Could a targeted pill boost chemo for tough blood cancer?
NCT ID NCT04628026
First seen Jun 24, 2026 · Last updated Sep 10, 2026 · Updated 11 times
Summary
This Phase 3 trial tests whether adding the drug venetoclax to standard chemotherapy helps adults with newly diagnosed acute myeloid leukemia (AML) or a related high-risk condition. About 650 participants aged 18 to 75 will receive either venetoclax or a placebo alongside chemo. The study measures how long people stay free of cancer events and overall survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Venetoclax
- What this could lead to
- If successful, adding venetoclax to standard chemotherapy could improve remission rates and extend survival for people with newly diagnosed acute myeloid leukemia.
- What could go wrong
- This is a large Phase 3 trial, but venetoclax may cause serious side effects like low blood counts and infections. It is not a cure, and some patients may not benefit.
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 650 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2022
- Expected to finish
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Feb 2032
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 75 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. Patients with newly diagnosed acute myeloid leukemia (AML) according to the International Consensus Classification (ICC). 2. Age ≥ 18 and ≤ 75 years. 3. Patients considered eligible for intensive chemotherapy. 4. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2. 5. Molecular analysis centrally performed in AMLSG and HOVON laboratories. 6. Adequate renal function as evidenced by serum creatinine ≤ 2.0 × upper limit of norm (ULN) or creatinine clearance \>40 mL/min based on the Cockcroft-Gault glomerular filtration rate (GFR). 7. Adequate hepatic function as evidenced by: * Serum total bilirubin ≤ 2.5 × ULN unless considered due to Gilbert's disease, or leukemic involvement following approval by the Principal Investigators or Trial Coordinators of the study * Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase (ALP) ≤ 3.0 × ULN, unless considered due to leukemic involvement following approval by the Principal Investigators or Trial Coordinators. 8. No prior chemotherapy for AML, except hydroxyurea for up to 14 days during the diagnostic screening phase for the control of peripheral leukemic blasts in patients with leukocytosis (e.g., white blood cell \[WBC\] counts \> 25x109/L); patients may have had previous treatment with erythroid stimulating agents (ESA) or hypomethylating agents (HMAs) for an antecedent phase of MDS; ESA and HMAs have to be stopped at least four weeks before start of study treatment. 9. Patients must not have received a known strong or moderate CYP3A inducer 7 days before start of study treatment. Patients must have no known medical conditions requiring chronic therapy with moderate or strong CYP3A inducers. 10. Female patient must either: * Be of nonchildbearing potential: * Postmenopausal (defined as at least 1 year without any menses) * Documented surgically sterile (e.g. documented hysterectomy, bilateral oophorectomy, bilateral salpingectomy or congenital sterile) or status post hysterectomy (at least 1 month prior to screening) * Or, if of childbearing potential (not surgically sterile and not postmenopausal) * Not planning to become pregnant during the study and for 6 months after the final study drug administration * And have a negative urine or serum pregnancy test at screening * And, if heterosexually active, agree to consistently apply one highly effective\* method of birth control in combination to a barrier method for the duration of the study and for 27 weeks after the final study drug administration \*Highly effective forms of birth control include * Consistent and correct usage of established hormonal contraceptives that inhibit ovulation for at least 1 month prior to taking study drug. (hormonal contraception is only a highly effective method of birth control, if a combined \[estrogen and progestogen containing\] hormonal contraception or a progestogen-only hormonal contraception - both associated with inhibition of ovulation - is used. * Established intrauterine device (IUD) or intrauterine system (IUS) * Bilateral tubal occlusion * Vasectomy - a vasectomy is highly effective contraception method provided the absence of sperm has been confirmed. If not, an additional highly effective method of contraception should be used. * Male is sterile due to a bilateral orchiectomy. * Sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual activity during the entire period of risk associated with the study drug. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical study and the preferred and usual lifestyle of the patient. \*List is not all inclusive. Prior to enrolment, the investigator is responsible for confirming patient will utilize highly effective forms of birth control in combination with a barrier method according to locally accepted standards during the protocol defined period. * Female patient must agree not to breastfeed starting at screening and throughout the study period, and for 2 months and 1 week after the final study drug administration. * Female patient must not donate ova starting at screening and throughout the study period, and for 27 weeks after the final study drug administration. 11. Men must use a latex condom during any sexual contact with WOCBP, even if they have undergone a successful vasectomy and must agree to avoid to father a child (while on therapy and for 27 weeks after the final study drug administration). In addition, their female partners of childbearing potential have to use a highly effective method of birth control. 12. Male patient must not donate sperm starting at screening and throughout the study period and for 27 weeks after the final study drug administration. 13. Able to understand and willing to sign an informed consent form (ICF).
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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
89 sites in 8 countries. 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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Albert Schweitzer Ziekenhuis
RECRUITINGDordrecht, Netherlands
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Algemeen Ziekenhuis Delta
RECRUITINGRoeselare, Belgium
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Amphia Hospital
RECRUITINGBreda, Netherlands
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Amsterdam UMC Stichting
RECRUITINGAmsterdam, Netherlands
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Asklepios Klinik Altona
RECRUITINGHamburg, Germany
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Asklepios Klinik St Georg
RECRUITINGHamburg, Germany
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Az St-Jan Brugge-Oostende A.V.
NOT_YET_RECRUITINGBruges, Belgium
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Barmherzige Brueder Trier gGmbH
NOT_YET_RECRUITINGTrier, Germany
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CHU UCL NAMUR - Mont Godinne
RECRUITINGYvoir, Belgium
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Charité Berlin - Campus Benjamin Franklin
RECRUITINGBerlin, 12200, Germany
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Charité Berlin - Campus Mitte
RECRUITINGBerlin, 10117, Germany
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Charité Berlin - Campus Virchow Klinikum
RECRUITINGBerlin, Germany
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Diakonie Klinikum Stuttgart
RECRUITINGStuttgart, 70176, Germany
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Erasmus MC - Daniel
RECRUITINGRotterdam, Netherlands
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Gemeinnuetzige Salzburger Landeskliniken Betriebsgesellschaft mbH
NOT_YET_RECRUITINGSalzburg, Austria
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Gesundheit Nord gGmbH Klinikverbund Bremen
RECRUITINGBremen, Germany
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HELIOS Klinikum Bad Saarow GmbH
RECRUITINGBad Saarow, Germany
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Hagaziekenhuis, locatie Leyweg
RECRUITINGThe Hague, Netherlands
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Hanusch Krankenhaus Der Wiener Gebietskrankenkasse
RECRUITINGVienna, Austria
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Haukeland University Hospital
NOT_YET_RECRUITINGBergen, Norway
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Helios Universitaetsklinikum Wuppertal
RECRUITINGWuppertal, Germany
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Helsinki University Central Hospital Meilahden Kolmiosairaala
RECRUITINGHelsinki, Finland
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Isala Klinieken Stichting
RECRUITINGZwolle, Netherlands
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Jeroen Bosch ziekenhuis
RECRUITING's-Hertogenbosch, Netherlands
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Justus-Liebig-Universitaet Giessen
RECRUITINGGiessen, Germany
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KRH Klinikum Siloah
RECRUITINGHanover, Germany
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Katholieke Universiteit te Leuven
NOT_YET_RECRUITINGLeuven, Belgium
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Kepler Universitaetsklinikum GmbH
NOT_YET_RECRUITINGLinz, Austria
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Klinikum Aschaffenburg-Alzenau gGmbH
RECRUITINGAschaffenburg, Germany
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Klinikum Darmstadt GmbH
NOT_YET_RECRUITINGDarmstadt, Germany
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Klinikum Frankfurt Hoechst GmbH
RECRUITINGFrankfurt, Germany
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Klinikum Hochsauerland GmbH
RECRUITINGMeschede, Germany
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Klinikum Mutterhaus der Borromaerinnen
RECRUITINGTrier, Germany
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Klinikum Oldenburg AöR
RECRUITINGOldenburg, Germany
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Klinikum Traunstein
RECRUITINGTraunstein, Germany
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Klinikum der Stadt Ludwigshafen am Rhein gGmbH
RECRUITINGLudwigshafen, Germany
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Klinikum rechts der Isar der TU Muenchen AöR
RECRUITINGMünchen, Germany
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Knappschaftskrankenhaus Bochum-Langendreer
RECRUITINGBochum, 44892, Germany
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Landeskrankenhaus (LKH) Rankweil, Interne E am Landeskrankenhaus Rankweil
RECRUITINGRankweil, Austria
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Leids Universitair Medisch Centrum (LUMC)
RECRUITINGLeiden, Netherlands
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Maastricht University Medical Center+ (MUMC+)
NOT_YET_RECRUITINGMaastricht, Netherlands
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Marien Hospital Duesseldorf GmbH
WITHDRAWNDüsseldorf, Germany
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Marien Hospital Herne
RECRUITINGHerne, Germany
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Maxima Medisch Centrum
RECRUITINGEindhoven, Netherlands
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Meander Medisch Centrum
RECRUITINGAmersfoort, Netherlands
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Medisch Centrum Leeuwarden B.V.
RECRUITINGLeeuwarden, Netherlands
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Medisch Spectrum Twente
RECRUITINGEnschede, Netherlands
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Medizinische Hochschule Hannover
RECRUITINGHanover, 30625, Germany
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Muhlenkreiskliniken AöR
RECRUITINGMinden, Germany
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North Estonia Medical Centre Foundation
RECRUITINGTallinn, Estonia
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OLVG
RECRUITINGAmsterdam, Netherlands
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Ordensklinikum Linz GmbH
RECRUITINGLinz, Austria
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Ortenauklinikum
RECRUITINGOffenburg, Germany
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Otto Von Guericke Universitaet Magdeburg
RECRUITINGMagdeburg, Germany
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Radboudumc
RECRUITINGNijmegen, Netherlands
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Reinier de Graaf Gasthuis
RECRUITINGDelft, Netherlands
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Rijnstate Ziekenhuis Stichting
RECRUITINGArnhem, Netherlands
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SLK-Kliniken Heilbronn GmbH
RECRUITINGHeilbronn, Germany
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Schwarzwald-Baar Klinikum Villingen-Schwenningen GmbH
RECRUITINGVillingen-Schwenningen, Germany
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Sint Antonius Ziekenhuis Stichting
RECRUITINGNieuwegein, Netherlands
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St. Johannes Hospital Dortmund
RECRUITINGDortmund, Germany
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St. Olavs Hospital
RECRUITINGTrondheim, Norway
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Staedtisches Klinikum Braunschweig
RECRUITINGBraunschweig, 38114, Germany
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Staedtisches Klinikum Karlsruhe gGmbH
NOT_YET_RECRUITINGKarlsruhe, Germany
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Stavanger Univ. Hosp.-Rogaland Hosp.
NOT_YET_RECRUITINGOslo, Norway
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Städtisches Klinikum Karlsruhe
RECRUITINGKarlsruhe, 76133, Germany
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Tampere University Hospital
NOT_YET_RECRUITINGTampere, Finland
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Tartu University Hospital
RECRUITINGTartu, Estonia
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Tirol Kliniken GmbH
NOT_YET_RECRUITINGInnsbruck, Austria
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UMCG
RECRUITINGGroningen, Netherlands
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UMCU
RECRUITINGUtrecht, Netherlands
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UNIVERSITÄTSKLINIKUM Schleswig-Holstein
RECRUITINGLübeck, Germany
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Uniklinikum Bonn
RECRUITINGBonn, 53127, Germany
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Uniklinikum Tübingen
RECRUITINGTübingen, 72076, Germany
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Univeritätsklinikum
RECRUITINGHalle, Germany
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Universitaetsklinikum
RECRUITINGRostock, Germany
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Universitaetsklinikum Regensburg AöR
NOT_YET_RECRUITINGRegensburg, Germany
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Universitaetsklinikum des Saarlandes AöR
RECRUITINGHomburg, Germany
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Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
RECRUITINGMainz, Germany
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Universitair Ziekenhuis Brussel
RECRUITINGBrussels, Belgium
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University Hospital Ulm
RECRUITINGUlm, 89081, Germany
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University Hospital of North Norway
NOT_YET_RECRUITINGTromsø, Norway
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Universitätsklinikum Hamburg-Eppendorf
RECRUITINGHamburg, 20246, Germany
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Universitätsmedizin Greifswald
RECRUITINGGreifswald, Germany
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Vilnius University Hospital Santaros Klinik
NOT_YET_RECRUITINGVilnius, Lithuania
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Vivantes Neukölln
NOT_YET_RECRUITINGBerlin, Germany
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Vivantes Spandau
WITHDRAWNBerlin, Germany
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Vivantes am Urban
NOT_YET_RECRUITINGBerlin, Germany
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Wespfalz-Klinikum
RECRUITINGKaiserslautern, Germany
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Wilhelm-Anton-Hospital Goch
RECRUITINGGoch, Germany
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Ziekenhuis Aan De Stroom
NOT_YET_RECRUITINGAntwerp, Belgium
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