AML (Acute Myelogenous Leukemia)Phase 2/3NCT07537257
VEN+IDAC vs IDAC in AML
A Phase 2/3 study testing Ventoclax and Cytarabine in people with AML (Acute Myelogenous Leukemia), run by Guangdong Second Provincial General Hospital at 1 site in China.
Trial summary
This study intends to use a randomized controlled design to compare the MRD-negativw rate and related efficacy and safety of venetoclax combined with intermediate-dose cytarabine (IDAC) versus IDAC in the consolidation treatment of patients with AML after remission, providing high-quality evidence-based medical… Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- AML (Acute Myelogenous Leukemia)
- What is being tested?
- Ventoclax and Cytarabine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 232 participants
- Where
- 1 siteChina
- Study dates
- 1 Apr 2026to 1 Apr 2029
- Phase
- Phase 2/3
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 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age between 18 and 65 years, any gender;
- Meet the WHO 2022 diagnostic criteria for acute myeloid leukemia (AML), and achieve complete remission (CR) or complete remission with incomplete hematologic recovery (CRi) after induction therapy. CR is defined as bone marrow blasts ≤5%, absolute neutrophil count ≥1.0×10⁹/L, and platelets ≥100×10⁹/L; CRi is defined as bone marrow blasts ≤5%, absolute neutrophil count ≥0.5×10⁹/L, and platelets ≥50×10⁹/L;
- Baseline MRD testing (using multiparameter flow cytometry, MFC) must be completed at enrollment.
- Eastern Cooperative Oncology Group (ECOG) performance status score ≤2;
- Major organ function is basically normal and meets the following requirements: ① Liver function: total bilirubin ≤1.5×ULN (except patients with liver metastasis or Gilbert's syndrome), ALT and AST ≤2.5×ULN; ② Kidney function: serum creatinine ≤1.5×ULN or creatinine clearance ≥60 ml/min; ③ Cardiac function: left ventricular ejection fraction (LVEF) ≥50%;
- The patient or their legal representative signs a written informed consent form, agrees to comply with the study protocol, and completes the specified follow-up procedures.
Who cannot join
- Presence of other active malignant tumors (excluding indolent tumors that have been cured, such as basal cell carcinoma of the skin and carcinoma in situ of the cervix);
- Central nervous system leukemia;
- Existence of uncontrolled severe infection (such as sepsis, fungal pneumonia, active tuberculosis, etc.);
- History of severe heart disease, including but not limited to: severe arrhythmias (such as ventricular tachycardia, atrial fibrillation with rapid ventricular rate, etc.), history of myocardial infarction (within the past 6 months), severe heart failure (NYHA functional class ≥3), etc.;
- Women who are pregnant or breastfeeding; women planning pregnancy or men of reproductive potential who have not used effective contraception during the study and within 6 months after treatment;
- Known allergy to venetoclax, cytarabine, or other components of the combination regimen in the study;
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- Having mental illness (such as schizophrenia, major depressive disorder, etc.) or cognitive dysfunction that prevents cooperation with study follow-up and treatment;
- Active hepatitis B virus infection (HBV DNA positive), active hepatitis C virus infection (HCV RNA positive), or human immunodeficiency virus (HIV) infection;
- Undergoing major surgery, radiation therapy, other chemotherapy drugs, or investigational drug treatments within 3 weeks prior to study drug treatment.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site
Department of Hematology, Guangdong Second Provincial General Hospital
Guangzhou, Guangdong
About this study
Official title: Venetoclax Combined With Intermediate-dose Cytarabine Versus Intermediate-dose Cytarabine for Consolidation Therapy of Acute Myeloid Leukemia (AML): a Multicenter, Prospective, Randomized Controlled, Phase 2 Study
This study intends to use a randomized controlled design to compare the MRD-negativw rate and related efficacy and safety of venetoclax combined with intermediate-dose cytarabine (IDAC) versus IDAC in the consolidation treatment of patients with AML after remission, providing high-quality evidence-based medical evidence for optimizing post-remission consolidation therapy for AML and improving patients' prognosis.
Read the detailed description
Studies have shown that venetoclax can significantly enhance the efficacy of intensive chemotherapy (IC) in the induction and salvage treatment of AML. However, there is still a lack of direct comparison of the efficacy and safety of venetoclax combined with intermediate-dose cytarabine (IDAC) with IDAC for consolidation in AML. In order to evaluate the benefit of venetoclax combined with IDAC, we plan to conduct a multicenter, prospective randomized controlled, phase 2 study to compare the efficacy and safety of venetoclax (d1-7, 400mg QD) combined with cytarabine (d1-3, 1.5g/㎡, q12h) versus cytarabine only for consolidation therapy in AML, aiming to fill the current evidence gap and provide scientific basis for improving deeper remission of AML and finally improve patients' long-term survival.
- Conditions
- AML (Acute Myelogenous Leukemia)
- Being tested
- Ventoclax, Cytarabine
- Keywords
- Acute myeloid leukemia, Venetoclax, Cytarabine, Consolidation, Measurable residual disease
- Medical subject headings
- Leukemia, Myeloid, Acute, Neoplasm, Residual
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VentoclaxDrug
Venetoclax 400mg per day from day 1 to day 7
CytarabineDrug
Cytarabine 1.5g/m^2 q12h from day 1 to day 3.
| Study group | Role | What they receive |
|---|---|---|
| VEN+IDAC | Experimental | Venetoclax 400mg per day from day 1 to day 7; cytarabine 1.5g/m^2 q12h from day 1 to day 3. Receives: Drug: Ventoclax; Drug: Cytarabine |
| IDAC | Active comparator | Cytarabine 1.5g/m^2 q12h from day 1 to day 3 Receives: Drug: Cytarabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rate of Measurable residual disease (MRD) negative
MRD is monitored using flow cytometric analysis with a positive MRD threshold of 0.1%.
Measured: At the end of cycle 2 (28 days for a cycle)
Secondary outcomes (5)
Cumulative Incidence of Recurrence (CIR)
Assess the risk of leukemia recurrence after the consolidation
Measured: 2 years
Overall survival (OS)
OS is calculated from enrollment to death or the last follow-up.
Measured: 2 years
Disease Free Survival (DFS)
It refers to the time from the start of the consolidation to disease recurrence or death from any cause or the last follow-up.
Measured: 2 years
Aderse events
Side effects of the consolidations including haematological and non-haematological toxicity.
Measured: At the end of cycle 2 (28 days for a cycle)
The rate of being bridged to allogeneic hematopoietic stem cell transplantation
To assess how many patients are needed to accept allogeneic hematopoietic stem cell transplantation after the consolidation.
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2026
- Study start1 Apr 2026 (estimated)
- Primary completion1 Apr 2027 (estimated)
- Study completion1 Apr 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AML (Acute Myelogenous Leukemia)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 232 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Guangdong Second Provincial General Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Nanfang Hospital, Southern Medical University, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, First Affiliated Hospital of Guangxi Medical University, Guangzhou First People's Hospital, Dongguan People's Hospital, Zhongshan People's Hospital, Guangdong, China, Shunde Hospital, Sothen Medical University, Shenzhen Second People's Hospital
- Responsible party
- Principal investigator, Qing Zhang, Guangdong Second Provincial General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07537257
- Sponsor's protocol ID
- GD2H-2026-481
- Status last verified
- Apr 2026
- First submitted
- 3 Apr 2026
- Last updated
- 17 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No