Clinical trial Recruiting at 1 site Observational Ages 16 and up

Venetoclax TDM in newly diagnosed AML: exposure and prognosis

Official title: Exposure-Response and Prognostic Analysis of Venetoclax Therapeutic Drug Monitoring in Newly Diagnosed AML

Run by The First Affiliated Hospital of Soochow University · NCT07670130 · Data updated 2026-11-12

This study checks if measuring venetoclax levels and adjusting treatment helps people with newly diagnosed AML who are getting VEN-AZA.

Quick facts

Study typeObservational
Ages16 Years and up
SexAll
Enrollment50 (estimated)
SponsorThe First Affiliated Hospital of Soochow University
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Suzhou)
StatusRecruiting
StartedJune 1, 2026
Main results expectedJune 1, 2027
Study endsJune 1, 2027
Registry record updatedAugust 6, 2026
Trial IDNCT07670130 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults and adolescents (16+) with newly diagnosed AML who are planned for or receiving VEN-AZA as part of standard care and able to provide informed consent.

Probably not a fit

Patients receiving VEN-AZA but with factors unrelated to drug exposure that dominate outcomes may not see a benefit from exposure-guided adjustments.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study follows patients with newly diagnosed AML who are treated with venetoclax plus azacitidine in routine clinical practice. It examines how differences in drug exposure relate to safety and outcomes, aiming to see if tailoring dose based on drug levels could improve prognosis. Participants are adults and youths (16+) who have not received prior AML therapy (except certain exceptions) and are undergoing standard VEN-AZA regimens. Data will be collected during planned follow-up visits to explore exposure-response relationships in real-world settings. The study does not mandate a fixed dosing protocol and reflects routine care at the participating center.

Why it matters

Potential benefit: If successful, findings could inform personalized dosing strategies to optimize effectiveness and reduce adverse effects for VEN-AZA in AML.

How similar studies have gone: Previous research in other settings has shown that drug exposure can influence response and toxicity, but this specific VEN-AZA TDM approach in AML is relatively novel and exploratory.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Diagnosis: Newly diagnosed acute myeloid leukemia (AML) confirmed according to the WHO 2022 or International Consensus Classification (ICC) criteria, based on bone marrow morphology, flow cytometry, and molecular genetics. Acute promyelocytic leukemia (APL) is excluded.
2. Treatment regimen: Planned or already initiated first-line therapy with venetoclax plus azacitidine (VEN-AZA), with dosing determined by the treating physician according to routine clinical practice (no protocol-mandated dose restrictions).
3. Age: ≥ 16 years.
4. Informed consent: Willingness and ability to provide written informed consent for participation in this observational study.
5. Follow-up: Agreement to attend scheduled follow-up visits and to permit clinical data collection at the time points specified in the study protocol.

Exclusion Criteria:

1. Prior AML therapy: Prior treatment for AML, with the exception of leukapheresis, hydroxyurea, low-dose cytarabine, or corticosteroids.
2. Concurrent interventional trials: Current participation in any interventional clinical trial, including those involving investigational agents.
3. Extremely short life expectancy: Judged by the investigator to be unable to complete at least one full cycle of therapy and the associated follow-up.

Where it's running

  • The first Affiliated Hospital of Soochow University
    Suzhou, China
    Recruiting

Study contacts

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.