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Trial Title: Lisaftoclax (APG-2575) Combined With Azacytidine (AZA) in the Treatment of Patients With Higher-risk Myelodysplastic Syndrome (GLORA-4).

NCT ID: NCT06641414

Condition: Higher-risk Myelodysplastic Syndrome

Conditions: Official terms:
Preleukemia
Myelodysplastic Syndromes
Syndrome
Azacitidine

Conditions: Keywords:
Higher-risk Myelodysplastic Syndrome
Lisaftoclax

Study type: Interventional

Study phase: Phase 3

Overall status: Not yet 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.
Arm group label: Lisaftoclax (APG-2575) combined with Azacitidine

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

Intervention type: Other
Intervention name: Placebo
Description: QD, oral administration.
Arm group label: Placebo combined with Azacitidine

Summary: A global multicenter, randomized, double-blind, placebo-controlled, pivotal phase III study. To evaluate overall survival (OS) of Lisaftoclax (APG-2575) combined with azacitidine (AZA) vs. placebo combined with azacitidine in newly diagnosed patients with HR-MDS.

Detailed description: This study intends to enroll patients with HR-MDS to receive the therapy of Lisaftoclax (APG-2575) combined with azacitidine (AZA) or placebo combined with azacitidine.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Newly diagnosed higher-risk MDS. 2. ECOG score of ≤2. 3. Expected survival ≥ 3 months. 4. Adequate organ function. 5. Female subjects of potential childbearing potential have a negative urine or serum pregnancy test before dosing. Subjects of childbearing potential as well as their partners voluntarily use contraception deemed effective by the investigator during the treatment period and for at least six months after the last dose of study drug. 6. Able to understand and voluntarily sign a written informed consent form, which must be signed prior to the performance of any trial-specified study procedures. 7. Subjects are able to complete study procedures and follow-up examinations. Exclusion Criteria: 1. Concomitant other malignancies or prior malignancies with disease-free intervals of less than 1 year at the time of signing the informed consent. 2. Have undergone hematopoietic stem cell transplantation. 3. Uncontrolled active infection 4. Use of moderately potent inducers and moderately potent inhibitors of CYP3A4 within 7 days prior to the first dose of study drug. 5. MDS or other conditions that cannot be administered enterally. 6. Any condition that the subject is deemed to be inappropriate to participate in this study after evaluation by the investigator.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: MD Anderson Cancer Center

Address:
City: Houston
Zip: 77054
Country: United States

Contact:
Last name: Guillermo Garcia-Manero, M.D.

Phone: 713-745-3428
Email: ggarciam@mdanderson.org

Investigator:
Last name: Guillermo Garcia-Manero, M.D.
Email: Principal Investigator

Facility:
Name: Peking University People's Hospital

Address:
City: Beijing
Zip: 100033
Country: China

Contact:
Last name: Xiaojun Huang, M.D.,Ph.D.

Phone: 010-88325229
Email: xjhrm@medmail.com.cn

Investigator:
Last name: Xiaojun Huang, M.D.,Ph.D.
Email: Principal Investigator

Start date: October 2024

Completion date: December 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/NCT06641414

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