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Trial Title: Randomized Study of ABC-14 Regimen Compared With "3+7" Standard Induction Therapy or AB-14 for ND AML

NCT ID: NCT06451861

Condition: Acute Myeloid Leukemia

Conditions: Official terms:
Leukemia
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Cytarabine
Azacitidine
Venetoclax
Daunorubicin
Mitoxantrone
Idarubicin

Conditions: Keywords:
ABC-14 regimen
"3+7" regimen
AB-14 regimen

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Chidamide
Description: Induction Therapy
Arm group label: ABC-14 regimen

Intervention type: Drug
Intervention name: Venetoclax
Description: Induction Therapy
Arm group label: AB-14 regimen
Arm group label: ABC-14 regimen

Intervention type: Drug
Intervention name: azacitidine
Description: Induction Therapy
Arm group label: AB-14 regimen
Arm group label: ABC-14 regimen

Intervention type: Drug
Intervention name: Anthracyclines or anthraquinones
Description: Induction Therapy
Arm group label: 3+7 chemotherapy regimen

Other name: idarubicin

Other name: daunorubicin

Other name: mitoxantrone

Intervention type: Drug
Intervention name: cytarabine
Description: Induction Therapy
Arm group label: 3+7 chemotherapy regimen

Summary: To compare the efficacy and safty of ABC-14 regimen with the traditional "3+7" regimen or AB-14 regimen in the treatment of newly diagnosed acute myeloid leukaemia

Detailed description: Acute myeloid leukemia (AML) is a clonal malignant blood disease with genetic heterogeneity and originated from hematopoietic stem progenitor cells.In the past 50 years, the "3+7" induction regimen represented by cytotoxic drugs (including anthracyclines/anthraquinones combined with cytarabine) has remained the standard induction regimen for newly diagnosed AML patients with intensive chemotherapy. In AML patients <60 years old, the "3+7" regimen induces a complete response rate of 60% to 80%, but the treatment-related mortality is as high as 13%, and more than half of the patients face the threat of relapse, and the 5-year overall survival rate is about 35% to 40%.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Diagnosed with AML (the diagnostic criteria refer to WHO2022 standard, non-APL), and have not received systemic anti-leukemia therapy (except hydroxyurea, low-dose cytarabine and other tumor reduction pretreatments); 2. Age ≥18 years old; 3. ECOG≤4; 4. The fertile woman agrees to use effective contraception during the treatment period and up to 3 months after the end of the treatment; Sign the informed consent form. Exclusion Criteria: 1. Known history of allergy to the investigational drug; 2. Resistance to azacytidine, azacitidine, Venetoclax; 3. Inability to take oral medication; 4. Combined with uncontrolled active infections (including bacterial, fungal or viral infections); 5. Combined with uncontrolled major organ dysfunction: cardiac insufficiency, decompensated liver insufficiency, moderate/severe renal insufficiency, etc.; 6. Participating in other clinical studies that affect the main purpose of this study; Patients deemed unsuitable for participation in this study.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Dongguan General Hosptial

Address:
City: Dongguan
Country: China

Contact:
Last name: yirong Jiang

Facility:
Name: Foshan First People's Hospital

Address:
City: Foshan
Country: China

Contact:
Last name: Ying Zhao

Facility:
Name: Guangdong Provincial People's Hospital

Address:
City: Guangzhou
Zip: 510080
Country: China

Contact:
Last name: Xin Du

Contact backup:
Last name: Jianyu WENG

Facility:
Name: Sun Yat-sen University Cancer Center

Address:
City: Guangzhou
Country: China

Contact:
Last name: yang Liang

Facility:
Name: The Fifth Affiliated Hospital of Guangzhou Medical University

Address:
City: Guangzhou
Country: China

Contact:
Last name: Runhui Zheng

Facility:
Name: The First Affiliated Hospital of Guangdong Pharmaceutical University

Address:
City: Guangzhou
Country: China

Contact:
Last name: xueyi Pan

Facility:
Name: The First Affiliated Hospital of Guangzhou Medical University

Address:
City: Guangzhou
Country: China

Contact:
Last name: Zhenqian Huang

Facility:
Name: The First Affiliated Hospital of Jinan University

Address:
City: Guangzhou
Country: China

Contact:
Last name: hui Zeng

Facility:
Name: The Second Affiliated Hospital of Guangzhou Medical University

Address:
City: Guangzhou
Country: China

Facility:
Name: Shenzhen second people's Hospital

Address:
City: Shenzhen
Country: China

Contact:
Last name: xin Du

Facility:
Name: Affiliated Hospital of Guangdong Medical University

Address:
City: Zhanjiang
Country: China

Contact:
Last name: Yuming ZHANG

Facility:
Name: Zhuhai General Hosptial

Address:
City: Zhuhai
Country: China

Contact:
Last name: xiaoliang Li

Facility:
Name: Hainan General Hosptial

Address:
City: Haikou
Country: China

Contact:
Last name: Li'e Lin

Start date: May 31, 2024

Completion date: June 30, 2027

Lead sponsor:
Agency: Guangdong Provincial People's Hospital
Agency class: Other

Source: Guangdong Provincial People's Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06451861

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