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OncoMatch/Clinical Trials/NCT06660368

BCL2i CLAG-M in R/R Acute Myeloid Leukemia

Is NCT06660368 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Cladribine, Cytarabine, Mitoxantrone, G-CSF (CLAG-M) regimen and Venetoclax for relapsed or refractory acute myeloid leukemia (aml).

Phase 2RecruitingH. Lee Moffitt Cancer Center and Research InstituteNCT06660368Data as of May 2026

Treatment: Cladribine, Cytarabine, Mitoxantrone, G-CSF (CLAG-M) regimen · VenetoclaxThis multicenter, open-label phase II study combines CLAG-based therapy with or without venetoclax in patients with relapsed or refractory (R/R) acute myeloid leukemia (AML) in order to improve measurable residual disease (MRD) clearance and event-free survival. Investigators hypothesize that the addition of venetoclax to CLAG-M in patients with relapsed or refractory AML is safe, and superior to CLAG-M alone in improving patient outcomes.

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Extracted eligibility criteria

Cancer type

Acute Myeloid Leukemia

Biomarker criteria

Excluded: TP53 mutation

Performance status

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

Prior therapy

Min 1 prior line

Must have received: induction chemotherapy — refractory disease: at least 1 cycle of intensive induction therapy (or 2 cycles of non-intensive induction); secondary AML: prior HMA, HMA + venetoclax (>3 months from venetoclax exposure), and/or 1 cycle of induction chemotherapy

failure to achieve CR after at least 1 cycle of intensive induction therapy (or 2 cycles of non-intensive induction); Secondary AML arising out of MDS previously treated with HMA, HMA + venetoclax (if > 3 months from venetoclax exposure), and/or 1 cycle of induction chemotherapy

Cannot have received: BCL2 inhibitor (venetoclax)

Exception: venetoclax exposure > 3 months prior to first dose of study therapy

Venetoclax-refractory disease or recent venetoclax exposure < 3 months prior to first dose of study therapy

Cannot have received: high-dose cytarabine-containing regimen (CLAG, FLAG, MEC, CLIA, HAM)

Prior treatment with a high-dose cytarabine-containing regimen (e.g., no prior CLAG/FLAG/MEC/CLIA/HAM, etc.)

Cannot have received: allogeneic stem cell transplant

Exception: allowed if > 3 months prior

Allogeneic stem cell transplant in the past 3 months

Cannot have received: AML-directed therapy

Exception: allowed if >14 days from last therapy or five half-lives, whichever is shorter, not including hydroxyurea

Less than 14 days from last AML-directed therapy or five half-lives, whichever is shorter, not including hydroxyurea

Lab requirements

Blood counts

adequate organ function as defined within the protocol

Kidney function

adequate organ function as defined within the protocol

Liver function

adequate organ function as defined within the protocol

Participants must have adequate organ function as defined within the protocol.

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

US trial sites

  • Moffitt Cancer Center · Tampa, Florida
  • Dana-Farber Cancer Institute · Boston, Massachusetts

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