General Information

Age Group

Adults

Status

Protocol Number

NCT05554406

Background Information

This phase II MyeloMATCH treatment trial tests whether the standard approach of cytarabine and daunorubicin in comparison to the following experimental regimens works to shrink cancer in patients with high risk acute myeloid leukemia (AML): 1) daunorubicin and cytarabine liposome alone; 2) cytarabine and daunorubicin with venetoclax; 3) azacitidine and venetoclax; 4) daunorubicin and cytarabine liposome and venetoclax. "High-risk" refers to traits that have been known to make the AML harder to treat. Cytarabine is in a class of medications called antimetabolites. It works by slowing or stopping the growth of cancer cells in the body. Daunorubicin is in a class of medications called anthracyclines. It also works by slowing or stopping the growth of cancer cells in the body. Azacitidine is in a class of medications called demethylation agents. It works by helping the bone marrow to produce normal blood cells and by killing abnormal cells. Venetoclax is in a class of medications called B-cell lymphoma-2 (BCL-2) inhibitors. It may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. There is evidence that these newer experimental treatment regimens may work better in getting rid of more AML compared to the standard approach of cytarabine and daunorubicin.

For more information, visit: https://clinicaltrials.gov/study/NCT05554406

Offered At

Inova Schar Cancer Institute
A division of Inova Fairfax Hospital
8081 Innovation Park Drive 
Fairfax, VA 22031

Inova Fairfax Medical Center 
3300 Gallows Rd  
Falls Church, VA, 22042

Principal Investigator

Eligibility Information

  • Participants must have newly diagnosed, untreated acute myeloid leukemia (AML) per World Health Organization (WHO) criteria
  • Participants must have high-risk (adverse) AML per European LeukemiaNet (ELN) 2017 criteria
  • Participants with therapy-related AML (t-AML), or with AML evolving from an antecedent hematologic disorder (such as myeloproliferative neoplasm), or AML with myelodysplasia-related changes (AML-MRC) are eligible
  • Participants must be between 18 and 59 years of age
  • Participants must have Zubrod performance status =< 3 as determined by a history and physical (H&P) completed within 14 days prior to registration

Ineligibility Information

  • Participants with known history of Wilson's disease or other known copper-metabolism disorder are excluded.
  • Participants must not be pregnant or nursing. Women/men of reproductive potential must have agreed to use 2 contraception methods.