A Study of Venetoclax in Combination With Azacitidine Versus Azacitidine in Treatment Naïve Participants With Acute Myeloid Leukemia Who Are Ineligible for Standard Induction Therapy
3期
进行中(已停止招募)
NCT02993523
| 适应症 | Acute Myeloid Leukemia |
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| 分期 | 3期 |
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| 申办方 | AbbVie |
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| 状态 | 进行中(已停止招募) |
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| 受试者人数 | 443 人 |
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| 干预(药物) | Azacitidine, Venetoclax |
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| 开始日期 | 2017年2月2日 |
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| 完成日期 | 2021年12月1日 |
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| 结果公布日 | 2023年1月27日 |
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摘要
Acute Myeloid Leukaemia (AML) is an aggressive and rare cancer of myeloid cells (a white blood cell responsible for fighting infections). Successful treatment of AML is dependent on what subtype of AML the participant has, and the age of the participant when diagnosed. Venetoclax is an experimental drug that kills cancer cells by blocking a protein (part of a cell) that allows cancer cells to stay alive. This study is designed to see if adding venetoclax to azacitidine works better than azacitidine on its own. This is a Phase 3, randomized, double-blind (treatment is unknown to participants and doctors), placebo controlled study in patients with AML who are \>= 18 or more years old and have not been treated before. Participants who take part in this study should not be suitable for standard induction therapy (usual starting treatment). AbbVie is funding this study which will take place at approximately 180 hospitals globally and enroll approximately 400 participants. In this study, 2/3 of participants will receive venetoclax every day with azacitidine and the remaining 1/3 will receive placebo (dummy) tablets with azacitidine. Participants will continue to have study visits and rec
Overall Survival (OS)
From the study start up to death or alive or lost to follow-up (up to approximately 4.8 years; data cut off date: 1 December 2021) · months
| Group 2: Placebo + Azacitidine 75 mg/m^2 | 9.6 months |
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| Group 2: Venetoclax 100 mg/200 mg/400 mg + Azacitidine 75 mg/m^2 | 14.7 months |
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| p-value | <0.001 |
| Hazard Ratio (HR) | 0.580 (95% CI 0.465–0.723) |
Percentage of Participants With Complete Remission (CR) and Complete Remission With Incomplete Marrow Recovery (CRi)
From the study start up to death (up to approximately 4.8 years; data cut-off date: 1 December 2021) · percentage of participants
| Group 2: Placebo + Azacitidine 75 mg/m^2 | 17.9 percentage of participants |
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| Group 2: Venetoclax 100 mg/200 mg/400 mg + Azacitidine 75 mg/m^2 | 38.8 percentage of participants |
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| Open Label China Cohort: Venetoclax 400 mg + Azacitidine 75 mg/m^2 | 60.0 percentage of participants |
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| Group 2: Placebo + Azacitidine 75 mg/m^2 | 11.0 percentage of participants |
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| Group 2: Venetoclax 100 mg/200 mg/400 mg + Azacitidine 75 mg/m^2 | 28.0 percentage of participants |
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| Open Label China Cohort: Venetoclax 400 mg + Azacitidine 75 mg/m^2 | 20.0 percentage of participants |
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