Study on Optimizing the Treatment of Patients With Acute Myeloid Leukemia Based on Early Peripheral Blood Minimal Residual Disease
A Multicenter, Open-label, Prospective, Randomized Controlled Study to Optimize the Treatment of Patients With Acute Myeloid Leukemia Based on Early Peripheral Blood Minimal Residual Disease
1 other identifier
interventional
70
1 country
1
Brief Summary
A multicenter, open-label, prospective, randomized controlled study to optimize the treatment of patients with acute myeloid leukemia based on early peripheral blood minimal residual disease
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jun 2025
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2025
CompletedFirst Submitted
Initial submission to the registry
June 8, 2025
CompletedFirst Posted
Study publicly available on registry
June 17, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 1, 2029
August 8, 2025
August 1, 2025
3.9 years
June 8, 2025
August 5, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Modified Composite Complete Response Rate(mCRc)
Complete Response(CR) + Complete Response with Incomplete Hematologic Recovery(CRi)+Morphologic Leukemia Free State(MLFS)
Through study completion, an average of 1 year
Secondary Outcomes (3)
Overall Survival (OS)
From date of index treatment to death, disease progression, or end of study, whichever came first, assessed up to 48 months.
MRD Negative Conversion Rate
Through study completion, an average of 1 year
Relapse-Free Survival(RFS)
From date of index treatment to death, disease progression, or end of study, whichever came first, assessed up to 48 months.
Study Arms (2)
venetoclax,8-14d
EXPERIMENTALControl group
NO INTERVENTIONInterventions
Patients identified with a suboptimal response to chemotherapy based on minimal residual disease (MRD) levels in peripheral blood on Day 6 will initiate venetoclax therapy added on Day 8, administered for 7 days.
Eligibility Criteria
You may qualify if:
- Newly diagnosed AML patients confirmed by bone marrow morphology and immunophenotyping.
- Complete MICM (Morphology, Immunophenotyping, Cytogenetics, Molecular genetics) work-up.
- Age ≥ 18 years.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
- Day 6 Peripheral Blood Blast Percentage (D6PBBP) ≥ 1%.
- Renal function with creatinine clearance ≥ 50 mL/min (calculated using the Cockcroft-Gault formula or measured by 24-hour urine collection).
- Liver function with Aspartate Aminotransferase (AST) ≤ 2.5 × ULN\*; Alanine Aminotransferase (ALT) ≤ 2.5 × ULN\*; Total bilirubin ≤ 1.5 × ULN\* (\*Unless considered due to leukemia infiltration).
- Patients deemed suitable to receive DA/IA therapy by the investigator.
- Signed informed consent form. -
You may not qualify if:
- Acute promyelocytic leukemia (APL).
- Mixed phenotype acute leukemia (MPAL).
- AML patients with known central nervous system (CNS) involvement.
- Presence of extramedullary disease (EMD).
- Severe cardiac disease, including congestive heart failure, myocardial infarction, or cardiac dysfunction.
- Concurrent active malignancy of other organ systems (patients with a history of cured malignancy may be eligible).
- Active tuberculosis or HIV-positive patients.
- Concurrent other hematological disorders.
- Pregnant or lactating women.
- Inability to comprehend or comply with the study protocol.
- Hypersensitivity to any component of the drugs involved in the protocol.
- Inability to take oral medication or patients with malabsorption syndrome.
- Uncontrolled systemic infection.
- Prior venetoclax treatment and/or current participation in any other study involving investigational agents.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yehui Tanlead
Study Sites (1)
The First Hospital of Jilin University
Changchun, Jilin, 130000, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
June 8, 2025
First Posted
June 17, 2025
Study Start
June 1, 2025
Primary Completion (Estimated)
May 1, 2029
Study Completion (Estimated)
May 1, 2029
Last Updated
August 8, 2025
Record last verified: 2025-08