Mitoxantrone Hydrochloride Liposome, Cytarabine, G-CSF Plus Venetoclax vs. Azacitidine Plus Venetoclax for MDS-IB2 and Secondary/Elderly AML
NCT07735117 · Status: NOT_YET_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 168
Last updated 2026-07-29
Summary
This study aims to evaluate the efficacy and safety of mitoxantrone hydrochloride liposome, subcutaneous cytarabine and G-CSF combined with venetoclax (CMG+Ven) versus azacitidine combined with venetoclax (VA) in the treatment of adult myelodysplastic syndrome IB2 (MDS-IB2) and newly diagnosed secondary or elderly AML.
Conditions
- Acute Myeloid Leukemia (AML)
- Myelodysplastic Syndromes (MDS)
Interventions
- DRUG
-
Mitoxantrone Hydrochloride Liposome
Mitoxantrone Hydrochloride Liposome: 15 mg/m², administered by intravenous drip (ivgtt) on day 1
- DRUG
-
Cytarabine: 10 mg/m², administered subcutaneously (H) every 12 hours (q12h) on days 1-7
- DRUG
-
Granulocyte Colony-Stimulating Factor(G-CSF)
G-CSF: 5 μg/kg, administered subcutaneously (H) starting from day 0, and discontinued when WBC ≥ 20×10\^9/L
- DRUG
-
Venetoclax: 100 mg on day 2, 200 mg on day 3, and 400 mg on days 4-10, administered orally (po)
- DRUG
-
Venetoclax: 100 mg on day 1, 200 mg on day 2, and 400 mg on days 3-21 or 3-28, administered orally (po)
- DRUG
-
Azacitidine: 75 mg/m\^2, administered subcutaneously (H) on days 1-7.
Sponsors & Collaborators
-
CSPC Zhongnuo Pharmaceutical (Shijiazhuang) Co., Ltd.
collaborator INDUSTRY -
Ruijin Hospital
lead OTHER
Principal Investigators
-
Sujiang Zhang · Ruijin Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-30
- Primary Completion
- 2028-07-20
- Completion
- 2029-07-31
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