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Brief Title: Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Patients With Newly Diagnosed AML or MDS-EB-2
Official Title: A Randomized, Placebo-Controlled Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Adult Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndrome With Excess Blasts-2
Study ID: NCT04628026
Brief Summary: A Randomized, Placebo-Controlled Phase III Study of Induction and Consolidation Chemotherapy With Venetoclax in Adult Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplastic Syndrome With Excess Blasts-2
Detailed Description: Prospective, multicenter, double-blind, randomized, placebo-controlled phase 3 clinical study. The randomized phase of the study will be preceded by a feasibility run-in dose-escalation phase in patients with AML in which the venetoclax dose for the phase 3 part will be established. After the feasibility run-in phase, eligible patients will be randomized to intensive chemotherapy with venetoclax or placebo. Patients will receive two cycles of induction chemotherapy; patients achieving CR or CRi after two cycles will continue with consolidation treatment according to initial randomization, and according to Cooperative Group-specific consolidation regimens or investigator choice. Patients achieving morphologic leukemia-free state (MLFS) only, may also continue consolidation treatment on protocol. Assignment to either allogeneic hematopoietic cell transplantation (HCT), conventional chemotherapy or autologous HCT will be done according to institutional standards, and based on (prognostic) disease characteristics, individual patient assessment, and established comorbidity risk scores (e.g., HCT-CI score).
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Charité Berlin - Campus Mitte, Berlin, , Germany
Charité Berlin - Campus Benjamin Franklin, Berlin, , Germany
Charité Berlin - Campus Virchow Klinikum, Berlin, , Germany
Knappschaftskrankenhaus Bochum-Langendreer, Bochum, , Germany
Uniklinikum Bonn, Bonn, , Germany
Staedtisches Klinikum Braunschweig, Braunschweig, , Germany
Universitätsklinikum Hamburg-Eppendorf, Hamburg, , Germany
Medizinische Hochschule Hannover, Hannover, , Germany
Städtisches Klinikum Karlsruhe, Karlsruhe, , Germany
Diakonie Klinikum Stuttgart, Stuttgart, , Germany
Uniklinikum Tübingen, Tübingen, , Germany
University Hospital Ulm, Ulm, , Germany
Name: Hartmut Doehner, MD
Affiliation: University of Ulm
Role: PRINCIPAL_INVESTIGATOR