago, Illinois, Stati Uniti, 60611
        • Reclutamento
        • Northwestern University
        • Contatto:
        • Investigatore principale:
          • Yuchen Liu
      • Chicago, Illinois, Stati Uniti, 60612
        • Reclutamento
        • University of Illinois
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 312-355-3046
        • Investigatore principale:
          • Noah Birch
      • Chicago, Illinois, Stati Uniti, 60612
        • Reclutamento
        • Rush MD Anderson Cancer Center
        • Contatto:
        • Investigatore principale:
          • Melissa L. Larson
      • New Lenox, Illinois, Stati Uniti, 60451
        • Reclutamento
        • UC Comprehensive Cancer Center at Silver Cross
        • Contatto:
        • Investigatore principale:
          • Olatoyosi M. Odenike
      • Orland Park, Illinois, Stati Uniti, 60462
        • Reclutamento
        • University of Chicago Medicine-Orland Park
        • Contatto:
        • Investigatore principale:
          • Olatoyosi M. Odenike
    • Indiana
      • Crown Point, Indiana, Stati Uniti, 46307
        • Reclutamento
        • UChicago Medicine Northwest Indiana
        • Investigatore principale:
          • Olatoyosi M. Odenike
        • Contatto:
    • Kansas
      • Fairway, Kansas, Stati Uniti, 66205
        • Reclutamento
        • University of Kansas Clinical Research Center
        • Contatto:
        • Investigatore principale:
          • Jesus Gonzalez Lugo
      • Kansas City, Kansas, Stati Uniti, 66160
        • Reclutamento
        • University of Kansas Cancer Center
        • Contatto:
        • Investigatore principale:
          • Jesus Gonzalez Lugo
      • Overland Park, Kansas, Stati Uniti, 66211
        • Reclutamento
        • University of Kansas Hospital-Indian Creek Campus
        • Contatto:
        • Investigatore principale:
          • Jesus Gonzalez Lugo
      • Westwood, Kansas, Stati Uniti, 66205
        • Reclutamento
        • University of Kansas Hospital-Westwood Cancer Center
        • Contatto:
        • Investigatore principale:
          • Jesus Gonzalez Lugo
    • Kentucky
      • Lexington, Kentucky, Stati Uniti, 40536
        • Reclutamento
        • University of Kentucky/Markey Cancer Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 859-257-3379
        • Investigatore principale:
          • Fevzi Yalniz
      • Louisville, Kentucky, Stati Uniti, 40202
        • Reclutamento
        • The James Graham Brown Cancer Center at University of Louisville
        • Investigatore principale:
          • Mohamed M. Hegazi
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 502-562-3429
      • Louisville, Kentucky, Stati Uniti, 40245
        • Reclutamento
        • UofL Health Medical Center Northeast
        • Investigatore principale:
          • Mohamed M. Hegazi
        • Contatto:
    • Louisiana
      • Baton Rouge, Louisiana, Stati Uniti, 70808
        • Reclutamento
        • Our Lady of the Lake Physician Group
        • Contatto:
        • Investigatore principale:
          • Harry G. Sequeira Gross
    • Massachusetts
      • Boston, Massachusetts, Stati Uniti, 02215
        • Reclutamento
        • Dana-Farber Cancer Institute
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-442-3324
        • Investigatore principale:
          • Eric S. Winer
      • Boston, Massachusetts, Stati Uniti, 02111
    • Michigan
      • Brighton, Michigan, Stati Uniti, 48114
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
        • Contatto:
        • Investigatore principale:
          • Tareq Al baghdadi
      • Canton, Michigan, Stati Uniti, 48188
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
        • Contatto:
        • Investigatore principale:
          • Tareq Al baghdadi
      • Chelsea, Michigan, Stati Uniti, 48118
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • Contatto:
        • Investigatore principale:
          • Tareq Al baghdadi
      • Livonia, Michigan, Stati Uniti, 48154
        • Reclutamento
        • Trinity Health Saint Mary Mercy Livonia Hospital
        • Contatto:
        • Investigatore principale:
          • Tareq Al baghdadi
      • Pontiac, Michigan, Stati Uniti, 48341
        • Reclutamento
        • Trinity Health Saint Joseph Mercy Oakland Hospital
        • Contatto:
        • Investigatore principale:
          • Tareq Al baghdadi
      • Ypsilanti, Michigan, Stati Uniti, 48197
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • Contatto:
        • Investigatore principale:
          • Tareq Al baghdadi
    • Mississippi
      • Columbus, Mississippi, Stati Uniti, 39705
        • Reclutamento
        • Baptist Memorial Hospital and Cancer Center-Golden Triangle
        • Investigatore principale:
          • Salil Goorha
        • Contatto:
      • Grenada, Mississippi, Stati Uniti, 38901
        • Reclutamento
        • Baptist Cancer Center-Grenada
        • Investigatore principale:
          • Salil Goorha
        • Contatto:
      • New Albany, Mississippi, Stati Uniti, 38652
        • Reclutamento
        • Baptist Memorial Hospital and Cancer Center-Union County
        • Investigatore principale:
          • Salil Goorha
        • Contatto:
      • Oxford, Mississippi, Stati Uniti, 38655
        • Reclutamento
        • Baptist Memorial Hospital and Cancer Center-Oxford
        • Investigatore principale:
          • Salil Goorha
        • Contatto:
      • Southhaven, Mississippi, Stati Uniti, 38671
        • Reclutamento
        • Baptist Memorial Hospital and Cancer Center-Desoto
        • Investigatore principale:
          • Salil Goorha
        • Contatto:
    • Missouri
      • City of Saint Peters, Missouri, Stati Uniti, 63376
        • Reclutamento
        • Siteman Cancer Center at Saint Peters Hospital
        • Contatto:
        • Investigatore principale:
          • Ramzi Abboud
      • Creve Coeur, Missouri, Stati Uniti, 63141
        • Reclutamento
        • Siteman Cancer Center at West County Hospital
        • Contatto:
        • Investigatore principale:
          • Ramzi Abboud
      • St Louis, Missouri, Stati Uniti, 63110
        • Reclutamento
        • Washington University School of Medicine
        • Contatto:
        • Investigatore principale:
          • Ramzi Abboud
      • St Louis, Missouri, Stati Uniti, 63129
        • Reclutamento
        • Siteman Cancer Center-South County
        • Contatto:
        • Investigatore principale:
          • Ramzi Abboud
      • St Louis, Missouri, Stati Uniti, 63136
        • Reclutamento
        • Siteman Cancer Center at Christian Hospital
        • Contatto:
        • Investigatore principale:
          • Ramzi Abboud
    • Montana
      • Anaconda, Montana, Stati Uniti, 59711
        • Reclutamento
        • Community Hospital of Anaconda
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Billings, Montana, Stati Uniti, 59101
        • Reclutamento
        • Billings Clinic Cancer Center
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Bozeman, Montana, Stati Uniti, 59715
        • Reclutamento
        • Bozeman Health Deaconess Hospital
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Great Falls, Montana, Stati Uniti, 59405
        • Reclutamento
        • Benefis Sletten Cancer Institute
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Kalispell, Montana, Stati Uniti, 59901
        • Reclutamento
        • Logan Health Medical Center
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Missoula, Montana, Stati Uniti, 59804
        • Reclutamento
        • Community Medical Center
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
    • Nebraska
      • Bellevue, Nebraska, Stati Uniti, 68123
        • Reclutamento
        • Nebraska Medicine-Bellevue
        • Contatto:
        • Investigatore principale:
          • Michael Haddadin
      • Omaha, Nebraska, Stati Uniti, 68198
        • Reclutamento
        • University of Nebraska Medical Center
        • Contatto:
        • Investigatore principale:
          • Michael Haddadin
      • Omaha, Nebraska, Stati Uniti, 68118
        • Reclutamento
        • Nebraska Medicine-Village Pointe
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 402-559-5600
        • Investigatore principale:
          • Michael Haddadin
    • New Mexico
      • Albuquerque, New Mexico, Stati Uniti, 87106
        • Reclutamento
        • University of New Mexico Cancer Center
        • Contatto:
        • Investigatore principale:
          • Charles Foucar
    • New York
      • Buffalo, New York, Stati Uniti, 14263
        • Reclutamento
        • Roswell Park Cancer Institute
        • Investigatore principale:
          • Eunice S. Wang
        • Contatto:
      • Rochester, New York, Stati Uniti, 14642
        • Reclutamento
        • University of Rochester
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 585-275-5830
        • Investigatore principale:
          • Bassil Botros
      • Syracuse, New York, Stati Uniti, 13210
        • Reclutamento
        • State University of New York Upstate Medical University
        • Investigatore principale:
          • Teresa C. Gentile
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 315-464-5476
      • The Bronx, New York, Stati Uniti, 10467
        • Reclutamento
        • Montefiore Medical Center - Moses Campus
        • Investigatore principale:
          • Ioannis Mantzaris
        • Contatto:
    • North Carolina
      • Durham, North Carolina, Stati Uniti, 27710
        • Reclutamento
        • Duke University Medical Center
        • Investigatore principale:
          • Harry P. Erba
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 888-275-3853
    • Ohio
      • Columbus, Ohio, Stati Uniti, 43210
        • Reclutamento
        • Ohio State University Comprehensive Cancer Center
        • Investigatore principale:
          • Alice S. Mims
        • Contatto:
    • Oklahoma
      • Oklahoma City, Oklahoma, Stati Uniti, 73104
        • Reclutamento
        • University of Oklahoma Health Sciences Center
        • Contatto:
        • Investigatore principale:
          • Zimu Gong
    • Pennsylvania
      • Danville, Pennsylvania, Stati Uniti, 17822
        • Reclutamento
        • Geisinger Medical Center
        • Investigatore principale:
          • Joseph J. Vadakara
        • Contatto:
      • Wilkes-Barre, Pennsylvania, Stati Uniti, 18711
        • Reclutamento
        • Geisinger Wyoming Valley/Henry Cancer Center
        • Contatto:
        • Investigatore principale:
          • Joseph J. Vadakara
    • Rhode Island
      • Providence, Rhode Island, Stati Uniti, 02903
        • Reclutamento
        • Rhode Island Hospital
        • Investigatore principale:
          • John L. Reagan
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 401-444-1488
    • South Carolina
      • Boiling Springs, South Carolina, Stati Uniti, 29316
        • Reclutamento
        • Prisma Health Cancer Institute - Spartanburg
        • Investigatore principale:
          • Suzanne R. Fanning
        • Contatto:
      • Easley, South Carolina, Stati Uniti, 29640
        • Reclutamento
        • Prisma Health Cancer Institute - Easley
        • Investigatore principale:
          • Suzanne R. Fanning
        • Contatto:
      • Greenville, South Carolina, Stati Uniti, 29605
        • Reclutamento
        • Prisma Health Cancer Institute - Faris
        • Investigatore principale:
          • Suzanne R. Fanning
        • Contatto:
      • Greenville, South Carolina, Stati Uniti, 29605
        • Reclutamento
        • Prisma Health Cancer Institute - Butternut
        • Investigatore principale:
          • Suzanne R. Fanning
        • Contatto:
      • Greenville, South Carolina, Stati Uniti, 29615
        • Reclutamento
        • Prisma Health Cancer Institute - Eastside
        • Investigatore principale:
          • Suzanne R. Fanning
        • Contatto:
      • Greer, South Carolina, Stati Uniti, 29650
        • Reclutamento
        • Prisma Health Cancer Institute - Greer
        • Investigatore principale:
          • Suzanne R. Fanning
        • Contatto:
      • Seneca, South Carolina, Stati Uniti, 29672
        • Reclutamento
        • Prisma Health Cancer Institute - Seneca
        • Investigatore principale:
          • Suzanne R. Fanning
        • Contatto:
    • Tennessee
      • Collierville, Tennessee, Stati Uniti, 38017
        • Reclutamento
        • Baptist Memorial Hospital and Cancer Center-Collierville
        • Investigatore principale:
          • Salil Goorha
        • Contatto:
      • Memphis, Tennessee, Stati Uniti, 38120
        • Reclutamento
        • Baptist Memorial Hospital and Cancer Center-Memphis
        • Investigatore principale:
          • Salil Goorha
        • Contatto:
    • Utah
      • Salt Lake City, Utah, Stati Uniti, 84112
        • Reclutamento
        • Huntsman Cancer Institute/University of Utah
        • Contatto:
        • Investigatore principale:
          • Paul J. Shami
    • Virginia
      • Richmond, Virginia, Stati Uniti, 23298
        • Reclutamento
        • VCU Massey Comprehensive Cancer Center
        • Investigatore principale:
          • Keri R. Maher
        • Contatto:
    • Washington
      • Edmonds, Washington, Stati Uniti, 98026
        • Reclutamento
        • Swedish Cancer Institute-Edmonds
        • Investigatore principale:
          • Alison K. Conlin
        • Contatto:
      • Issaquah, Washington, Stati Uniti, 98029
        • Reclutamento
        • Swedish Cancer Institute-Issaquah
        • Investigatore principale:
          • Alison K. Conlin
        • Contatto:
      • Seattle, Washington, Stati Uniti, 98122
        • Reclutamento
        • Swedish Medical Center-First Hill
        • Investigatore principale:
          • Alison K. Conlin
        • Contatto:
    • Wisconsin
      • La Crosse, Wisconsin, Stati Uniti, 54601
        • Reclutamento
        • Gundersen Lutheran Medical Center
        • Contatto:
        • Investigatore principale:
          • Michael O. Ojelabi
      • Menomonee Falls, Wisconsin, Stati Uniti, 53051
        • Reclutamento
        • Froedtert Menomonee Falls Hospital
        • Investigatore principale:
          • Ehab L. Atallah
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 262-257-5100
      • Milwaukee, Wisconsin, Stati Uniti, 53226
        • Reclutamento
        • Medical College of Wisconsin
        • Investigatore principale:
          • Ehab L. Atallah
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-3666
      • New Berlin, Wisconsin, Stati Uniti, 53151
        • Reclutamento
        • Froedtert and MCW Moorland Reserve Health Center
        • Investigatore principale:
          • Ehab L. Atallah
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-0505
      • Oak Creek, Wisconsin, Stati Uniti, 53154
        • Reclutamento
        • Drexel Town Square Health Center
        • Investigatore principale:
          • Ehab L. Atallah
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-0505
      • West Bend, Wisconsin, Stati Uniti, 53095
        • Reclutamento
        • Froedtert West Bend Hospital/Kraemer Cancer Center
        • Investigatore principale:
          • Ehab L. Atallah
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-0505

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 59 anni (Adulto)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • GENERAL MYELOMATCH CRITERIA: Patients must be registered to the Master Screening and Reassessment Protocol, MYELOMATCH, and assigned to this protocol by the MATCHBox Treatment Verification Team

  • GENERAL MYELOMATCH CRITERIA: Participants must not have received prior anti-cancer therapy for AML or myelodysplastic syndrome (MDS)

    • Note: Hydroxyurea to control the white blood cell count (WBC) and cytarabine up to 1g for urgent cytoreduction is allowed.
    • Note: Prior erythroid stimulating agent (ESA) is not considered prior therapy for the purposes of eligibility

  • GENERAL MYELOMATCH CRITERIA: Participants must not receive any cytarabine-containing therapy other than up to 1g of cytarabine, which is allowed for urgent cytoreduction. Hydroxyurea, all-trans retinoic acid (ATRA), BCR-ABL directed tyrosine kinase inhibitor, erythropoiesis-stimulating agent, thrombopoietin receptor agonist and lenalidomide is allowed

  • Diagnosis of AML with t(8;21)(q22;q22.1)/RUNX1::RUNX1T1 or AML with inv(16)(p13.1q22) or t(16;16)(p13.1;q22)/CBFB::MYH11. No FLT3 mutation (these patients should be considered for a FLT3-focused MYELOMATCH study)

  • Secondary CBF-AML (e.g., prior pre-leukemic hematologic malignancy or history of chemotherapy/radiation therapy) is allowed.

  • No prior AML or MDS-directed therapy except for urgent treatment of leukocytosis with leukapheresis, cytarabine, and hydroxyurea, Prior intrathecal chemotherapy for central nervous system (CNS) involvement of AML is permitted

  • Age 18-59 years

  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 3

  • Total bilirubin ≤ 1.5 x upper limit of normal (ULN) (unless patient has a history of Gilbert syndrome and direct bilirubin is ≤ 1.5 x ULN)

  • Aspartate aminotransferase (AST)(serum glutamic oxaloacetic transaminase [SGOT])/ alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase [SGPT]) ≤ 3 x upper limit of normal (ULN)

  • Glomerular filtration rate (GFR) ≥ 30 mL/min/1.73m^2

  • Not pregnant and not nursing, because this study involves an investigational agent whose genotoxic, mutagenic and teratogenic effects on the developing fetus and newborn are unknown. Therefore, for women of childbearing potential only, a negative urine or serum pregnancy test done ≤ 7 days prior to registration is required

  • Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial

  • Participants with CNS disease are eligible for this trial and will be treated according to institutional guidelines with intrathecal chemotherapy for this aspect of their disease

  • Patients with known HIV infection on effective anti-retroviral therapy with undetectable viral load within 6 months prior to registration are eligible for this trial

  • For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated

  • Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load

  • Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class II or better

  • No known medical condition causing an inability to swallow oral formulations of agents

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Regimen 1 (gemtuzumab ozogamicin 7+3)

Patients receive gemtuzumab ozogamicin IV on day 1, 2 or 3 and on day 4, 5, or 6 (NOTE: two doses must be at least 3 days apart), as well as cytarabine IV, continuously, on days 1-7 and daunorubicin IV on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo standard of care consolidation/post-remission treatment at the discretion of the treating physician. Patients undergo echocardiography or MUGA scan during screening, as well as bone marrow aspiration and blood sample collection throughout the study.
Droga: Cytarabine

Given IV

Altri nomi:
  • .beta.-Citosina arabinoside
  • 1-.beta.-D-Arabinofuranosil-4-ammino-2(1H)pirimidinone
  • 1-.beta.-D-Arabinofuranosilcitosina
  • 1-Beta-D-arabinofuranosil-4-ammino-2(1H)pirimidinone
  • 1-Beta-D-arabinofuranosilcitosina
  • 1.beta.-D-Arabinofuranosilcitosina
  • 2(1H)-pirimidinone, 4-ammino-1-beta-D-arabinofuranosil-
  • 2(1H)-pirimidinone, 4-ammino-1.beta.-D-arabinofuranosil-
  • Alessandro
  • Ara-C
  • Cellula ARA
  • Arabo
  • Arabinofuranosilcitosina
  • Arabinosilcitosina
  • Aracitidina
  • Aracitina
  • Beta-citosina arabinoside
  • CHX-3311
  • Citarabinum
  • Cytarbel
  • Cytosar
  • Citosina Arabinoside
  • Citosina-.beta.-arabinoside
  • Citosina-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabina PFS
  • U19920
  • U-19920
  • Udicil
  • WR-28453
Droga: Gemtuzumab Ozogamicin

Given IV

Altri nomi:
  • Mylotarg
  • Anticorpo monoclonale anti-CD33 umanizzato coniugato con calicheamicina
  • CDP-771
  • CMA-676
  • gemtuzumab
  • hP67.6-Calicheamicina
  • WAY-CMA-676
Procedura: Biospecimen Collection

Undergo blood sample collection

Altri nomi:
  • Raccolta di campioni biologici
  • Biocampione raccolto
  • Raccolta di campioni
  • Raccolta campione
Procedura: Bone Marrow Aspiration

Undergo bone marrow aspiration

Droga: Daunorubicin Hydrochloride

Given IV

Altri nomi:
  • Cerubidina
  • Cloridrato de Daunorubicina
  • Daunoblastina
  • Daunomicina cloridrato
  • Daunomicina, cloridrato
  • Daunorubicina.HCl
  • Daunorubicini cloridrato
  • FI-6339
  • Ondena
  • RP-13057
  • Rubidomicina cloridrato
  • Rubilem
Procedura: Multigated Acquisition Scan

Undergo MUGA scan

Altri nomi:
  • Scansione della pozza di sangue
  • Angiografia con radionuclidi di equilibrio
  • Imaging del pool di sangue recintato
  • MUGA
  • Ventricolografia con radionuclidi
  • RNVG
  • Scansione SIMA
  • Scansione di acquisizione multigate sincronizzata
  • Scansione MUGA
  • Scansione di acquisizione multi-gate
  • Scansione del ventricologramma con radionuclidi
  • Scansione del pool cardiaco recintato
  • Scansione RNV
Procedura: Echocardiography Test

Undergo echocardiography

Altri nomi:
  • Ecocardiografia
  • CE
Sperimentale: Regimen 2 (Venetoclax, 7+3)

Patients receive venetoclax orally (PO) once daily (QD) on days 1-11, cytarabine IV, continuously, on days 2-8 and daunorubicin IV on days 2-4 in the absence of disease progression or unacceptable toxicity. Patients then undergo standard of care consolidation/post-remission treatment at the discretion of the treating physician. Patients undergo echocardiography or MUGA scan during screening and bone marrow aspiration, as well as blood sample collection throughout the study.
Droga: Cytarabine

Given IV

Altri nomi:
  • .beta.-Citosina arabinoside
  • 1-.beta.-D-Arabinofuranosil-4-ammino-2(1H)pirimidinone
  • 1-.beta.-D-Arabinofuranosilcitosina
  • 1-Beta-D-arabinofuranosil-4-ammino-2(1H)pirimidinone
  • 1-Beta-D-arabinofuranosilcitosina
  • 1.beta.-D-Arabinofuranosilcitosina
  • 2(1H)-pirimidinone, 4-ammino-1-beta-D-arabinofuranosil-
  • 2(1H)-pirimidinone, 4-ammino-1.beta.-D-arabinofuranosil-
  • Alessandro
  • Ara-C
  • Cellula ARA
  • Arabo
  • Arabinofuranosilcitosina
  • Arabinosilcitosina
  • Aracitidina
  • Aracitina
  • Beta-citosina arabinoside
  • CHX-3311
  • Citarabinum
  • Cytarbel
  • Cytosar
  • Citosina Arabinoside
  • Citosina-.beta.-arabinoside
  • Citosina-beta-arabinoside
  • Erpalfa
  • Starasid
  • Tarabina PFS
  • U19920
  • U-19920
  • Udicil
  • WR-28453
Procedura: Biospecimen Collection

Undergo blood sample collection

Altri nomi:
  • Raccolta di campioni biologici
  • Biocampione raccolto
  • Raccolta di campioni
  • Raccolta campione
Procedura: Bone Marrow Aspiration

Undergo bone marrow aspiration

Droga: Daunorubicin Hydrochloride

Given IV

Altri nomi:
  • Cerubidina
  • Cloridrato de Daunorubicina
  • Daunoblastina
  • Daunomicina cloridrato
  • Daunomicina, cloridrato
  • Daunorubicina.HCl
  • Daunorubicini cloridrato
  • FI-6339
  • Ondena
  • RP-13057
  • Rubidomicina cloridrato
  • Rubilem
Procedura: Multigated Acquisition Scan

Undergo MUGA scan

Altri nomi:
  • Scansione della pozza di sangue
  • Angiografia con radionuclidi di equilibrio
  • Imaging del pool di sangue recintato
  • MUGA
  • Ventricolografia con radionuclidi
  • RNVG
  • Scansione SIMA
  • Scansione di acquisizione multigate sincronizzata
  • Scansione MUGA
  • Scansione di acquisizione multi-gate
  • Scansione del ventricologramma con radionuclidi
  • Scansione del pool cardiaco recintato
  • Scansione RNV
Droga: Venetoclax

Given PO

Altri nomi:
  • Venclexta
  • ABT-0199
  • ABT-199
  • ABT199
  • GDC-0199
  • RG7601
  • Venclixto
  • 199 circa
  • GDC 0199
  • GDC0199
Procedura: Echocardiography Test

Undergo echocardiography

Altri nomi:
  • Ecocardiografia
  • CE

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Complete remission without measurable residual disease (CRMRD-)
Lasso di tempo: At end of induction (Up to 28 days)

MRD will be evaluated by Molecular Diagnostics Network flow cytometry and will be defined at a threshold of ≤ 10^-3.
At end of induction (Up to 28 days)

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Rate of complete remission (CR)
Lasso di tempo: At the end of treatment (Up to 28 days)

Defined as the number of evaluable patients achieving a response of CR per European Leukemia Network (ELN) 2022 criteria at the end of treatment divided by the total number of evaluable patients. Rates of response will be compared between treatment arms using a chi-square test (or Fisher's exact test as needed). Point estimates will be generated for CR rate within each arm along with 95% confidence intervals using the Clopper-Pearson method.
At the end of treatment (Up to 28 days)
Rate of composite CR
Lasso di tempo: At the end of treatment (Up to 28 days)

Defined as the number of evaluable patients achieving a response of CR or complete remission with incomplete hematologic recovery (CRi) or complete remission with partial hematologic recovery (CRh) per ELN 2022 criteria at the end of treatment divided by the total number of evaluable patients. Rates of response will be compared between treatment arms using a chi-square test (or Fisher's exact test as needed). Point estimates will be generated for CR rate within each arm along with 95% confidence intervals using the Clopper-Pearson method.
At the end of treatment (Up to 28 days)
Overall survival (OS)
Lasso di tempo: From registration until death due to any cause, up to 5 years

The distribution of OS will be estimated using method of Kaplan-Meier. The median OS and 95% confidence interval will be reported.
From registration until death due to any cause, up to 5 years
Event free survival (EVS)
Lasso di tempo: From randomization to induction failure, hematologic relapse from CR/CRh/CRi or death from any cause, whichever occurs first, up to 5 years

Induction failure is defined as not achieving either CR, CRh or CRi by after induction therapy. The distribution of EFS will be estimated using method of Kaplan-Meier, and compared using log-rank tests. The median EFS and the corresponding 95% confidence interval will be reported.
From randomization to induction failure, hematologic relapse from CR/CRh/CRi or death from any cause, whichever occurs first, up to 5 years
Cumulative incidence of relapse (CIR)
Lasso di tempo: From the date of achievement of a remission until the date of hematologic relapse, up to 5 years

The distribution of CIR will be estimated using Fine-Gray model and reported via hazard ratios and 95% confidence interval with p values.
From the date of achievement of a remission until the date of hematologic relapse, up to 5 years
Cumulative incidence of death (CID)
Lasso di tempo: From the date of achievement of a remission to death without prior relapse, up to 5 years

The distribution of CID will be estimated using Fine-Gray model and reported via hazard ratios and 95% confidence interval with p values.
From the date of achievement of a remission to death without prior relapse, up to 5 years
Rate of early death at 30 days (ED-30)
Lasso di tempo: At 30 days

ED-30 is defined as the total number of patients who died on or before day 30 from randomization divided by the total number of evaluable patients. Rate of early death at day 30 will be compared between treatment arms using a chi-square test (or Fisher's exact test as needed). Point estimates will be generated for ED-30 rate within each arm along with 95% confidence intervals using the Clopper-Pearson method.
At 30 days
Rate of early death at 60 days (ED-60)
Lasso di tempo: At 60 days

ED-60 is defined as the total number of patients who died on or before day 60 from randomization divided by the total number of evaluable patients. Rate of early death at day 60 will be compared between treatment arms using a chi-square test (or Fisher's exact test as needed). Point estimates will be generated for ED-60 rate within each arm along with 95% confidence intervals using the Clopper-Pearson method.
At 60 days
Incidence of adverse events
Lasso di tempo: Up to 5 years

As per national Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns. The incidence of severe (grade 3+) adverse events or toxicities will be described for each treatment arm and will also be compared between the arms. Fisher's exact tests will be used to quantitatively compare the incidence of severe as well as specific toxicities of interest between the treatment arms and we will graphically assess differences in maximum grades observed for toxicities between the arms.
Up to 5 years
Evaluate mutant RAS and mutant KIT as predictive biomarkers for CRMRD- rate
Lasso di tempo: Up to 5 years

In cohort 1, subgroup analysis will be conducted to evaluate the treatment effect among RAS mutated patients using Kaplan Meier methods and log-rank tests; similar subgroup analysis will be done among KIT mutated patients.
Up to 5 years

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

National Cancer Institute (NCI)

Investigatori

  • Investigatore principale: Celalettin Ustun, Alliance for Clinical Trials in Oncology

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

28 settembre 2026

Completamento primario (Stimato)

25 novembre 2027

Completamento dello studio (Stimato)

25 novembre 2027

Date di iscrizione allo studio

Primo inviato

8 aprile 2025

Primo inviato che soddisfa i criteri di controllo qualità

8 aprile 2025

Primo Inserito (Effettivo)

9 aprile 2025

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

4 novembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

3 novembre 2026

Ultimo verificato

1 settembre 2026

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

  • NCI-2025-02426
  • U10CA180821 (Sovvenzione/contratto NIH degli Stati Uniti)
  • NCI-2025-02426 (Identificatore di registro: CTRP (Clinical Trial Reporting Program))
  • MM1YA-A04 (Altro identificatore: CTEP)
  • MM1YA-A04 (Altro identificatore: Alliance for Clinical Trials in Oncology)

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Descrizione del piano IPD

NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page.

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

prodotto fabbricato ed esportato dagli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Sottoscrivi