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JOURNAL ONKOLOGIE – STUDIE
VENAZA-5S

Venetoclax in Combination With 5 Days Azacitidine in Untreated AML Patients, Not Eligible for Standard Induction Therapy

Rekrutierend

NCT-Nummer:
NCT05833438

Studienbeginn:
Mai 2023

Letztes Update:
08.08.2023

Wirkstoff:
VEN+AZA-5

Indikation (Clinical Trials):
Leukemia, Leukemia, Myeloid, Acute

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
Phase 2

Sponsor:
University of Leipzig

Collaborator:
AbbVie, University Hospital Leipzig, Hematology Diagnostics Laboratory, University of Leipzig, Clinical Trial Centre (ZKS),

Studienleiter

Klaus Metzeler, Prof. Dr.
Principal Investigator
Universitätsklinikum Leipzig, Klinik und Poliklinik für Hämatologie, Zelltherapie und Hämostaseologie

Kontakt

Klaus Metzeler, Prof. Dr.
Kontakt:
Phone: +49 341 97-13050
E-Mail: Klaus.Metzeler@medizin.uni-leipzig.de
» Kontaktdaten anzeigen
Uwe Platzbecker, Prof. Dr.
Kontakt:
Phone: +49 341 97-13050
E-Mail: uwe.platzbecker@medizin.uni-leipzig.de
» Kontaktdaten anzeigen

Studienlocations
(3 von 10)

Helios Klinikum Berlin-Buch Klinik für Hämatologie und Stammzelltransplantation
13125 Berlin
(Berlin)
GermanyRekrutierend» Google-Maps
Ansprechpartner:
Pearl van Heteren, Dr.
E-Mail: Pearl.vanHeteren@helios-gesundheit.de
» Ansprechpartner anzeigen
Klinikum Chemnitz gGmbH Klinik für lnnere Medizin Ill
09116 Chemnitz
(Sachsen)
GermanyAktiv, nicht rekrutierend» Google-Maps
Universitatsklinikum Carl Gustav Carus Dresden an der TU Dresden Medizinische Klinik und Poliklinik 1 Bereich Hamatologie
01307 Dresden
(Sachsen)
GermanyAktiv, nicht rekrutierend» Google-Maps
Universitätsklinikum Heidelberg, Innere Medizin V; Klinik für Hämatologie, Onkologie und Rheumatologie
69120 Heidelberg
(Baden-Württemberg)
GermanyAktiv, nicht rekrutierend» Google-Maps
Universitätsklinikum Leipzig, Klinik und Poliklinik für Hämatologie, Zelltherapie und Hämostaseologie
Leipzig
(Sachsen)
GermanyRekrutierend» Google-Maps
Ansprechpartner:
Klaus Metzeler, Prof. Dr.
E-Mail: Klaus.Metzeler@medizin.uni-leipzig.de


E-Mail: haematologie.studieneinheit@medizin.uni-leipzig.de
» Ansprechpartner anzeigen
Kliniken Maria Hilf GmbH, Klinik für Hämatologie, Onkologie und Gastroenterologie
41063 Mönchengladbach
(Nordrhein-Westfalen)
GermanyAktiv, nicht rekrutierend» Google-Maps
Rotkreuzklinikum München, III. Medizinische Abteilung
80364 München
(Bayern)
GermanyRekrutierend» Google-Maps
Ansprechpartner:
Alexander Höllein, Prof.
E-Mail: alexander.hoellein@swmbrk.de
» Ansprechpartner anzeigen
Klinikum rechts der lsar der TU München, Klinik und Poliklinik für lnnere Medizin Ill
81675 München
(Bayern)
GermanyAktiv, nicht rekrutierend» Google-Maps
Kliniken Sindelfingen,Medizinische Klinik I
71065 Sindelfingen
(Baden-Württemberg)
GermanyAktiv, nicht rekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

Acute myeloid leukemia (AML) is a uniformly fatal disease if untreated. The combination of

continuous oral Venetoclax (VEN) and 7 days of s.c. Azacitidine (AZA) per 28-day cycle has

recently emerged as the new standard of care for AML patient who are ineligible for intensive

induction therapy, and has been widely adopted in Germany.

The VENAZA-5S pilot trial aims to reduce the reported hematological toxicity profile of this

currently approved combination, while preserving efficacy, by modifying AZA administration to

5 days within each cycle. The hypothesis is that this modification will not interfere with

the response rates achieved by the combination, but will rather improve tolerability and

treatment adherence due to less neutropenic infections, less treatment interruptions and

hospitalizations, and thus result in better quality of life and favorable long-term outcomes

in elderly or comorbid AML patients. This single-arm pilot study is intended to generate

first data on the efficacy and toxicity of 5 days AZA + VEN, which will be compared to a

historical control cohort treated with the current standard of 7 days AZA + VEN.

Ein-/Ausschlusskriterien

Key Inclusion Criteria:

- Confirmed diagnosis of AML by World Health Organization (WHO) criteria 2016

- Ineligible for treatment with a standard cytarabine and anthracycline induction

regimen due to age or comorbidities

- Age ≥ 18 years

- Life expectancy of at least 12 weeks

Key Exclusion Criteria:

- Prior treatment for AML or myelodysplastic syndrome (MDS) with one of the following:

- Hypomethylating agent (HMA)

- Chemotherapeutic agent

- Chimeric Antigen Receptor (CAR)-T cell therapy

- Experimental therapies

- Note: Prior use of hydroxyurea is allowed

- History of myeloproliferative neoplasm (MPN)

- Diagnosis of acute promyelocytic leukemia (APL)

- Presence of favorable-risk karyotype abnormalities: t(15;17), t(8;21), inv(16) or

t(16;16)

Studien-Rationale

Primary outcome:

1. The primary outcome measure is the response rate defined as the rate of CR/CRi after up to 6 cycles of therapy (best response). (Time Frame - best response after up to 6 cycles (each cycle is 28 days)):
Bone marrow assessments will be performed at least at screening, at the end of cycle 1, after cycle 4 and after cycle 6 resp. end of treatment (EOT). Criteria for disease status / response assessment follow the ELN-2022 recommendations .



Secondary outcome:

1. Rate of CR or CRi by the Initiation of Cycle 2 (Time Frame - At the end of Cycle 1 (each cycle is 28 days)):
Rate of CR or CRi by the Initiation of Cycle 2. Criteria for disease status / response assessment follow the European LeukemiaNet (ELN) - 2022 recommendations.

2. Rate of CR with partial hematologic recovery (CRh) after up to 6 cycles of therapy (Time Frame - after up to 6 cycles (each cycle is 28 days)):
Rate of CR with partial hematologic recovery (CRh) after up to 6 cycles of therapy. Criteria for disease status / response assessment follow the ELN-2022 recommendations.

3. Time from initiation of treatment (C1D1) until achievement of CR or CRi (Time Frame - from start of treatment (C1D1) until up to 6 cycles (each cycle is 28 days)):
Time from initiation of treatment (C1D1) until achievement of CR or CRi. Criteria for disease status / response assessment follow the ELN-2022 recommendations.

4. Objective response rate (Time Frame - at EOT, after up to 6 cycles therapy (each cycle is 28 days)):
Objective response rate (CR, CRh, CRi, MLFS). Criteria for disease status / response assessment follow the ELN-2022 recommendations.

5. Event free survival (EFS) (Time Frame - From start of treatment to the date of relapse from CR or CRi, treatment failure (i.e., no CR or CRi after up to 6 cycles (each cycle is 28 days) of therapy or disease progression requiring treatment discontinuation), or death from any cause.):
Event free survival (EFS), defined as the number of days from start of treatment to the date of relapse from CR or CRi, treatment failure (i.e., no CR or CRi after 6 cycles (each cycle is 28 days) of therapy or disease progression requiring treatment discontinuation), or death from any cause.

6. Overall survival (OS) (Time Frame - From start of treatment to date of death from any cause. OS will be assessed until 3 months after end of treatment of the last patient on study.):
Overall survival (OS), defined as the number of days from start of treatment to death from any cause. After EOT, patients will be further followed up for survival until the end of the trial is reached (= last patient out, i.e. when the last surviving patient has reached the 3-month follow-up visit after EOT). Therefore, the duration of follow-up can differ between patients but is at least 3 months after EOT.

7. Descriptive assessment of measurable residual disease (MRD) levels on study treatment, determined by quantitative PCR or targeted next-generation sequencing (Time Frame - From Screening until EOT (after up to 6 cycles (each cycle is 28 days))):
Determined by quantitative PCR or targeted next-generation sequencing. Molecular profiling and MRD assessment of all patients will be carried out centrally (Hämatologisches Diagnostiklabor, Universitätsklinikum Leipzig), at least at screening, at the end of cycle 1, after cycle 4 and after cycle 6 resp. end of treatment (EOT).

8. Time to treatment discontinuation (Time Frame - From start of treatment to day of treatment discontinuation (within up to 6 cycles (each cycle is 28 days))):
Time to treatment discontinuation, defined as the number of days from start of treatment to premature stop of treatment. The stop date is the date the first cycle that was not given should have started as scheduled. This endpoint will be analyzed with death and progression or relapse as competing risk.

9. Rate of patients with at least one treatment interruption (Time Frame - From start of treatment until EOT (after up to 6 cycles (each cycle is 28 days))):
Rate of patients with at least one treatment interruption, i.e. a delay of the next cycle, and duration of treatment interruptions.

10. Delay of subsequent cycles, dose reductions or shortening/interruption of study drug administration (Time Frame - From start of treatment until EOT (after up to 6 cycles (each cycle is 28 days))):
Delay of subsequent cycles, dose reductions or shortening/interruption of study drug administration

11. Duration of patient hospitalization (Time Frame - From start of treatment until EOT (after up to 6 cycles (each cycle is 28 days))):
Duration of patient hospitalization, defined as days in hospital from start of treatment until EOT.

12. Quality of life (QoL) (Time Frame - From Screening until EOT (after up to 6 cycles (each cycle is 28 days))):
The established cancer-specific Core Quality of Life questionnaire QLQ-C30 from the EORTC (European Organisation for Research) will be used for QoL measurement, at screening and at the beginning of each cycle and at EOT.

Geprüfte Regime

  • VEN+AZA-5:
    Up to 6 cycles: Azacitidine (AZA) 75 mg/m2, d1-5 of each 28 day cycle (SC) in combination with Venetoclax (VEN): 400 mg daily (orally)

Quelle: ClinicalTrials.gov


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