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Trial Title: A Pivotal Study of APG-2575 (Lisaftoclax) Combined With Azacytidine in the Treatment of Acute Myeloid Leukemia

NCT ID: NCT06389292

Condition: Acute Myeloid Leukemia

Conditions: Official terms:
Leukemia
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Azacitidine

Conditions: Keywords:
APG -2575
Lisaftoclax

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Double (Participant, Investigator)

Intervention:

Intervention type: Drug
Intervention name: Lisaftoclax (APG-2575)
Description: QD, oral administration, every 28 days for a dosing cycle.
Arm group label: Lisaftoclax (APG-2575) combined with Azacitidine

Intervention type: Other
Intervention name: Placebo
Description: QD, oral administration, every 28 days for a dosing cycle.
Arm group label: Placebo combined with Azacitidine

Intervention type: Drug
Intervention name: Azacitidine Injection
Description: QD, hypodermic or intravenous injection, D1-7 in 28-day cycle.
Arm group label: Lisaftoclax (APG-2575) combined with Azacitidine
Arm group label: Placebo combined with Azacitidine

Summary: An international multicenter, randomized, double-blind, placebo-controlled, phase III pivotal registration study, to evaluate the efficacy of APG-2575 (Lisaftoclax) combined with azacitidine (AZA) versus placebo combined with azacitidine in newly diagnosed acute myeloid leukemia who are not eligible for standard induction chemotherapy.

Detailed description: The newly diagnosed acute myeloid leukemia, who are not eligible for standard induction chemotherapy, will be randomized to the investigational group (Lisaftoclax+ AZA) or the control group (placebo+ AZA).

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patients must have newly diagnosed AML that meets the criteria for acute myeloid leukemia (AML) and be ineligible for standard chemotherapy. 2. Life expectancy of ≥3 months. 3. Be able to accept oral administration. 4. Patients aged ≥70 years with ECOG score of 0-2, or those aged≥18 years and <70 years with ECOG score of 0-3. 5. Adequate kidney function. 6. White blood cell ≤ 30×10^9/L. 7. Adequate liver function. 8. Men, women with childbearing potential, and their partners voluntarily use contraception that researchers consider effective. 9. Be able to understand and voluntarily sign written informed consent. 10. Patients must be willing and able to complete study procedures and follow-up examinations. Exclusion Criteria: 1. The patient was diagnosed with acute promyelocytic leukemia or AML (BCR-ABL1 positive. 2. Active leukemic infiltration of the central nervous system. 3. Active infection that requires systemic treatment. 4. Use of a moderate or strong inducer and/or inhibitor of CYP3A4 within 7 days prior to first dose of the study drug. 5. Previous treatment for hematologic disorders. 6. Patients who has a cardiovascular disability status of New York Heart Association Class > 2. 7. Patients have malabsorption syndrome or other conditions that cannot be administered through the gastrointestinal tract or affect drug absorption. 8. Patients had a history of other malignancies prior to study initiation. 9. Any other circumstances or conditions, at the discretion of the investigator, make the patient unsuitable to participate the study.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Hematology Hospital of the Chinese Academy of Medical Sciences

Address:
City: Tianjin
Zip: 300020
Country: China

Status: Recruiting

Contact:
Last name: Hui Wei, M.D.

Phone: 022-23909120
Email: weihui@ihcams.ac.cn

Investigator:
Last name: Hui Wei, M.D.
Email: Principal Investigator

Facility:
Name: The First Affiliated Hospital of Zhejiang University School of Medicine

Address:
City: Hangzhou
Zip: 310003
Country: China

Status: Recruiting

Contact:
Last name: Jie Jin, M.D.
Email: jiej0503@163.com

Contact backup:

Phone: 0571-87236896

Investigator:
Last name: Jie Jin, M.D.
Email: Principal Investigator

Start date: June 11, 2024

Completion date: March 26, 2029

Lead sponsor:
Agency: Ascentage Pharma Group Inc.
Agency class: Industry

Source: Ascentage Pharma Group Inc.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06389292

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