Mitoxantrone for Venetoclax-Resistant Acute Myeloid Leukemia
This study is for people aged 18 to 80 with acute myeloid leukemia (AML) that has come back or didn't respond to previous treatment with venetoclax and a hypomethylating agent (HMA) like azacitidine or decitabine. It is testing a new combination of medicines: mitoxantrone, venetoclax, and azacitidine. Venetoclax works by blocking a protein called Bcl-2, which helps cancer cells survive. Researchers want to find the safest and most effective dose of mitoxantrone when given with venetoclax and azacitidine. They will also look at how many participants respond to the treatment and the number of serious side effects. The study plans to enroll 30 participants.
- Study design
- This is an open-label, Phase 1 study, meaning both you and your doctors will know which treatments you are receiving. It will involve a dose-finding stage followed by expansion cohorts.
- What's involved
- You will receive venetoclax, azacitidine, and mitoxantrone. The mitoxantrone will be given intravenously (into a vein) on days 1-4 of each cycle. Treatment will continue until the maximum tolerated dose is found, up to 5 cycles if needed.
- Compensation
- Not stated in the trial record.
- Follow-up
- Researchers will monitor your response to treatment and any side effects from the start of treatment up to one year.
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Mitoxantrone for Venetoclax Resistant Acute Myeloid Leukemia
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Andrew Kent, MD, PhD · PRINCIPAL_INVESTIGATOR · University of Colorado, Denver
Who to contact
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Do you actually qualify for this trial?
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Inclusion
What this trial measures
- Maximum tolerated dose (MTD)Reassessment at end of each cycle (28 days) until MTD reached, up to 5 cycles total if needed
Cohort 1: Determine the maximum tolerated (MTD) and/or recommended phase 2 dose (RP2D) of mitoxantrone in combination with venetoclax+azacitidine.
- Overall response rateBaseline to End of Treatment (up to 1 year)
Cohort 2: Overall response rate (CR+CRi+PR+MLFS) after treatment with mitoxantrone and venetoclax+azacitidine
- Number of grade 4 or 5 adverse eventsBaseline to End of Treatment (up to 1 year)
Cohorts 3 and 4: determine the safety of mitoxantrone in combination or in sequence with standard of care venetoclax+azacitidine