Venetoclax in Combination With Cladribine and Cytarabine Alternating With Azacitidine Plus Venetoclax for the Treatment of Newly Diagnosed Monocytic AML and Active Signaling Mutated AML
NCT06504459 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2026-04-13
Summary
This phase II trial tests how well venetoclax with cladribine and cytarabine alternating with azacitidine and venetoclax works in treating patients with newly diagnosed monocytic acute myeloid leukemia (AML) and active signaling mutated AML. Venetoclax is in a class of medications called B-cell lymphoma-2 (BCL-2) inhibitors. It may stop the growth of cancer cells by blocking BCL-2, a protein needed for cancer cell survival. Chemotherapy drugs, such as cladribine, cytarabine and azacitidine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving venetoclax with cladribine and cytarabine alternating with azacitidine and venetoclax may kill more cancer cells in patients with newly diagnosed monocytic AML and active signaling mutated AML.
Conditions
- Acute Monocytic Leukemia
- Acute Myeloid Leukemia
Interventions
- DRUG
-
Given IV or SC
- PROCEDURE
-
Biospecimen Collection
Undergo blood sample collection
- PROCEDURE
-
Bone Marrow Aspiration
Undergo bone marrow aspiration and biopsy
- PROCEDURE
-
Bone Marrow Biopsy
Undergo bone marrow aspiration and biopsy
- DRUG
-
Cladribine
Given IV
- DRUG
-
Given SC
- PROCEDURE
-
Echocardiography
Undergo ECHO
- PROCEDURE
-
Lumbar Puncture
Undergo LP
- PROCEDURE
-
Multigated Acquisition Scan
Undergo MUGA
- OTHER
-
Questionnaire Administration
Ancillary studies
- DRUG
-
Given PO
Sponsors & Collaborators
-
Oregon Health and Science University
collaborator OTHER - collaborator INDUSTRY
-
OHSU Knight Cancer Institute
lead OTHER
Principal Investigators
-
Curtis A Lachowiez · OHSU Knight Cancer Institute
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-03
- Primary Completion
- 2027-10-11
- Completion
- 2028-05-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
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