Toxicity Genetic Determinants and Response to Azacitidine and Venetoclax in AML
A Prospective Pilot Study of the Genetic Determinants of Toxicity and Response to Azacitidine and Venetoclax in Patients With Newly Diagnosed Acute Myeloid Leukemia Through Evaluation of Polymorphisms in Pharmacokinetic Genes and Venetoclax Levels
2 other identifiers
observational
50
1 country
2
Brief Summary
The purpose of this research is to see how certain genetic variations relate to side effects and outcomes experienced while receiving treatment with azacitidine and venetoclax.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Apr 2025
Longer than P75 for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 14, 2024
CompletedFirst Posted
Study publicly available on registry
August 30, 2024
CompletedStudy Start
First participant enrolled
April 9, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2030
February 2, 2026
January 1, 2026
2.2 years
August 14, 2024
January 30, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Toxicity side effect
Defined as a binary variable indicating whether a participant experienced a Grade 3 or higher of specific side effects (including infections, anemia, thrombocytopenia, febrile neutropenia, neutropenia, nausea, diarrhea)
From initiation of venetoclax through 30 days after last dose
Secondary Outcomes (6)
Dose Modification
Approximately 6 months or until last dose of Venetoclax, whichever came first
Disease Response
Up to 3 years
Venetoclax levels
Approx 6 months
Overall survival
Approx 3 years
Dose modification due to nausea or diarrhea
Approximately 6 months or until last dose of Venetoclax, whichever came first
- +1 more secondary outcomes
Study Arms (1)
AML participants who are receiving or are planned to receive azacitidine plus venetoclax
Buccal swabs for SNPs and pharmacogenomic analysis can occur at any point before or after starting treatment during the study period. Venetoclax peak and trough levels will be obtained during SOC Aza/Ven treatments. CYP3A activity will also be evaluated. Demographic and cancer related history will be acquired for each participant. During study participation, cancer treatment details including administration, dose modifications, delays, and reductions, including specific grade 3 toxicities, stem cell transplant status, symptom burden, disease response, and survival will be collected. Participants will be taken off study after three years.
Interventions
Buccal swabs and Blood samples will be collected throughout study.
Eligibility Criteria
Participants diagnosed with AML who are receiving or are planned to receive azacitidine plus venetoclax will be identified in clinic and presented informed consent for this study.
You may qualify if:
- Written informed consent and HIPAA authorization for release of personal health information.
- Age ≥ 18 years of age at the time of enrollment
- Confirmed diagnosis of AML
- Planned initial treatment with azacitidine and venetoclax
- Ability to read and understand the English and/or Spanish language
- As determined by the enrolling investigator, ability of the participant to understand and comply with study procedures for the entire length of the study
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Wake Forest University Health Scienceslead
- Atrium Health Levine Cancer Institutecollaborator
- Swim Across Americacollaborator
Study Sites (2)
Levine Cancer Institute
Charlotte, North Carolina, 28204, United States
Wake Forest Baptist Comprehensive Cancer Center
Winston-Salem, North Carolina, 27157, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Brittany Ragon, MD
Atrium Health Wake Forest Baptist Comprehensive Cancer Center
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 14, 2024
First Posted
August 30, 2024
Study Start
April 9, 2025
Primary Completion (Estimated)
July 1, 2027
Study Completion (Estimated)
January 1, 2030
Last Updated
February 2, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share