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Myelodysplastic Syndromes (MDS)Phase 1NCT02942290

A Study Evaluating Venetoclax in Combination With Azacitidine in Participants With Treatment-Naïve Higher-Risk Myelodysplastic Syndromes (MDS)

A Phase 1 study testing Azacitidine and Venetoclax in people with Myelodysplastic Syndromes (MDS), run by AbbVie at 37 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a Phase 1b, open-label, non-randomized, multicenter, dose-finding study evaluating venetoclax in combination with azacitidine in participants with treatment-naïve higher-risk MDS comprising a dose-escalation portion and a safety expansion portion. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myelodysplastic Syndromes (MDS)
What is being tested?
Azacitidine and Venetoclax
Could I receive a placebo?
No, everyone receives an active treatment
How many people
134 participants
Where
37 sitesin 7 countries
Study dates
12 Jan 2017to 15 Apr 2026
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant must have documented diagnosis of untreated de novo MDS with:
  • International Prognostic Scoring System (IPSS) risk categories Int-2 or High (minimum IPSS overall score of 1.5) OR Revised IPSS (IPSS-R) categories intermediate, high or very high (score of > 3) and
  • Presence of less than 20% bone marrow blasts per bone marrow biopsy/aspirate.
  • Eastern Cooperative Oncology Group (ECOG) performance score of less than or equal to 2.

Who cannot join

  • Participant has received prior therapy for MDS. (Prior supportive care in form of transfusions or growth factors, etc., is not considered prior therapy).
  • Participant has received prior therapy with a BCL-2 Homology 3 (BH3) mimetic.
  • Participant has a diagnosis other than previously untreated de novo MDS (as defined in the protocol) including:
  • MDS with IPSS risk categories Low or Int-1 (overall IPSS score < 1.5)
  • Therapy-related MDS (t-MDS).
  • MDS evolving from a pre-existing myeloproliferative neoplasm (MPN).
Show all 9Show fewer
  • MDS/MPN including chronic myelomonocytic leukemia (CMML), atypical chronic myeloid leukemia (CML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN.
  • Participant has received allogeneic Hematopoietic Stem Cell Transplantation (HSCT) or solid organ transplantation.
  • Participant has received a live attenuated vaccine within 4 weeks prior to the first dose of study drug.

Trial locations and contacts

37 sites in 7 countries.

37 sites in 7 countries

United States13 sites
  • University of Maryland, Baltimore /ID# 153669

    Baltimore, Maryland, 21201

  • Tufts Medical Center /ID# 153672

    Boston, Massachusetts, 02111-1552

  • Dana-Farber Cancer Institute /ID# 152735

    Boston, Massachusetts, 02215

  • The University of Chicago Medical Center /ID# 153673

    Chicago, Illinois, 60637-1443

  • UT MD Anderson Cancer Center /ID# 153809

    Houston, Texas, 77030

  • Tennessee Oncology-Nashville Centennial /ID# 222769

    Nashville, Tennessee, 37203-1632

  • Vanderbilt University Medical Center /ID# 152738

    Nashville, Tennessee, 37232-0011

  • Columbia University Medical Center /ID# 153661

    New York, New York, 10032-3729

  • Weill Cornell Medical College /ID# 155524

    New York, New York, 10065

  • University of Pittsburgh MC /ID# 153662

    Pittsburgh, Pennsylvania, 15260

  • Oregon Medical Research Center /ID# 152734

    Portland, Oregon, 97239

  • Washington University-School of Medicine /ID# 153671

    St Louis, Missouri, 63110

  • Duplicate_University of Arizona Cancer Center - North Campus /ID# 154155

    Tucson, Arizona, 85719-1478

Other trials in United States

Australia9 sites
  • Concord Repatriation General Hospital /ID# 154958

    Concord, New South Wales, 2139

  • Duplicate_St. Vincent's Hospital, Darlinghurst /ID# 222846

    Darlinghurst, New South Wales, 2010

  • Austin Health /ID# 154955

    Heidelberg, Victoria, 3084

  • St George Hospital /ID# 154954

    Kogarah, New South Wales, 2217

  • Liverpool Hospital /ID# 222410

    Liverpool, New South Wales, 2170

  • The Alfred Hospital /ID# 154956

    Melbourne, Victoria, 3004

  • Fiona Stanley Hospital /ID# 222847

    Murdoch, Western Australia, 6150

  • Calvary Mater Newcastle /ID# 154957

    Waratah, New South Wales, 2298

  • Duplicate_Princess Alexandra Hospital /ID# 154990

    Woolloongabba, Queensland, 4102

Other trials in Australia

Germany6 sites
  • Universitaetsklinikum Koeln /ID# 153141

    Cologne, North Rhine-Westphalia, 50937

  • Duplicate_Universitaetsklinikum Carl Gus /ID# 153958

    Dresden, Saxony, 01307

  • Universitaetsklinikum Halle (Saale) /ID# 153760

    Halle, 06120

  • Universitaetsklinikum Leipzig /ID# 153142

    Leipzig, Saxony, 04103

  • Universitatsklinikum Mannheim /ID# 153140

    Mannheim, Baden-Wurttemberg, 68167

  • Klinikum rechts der Isar /ID# 153139

    Munich, Bavaria, 81675

Other trials in Germany

United Kingdom4 sites
  • University Hospitals Birmingham NHS Foundation Trust /ID# 158810

    Birmingham, B15 2TH

  • King's College Hospital NHS Foundation Trust /ID# 156489

    London, SE5 9RS

  • Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 156492

    Norwich, Norfolk, NR4 7UY

  • Oxford University Hospitals NHS Foundation Trust /ID# 222567

    Oxford, Oxfordshire, OX3 9DU

Other trials in United Kingdom

France2 sites
  • Centre Hospitalier Universitaire de Nantes, Hotel Dieu -HME /ID# 153828

    Nantes, Pays de la Loire Region, 44000

  • Hôpital Saint-Louis /ID# 153827

    Paris, 75010

Other trials in France

Italy2 sites
  • Duplicate_IRCCS AOU di Bologna - Policlinico Sant'Orsola-Malpighi /ID# 153763

    Bologna, Emilia-Romagna, 40138

  • Duplicate_Azienda Ospedaliero-Universitaria Policlinico Umberto I /ID# 153764

    Rome, Roma, 00161

Other trials in Italy

Canada1 site
  • Juravinski Cancer Centre /ID# 152947

    Hamilton, Ontario, L8V 1C3

Other trials in Canada

About this study

Official title: A Phase 1b Dose Escalation Study Evaluating the Safety and Pharmacokinetics of Venetoclax in Combination With Azacitidine in Subjects With Treatment-Naïve Higher-Risk Myelodysplastic Syndromes (MDS)

This is a Phase 1b, open-label, non-randomized, multicenter, dose-finding study evaluating venetoclax in combination with azacitidine in participants with treatment-naïve higher-risk MDS comprising a dose-escalation portion and a safety expansion portion.

Being tested
Azacitidine, Venetoclax
Keywords
Higher-Risk (HR) Myelodysplastic Syndromes (MDS), Pharmacokinetic, Venetoclax, Azacitidine, Acute Myelogenous Leukemia, Myelodysplastic Syndromes (MDS), Treatment-Naïve Higher-Risk
Medical subject headings
Myelodysplastic Syndromes, Leukemia, Myeloid, Acute

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AzacitidineDrug

    Powder for injection; taken subcutaneously (SC) or intravenous (IV); Administered on Days 1-7 of 28 days cycle or Days 1-5 of Week 1 \& Days 1-2 of Week 2 of 28 day cycle.

  • VenetoclaxDrug

    Also called ABT-199, GDC-0199, VENCLEXTA

    Oral; Tablet

Study groups in NCT02942290
Study groupRoleWhat they receive
Venetoclax + AzacitidineExperimentalNot described
Receives: Drug: Azacitidine; Drug: Venetoclax

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. AUCt for Azacitidine

    Area under the plasma concentration-time curve (AUC) from 0 to the time of the last measurable concentration (AUCt) for azacitidine.

    Measured: Up to 32 days

  2. Cmax of venetoclax

    Maximum plasma concentration (Cmax) of venetoclax.

    Measured: Up to 32 days

  3. AUCt for venetoclax

    Area under the plasma concentration-time curve (AUC) from 0 to the time of the last measurable concentration (AUCt) for venetoclax.

    Measured: Up to 32 days

  4. Tmax of venetoclax

    Time to Cmax (peak time, Tmax) of venetoclax.

    Measured: Up to 32 days

  5. AUC[0 to infinity] for azacitidine

    Area under the plasma concentration-time curve from Time 0 to infinite time.

    Measured: Up to 32 days

  6. Recommended Phase 2 dose (RPTD) and dosing schedule of venetoclax in combination with azacitidine

    The RPTD of venetoclax [co-administered venetoclax and azacitidine] will be determined during the dose escalation phase of the study. RPTD will be determined using available safety and pharmacokinetics data [upon completion of the dose escalation phase].

    Measured: Measured from Day 1 until Day 28 per dose level.

  7. Half-life (t[1/2]) for azacitidine

    Terminal elimination half-life (t[1/2]) for azacitidine.

    Measured: Up to 32 days

  8. Cmax for azacitidine

    Maximum plasma concentration (Cmax) of azacitidine.

    Measured: Up to 32 days

  9. AUC[0-24] for venetoclax

    AUC over a 24-hour dose interval (AUC[0-24]) for venetoclax.

    Measured: Up to 32 days

  10. Clearance (CL) for azacitidine

    Clearance is defined as the volume of plasma cleared of the drug per unit time.

    Measured: Up to 32 days

  11. Tmax for azacitidine

    Time to Cmax (peak time, Tmax) of azacitidine.

    Measured: Up to 32 days

  12. Complete Remission (CR) Rate

    Complete remission rate will be defined as the proportion of participants who achieved a complete response per the International Working Group (IWG) 2006 criteria for Myelodysplastic Syndromes (MDS).

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months.

Secondary outcomes (18)
  1. Rate of red blood cell (RBC) transfusion independence

    Percentages of participants who become RBC transfusion-independent.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months.

  2. Progression-Free Survival (PFS)

    PFS is defined as the number of days from the date of the first dose of study drug to the date of earliest disease progression or death due to disease progression or febrile neutropenia.

    Measured: Measured from the date of first dose of study drug to the date of earliest disease progression or death due to disease progression or febrile neutropenia, and for an anticipated maximum duration of 24 months.

  3. Overall Survival (OS)

    OS is defined as number of days from the date of first dose of the study drug to the date of death of any cause.

    Measured: Measured from the date of first dose of study drug to the date of death, and for up to 5 years after the last participant is enrolled.

  4. Hematologic Improvement (HI) rate

    Percentages of participants with HI (erythroid/platelet/neutrophil responses).

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months.

  5. Rate of platelet (PLT) transfusion independence

    Percentages of participants who become platelet transfusion-independent.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months.

  6. Event-Free Survival (EFS)

    Event-free survival (EFS) will be defined as the number of days from the date of the first dose of study drug to the date of earliest disease progression or death of any cause.

    Measured: Measured from the date of the first dose of study drug to the date of earliest disease progression, death of any cause and for up to 5 yrs after the last participant is enrolled

  7. Time to transformation to acute myeloid leukemia (AML)

    Defined as the number of days from the date of the first dose of study drug to the date of documented AML transformation.

    Measured: Measured from the date of first dose of study drug to date of documented AML transformation, defined as the presence of blast count greater than or equal to 20% in either peripheral blood or bone marrow for an anticipated maximum duration of 24 months.

  8. Overall Response Rate (OR)

    OR (equals the rates of complete remission [CR] + partial remission [PR]) of venetoclax in combination with azacitidine.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent and for an anticipated maximum duration of 24 months.

  9. Time to next treatment (TTNT)

    Time to next treatment (TTNT) will be defined as the time from the first dose of study drug to start of new non-protocol specified MDS therapy or death from any cause.

    Measured: Measured from the first dose of study drug to start of new non-protocol specified MDS therapy, and for up to 5 years after the last participant is enrolled.

  10. Marrow Complete Remission (mCR) Rate

    Defined as the proportion of participants who achieved a marrow complete response with or without hematological improvement per the International Working Group (IWG) 2006 criteria for Myelodysplastic Syndromes.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months.

  11. Modified Overall Response Rate (mOR)

    mOR (equals CR + PR + mCR) of venetoclax in combination with azacitidine.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent and for an anticipated maximum duration of 24 months.

  12. Duration of CR

    Duration of CR will be defined as the number of days from the date of first response CR to the earliest documentation of progressive disease or death of any cause, whichever occurs earlier.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months.

  13. Duration of mOR

    Duration of response (mOR) will be defined as the number of days from the date of first response (CR, PR or mCR) to the earliest documentation of progressive disease or death of any cause, whichever occurs earlier.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent and for an anticipated maximum duration of 24 months.

  14. Duration of OR

    Duration of response (OR) will be defined as the number of days from the date of first response (CR or PR) to the earliest documentation of progressive disease or death of any cause, whichever occurs earlier.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent and for an anticipated maximum duration of 24 months.

  15. Rate of AML transformation

    The AML transformation rate is defined as the proportion of participants transformed to Acute Myelogenous Leukemia.

    Measured: Measured from the date of first dose of study drug to date of documented AML transformation, defined as the presence of blast count greater than or equal to 20% in either peripheral blood or bone marrow for an anticipated maximum duration of 24 months.

  16. Time to First Response (CR)

    Time to first response (CR) will be defined as the number of days from the date of first dose of the study drug to the date of the first response of CR.

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months.

  17. Time to First Response (mOR)

    Time to first response (mOR) will be defined as the number of days from the date of first dose of the study drug to the date of the first response of (CR, PR, or mCR).

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent and for an anticipated maximum duration of 24 months.

  18. Time to First Response (OR)

    Time to first response (OR) will be defined as the number of days from the date of first dose of the study drug to the date of the first response of (CR or PR).

    Measured: Measured from Cycle 1 Day 1 as long as the participant continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent and for an anticipated maximum duration of 24 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Oct 2016 (estimated)
  2. Study start12 Jan 2017
  3. Primary completion15 Apr 2026
  4. Study completion15 Apr 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
134 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02942290
Sponsor's protocol ID
M15-531
Other IDs
2016-001657-41, 2023-507154-32-00, 2023, 2016
Status last verified
Aug 2025
First submitted
18 Oct 2016
Last updated
12 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Garcia JS, Platzbecker U, Odenike O, Fleming S, Fong CY, Borate U, Jacoby MA, Nowak D, Baer MR, Peterlin P, Chyla B, Wang H, Ku G, Hoffman D, Potluri J, Garcia-Manero G. Efficacy and safety of venetoclax plus azacitidine for patients with treatment-naive high-risk myelodysplastic syndromes. Blood. 2025 Mar 13;145(11):1126-1135. doi: 10.1182/blood.2024025464.

    PubMed 39652823

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Azacitidine and Venetoclax in people with Myelodysplastic Syndromes (MDS), run by AbbVie at 37 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Australia, Germany, United Kingdom, France and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

AUCt for Azacitidine (time frame: Up to 32 days). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02942290, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2026.

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