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Lisaftoclax (APG-2575) Combined With Azacytidine (AZA) in the Treatment of Patients With Higher-risk Myelodysplastic Syndrome (GLORA-4).

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
ClinicalTrials.gov
Registry ID
NCT06641414
Enrollment
490
Registered
2024-10-15
Start date
2025-01-22
Completion date
2029-12-31
Last updated
2025-11-20

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

Conditions

Higher-risk Myelodysplastic Syndrome

Keywords

Higher-risk Myelodysplastic Syndrome, Lisaftoclax

Brief summary

A global multicenter, randomized, double-blind, placebo-controlled, pivotal phase III study. To evaluate overall survival (OS) of Lisaftoclax (APG-2575) combined with azacitidine (AZA) vs. placebo combined with azacitidine in newly diagnosed patients with HR-MDS.

Detailed description

This study intends to enroll patients with HR-MDS to receive the therapy of Lisaftoclax (APG-2575) combined with azacitidine (AZA) or placebo combined with azacitidine.

Interventions

QD, oral administration.

QD, hypodermic or intravenous injection.

OTHERPlacebo

QD, oral administration.

Sponsors

Ascentage Pharma Group Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Newly diagnosed higher-risk MDS. 2. ECOG score of ≤2. 3. Expected survival ≥ 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

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 frameDescription
Overall Survival(OS)Up to 5 yearsThe primary endpoint was overall survival (OS), defined as the time from the date of randomization to the date of death of any cause.

Secondary

MeasureTime frameDescription
Safety evaluation based on the adverse event concurrenceUp to 5 yearsNumber of treatment emergent adverse events (TEAEs) and treatment related adverse events (TRAEs) will be evaluated.

Countries

China, United States

Contacts

Primary ContactYifan Zhai, M.D., Ph.D.
yzhai@ascentage.com+86-20-28068501
Backup ContactQian Niu, M.D.
Qian.Niu@ascentage.com

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026