New hope for AML: Three-Drug combo aims to boost remission
NCT ID NCT07486479
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This Phase 3 trial tests a new combination of drugs (venetoclax, azacitidine, and a liposomal form of mitoxantrone) against the standard therapy for adults newly diagnosed with acute myeloid leukemia (AML). The study will enroll 204 people aged 18-65 to see if the new combo leads to more complete remissions. The goal is to find a more effective initial treatment for this aggressive blood cancer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- venetoclax, azacitidine, and mitoxantrone hydrochloride liposome
- What this could lead to
- If successful, this could offer a more effective first-line treatment option for people with newly diagnosed AML, potentially leading to higher remission rates.
- What could go wrong
- This is an early-stage Phase 3 trial, so results are not yet known. The new combination may not be more effective than the standard treatment and could have unexpected side effects.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 204 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 65 years
- 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: * 1\. The patient fully understands the study, voluntarily participates, and has signed the informed consent form (ICF). 2\. Aged 18 to 65 years, any gender. 3. Newly diagnosed with AML according to the 2022 WHO classification. 4. Eligible for intensive chemotherapy as determined by the investigator. 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2. 6. Life expectancy ≥ 3 months. 7. Adequate liver and renal function: Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 × upper limit of normal (ULN) (≤ 5 × ULN for patients with hepatic involvement); total bilirubin ≤ 1.5 × ULN (≤ 3 × ULN for patients with hepatic involvement); serum creatinine ≤ 1.5 × ULN. Exclusion Criteria: * Patients who meet any of the following criteria will be excluded from the study: 1. Any of the following conditions: 1. Acute promyelocytic leukemia (APL); 2. Central nervous system leukemia (CNSL); 3. AML secondary to chemotherapy/radiotherapy for other malignancies or antecedent hematological disorders (e.g., MDS, MPN, CML); 2. Prior treatment with hypomethylating agents (HMA) or venetoclax; 3. Prior anti-AML therapy (except for leukocytosis management such as hydroxyurea or leukapheresis); 4. History of other malignancies within the past 5 years (except for cured basal cell carcinoma of the skin, carcinoma in situ of the cervix, or other malignancies that have been effectively controlled without treatment in the past five years); 5. Inability to take oral medication or malabsorption syndrome; 6. Cardiac function or disease meeting any of the following criteria: 1. Long QTc syndrome or QTc interval \> 480 ms; 2. Complete left bundle branch block, second- or third-degree atrioventricular block; 3. Severe, uncontrolled arrhythmias requiring medication; 4. New York Heart Association (NYHA) Class ≥ II; 5. Left ventricular ejection fraction (LVEF) \< 50%; 6. History of myocardial infarction, unstable angina, severe unstable ventricular arrhythmia, or any other significant arrhythmia requiring treatment, clinically significant pericardial disease within 6 months prior to enrollment, or ECG evidence of acute ischemia or active conduction system abnormalities. 7. Uncontrolled systemic illnesses (e.g., active infection, uncontrolled hypertension, diabetes); 8. Human Immunodeficiency Virus (HIV) infection (HIV antibody positive); 9. Active Hepatitis B or C infection (Hepatitis B: HBsAg or HBcAb positive, with HBV-DNA \> 1×10³ copies/mL; Hepatitis C: HCV-Ab positive, with HCV-RNA \> 1×10³ copies/mL); 10. Known history of immediate or delayed hypersensitivity reaction to drugs of the same class or excipients of the investigational product; 11. Significant neurological or psychiatric history; 12. Pregnant or lactating women; 13. Patients considered by the investigator to be unsuitable for participation in this study.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
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Affiliated Hospital of Nantong University
Nantong, Jiangsu, 226001, China
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Affiliated Hospital of Nantong University
Nantong, Jiangsu, 226001, China
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Changzhou First People's Hospital
Changzhou, Jiangsu, 213003, China
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Huai'an Second People's Hospital
Huai'an, Jiangsu, 223002, China
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Jiangsu Province Hospital
Nanjing, Jiangsu, 210029, China
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Jiangsu Province Hospital
Nanjing, Jiangsu, 210029, China
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Jiangsu Province Hospital of Chinese Medicine
Nanjing, Jiangsu, 210029, China
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Jingjiang People's Hospital
Jingjiang, Jiangsu, 214500, China
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Northern Jiangsu People's Hospital
Yangzhou, Jiangsu, 225001, China
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Renmin Hospital of Wuhan University
Wuhan, Hubei, China
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Shandong First Medical University Affiliated Tumor Hospital
Jinan, Shandong, China
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The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230022, China
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The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, 41003, China
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The First Affiliated Hospital of Ningbo University
Ningbo, Zhejiang, 315010, China
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The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215006, China
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The First People's Hospital Of Lianyungang
Lianyungang, Jiangsu, 222002, China
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The Second People's Hospital of Lianyungang
Lianyungang, Jiangsu, 222006, China
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Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430030, China
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Wuxi People's Hospital
Wuxi, Jiangsu, 214023, China
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YanCheng NO.1 People's Hospital
Yancheng, Jiangsu, 224006, China
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Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a liposomal drug combo improve AML treatment for older adults?
- Can a CDK8/CDK19 blocker help when leukemia and MDS return?
- Can an Anti-Inflammation drug make AML chemotherapy work better?
- Can a new drug trio overcome venetoclax resistance in leukemia?
- Can engineered cells beat relapsed blood cancers?
- Can a new pill outsmart resistant leukemia?