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OncoMatch/Clinical Trials/NCT05292664

Venetoclax Basket Trial for High Risk Hematologic Malignancies

Is NCT05292664 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments for myelodysplastic syndromes, de novo.

Phase 1RecruitingAndrew E. Place, MDNCT05292664Data as of May 2026

Treatment: Venetoclax · Azacitidine · Cytarabine · Methotrexate · Hydrocortisone · Leucovorin · Dexamethasone · Vincristine · Doxorubicin · Dexrazoxane · Calaspargase Pegol · Erwinia asparaginaseThis trial is evaluating the safety and tolerability of venetoclax with chemotherapy in pediatric and young adult patients with hematologic malignancies, including myelodysplastic syndrome (MDS), acute myeloid leukemia derived from myelodysplastic syndrome (MDS/AML), and acute lymphoblastic leukemia (ALL)/lymphoblastic lymphoma (LBL). The names of the study drugs involved in this study are below. Please note this is a list for the study as a whole, participants will receive drugs according to disease cohort. * Venetoclax * Azacitidine * Cytarabine * Methotrexate * Hydrocortisone * Leucovorin * Dexamethasone * Vincristine * Doxorubicin * Dexrazoxane * Calaspargase pegol * Hydrocortisone

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Extracted eligibility criteria

Cancer type

Myelodysplastic Syndrome

Acute Myeloid Leukemia

Acute Lymphoblastic Leukemia

Non-Hodgkin Lymphoma

Biomarker criteria

Required: KMT2A (MLL) rearrangement

KMT2A rearrangement

Required: IKZF1 deletion (without targetable ABL1 fusion)

IKZF1 deletion (without targetable ABL1 fusion)

Prior therapy

Must have received: remission induction attempt — at least 1 prior induction attempt

refractory to at least 1 prior remission induction attempt

Cannot have received: hematopoietic stem cell transplant

Exception: Allogeneic HSCT > 90 days of study entry; No evidence of graft-versus-host-disease (GVHD)

Individuals who have had a stem cell transplant and are still receiving treatment for GVHD or GVHD prophylaxis, or who have evidence of acute GVHD, or who are less than 90 days from stem cell infusion

Lab requirements

Liver function

Serum alanine aminotransferase (ALT) ≤5X upper limit of normal (ULN); Direct bilirubin ≤ 3X upper limit of normal for age and institution.

Cardiac function

Ejection fraction ≥ 50% or shortening fraction of ≥ 24% on screening echocardiogram; Maximum prior cumulative doxorubicin dose ≤ 360 mg/m2 or equivalent (Cohort C)

Adequate organ function, as defined by: Serum alanine aminotransferase (ALT) ≤5X upper limit of normal (ULN); Direct bilirubin ≤ 3X; Ejection fraction ≥ 50% or shortening fraction of ≥ 24% on screening echocardiogram.

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

US trial sites

  • University of California San Francisco-Benioff Children's Hospital · San Francisco, California
  • Children's Hospital Colorado · Aurora, Colorado
  • Children's Healthcare of Atlanta at Arthur M. Blank Hospital · Atlanta, Georgia
  • Ann & Robert H Lurie Children's Hospital of Chicago · Chicago, Illinois
  • Dana-Farber Cancer Institute · Boston, Massachusetts

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