AML1718 - Study Investigating Safety, Tolerability and Effectiveness of Venetoclax Add in Combination With Fludarabine, Cyratabine and Idarubicine in Induction of New Onset Non-M3 Acute Myelid Leukemia.

Studio Clinico

Patologia: Neoplasie ematologiche

Osservazionale-Sperimentale: Sperimentale

Monocentrico-Multicentrico: Multicentrico

Randomizzato: No

Fase di studio: II

Linee di trattamento: Non applicabile

Criteri di inclusione: 

- Patients with documented/confirmed new onset non-m3 acute myeloid leukemia, according to WHO 2017 will be eligible for this study.
- Hematological illness has to be graded intermediate or high risk according ELN criteria
- Patients ≥ 18 years old and ≤ 65 years old
- ECOG performance status ≤ 2.
- Patients with a life expectancy >12 weeks
- Patients may have AML which has arisen from prior therapies or other antecedent disorder
- Adequate hepatic function
- Adequate pancreatic function
- Adequate renal function assessed by: Serum creatinine within reference laboratory ranges or creatinine clearance (by Cockcroft Gault formula, see Appendix 2) ≥ 50 mL/min for patients in whom, in the Investigator's judgment, serum creatinine level may not adequately reflect renal function.
- All non-hematological adverse events must have resolved to NCI-CTCAE Grade ≤ 2 prior to starting therapy.
- Patients must be considered by Investigator suitable to receive combination chemotherapy.
- Combination chemotherapy has not to be considered toxic without expectation of any benefit for the patient
- For females of childbearing potential, a negative pregnancy test must be documented within 72 hours prior to the first study drug administration.
- All patients must be willing to use effective methods of contraception, during the treatment period and for 100 days after the last dose of Venetoclax. Female patients must be postmenopausal (≥ 1 year of amenorrhea), surgically sterile, or they must agree to use 2 adequate methods of contraception with at least one method with a failure rate of ≤ 1% per year (e.g., hormonal implants, combined oral contraceptives, vasectomized partner) and the second preferably a physical barrier method of contraception. Oral or injectable contraceptive agents cannot be the sole method of contraception. Male patients must be surgically sterile or agree to use an acceptable method of contraception.
- Patient must be willing to submit the blood sampling and bone marrow sampling for the PK and PD analyses and exploratory biomarkers.
- Ability to understand and willingness to sign an informed consent form.
- Subject must voluntarily sign and date an informed consent, approved by an Independent Ethics Committee (IEC)/Institutional Review Board (IRB), prior to the initiation of any screening or study-specific procedures.

Criteri di esclusione: 

- Patients with low risk AML according ELN criteria
- Patients with current clinical evidence of CNS leukemia.
- Patients receiving any other investigational or commercial agents or therapies administered with the intention to treat their malignancy with the exception of Hydroxyurea (HU) or 6-Mercaptopurine (6MP) in patients who need to continue this agent to maintain WBC count ≤10,000/mm3. HU and 6MP must be discontinued at the time of initiation of study medications.
- Patients who have any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study including but not limited at:
- unstable angina
- Patients who are on anti-microbial agents with therapeutic intent.

Schema di trattamento: 

Cohort 1: FLAI + V400 mg
Cohort 2: FLAI + V600 mg

Trattamento sperimentale: 

Venetoclax

Trattamento di controllo: 

NA

Obiettivi primari dello studio: 

Number of patients achieving complete response (CR) after course 1 or course 2 if course 2 is administered (CR + CRi + CRp) [ Time Frame: At 24 months from study entry ]
Efficacy in new onset, non ELN Low risk AML (safety run-in, part1, and part2). Effectiveness of Venetoclax added in combination with chemotherapy in obtaining Complete remission in new onset, non ELN Low risk AML (safety run-in, part1, and part2).

Centri partecipanti

Nord Italia

Centro Italia

Sud Italia e isole

Informazioni Generali

Protocollo

Numero di iscrizione a registro: 2018-000392-33

Data di inserimento: 20.09.2022

Promotore

Gruppo Italiano Malattie EMatologiche dell'Adulto

Principal Investigator ITALIA

Istituto Romagnolo per lo Studio dei Tumori 'Dino Amadori'- IRCCS

Riferimento: Prof. Giovanni Martinelli

Telefono: 0543739100

Email: giovanni.martinelli@irst.emr.it

Localita: Meldola (FC)