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临床试验/NCT07392814
NCT07392814尚未招募1 期

Single-Center Phase 1 Study With Escalating Doses of Tocilizumab in Combination With Venetoclax and Azacitidine Chemotherapy in Patients With Acute Myeloid Leukemia (AML). TOCIVENA

Nantes University Hospital1 个研究点 分布在 1 个国家目标入组 12 人开始时间: 2026年3月10日最近更新:
干预措施

试验速览

阶段
1 期
状态
尚未招募
入组人数
12
试验地点
1
主要终点
DLT

研究概览

简要总结

This is a phase 1, open label, interventional, single center, in patients with Acute Myeloid Leukemia (AML). This study will investigate dose escalation of tocilizumab in combination with venetoclax and azacitidine chemotherapy.

The patient population will consist of adults men and women at least 18 years, who meet eligibility criteria. In this study propose combining tocilizumab with the standard treatment of azacitidine and venetoclax for patients with AML who are not eligible for intensive treatment.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • First-line AML regardless of karyotype and molecular profile
  • ECOG <= 3
  • Patient eligible for chemotherapy combining azacitidine and venetoclax
  • Informed consent
  • Liver function tests: transaminases < 3x normal, bilirubin < 1.5x normal
  • Creatinine clearance > 30 ml/min

排除标准

  • Patients eligible for intensive "3+7" treatment
  • Uncontrolled infection
  • Active and/or treated infection with Hep B, C, or HIV
  • No social security or other health insurance
  • Pregnant women or patients who cannot use contraception due to fertility
  • Breastfeeding women
  • Adults under guardianship, conservatorship, or legal protection
  • Hypersensitivity to any of the active substances or excipients (see SPCs)
  • Patients unable to understand spoken or written French

研究组 & 干预措施

Tocilizumab

Experimental
  • Level 1: 4 mg/kg on Day 1 of cycles 1 to 3
  • Level 2: 6 mg/kg on Day 1 of cycles 1 to 3 (starting dose for the first cohort)
  • Level 3: 8 mg/kg on Day 1 of cycles 1 to 3
  • Level 4: 4 mg/kg on Days 1 and 15 of cycles 1 to 3

干预措施: increase dose of tocilizumab (Drug)

结局指标

主要结局

DLT

时间窗: 42 days

number of DLT

次要结局

  • Death(48 months)
  • follow - up(48 months)
  • relapse(48 months)
  • death(48 months)
  • follow up(48 months)
  • neutrophil(48 months)
  • platelets(48 months)
  • infection(48 months)
  • cytokine(48 months)
  • tocilizumab(48 months)
  • response to treatment(28 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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