VABu Conditioning in Elderly AML HSCT

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age60+
SponsorThe First Affiliated Hospital of Soochow University

About this trial

This is an open-label, multi-center, single-arm clinical study evaluating the efficacy and safety of the VABu conditioning regimen in elderly patients (≥60 years) with acute myeloid leukemia (AML) undergoing allogeneic hematopoietic stem cell transplantation (HSCT).

The VABu regimen consists of Venetoclax, Azacitidine, Semustine, Cytarabine, and Busulfan. All enrolled participants will receive the VABu regimen as conditioning therapy prior to HSCT.

The study aims to enroll 20 participants from multiple centers in China. The primary objectives are to evaluate the overall response rate, cumulative relapse rate, overall survival, graft-versus-host disease (GVHD)-free relapse-free survival (GRFS), non-relapse mortality (NRM), incidence of acute and chronic GVHD, and reactivation rates of cytomegalovirus (CMV) and Epstein-Barr virus (EBV). Safety outcomes include treatment-related toxicities, such as bone marrow suppression, infection, and organ dysfunction.

Eligibility criteria

Qualifiers

Age ≥ 60 years.

Confirmed diagnosis of acute myeloid leukemia (AML) according to WHO classification, with intermediate or high-risk prognosis.

Previous response to Venetoclax-based therapy.

Planned to undergo allogeneic hematopoietic stem cell transplantation (HSCT).

Disqualifiers

Age < 60 years.

Poor response to prior Venetoclax-based therapy.

Unstable systemic disease (unstable angina, myocardial infarction, cerebrovascular accident within 3 months; NYHA Class III-IV heart failure; severe arrhythmia; pulmonary hypertension).

Active uncontrolled infection or active bleeding in vital organs.

Trial design

Treatments tested in this trial

  • VaBU

Treatment groups

20 Participants
are divided into 1 treatment group

Sponsors and collaborators

The First Affiliated Hospital of Soochow University

Lead sponsor

Suzhou Hongci Hematology Hospital, Suzhou, China

Collaborator

Huai'an Second People's Hospital and the Affiliated Huai'an Hospital of Xuzhou Medical University

Collaborator

Shenzhen People's Hospital

Collaborator

Henan Cancer Hospital

Collaborator