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Chemotherapy
Venetoclax Combination Therapy for Leukemia
Phase 1
Recruiting
Led By Ibrahim T Aldoss
Research Sponsored by City of Hope Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Newly diagnosed disease with >= 5% blasts in the marrow
Eastern Cooperative Oncology Group (ECOG) =< 2
Must not have
Other active malignancy
Live vaccines
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 1 year
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new combination of drugs to treat leukemia. The goal is to find out if it is safe and works well.
Who is the study for?
Adults aged 18-54 with newly diagnosed B-cell acute lymphoblastic leukemia (ALL) can join this trial. They must be in good physical condition, not pregnant or breastfeeding, and willing to use non-hormonal birth control. People with certain heart conditions, other cancers, uncontrolled infections or those who have taken strong medications that affect liver enzymes recently cannot participate.
What is being tested?
The trial is testing the safety and optimal dose of a drug called Venetoclax when added to a pediatric-inspired chemotherapy regimen (C10403). This combination targets cancer cell growth by blocking essential proteins and using various chemo drugs to kill or stop cancer cells from dividing.
What are the potential side effects?
Venetoclax combined with C10403 chemotherapy may cause side effects like low blood counts leading to increased infection risk, fatigue, nausea, liver issues, potential for allergic reactions and could affect heart function. The severity of side effects varies among individuals.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My recent diagnosis shows more than 5% immature blood cells in my bone marrow.
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I can perform all self-care but may not be able to work.
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My leukemia is confirmed to be B-cell ALL.
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I am between 18 and 54 years old.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I do not have any other active cancer.
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I have not received any live vaccines recently.
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My leukemia has specific genetic changes.
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I need brain radiation due to cancer spread.
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I do not have any ongoing infections that aren't under control.
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I have not had a heart attack or unstable angina in the last 6 months.
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I do not have any uncontrolled serious illnesses.
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I have T-cell acute lymphoblastic leukemia.
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I am not pregnant or breastfeeding.
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I haven't taken strong or moderate drugs that affect liver enzymes in the last 14 days.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 1 year
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Dose limiting toxicity
Incidence of adverse events
Secondary study objectives
Complete response (CR) after consolidation
Complete response (CR) after consolidation for Philadelphia (Ph)-like acute lymphoblastic leukemia (ALL)
Complete response (CR) after induction +/- extended induction
+9 moreSide effects data
From 2022 Phase 3 trial • 389 Patients • NCT0200547133%
Neutropenia
11%
SARS-CoV-2 test positive
11%
Sepsis
11%
Abdominal pain
11%
Pneumonia
11%
Rhinovirus infection
11%
COVID-19
11%
Gastroenteritis
11%
Pneumonia pseudomonal
11%
Electrocardiogram QT prolonged
11%
Anaemia
11%
Neutrophil count decreased
11%
Hypokalaemia
11%
Febrile neutropenia
11%
Supraventricular tachycardia
11%
Blood creatinine increased
11%
White blood cell count decreased
11%
Dermatitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Bendamustine + Rituximab Crossover Substudy
Venetoclax + Rituximab Re-Treatment Substudy
Venetoclax + Rituximab Main Study
Bendamustine + Rituximab Main Study
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Treatment (venetoclax, C10403 regimen)Experimental Treatment9 Interventions
See Detailed Description
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Prednisone
2014
Completed Phase 4
~2500
Vincristine Sulfate
2005
Completed Phase 3
~10270
Cytarabine
2016
Completed Phase 3
~3330
Methotrexate
2019
Completed Phase 4
~4400
Pegaspargase
2010
Completed Phase 3
~10000
Cyclophosphamide
2010
Completed Phase 4
~2310
Mercaptopurine
2012
Completed Phase 4
~13290
Venetoclax
2019
Completed Phase 3
~2240
Daunorubicin Hydrochloride
2011
Completed Phase 3
~5330
Find a Location
Who is running the clinical trial?
City of Hope Medical CenterLead Sponsor
605 Previous Clinical Trials
1,923,581 Total Patients Enrolled
91 Trials studying Leukemia
5,250 Patients Enrolled for Leukemia
National Cancer Institute (NCI)NIH
13,954 Previous Clinical Trials
41,111,659 Total Patients Enrolled
1,536 Trials studying Leukemia
385,555 Patients Enrolled for Leukemia
Ibrahim T AldossPrincipal InvestigatorCity of Hope Medical Center
1 Previous Clinical Trials
13 Total Patients Enrolled
1 Trials studying Leukemia
13 Patients Enrolled for Leukemia
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My leukemia involves the bone marrow.I do not have any other active cancer.My condition is due to my leukemia.I have not received any live vaccines recently.You have eaten grapefruit, grapefruit products, Seville oranges, or star fruit within three days before starting the study drug.I have only had minimal leukemia treatment before this study.My leukemia has specific genetic changes.My kidney function, measured by creatinine clearance, is good.I need brain radiation due to cancer spread.I do not have any ongoing infections that aren't under control.I have severe heart issues but can join if I have stable, symptom-free irregular heartbeat.I have not had a heart attack or unstable angina in the last 6 months.My white blood cell count is below 25 x 10^9/L before starting venetoclax.I do not have any uncontrolled serious illnesses.You have had allergic reactions to similar drugs or substances that are similar to the study medication.I am capable of having children and have not been surgically sterilized.My recent diagnosis shows more than 5% immature blood cells in my bone marrow.My heart rhythm problem is not stable even with medication.I can perform all self-care but may not be able to work.My leukemia is confirmed to be B-cell ALL.I am between 18 and 54 years old.I have T-cell acute lymphoblastic leukemia.I am not pregnant or breastfeeding.I haven't taken strong or moderate drugs that affect liver enzymes in the last 14 days.
Research Study Groups:
This trial has the following groups:- Group 1: Treatment (venetoclax, C10403 regimen)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.