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A Phase III Study of Lisaftoclax (APG-2575) in Patients with Newly Diagnosed Higher Risk Myelodysplastic Syndromes (HR-MDS)

A Global Multicenter, Double-Blind, Randomized, Registrational Phase 3 Study of Lisaftoclax(APG-2575) in Combination with Azacitidine(AZA) in Patients with Newly Diagnosed Higher Risk Myelodysplastic Syndrome (HR-MDS) (GLORA-4)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2041260051
Enrollment
25
Registered
2026-06-03
Start date
2026-06-12
Completion date
Unknown
Last updated
2026-06-29

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

Conditions

Higher-risk Myelodysplastic Syndrome

Interventions

Investigational Arm: Drug: Lisaftoclax (APG-2575) QD, oral administration. Drug: Azacitidine Injection QD, hypodermic or intravenous injection. Control Arm: Drug: Azacitidine Injection QD, hypodermi

Sponsors

jRCT Inquiry Receipt Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Newly diagnosed higher-risk MDS. 2. ECOG score of = 3 months. 4. Adequate organ function. 5. Female subjects of potential childbearing potential have a negative urine or serum pregnancy test before dosing. Subjects of childbearing potential as well as their partners voluntarily use contraception deemed effective by the investigator during the treatment period and for at least six months after the last dose of study drug. 6. Able to understand and voluntarily sign a written informed consent form, which must be signed prior to the performance of any trial-specified study procedures. 7. Subjects are able to complete study procedures and follow-up examinations.

Exclusion criteria

Exclusion criteria: 1. Concomitant other malignancies or prior malignancies with disease-free intervals of less than 1 year at the time of signing the informed consent. 2. Have undergone hematopoietic stem cell transplantation. 3. Uncontrolled active infection 4. Use of moderately potent inducers and moderately potent inhibitors of CYP3A4 within 14 days prior to the first dose of study drug. 5. MDS or other conditions that cannot be administered enterally. 6. Any condition that the subject is deemed to be inappropriate to participate in this study after evaluation by the investigator.

Design outcomes

Primary

MeasureTime frame
The primary endpoint was overall survival (OS), defined as the time from the date of randomization to the date of death of any cause.

Countries

China, Japan, US

Contacts

Public ContactjRCT Inquiry Receipt Center

IQVIA Services Japan G.K.

GLORA-4_jRCT@iqvia.com+81-3-6859-9500

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026