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OncoMatch/Clinical Trials/NCT04797767

Venetoclax and CLAG-M for the Treatment of Acute Myeloid Leukemia and High-Grade Myeloid Neoplasms

Is NCT04797767 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments for acute biphenotypic leukemia.

Phase 1/2RecruitingUniversity of WashingtonNCT04797767Data as of May 2026

Treatment: Cladribine · Cytarabine · Mitoxantrone · Recombinant Granulocyte Colony-Stimulating Factor · VenetoclaxThis phase I/II trial finds the best dose, side effects and how well giving venetoclax in combination with cladribine, cytarabine, granulocyte colony-stimulating factor, and mitoxantrone (CLAG-M) in treating patients with acute myeloid leukemia and high-grade myeloid neoplasms. Venetoclax may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Chemotherapy drugs, such as cladribine, cytarabine, and mitoxantrone, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving venetoclax with CLAG-M may kill more cancer cells.

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Extracted eligibility criteria

Cancer type

Acute Myeloid Leukemia

Acute Lymphoblastic Leukemia

Sarcoma

Performance status

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

Prior therapy

Cannot have received: steroid therapy for anti-neoplastic intent

Treatment with any of the following within 7 days prior to the first dose of venetoclax: Steroid therapy for anti-neoplastic intent

Lab requirements

Blood counts

White blood cell count in peripheral blood must be < 25,000/ul prior to initiation of study therapy (CLAG-M plus venetoclax). Cytoreduction with hydroxyurea and/or cytarabine is allowed.

Kidney function

creatinine clearance ≥ 30 mL/min; calculated by the Cockcroft Gault formula or measured by 24 hours urine collection

Liver function

AST and ALT ≤ 3.0 X upper limit of normal (ULN); Bilirubin ≤ 1.5 x ULN (unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin)

Cardiac function

Left ventricular ejection fraction (LVEF) ≥ 45%, assessed by MUGA or ECHO within 3 months prior to study day 0 or after most recent anthracycline administration if appropriate and no clinical evidence of congestive heart failure

AST and ALT ≤ 3.0 X upper limit of normal (ULN); Bilirubin ≤ 1.5 x ULN (unless bilirubin rise is due to Gilbert's syndrome or of non-hepatic origin); creatinine clearance ≥ 30 mL/min; calculated by the Cockcroft Gault formula or measured by 24 hours urine collection; LVEF ≥ 45%, assessed by MUGA or ECHO within 3 months prior to study day 0 or after most recent anthracycline administration if appropriate and no clinical evidence of congestive heart failure; White blood cell count in peripheral blood must be < 25,000/ul prior to initiation of study therapy (CLAG-M plus venetoclax). Cytoreduction with hydroxyurea and/or cytarabine is allowed.

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

US trial sites

  • Fred Hutch/University of Washington Cancer Consortium · Seattle, Washington

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