About this trial

This phase II trial tests how well VA alternating with low-dose CHA works in treating unfit patients with newly diagnosed acute myeloid leukemia (AML). This is a prospective, multi-centers, single arm phase II study aimed to overcome VEN resistance and achieve greater MRD negative rate, providing better control of treatment for unfit AML.

Eligibility criteria

Qualifiers

Understand the research and sign a written informed consent form;

Be newly diagnosed with AML according to WHO 2022 criteria without prior treatment;

Age ≥ 60 years

Eastern Cooperative Oncology Group (ECOG) performance status ≥2 at screening;

Disqualifiers

Diagnosis of: AML arising from chronic myeloid leukemia (CML); myeloid sarcoma; acute promyelocytic leukemia (APL) or presence of FLT3-ITD mutations;

Active malignancies (except adequately treated carcinoma in situ or basal cell carcinoma) within 2 years prior to Cycle 1 Day 1 (C1D1);

Major surgery or systemic anticancer therapy within 28 days before C1D1;

Known hypersensitivity to: Active pharmaceutical ingredients: cladribine, homoharringtonine, cytarabine, venetoclax, azacitidine; Any excipients in study drug formulations;

Trial design

Treatments tested in this trial

  • Alternately treated with VA/low CHA regimen

Treatment groups

25 Participants
are divided into 1 treatment group

Locations

5
Beijing Chao-Yang Hospital, Capital Medical University BeijingBeijing Municipality, China
Shenzhen University General Hospital ShenzhenGuangdong, China
the First Affiliated Hospital of Soochow University SuzhouJiangsu, China
the Second Affiliated Hospital of Nanchang University NanchangJiangxi, China

Sponsors and collaborators

First Affiliated Hospital of Zhejiang University

Lead sponsor

AbbVie

Collaborator