New drug cocktail shows promise for rare bone marrow cancer
NCT ID NCT02942290
First seen Jun 27, 2026 · Last updated Aug 13, 2026 · Updated 2 times
Summary
This early-stage trial tests a combination of two drugs, venetoclax and azacitidine, in people with a serious type of myelodysplastic syndromes (MDS) who have not had treatment before. The goal is to find the safest dose and see how well the drugs work together to control the disease. About 129 adults with higher-risk MDS will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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134 people
The number who actually took part.
- Started
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Jan 2017
- Finished
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Apr 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Participant must have documented diagnosis of untreated de novo MDS with: * International Prognostic Scoring System (IPSS) risk categories Int-2 or High (minimum IPSS overall score of 1.5) OR Revised IPSS (IPSS-R) categories intermediate, high or very high (score of \> 3) and * Presence of less than 20% bone marrow blasts per bone marrow biopsy/aspirate. * Eastern Cooperative Oncology Group (ECOG) performance score of less than or equal to 2. Exclusion Criteria: * Participant has received prior therapy for MDS. (Prior supportive care in form of transfusions or growth factors, etc., is not considered prior therapy). * Participant has received prior therapy with a BCL-2 Homology 3 (BH3) mimetic. * Participant has a diagnosis other than previously untreated de novo MDS (as defined in the protocol) including: * MDS with IPSS risk categories Low or Int-1 (overall IPSS score \< 1.5) * Therapy-related MDS (t-MDS). * MDS evolving from a pre-existing myeloproliferative neoplasm (MPN). * MDS/MPN including chronic myelomonocytic leukemia (CMML), atypical chronic myeloid leukemia (CML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN. * Participant has received allogeneic Hematopoietic Stem Cell Transplantation (HSCT) or solid organ transplantation. * Participant has received a live attenuated vaccine within 4 weeks prior to the first dose of study drug.
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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.
Contacts and locations
Locations
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Austin Health /ID# 154955
Heidelberg, Victoria, 3084, Australia
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Calvary Mater Newcastle /ID# 154957
Waratah, New South Wales, 2298, Australia
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Centre Hospitalier Universitaire de Nantes, Hotel Dieu -HME /ID# 153828
Nantes, Pays de la Loire Region, 44000, France
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Columbia University Medical Center /ID# 153661
New York, New York, 10032-3729, United States
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Concord Repatriation General Hospital /ID# 154958
Concord, New South Wales, 2139, Australia
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Dana-Farber Cancer Institute /ID# 152735
Boston, Massachusetts, 02215, United States
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Duplicate_Azienda Ospedaliero-Universitaria Policlinico Umberto I /ID# 153764
Rome, Roma, 00161, Italy
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Duplicate_IRCCS AOU di Bologna - Policlinico Sant'Orsola-Malpighi /ID# 153763
Bologna, Emilia-Romagna, 40138, Italy
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Duplicate_Princess Alexandra Hospital /ID# 154990
Woolloongabba, Queensland, 4102, Australia
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Duplicate_St. Vincent's Hospital, Darlinghurst /ID# 222846
Darlinghurst, New South Wales, 2010, Australia
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Duplicate_Universitaetsklinikum Carl Gus /ID# 153958
Dresden, Saxony, 01307, Germany
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Duplicate_University of Arizona Cancer Center - North Campus /ID# 154155
Tucson, Arizona, 85719-1478, United States
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Fiona Stanley Hospital /ID# 222847
Murdoch, Western Australia, 6150, Australia
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Hôpital Saint-Louis /ID# 153827
Paris, 75010, France
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Juravinski Cancer Centre /ID# 152947
Hamilton, Ontario, L8V 1C3, Canada
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King's College Hospital NHS Foundation Trust /ID# 156489
London, SE5 9RS, United Kingdom
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Klinikum rechts der Isar /ID# 153139
Munich, Bavaria, 81675, Germany
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Liverpool Hospital /ID# 222410
Liverpool, New South Wales, 2170, Australia
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Norfolk and Norwich University Hospitals NHS Foundation Trust /ID# 156492
Norwich, Norfolk, NR4 7UY, United Kingdom
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Oregon Medical Research Center /ID# 152734
Portland, Oregon, 97239, United States
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Oxford University Hospitals NHS Foundation Trust /ID# 222567
Oxford, Oxfordshire, OX3 9DU, United Kingdom
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St George Hospital /ID# 154954
Kogarah, New South Wales, 2217, Australia
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Tennessee Oncology-Nashville Centennial /ID# 222769
Nashville, Tennessee, 37203-1632, United States
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The Alfred Hospital /ID# 154956
Melbourne, Victoria, 3004, Australia
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The University of Chicago Medical Center /ID# 153673
Chicago, Illinois, 60637-1443, United States
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Tufts Medical Center /ID# 153672
Boston, Massachusetts, 02111-1552, United States
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UT MD Anderson Cancer Center /ID# 153809
Houston, Texas, 77030, United States
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Universitaetsklinikum Halle (Saale) /ID# 153760
Halle, 06120, Germany
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Universitaetsklinikum Koeln /ID# 153141
Cologne, North Rhine-Westphalia, 50937, Germany
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Universitaetsklinikum Leipzig /ID# 153142
Leipzig, Saxony, 04103, Germany
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Universitatsklinikum Mannheim /ID# 153140
Mannheim, Baden-Wurttemberg, 68167, Germany
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University Hospitals Birmingham NHS Foundation Trust /ID# 158810
Birmingham, B15 2TH, United Kingdom
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University of Maryland, Baltimore /ID# 153669
Baltimore, Maryland, 21201, United States
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University of Pittsburgh MC /ID# 153662
Pittsburgh, Pennsylvania, 15260, United States
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Vanderbilt University Medical Center /ID# 152738
Nashville, Tennessee, 37232-0011, United States
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Washington University-School of Medicine /ID# 153671
St Louis, Missouri, 63110, United States
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Weill Cornell Medical College /ID# 155524
New York, New York, 10065, United States
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Other studies related to the condition(s) this trial covers.
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