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OncoMatch/Clinical Trials/NCT03214562

Venetoclax With Combination Chemotherapy in Treating Patients With Newly Diagnosed or Relapsed or Refractory Acute Myeloid Leukemia

Is NCT03214562 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments for high risk myelodysplastic syndrome.

Phase 1/2RecruitingM.D. Anderson Cancer CenterNCT03214562Data as of May 2026

Treatment: Cytarabine · Filgrastim · Fludarabine · Idarubicin · Pegfilgrastim · VenetoclaxThis phase Ib/II trial studies the best dose and side effects of venetoclax and how well it works when given with combination chemotherapy in treating patients with newly diagnosed acute myeloid leukemia or acute myeloid leukemia that has come back or does not respond to treatment. Venetoclax may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as fludarabine, cytarabine, filgrastim and idarubicin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving venetoclax together with combination chemotherapy may work better in treating patients with acute myeloid leukemia.

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Extracted eligibility criteria

Cancer type

Myelodysplastic Syndrome

Acute Myeloid Leukemia

Biomarker criteria

Excluded: PML t(15;17) karyotypic abnormality

Patients with t(15;17) karyotypic abnormality or acute promyelocytic leukemia (French-American-British [FAB] class M3-AML)

Excluded: RARA t(15;17) karyotypic abnormality

Patients with t(15;17) karyotypic abnormality or acute promyelocytic leukemia (French-American-British [FAB] class M3-AML)

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: AML-directed therapy — relapsed, refractory, or intolerant (Part 1 only)

Only patients who are relapsed, refractory, or intolerant of standard AML therapy will be eligible for Part 1 (minimum of 1 prior line of AML-directed therapy)

Cannot have received: BCL2 inhibitor

Patients having received any prior BCL2 inhibitor therapy

Lab requirements

Kidney function

Creatinine clearance >= 30 mL/min based on the Cockcroft-Gault equation

Liver function

Total bilirubin < 1.5 x ULN unless increase is due to Gilbert's disease or leukemic involvement; AST and/or ALT < 3 x ULN unless considered due to leukemic involvement

Cardiac function

No NYHA class III or IV congestive heart failure; LVEF >= 40% by echocardiogram or MUGA; no history of myocardial infarction within the last 6 months or unstable/uncontrolled angina or severe/uncontrolled ventricular arrhythmias

Creatinine clearance >= 30 mL/min based on the Cockcroft-Gault equation; Total bilirubin < 1.5 x ULN unless increase is due to Gilbert's disease or leukemic involvement; AST and/or ALT < 3 x ULN unless considered due to leukemic involvement; Patients with NYHA class III or IV congestive heart failure or LVEF < 40% by echocardiogram or MUGA scan; history of myocardial infarction within the last 6 months or unstable/uncontrolled angina pectoris or history of severe and/or uncontrolled ventricular arrhythmias

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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