Clinical trial Recruiting at 143 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment490 (estimated)
SponsorAscentage Pharma Group Inc.
Industry-sponsored
Locations155 sites (Birmingham, Alabama and 154 other locations)
StatusRecruiting
StartedJanuary 22, 2025
Main results expectedJune 2029
Study endsDecember 2029
Registry record updatedOctober 13, 2026
Trial IDNCT06641414 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.