About this trial
This 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
Eligibility criteria
Qualifiers
MDS with excess blasts (>10%)
MDS with blasts <10% with high-risk features
MDS refractory to initial treatment
Relapsed MDS
Disqualifiers
Use of strong or moderate CYP3A inhibitors/inducers within 3 days of study entry
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
Individuals with known active hepatitis; baseline testing not required.
Patients with systemic infection that is exhibiting ongoing signs/symptoms related to the infection without improvement despite appropriate antibiotics or other treatment.
Trial design
Treatments tested in this trial
- Venetoclax
- Azacitidine
- Cytarabine
- Methotrexate
- Hydrocortisone
- Leucovorin
- Dexamethasone
- Vincristine
- Doxorubicin
- Dexrazoxane
- Calaspargase Pegol
- Erwinia asparaginase
Treatment groups
Sponsors and collaborators
Andrew E. Place, MD
Lead sponsor
Dana-Farber Cancer Institute
Sponsor institution
AbbVie
Collaborator
Servier
Collaborator
Children's Cancer Research Fund
Collaborator
University of Colorado, Denver
Collaborator
Boston Children's Hospital
Collaborator
Gateway for Cancer Research
Collaborator