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A Study to Assess Change in Disease State in Adult Participants With Acute Myeloid Leukemia (AML) Receiving Oral Venetoclax Tablets in Combination With Subcutaneously (SC) or Intravenously (IV) Injected Azacitidine in Colombia

Recruiting
Conditions
Acute Myeloid Leukemia
Registration Number
NCT05587049
Lead Sponsor
AbbVie
Brief Summary

Acute myeloid leukemia (AML) is a cancer of the blood and bone marrow and is the most common acute leukemia in adults. This study will evaluate how well venetoclax in combination with azacitidine works to treat AML in adult participants in Colombia.

Venetoclax in combination with azacytidine is approved to treat Acute myeloid leukemia (AML). All study participants will receive venetoclax in combination with azacitidine as prescribed by their study doctor in accordance with approved local label. Adult participants with a new diagnosis of AML will be enrolled. Around 70 participants will be enrolled in the study in Colombia.

Participants will receive venetoclax tablets to be taken by mouth in combination with azacitidine given by subcutaneous (SC) or intravenous (IV) injection according to the approved local label. The duration of the study is approximately 36 months.

There is expected to be no additional burden for participants in this trial. All study visits will occur during routine clinical practice.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
70
Inclusion Criteria
  • Newly diagnosed acute myeloid leukemia (AML) defined as participants that have histological confirmation of AML (de novo, secondary) by World Health Organization (WHO) criteria, and have not received any prior treatment for AML.
  • Ineligible to intensive chemotherapy due to >=75 years of age; or >=18 to 74 years who have comorbidities that preclude use of intensive induction chemotherapy.
  • Participants starting treatment with venetoclax in combination with azacytidine treated according to the Colombia label and who are not completed the first cycle (Cycle 28 days).
Exclusion Criteria
  • Participating in an interventional clinical trial within 30 days prior to Venetoclax treatment initiation.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall Survival (OS)Up to 18 months

OS defined as the time from the date of start Venetoclax to the date of death from any cause.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants Achieving Complete Remission with Incomplete Marrow Recovery (Cri)Up to 18 Months

Cri is defined according to the modified IWG criteria for AML as all criteria as CR except for residual neutropenia \<10\^3 /μL (1,000/ μL), or thrombocytopenia \<10\^5 /μL (100,000/ μL). If all criteria for CR are meet except for RBC transfusion independence, this also fulfills Cri criteria.

Percentage of Participants Achieving Complete Remission with Incomplete Marrow Recovery (CRh)Up to 18 Months

CRh is defined according to the modified IWG criteria for AML as bone marrow with \< 5% blasts and Peripheral blood neutrophil count of \> 0.5 × 10\^3 /μL and Peripheral blood platelet count of \> 0.5 × 10\^5 /μL and 1-week (\>= 7 days) platelet transfusion-free period prior to the hematology lab collection.

Percentage of Participants Achieving Transfusion IndependenceUp to 18 Months

Transfusion ndependence is defined as a period of at least 56 days with no transfusion between the first dose of Venetoclax and the last dose of Venetoclax plus 30 days.

Percentage of participants achieving Minimal Residual Disease (MRD) negativityUp to 18 Months

MRD negativity, defined as having less than 10\^-3 residual blasts per leukocyte measured in the bone marrow.

Change in Health-Related Quality of Life (HRQOL) ScoreUp to 18 Months

HRQOL score, defined as a multidimensional construct defined as the subjective perception of the life as a whole, including physical, emotional, social, cognitive functions, disease symptoms and side effects of treatment.

Percentage of Participants Achieving Complete Remission (CR)Up to 18 Months

CR is defined according to the modified International Working Group (IWG) criteria for acute myeloid leukemia (AML) as no morphologic evidence of AML and absolute neutrophil count \>=10\^3 /μL (\>=1.0 x 10\^9 /L), platelets \>=10\^5 /μL (\>=100 x 10\^9 /L), red blood cell (RBC) transfusion independence, and bone marrow with \<5% blasts. Absence of circulating blasts and blasts with Auer rods; absence of extramedullary disease.

Event-Free Survival (EFS)Up to 18 Months

EFS defined as the time from the date of start Venetoclax to the date of morphologic relapse, progressive disease, resistant disease, treatment failure, or death from any cause.

Percentage of participants with Adverse Events (AE)Up to 18 Months

AE, defined as any unfavorable medical event that is temporarily related to the use of the investigational product, which does not necessarily have a causal relationship with the investigational product.

Duration of Treatment (DoT)Up to 18 Months

DoT defined as the time from the start of a therapy to the time of treatment discontinuation for any reason.

Duration of Remission (DOR)Up to 18 Months

DOR defined as the time from the date of first CR, CRi or CRh to the earliest evidence of morphologic relapse, progressive disease, or death due to disease progression.

Trial Locations

Locations (7)

Sociedad de Oncologia y Hematologia del Cesar /ID# 248615

🇨🇴

Valledupar, Cesar, Colombia

Coorp Hosp Juan Ciudad Sede Hospital Universitario Mayor Mederi /ID# 248570

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Bogota DC, Cundinamarca, Colombia

Fundacion Valle Del Lili /ID# 248294

🇨🇴

Cali, Valle Del Cauca, Colombia

Fundacion Santa Fe de Bogota /ID# 248563

🇨🇴

Bogota, Cundinamarca, Colombia

Clinica del Country /ID# 248430

🇨🇴

Bogota, Cundinamarca, Colombia

Hospital Alma Mater de Antioquia /ID# 248562

🇨🇴

Medellin, Distrito Capital De Bogota, Colombia

Hospital Pablo Tobón Uribe /ID# 248569

🇨🇴

Medellín, Valle Del Cauca, Colombia

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