Can a smart order system ensure older AML patients get the support they need?
NCT ID NCT07777471
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This trial tests a method called Active Default to improve supportive care for adults 60 and older starting venetoclax-based therapy for acute myeloid leukemia (AML). Participants complete a geriatric assessment covering mobility, nutrition, mood, memory, and medications. If the assessment flags a need, the study team prepares supportive care orders—like physical therapy or nutrition—for the treating doctor to approve. The study aims to see how often these orders are signed and whether the process can be carried out as planned.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Active Default: an electronic health record-based order-queuing mechanism that triggers supportive care orders based on geriatric assessment results
- What this could lead to
- If successful, this approach could become a standard way to ensure older AML patients get timely supportive care, improving quality of life and treatment tolerance.
- What could go wrong
- This is a small pilot study, so results may not be generalizable. The intervention depends on physician approval, and not all triggered orders may be signed or lead to completed visits.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Oct 2026
An estimate. Start dates often move.
- Expected to finish
-
Sep 2028
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Patient participants: * Age 60 years or older * Newly diagnosed acute myeloid leukemia (AML), including de novo, secondary, or therapy-related AML, per current World Health Organization (WHO) or International Consensus Classification (ICC) classification * Planned for first-line venetoclax-based lower-intensity therapy * English-speaking * Able to provide informed consent personally or through a Legally Authorized Representative (LAR) Provider participants: -Participating leukemia attending physicians and supportive care service leads involved in the care of enrolled participants Exclusion Criteria: Patient participants: * Acute promyelocytic leukemia * Planned intensive induction or non-venetoclax-based therapy * Life expectancy under 14 days or hospice enrollment at screening
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute myeloid leukemia (AML) are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can engineered cells beat relapsed blood cancers?
- Can a new pill outsmart resistant leukemia?
- Can a new pill boost the power of an existing leukemia treatment?
- Can a new drug combo outperform standard care for a tough blood cancer?
- Can donor immune cells fight leukemia relapse after transplant?
- Can a liposomal chemo combo outsmart tough leukemias?