Clinical trial Recruiting at 1 site Phase1; Phase2 Interventional Ages 18 and up

Combining venetoclax with chemotherapy for treating acute myeloid leukemia

Official title: A Phase 1/2 Single-Center Trial Combining Venetoclax With G-CSF, Cladribine, Cytarabine, and Mitoxantrone (CLAG-M) for Patients With AML and High-Grade Myeloid Neoplasms

Run by University of Washington · NCT04797767 · Data updated 2026-11-12

This study is testing if combining a drug called venetoclax with a specific chemotherapy can help people with acute myeloid leukemia and high-grade myeloid neoplasms feel better and fight their cancer more effectively.

More Acute Myeloid Leukemia trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment62 (estimated)
SponsorUniversity of Washington
Academic / other
Drugs / interventionsChemotherapy
Locations1 site (Seattle, Washington)
StatusRecruiting
StartedFebruary 4, 2022
Main results expectedDecember 31, 2027
Study endsDecember 31, 2028
Registry record updatedNovember 6, 2026
Trial IDNCT04797767 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals diagnosed with acute myeloid leukemia or high-grade myeloid neoplasms, particularly those with adverse risk disease or relapsed cases.

Probably not a fit

Patients with low-risk forms of leukemia or those who do not meet the specific diagnostic criteria 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 trial evaluates the effectiveness and safety of venetoclax in combination with a chemotherapy regimen known as CLAG-M for patients with acute myeloid leukemia and high-grade myeloid neoplasms. The study aims to determine the optimal dosage and assess side effects while monitoring how well this combination therapy kills cancer cells. Patients will receive a series of treatments over several cycles, with regular follow-ups to track their progress and any adverse effects. The approach leverages the cancer-fighting properties of venetoclax, which inhibits a protein that helps cancer cells survive, alongside established chemotherapy drugs.

Why it matters

Potential benefit: If successful, this treatment could improve survival rates and outcomes for patients with aggressive forms of leukemia.

How similar studies have gone: Other studies have shown promise in using venetoclax for treating various hematological malignancies, suggesting potential success for this combination approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Diagnosis of acute myeloid leukemia (per the World Health Organization \[WHO\] 2016 classification) or high-grade myeloid neoplasm (\>= 10% myeloid blasts in peripheral blood or marrow as assessed by morphology or multiparameter flow cytometry at initial presentation). Patients with biphenotypic or mixed phenotype acute leukemia are eligible.
* PHASE I:

  * Newly diagnosed patients presenting for trial entry must have adverse risk disease as per the European LeukemiaNet 2017 guidelines
  * Relapsed/refractory patients presenting for trial entry must require first or subsequent salvage therapy and have detectable blasts in peripheral blood or \>= 5% blasts in bone marrow, as assessed by morphology or multiparameter flow cytometry; or extramedullary myeloid sarcoma, per European LeukemiaNet 2017 guidelines.
  * These patients are only allowed in the phase 1 portion of the trial
* PHASE II:

  * Newly diagnosed patients presenting for trial entry must have adverse risk disease as per the European LeukemiaNet 2022 guidelines
  * Prior treatment for low-grade myeloid neoplasms (\< 10% myeloid blasts in peripheral blood or marrow) is allowed (e.g. Azacitidine/decitabine, lenalidomide, growth factors). Prior treatment treated for antecedent high-grade myeloid neoplasms (≥ 10% myeloid blasts in peripheral blood or marrow) is not allowed
* Age \>= 18 years
* Aspartate transaminase (AST) and alanine transaminase (ALT) =\< 3.0 X upper limit of normal (ULN)
* Bilirubin =\< 1.5 x ULN (unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin)
* Subject must have adequate renal function as demonstrated by a creatinine clearance \>= 30 mL/min; calculated by the Cockcroft Gault formula or measured by 24 hours urine collection
* Left ventricular ejection fraction (LVEF) \>= 45%, assessed by multigated acquisition (MUGA) or echocardiogram (ECHO) within 3 months prior to study day 0 or after most recent anthracycline administration if appropriate and no clinical evidence of congestive heart failure
* Eastern Cooperative Oncology Group (ECOG) =\< 2
* Treatment-related mortality (TRM) score \< 13.1
* Female subjects of childbearing potential must have negative results for pregnancy test. Female subjects of childbearing potential and male subjects with female partners of childbearing potential must agree to use an effective method of birth control from the time of signing the consent form until at least 3 months after the last dose of study drug
* Ability to understand and the willingness to sign a written informed consent document
* White blood cell count in peripheral blood must be \< 25,000/ul prior to initiation of study therapy (CLAG-M plus venetoclax). Cytoreduction with hydroxyurea and/or cytarabine (e.g., 500 mg/m\^2 per dose) is allowed to decrease the risk of tumor lysis syndrome

Exclusion Criteria:

* Acute promyelocytic leukemia or chronic myeloid leukemia in blast crisis
* Known active central nervous system (CNS) involvement with acute myeloid leukemia (AML)
* Concomitant illness associated with a likely survival of \< 1 year
* Active systemic infection, unless disease is under treatment with antimicrobials and considered controlled or stable; patients with fever thought to be likely secondary to leukemia are eligible. Patients with chronic hepatitis B virus (HBV) or hepatitis C (HCV) requiring treatment would be excluded. Note: subjects with serologic evidence of prior vaccination to HBV (i.e. hepatitis B surface \[HBs\] antigen negative-, anti-HBs antibody positive and anti-hepatitis B core \[HBc\] antibody negative) or positive anti-HBc antibody from intravenous immunoglobulins (IVIG) may participate
* Known hypersensitivity to any study drug
* Pregnancy or lactation because of the unknown risks of this combination
* Concurrent treatment with any other investigational agent
* Subject is known to be positive for human immunodeficiency virus (HIV)
* Subjects who cannot discontinue concomitant CYP3A inhibitors, except for voriconazole, prior to cycle 1 day 1 (C1D1)
* Treatment with any of the following within 7 days prior to the first dose of venetoclax

  * Steroid therapy for anti-neoplastic intent
* Administration or consumption of any of the following within 3 days prior to the first dose of venetoclax:

  * Grapefruit or grapefruit products
  * Seville oranges (including marmalade containing Seville oranges)
  * Star fruit

Where it's running

  • Fred Hutch/University of Washington Cancer Consortium
    Seattle, Washington, United States
    Recruiting

Study contacts

  • Principal investigator: Mary-Beth M. Percival — Fred Hutch/University of Washington Cancer Consortium
  • Study coordinator: Kim Quach
  • Email: kquach@fredhutch.org
  • Phone: 206.606.8311

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.