Ignite Creation Date:
2025-12-25 @ 1:19 AM
Ignite Modification Date:
2025-12-25 @ 11:27 PM
Study NCT ID:
NCT07163793
Status:
RECRUITING
Last Update Posted:
2025-11-20
First Post:
2025-08-07
Is NOT Gene Therapy:
False
Has Adverse Events:
False
Brief Title:
Pilot Study of Reduced Venetoclax Exposure
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'interventionBrowseModule': {'meshes': [{'id': 'D001374', 'term': 'Azacitidine'}, {'id': 'D000077209', 'term': 'Decitabine'}, {'id': 'C579720', 'term': 'venetoclax'}], 'ancestors': [{'id': 'D001372', 'term': 'Aza Compounds'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D003562', 'term': 'Cytidine'}, {'id': 'D011741', 'term': 'Pyrimidine Nucleosides'}, {'id': 'D011743', 'term': 'Pyrimidines'}, {'id': 'D006573', 'term': 'Heterocyclic Compounds, 1-Ring'}, {'id': 'D006571', 'term': 'Heterocyclic Compounds'}, {'id': 'D009705', 'term': 'Nucleosides'}, {'id': 'D009706', 'term': 'Nucleic Acids, Nucleotides, and Nucleosides'}, {'id': 'D012263', 'term': 'Ribonucleosides'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NON_RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 41}}, 'statusModule': {'overallStatus': 'RECRUITING', 'startDateStruct': {'date': '2024-10-07', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-11', 'completionDateStruct': {'date': '2028-10', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-11-19', 'studyFirstSubmitDate': '2025-08-07', 'studyFirstSubmitQcDate': '2025-09-02', 'lastUpdatePostDateStruct': {'date': '2025-11-20', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2025-09-09', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2026-10', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Venetoclax Tolerability Rate', 'timeFrame': '12 months', 'description': 'Tolerability rate defined as the proportion of patients who do not experience grade 4 neutropenia (per the CTCAE v5.0) for over 7 continuous days within the first three cycles of maintenance therapy (90 days).\n\nPatient will be evaluated on Day 1 of each cycle. Laboratory studies of prior cycle will be reviewed on that day to identify if patient had \\>7 continuous days of cytopenia.'}], 'secondaryOutcomes': [{'measure': 'Evaluation of Event-Free Survival (EFS)', 'timeFrame': '12 months', 'description': 'EFS: Time from treatment-to-treatment discontinuation, relapse, death of any cause, or lost to follow up (Lost to follow up defined as missing scheduled appointment with no response to 3 phone calls and 1 certified letter).'}, {'measure': 'Time to Detriment', 'timeFrame': '48 months', 'description': 'Time to detriment defined as time to meaningful change in the EORTC-QLQ-C30. A meaningful change is defined as a decrease by at least 10 points from their baseline evaluation\n\nThe EORTC-QLQ0-C30 will be filled out by patient on Day 1 of every cycle for the first 12 cycles of maintenance therapy.'}, {'measure': 'Number of pRBC transfusion', 'timeFrame': '48 months', 'description': 'Number of pRBC transfusion received while on trial therapy.\n\nNumber of platelet transfusion received while on trial therapy.\n\nNumber of transfusions to be described per patient year.\n\nData collected on Day 1 of every cycle.'}, {'measure': 'Evaluate Number of Hospital Admissions', 'timeFrame': '12 months', 'description': 'To be evaluated at time of trial therapy discontinuation or 12 cycles of therapy, whichever occurs first.'}, {'measure': 'Rate of adverse events/toxicities', 'timeFrame': '48 months', 'description': 'dverse events/Toxicities related to treatment.\n\nList of adverse events/toxicities expected listed in Section 8.'}, {'measure': 'Evaluation of Relapse-Free Survival (RFS)', 'timeFrame': '12 months', 'description': 'RFS: Time from treatment initiation to relapse, death, or lost to follow up (Lost to follow up defined as missing scheduled appointment with no response to 3 phone calls and 1 certified letter).'}, {'measure': 'Evaluation of Overall Survival (OS)', 'timeFrame': '12 months', 'description': 'OS: Time to death or lost to follow up (Lost to follow up defined as missing scheduled appointment with no response to 3 phone calls and 1 certified letter)'}, {'measure': 'Evaluate Number of Days Admitted', 'timeFrame': '12 months', 'description': 'To be evaluated at time of trial therapy discontinuation or 12 cycles of therapy, whichever occurs first.'}, {'measure': 'Evaluate Number of Unanticipated lab appointments', 'timeFrame': '12 months', 'description': 'To be evaluated at time of trial therapy discontinuation or 12 cycles of therapy, whichever occurs first.'}, {'measure': 'Evaluate Number of Unanticipated clinic visits', 'timeFrame': '12 months', 'description': 'To be evaluated at time of trial therapy discontinuation or 12 cycles of therapy, whichever occurs first.'}]}, 'oversightModule': {'oversightHasDmc': True, 'isFdaRegulatedDrug': True, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'keywords': ['AML'], 'conditions': ['Acute Myeloid Leukemia in Remission']}, 'descriptionModule': {'briefSummary': 'Pilot Study of Reduced Venetoclax Exposure', 'detailedDescription': 'A pilot single-arm clinical trial is proposed to assess the primary objective: the tolerability of 14-day Venetoclax cycles in acute myeloid leukemia (AML) patients who have achieved remission and are ineligible for intensive treatment. Participants in the study will transition to a maintenance regimen that reduces the Venetoclax dosage to 14 days per cycle while continuing the hypomethylating agent (HMA) used during induction. Treatment cycles will occur every 28 days. Participants will continue treatment on study until experiencing a grade 4 cytopenic event lasting more than 7 days, an adverse event requiring regimen modification, relapse, or death.\n\nOur primary hypothesis posits that AML patients receiving Venetoclax for 14 days per cycle will exhibit improved treatment tolerability with a reduced rate of grade 4 cytopenia compared to historical data from the VIALE A trial.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n1. Stated willingness to comply with all study procedures and availability for the duration of the study\n2. Ability to take oral medication and be willing to adhere to the study regimen\n3. Diagnosed by current WHO or ICC criteria with Acute Myeloid Leukemia and treated for initial induction therapy with one of two regimens:\n\n 1. 5-Azacitidine administered subcutaneously at a dose of 75mg/m2/day X 7 days in combination with VEN (21-28 days/cycle)\n 2. Decitabine administered intravenously at a dose of 20mg/m2/day administered in combination with VEN (21-28 days/cycle)\n4. Achieving morphological CR/CRi by bone marrow biopsy with \\<5% blasts within 3 cycles. See Appendix 2 for definitions.\n5. Consent to be obtained within 10 days (+/- 3 days) of bone marrow biopsy report showing morphological remission. C1D1 of trial to be initiated within 10 days (+/- 7 days) of bone marrow biopsy report showing morphological remission.\n6. ECOG 0-3\n7. Intensive treatment ineligible; transplant ineligible or refusal of transplant\n8. Patient must be able to understand and sign informed consent and additional study documents\n9. On C1D1 of trial, patient must have count recovery with ANC \\>1000, platelets \\> 50, Hemoglobin \\> 7.7 and without transfusion support for 7 days.\n10. No growth factor (G-CSF) use in 14 days prior to C1 D1 of trial.\n\nExclusion Criteria:\n\n1. Treatment with another investigational drug\n2. Use of growth factor (G-CSF) within the last 14 days prior to C1D1 of trial treatment.\n3. On concomitant targeted therapy such as FLT3 inhibitor or IDH1/2 inhibitor.\n4. Subject has received treatment prior to induction with the following:\n\n i. Prior hypomethylating agent or BCL-2 inhibitor for either AML or MDS other than for induction prior to enrollment.\n\n ii. Prior CAR-T cell therapy. iii. Experimental or investigational drug therapy for 14 days prior to study entry leukemia-directed therapies.\n5. Subject has:\n\n i. Acute promyelocytic leukemia (APL) with t(15;17). ii. Presence of t(9;22) given the potential indication for concurrent tyrosine kinase therapy.\n\n iii. Known active CNS involvement with AML.'}, 'identificationModule': {'nctId': 'NCT07163793', 'briefTitle': 'Pilot Study of Reduced Venetoclax Exposure', 'organization': {'class': 'OTHER', 'fullName': 'Northwell Health'}, 'officialTitle': 'A Pilot Study of Reduced Venetoclax Exposure in Patients With Acute Myeloid Leukemia in Complete Remission', 'orgStudyIdInfo': {'id': '24-0579'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'ACTIVE_COMPARATOR', 'label': 'Azacytadine + Venetoclax', 'interventionNames': ['Drug: Azacitidine', 'Drug: Venetoclax']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'Decitabine + Venetoclax', 'interventionNames': ['Drug: Decitabine', 'Drug: Venetoclax']}], 'interventions': [{'name': 'Azacitidine', 'type': 'DRUG', 'otherNames': ['Vidaza'], 'description': 'Given Day 1-7 with Venetoclax Day 1-14 every 28 days until off study', 'armGroupLabels': ['Azacytadine + Venetoclax']}, {'name': 'Decitabine', 'type': 'DRUG', 'otherNames': ['Dacogen'], 'description': 'Given Day 1-5 with Venetoclax Day 1-14 every 28 days until off', 'armGroupLabels': ['Decitabine + Venetoclax']}, {'name': 'Venetoclax', 'type': 'DRUG', 'otherNames': ['Venclexta, Venclyxto'], 'description': 'Venetoclax up to 400mg a day on Day 1-14 every 28 days until off in combination with Azacitidine or Decitabine', 'armGroupLabels': ['Azacytadine + Venetoclax', 'Decitabine + Venetoclax']}]}, 'contactsLocationsModule': {'locations': [{'zip': '11042', 'city': 'New Hyde Park', 'state': 'New York', 'status': 'RECRUITING', 'country': 'United States', 'contacts': [{'name': 'Heme Referral Team', 'role': 'CONTACT', 'email': 'ci-hematology@northwell.edu', 'phone': '516-734-8900'}, {'name': 'Stephanie Boisclaire, MD', 'role': 'CONTACT', 'email': 'sboisclair1@northwell.edu', 'phone': '516-734-8900'}], 'facility': 'Zuckerberg Cancer Center', 'geoPoint': {'lat': 40.7351, 'lon': -73.68791}}], 'centralContacts': [{'name': 'Heme Referral Team', 'role': 'CONTACT', 'email': 'ci-hematology@northwell.edu', 'phone': '(516) 734-8896'}], 'overallOfficials': [{'name': 'Boiclair Stephanie, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Northwell Health'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Northwell Health', 'class': 'OTHER'}, 'responsibleParty': {'type': 'SPONSOR'}}}}