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OncoMatch/Clinical Trials/NCT07283094

FHD-286 With Low-Dose Weekly Decitabine/Venetoclax in Patients With Acute Myeloid Leukemia

Is NCT07283094 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Decitabine and Venetoclax for acute myeloid leukemia.

Phase 1RecruitingMontefiore Medical CenterNCT07283094Data as of May 2026

Treatment: Decitabine · Venetoclax · FHD-286This is a Phase 1, uncontrolled, single-arm, open-label, nonrandomized, dose escalation, study of Decitabine (DAC)+Venetoclax (VEN)+FHD-286 in participants with newly diagnosed Acute Myeloid Leukemia (AML) classified as adverse risk per the 2022 European Leukemia Net (ELN) criteria or AML that has progressed after one prior line of therapy.

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Extracted eligibility criteria

Cancer type

Acute Myeloid Leukemia

Myelodysplastic Syndrome

Performance status

ECOG 0–3(Limited self-care)

ECOG PS: New diagnosed AML: 75 years: ≤2; 18 years to <75 years: ≤3; AML that has progressed after 1 prior line of therapy (Any age): 3 if R/R AML

Prior therapy

Max 1 prior line
Min 0 prior lines

Cannot have received: hypomethylating agent (azacitidine, decitabine)

Exception: For individuals with AML that has progressed after 1 prior line of therapy, prior treatment with Azacitidine, Decitabine and VEN is allowed

Have not received a hypomethylating agent (HMA) or VEN for their disease under study; Prior treatment with azacitidine, DAC, VEN, or FHD-286. For individuals with AML that has progressed after 1 prior line of therapy, prior treatment with Azacitidine, Decitabine and VEN is allowed

Cannot have received: BCL2 inhibitor (venetoclax)

Exception: For individuals with AML that has progressed after 1 prior line of therapy, prior treatment with Azacitidine, Decitabine and VEN is allowed

Have not received a hypomethylating agent (HMA) or VEN for their disease under study; Prior treatment with azacitidine, DAC, VEN, or FHD-286. For individuals with AML that has progressed after 1 prior line of therapy, prior treatment with Azacitidine, Decitabine and VEN is allowed

Cannot have received: other (FHD-286)

Prior treatment with azacitidine, DAC, VEN, or FHD-286

Lab requirements

Blood counts

White blood cell count ≤20×10^9/L (hydroxyurea or cytarabine ≤1 g/m2 allowed to achieve this count before and up to 28 days after start of study treatment)

Kidney function

Creatinine clearance ≥30 mL/min to <45 mL/min; GFR ≥30 mL/min

Liver function

Serum total bilirubin ≤3.0×ULN, unless considered due to advanced hematologic malignancy involvement or documented Gilbert syndrome with direct bilirubin ≤1.5×ULN; AST, ALT, and alkaline phosphatase ≤3.0×ULN, unless considered due to advanced hematologic malignancy involvement

Cardiac function

Left ventricular ejection fraction (LVEF) of ≥40% by echocardiogram (ECHO)

Adequate end organ function, defined as: Adequate hepatic function...; Prothrombin time ≤1.5×ULN or international normalized ratio ≤1.4; Activated partial thromboplastin time ≤1.5×ULN; No known portal vein thrombosis; GFR ≥30 mL/min; Adequate cardiovascular, respiratory, and immune system function as evidenced by the below criterion and in the opinion of the investigator: Left ventricular ejection fraction (LVEF) of ≥40% by echocardiogram (ECHO); White blood cell count ≤20×10^9/L

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

US trial sites

  • Montefiore Medical Center · The Bronx, New York

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