Combining Lisaftoclax with Azacitidine for treating higher-risk Myelodysplastic Syndrome
Official title: A Global Multicenter, Double-blind, Randomized, Registrational Phase 3 Study of Lisaftoclax (APG-2575) in Combination With Azacitidine (AZA) in Patients With Newly Diagnosed Higher Risk Myelodysplastic Syndrome (HR-MDS) (GLORA-4).
Run by Ascentage Pharma Group Inc. · NCT06641414 · Data updated 2026-11-12
This study is testing if combining Lisaftoclax with azacitidine can help people newly diagnosed with higher-risk Myelodysplastic Syndrome live longer compared to just using azacitidine with a placebo.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 490 (estimated) |
| Sponsor | Ascentage Pharma Group Inc. Industry-sponsored |
| Locations | 155 sites (Birmingham, Alabama and 154 other locations) |
| Status | Recruiting |
| Started | January 22, 2025 |
| Main results expected | June 2029 |
| Study ends | December 2029 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT06641414 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are newly diagnosed patients with higher-risk Myelodysplastic Syndrome and an ECOG score of 2 or less.
✕Probably not a fit
Patients with uncontrolled active infections or those who have undergone hematopoietic stem cell transplantation may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase III clinical trial evaluates the effectiveness of Lisaftoclax (APG-2575) in combination with azacitidine (AZA) compared to a placebo with azacitidine in patients newly diagnosed with higher-risk Myelodysplastic Syndrome (HR-MDS). The study is a global multicenter, randomized, double-blind, placebo-controlled trial aimed at assessing overall survival outcomes. Participants will receive either the active treatment or placebo while being monitored for their response to the therapy. The trial seeks to provide insights into the potential benefits of this combination therapy for improving patient outcomes.
Why it matters
Potential benefit: If successful, this treatment could significantly improve overall survival rates for patients with higher-risk Myelodysplastic Syndrome.
How similar studies have gone: Other studies have shown promise with similar combination therapies, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Newly diagnosed higher-risk MDS. 2. ECOG score of ≤2. 3. Expected survival ≥ 3 months. 4. Adequate organ function. 5. Female subjects of potential childbearing potential have a negative urine or serum pregnancy test before dosing. Subjects of childbearing potential as well as their partners voluntarily use contraception deemed effective by the investigator during the treatment period and for at least six months after the last dose of study drug. 6. Able to understand and voluntarily sign a written informed consent form, which must be signed prior to the performance of any trial-specified study procedures. 7. Subjects are able to complete study procedures and follow-up examinations. Exclusion Criteria: 1. Concomitant other malignancies or prior malignancies with disease-free intervals of less than 1 year at the time of signing the informed consent. 2. Have undergone hematopoietic stem cell transplantation. 3. Use of moderately potent inducers and moderately potent inhibitors of CYP3A4 within 14 days prior to the first dose of study drug. 4. MDS or other conditions that cannot be administered enterally. 5. Any condition that the subject is deemed to be inappropriate to participate in this study after evaluation by the investigator.
Where it's running
-
Ascentage Investigative Site
Phoenix, Arizona, United States Recruiting -
Ascentage Investigative Site
Los Angeles, California, United States Recruiting -
Ascentage Investigative Site
Sacramento, California, United States Recruiting -
Ascentage Investigative Site
San Diego, California, United States Recruiting -
Ascentage Investigative Site
Aurora, Colorado, United States Recruiting -
Ascentage Investigative Site
Jacksonville, Florida, United States Recruiting
Show 44 more locations
-
Ascentage Investigative Site
Chicago, Illinois, United States Recruiting -
Ascentage Investigative Site
Indianapolis, Indiana, United States Recruiting -
Ascentage Investigative Site
Louisville, Kentucky, United States Recruiting -
Ascentage Investigative Site
Baltimore, Maryland, United States Recruiting -
Ascentage Investigative Site
Minneapolis, Minnesota, United States Recruiting -
Ascentage Investigative Site
Rochester, Minnesota, United States Recruiting -
Ascentage Investigative Site
St Louis, Missouri, United States Recruiting -
Ascentage Investigative Site
Lincoln, Nebraska, United States Recruiting -
Ascentage Investigative Site
Hackensack, New Jersey, United States Recruiting -
Ascentage Investigative Site
New York, New York, United States Recruiting -
Ascentage Investigative Site
Rochester, New York, United States Recruiting -
Ascentage Investigative Site
The Bronx, New York, United States Recruiting -
Ascentage Investigative Site
Charlotte, North Carolina, United States Recruiting -
Ascentage Investigative Site
Durham, North Carolina, United States Recruiting -
Ascentage Investigative Site
Winston-Salem, North Carolina, United States Recruiting -
Ascentage Investigative Site
Cleveland, Ohio, United States Recruiting -
Ascentage Investigative Site
Columbus, Ohio, United States Recruiting -
Ascentage Investigative Site
Eugene, Oregon, United States Recruiting -
Ascentage Investigative Site
Pittsburgh, Pennsylvania, United States Recruiting -
Ascentage Investigative Site
Austin, Texas, United States Recruiting -
Ascentage Investigative Site
Houston, Texas, United States Recruiting -
Ascentage Investigative Site
Tyler, Texas, United States Recruiting -
Ascentage Investigative Site
Charlottesville, Virginia, United States Recruiting -
Ascentage Investigative Site
Manassas, Virginia, United States Recruiting -
Ascentage Investigative Site
Norfolk, Virginia, United States Recruiting -
Ascentage Investigative Site
Edmonds, Washington, United States Recruiting -
Ascentage Investigative Site
Issaquah, Washington, United States Recruiting -
Ascentage Investigative Site
Seattle, Washington, United States Recruiting -
Ascentage Investigative Site
Seattle, Washington, United States Recruiting -
Ascentage Investigative Site
Milwaukee, Wisconsin, United States Recruiting -
Ascentage Investigative Site
Waukesha, Wisconsin, United States Recruiting -
Ascentage Investigative Site
Blacktown, Australia, Australia Recruiting -
Ascentage Investigative Site
Cooloongup, Australia, Australia Recruiting -
Ascentage Investigative Site
Epping, Australia, Australia Recruiting -
Ascentage Investigative Site
Heidelberg, Australia, Australia Recruiting -
Ascentage Investigative Site
Kingswood, Australia, Australia Recruiting -
Ascentage Investigative Site
Melbourne, Australia, Australia Recruiting -
Ascentage Investigative Site
Perth, Australia, Australia Recruiting -
Ascentage Investigative Site
Richmond, Australia, Australia Recruiting -
Ascentage Investigative Site
Waratah, Australia, Australia Recruiting -
Ascentage Investigative Site
Antwerp, Belgium Recruiting -
Ascentage Investigative Site
Brasschaat, Belgium Recruiting -
Ascentage Investigative Site
Bruges, Belgium Recruiting -
Ascentage Investigative Site
Ghent, Belgium Recruiting
+105 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Yifan Zhai, M.D., Ph.D.
- Email: yzhai@ascentage.com
- Phone: +86-20-28068501
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
GEN3018 for relapsed or treatment‑resistant acute myeloid leukemia and higher‑risk MDS
This trial will test a new antibody drug called GEN3018 in adults whose AML or higher‑risk MDS has relapsed or not responded to prior treatments.
-
Evaluating CCS1477 for blood cancers
This study is testing a new drug called CCS1477 to see if it can help people with certain blood cancers who haven't responded to other treatments.
-
APG-3288 in relapsed/refractory blood cancers
This study tests APG-3288 alone to see if it can be safely given and what dose works best in people whose blood cancers have returned or stopped responding to standard treatments.
-
How olverembatinib is processed in people with liver impairment
This test gives a single 20 mg dose of olverembatinib to people with different levels of chronic liver impairment and matched healthy volunteers to see how the drug is absorbed, distributed, metabolized, and cleared.
-
Evaluating APG-2449 for treating advanced ovarian cancer and solid tumors
This study is testing a new drug called APG-2449 to see if it can safely help people with advanced ovarian cancer and other solid tumors, both on its own and when combined with another treatment.
-
Olverembatinib for treating SDH-deficient GIST
This study is testing if a new medication called olverembatinib can help people with a specific type of gastrointestinal tumor feel better after they’ve already tried one other treatment.
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.