ABC-14 versus standard "3+7" or AB-14 induction treatment for newly diagnosed acute myeloid leukemia
Official title: Randomized Study of ABC-14 Regimen ( AZA, Venetoclax and Chidamide) Compared With "3+7" Standard Induction Therapy or AB-14 (Venetoclax Combined With Azacitidine) for Newly Diagnosed Acute Myeloid Leukemia
Run by Guangdong Provincial People's Hospital · NCT06451861 · Data updated 2026-11-12
This trial tests whether the ABC-14 combination works better and is safer than the standard "3+7" or AB-14 regimens for adults newly diagnosed with acute myeloid leukemia.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 240 (estimated) |
| Sponsor | Guangdong Provincial People's Hospital Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 13 sites (Dongguan, Guangdong and 12 other locations) |
| Status | Recruiting |
| Started | August 21, 2024 |
| Main results expected | December 30, 2026 |
| Study ends | June 30, 2027 |
| Registry record updated | November 17, 2025 |
| Trial ID | NCT06451861 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with newly diagnosed non-APL AML who have not received prior systemic anti-leukemia therapy (aside from limited cytoreduction), have acceptable performance status and organ function, can take oral medications, and consent to the trial.
✕Probably not a fit
Patients with acute promyelocytic leukemia (APL), prior systemic AML treatment, known resistance to azacitidine or venetoclax, uncontrolled active infections or major organ dysfunction, or inability to take oral drugs are unlikely to benefit from this regimen.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, phase 2 trial comparing an experimental ABC-14 induction regimen (including chidamide, venetoclax, and azacitidine together with conventional chemotherapy agents) to the traditional "3+7" regimen or AB-14 in adults with newly diagnosed non-APL AML. Eligible patients are treatment-naïve adults 18 years or older who meet organ function and performance status criteria and who can take oral medications. The study will measure remission rates, safety and treatment-related mortality to see if ABC-14 can improve outcomes over standard induction. It is being conducted at multiple centers in Guangdong province, China.
Why it matters
Potential benefit: If successful, ABC-14 could increase initial remission rates and/or lower treatment-related mortality compared with standard induction regimens.
How similar studies have gone: Combinations of venetoclax with hypomethylating agents like azacitidine have shown promising results in AML, but adding chidamide and the specific ABC-14 formulation is a relatively novel approach with limited prior data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Diagnosed with AML (the diagnostic criteria refer to WHO2022 standard, non-APL), and have not received systemic anti-leukemia therapy (except hydroxyurea, low-dose cytarabine and other tumor reduction pretreatments); 2. Age ≥18 years old; 3. ECOG≤4; 4. The fertile woman agrees to use effective contraception during the treatment period and up to 3 months after the end of the treatment; Sign the informed consent form. Exclusion Criteria: 1. Known history of allergy to the investigational drug; 2. Resistance to azacytidine, azacitidine, Venetoclax; 3. Inability to take oral medication; 4. Combined with uncontrolled active infections (including bacterial, fungal or viral infections); 5. Combined with uncontrolled major organ dysfunction: cardiac insufficiency, decompensated liver insufficiency, moderate/severe renal insufficiency, etc.; 6. Participating in other clinical studies that affect the main purpose of this study; Patients deemed unsuitable for participation in this study.
Where it's running
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Dongguan General Hosptial
Dongguan, Guangdong, China Recruiting -
Foshan First People's Hospital
Foshan, Guangdong, China Recruiting -
Guangdong Provincial People's Hospital
Guangzhou, Guangdong, China Recruiting -
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China Recruiting -
The Fifth Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China Recruiting -
The First Affiliated Hospital of Guangdong Pharmaceutical University
Guangzhou, Guangdong, China Recruiting
Show 7 more locations
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The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China Recruiting -
The First Affiliated Hospital of Jinan University
Guangzhou, Guangdong, China Recruiting -
The Second Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China Recruiting -
Shenzhen second people's Hospital
Shenzhen, Guangdong, China Recruiting -
Affiliated Hospital of Guangdong Medical University
Zhanjiang, Guangdong, China Recruiting -
Zhuhai General Hosptial
Zhuhai, Guangdong, China Recruiting -
Hainan General Hosptial
Haikou, Hainan, China Recruiting
Study contacts
- Principal investigator: Jianyu Weng — Guangdong Provincial People Hosptial
- Study coordinator: Jianyu Weng
- Email: wengjianyu@gdph.org.cn
- Phone: 020-83827812
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.