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A single center, open label, randomized controlled clinical study on the efficacy and safety of reduced dose azacitidine combined with venetoclax regimen for maintenance therapy of intermediate to adverse risk acute myeloid leukemia

A single center, open label, randomized controlled clinical study on the efficacy and safety of reduced dose azacitidine combined with venetoclax regimen for maintenance therapy of intermediate to adverse risk acute myeloid leukemia

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500114525
Enrollment
Unknown
Registered
2025-12-15
Start date
2025-12-18
Completion date
Unknown
Last updated
2026-01-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute myeloid leukemia

Interventions

AZA maintenance group:AZA (Azacitidine): 50mg/m^2/day, administered subcutaneously (SC), from Day 1 to Day 5.
Reduced dose AZA-VEN maintenance group:AZA (Azacitidine): 50mg/m^2/day, administered subcutaneously (SC), from Day 1 to Day 5
VEN (Venetoclax): 400 mg, orally (PO), once daily from Day 1 to Day 7.

Sponsors

The First Affiliated Hospital of Soochow University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Aged > =18 years; 2. Diagnosed with intermediate to adverse AML according to European LeukemiaNet (ELN) 2022 and not eligible for transplantation; 3. Achieved CR after induction therapy and received greater than or equal to 3 courses of medium/high-dose cytarabine (Ara-C) or a regimen based on medium/high-dose Ara-C, or greater than or equal to 6 courses of standard dose chemotherapy consolidation, the patient is in the MRD negative CR1 (CR/CRi) phase; 4. Eastern Cooperative Oncology Group (ECOG) performance status = 60 ml/min, left ventricular ejection fraction (LVEF) >= 50%; 6. Women of childbearing age should have a negative serum or urine pregnancy test within 10-14 days after enrollment; 7. Men of childbearing age should take effective contraceptive measures throughout the entire treatment period and within 30 days after stopping treatment; 8. Patient agrees to be enrolled and signs informed consent.

Exclusion criteria

Exclusion criteria: 1. Diagnosed with acute promyelocytic leukemia; 2. Active central nervous system leukemia; 3. Leukemia with extramedullary invasion; 4. AML secondary to myelodysplastic syndrome or myeloproliferative disorders; 5. Patients with other active malignant tumors; 6. Uncontrolled complications, not limited to active infections, etc; 7. Patients who have participated in other clinical trials within 30 days prior to signing the informed consent form; 8. Women who are pregnant, breastfeeding, or preparing to become pregnant.

Design outcomes

Primary

MeasureTime frame
Relapse free survival;

Secondary

MeasureTime frame
Duration of MRD-negative remission;Overall survival;Event free survival;The incidence rate of adverse event;

Countries

China

Contacts

Public ContactJia Chen

The First Affiliated Hospital of Soochow University

drchenjia@163.com+86 138 1266 4305

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026