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OncoMatch/Clinical Trials/NCT05904106

Venetoclax Plus Azacitidine Versus Intensive Chemotherapy for Fit Patients With Newly Diagnosed NPM1 Mutated AML

Is NCT05904106 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Venetoclax plus Azacitidine and standard of care chemotherapy plus gemtuzumab ozogamicin for acute myeloid leukemia.

Phase 2RecruitingTechnische Universität DresdenNCT05904106Data as of May 2026

Treatment: Venetoclax plus Azacitidine · standard of care chemotherapy plus gemtuzumab ozogamicinThis phase II clinical trial evaluates the efficacy and tolerability of the non-intensive treatment with venetoclax and the hypomethylating agent azacitidine as compared to the standard of care chemotherapy plus gemtuzumab ozogamicin in newly diagnosed NPM1 mutated AML patients fit for intensive chemotherapy.

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Extracted eligibility criteria

Cancer type

Acute Myeloid Leukemia

Biomarker criteria

Required: CD33 positive

Required: NPM1 mutation

Excluded: FLT3 activating mutation

Performance status

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

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: hypomethylating agent

Previous treatment with HMA

Cannot have received: (venetoclax)

Previous treatment with venetoclax

Cannot have received:

Exception: hydroxyurea permitted

Previous treatment for AML except hydroxyurea

Cannot have received: anthracycline

Cumulative previous exposure to anthracyclines of > 200 mg/m^2 doxorubicin equivalents

Lab requirements

Blood counts

WBC < 25 x 10^9/L (<25,000/µL), prior hydroxyurea is permitted to meet this criterion

Kidney function

serum creatinine ≤ 1.5x ULN OR creatinine clearance (by Cockcroft Gault formula) ≥ 50 mL/min

Liver function

ALAT/ASAT/Bilirubin ≤ 2.5 x ULN unless considered due to leukemic organ involvement. Subjects with Gilbert's Syndrome may have a bilirubin > 2.5 × ULN per discussion between the investigator and Coordinating investigator.

Cardiac function

NYHA Class < 2; unstable coronary artery disease (MI more than 6 months prior to study entry is permitted); no serious cardiac ventricular arrhythmias requiring anti-arrhythmic therapy

Adequate hepatic function: ALAT/ASAT/Bilirubin ≤ 2.5 x ULN unless considered due to leukemic organ involvement. Adequate renal function assessed by serum creatinine ≤ 1.5x ULN OR creatinine clearance (by Cockcroft Gault formula) ≥ 50 mL/min. WBC < 25 x 10^9/L (<25,000/µL), prior hydroxyurea is permitted to meet this criterion. Cardiovascular disability status of New York Heart Association (NYHA) Class ≥ 2; unstable coronary artery disease (MI more than 6 months prior to study entry is permitted); serious cardiac ventricular arrhythmias requiring anti-arrhythmic therapy.

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

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