Study of Lisaftoclax combined with azacitidine for elderly patients with newly diagnosed acute myeloid leukemia

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What is this study about?

This study focuses on patients with newly diagnosed Acute Myeloid Leukemia, a type of blood cancer that affects the bone marrow and blood cells. The research evaluates a combination treatment using two medications: Lisaftoclax (also known as APG-2575), which is taken as oral tablets, and azacitidine, which is given through injection under the skin or into a vein. The purpose is to determine if this combination treatment works better than using azacitidine with placebo in elderly patients or those who cannot receive standard chemotherapy.

The study uses Lisaftoclax, which belongs to a group of medications that work by blocking a protein called BCL-2 that helps cancer cells survive. Azacitidine is a medication that affects how genes work in cancer cells. Patients will receive either Lisaftoclax or placebo tablets along with azacitidine injections. The treatment continues for several months, with regular check-ups to monitor the patient’s health and how well the treatment is working.

During the study, patients will take the medications according to a specific schedule. Lisaftoclax or matching placebo tablets are taken by mouth, while azacitidine is given as an injection either under the skin or into a vein. The maximum daily dose of Lisaftoclax is 600 milligrams, and azacitidine is given at 75 milligrams per square meter of body surface area.

1 Initial treatment phase

You will receive a combination of two medications: Lisaftoclax (oral tablets) and Azacitidine

The treatment will be divided into two groups – one group receives Lisaftoclax with Azacitidine, while the other receives a placebo (inactive tablet) with Azacitidine

Azacitidine will be administered either through an intravenous infusion (into a vein) or as a subcutaneous injection (under the skin)

Lisaftoclax is taken as oral tablets, with each tablet containing 200 mg of the medication

2 Treatment monitoring

Your health status will be regularly monitored throughout the study

Regular blood tests will be conducted to check your white blood cell count and liver function

Your kidney function will be monitored through creatinine clearance tests

You will complete quality of life questionnaires (EORTC QLQ C30 and EQ-5D) during the study

3 Treatment duration

The treatment will continue for at least 6 cycles

The study is planned to run from May 2025 to August 2029

Your participation may end earlier if your disease progresses or if you experience significant side effects

Follow-up examinations will continue for at least 6 months after your last dose of study medication

4 Safety monitoring

Any side effects or unexpected health changes will be recorded and monitored

Your doctor will assess if any symptoms are related to the study treatment

Regular health assessments will evaluate how well you tolerate the medications

Who Can Join the Study?

  • Must be at least 18 years old
  • Must be able to understand and sign a voluntary consent form for the study
  • Must be willing to complete all study procedures and follow-up visits
  • Must be newly diagnosed with Acute Myeloid Leukemia (AML) and unable to receive standard chemotherapy due to age or other health conditions
  • Must have a life expectancy of at least 3 months
  • Must be able to take medications by mouth
  • If 70 years or older: must have an ECOG score (a measure of daily living abilities) of 0-2
    If between 18-69 years: must have an ECOG score of 0-3
  • Must have adequate kidney function with creatinine clearance of at least 30 mL/min
  • Must have a white blood cell count no higher than 30 × 10⁹/L
  • Must have adequate liver function:
    – Liver enzymes (ALT and AST) no more than 2.5 times the normal limit
    – Total bilirubin no more than 1.5 times the normal limit (or 3 times for patients aged 18-69)
  • If able to have children, must agree to use effective birth control during treatment and for 6 months after the last dose
  • For patients aged 18-69, must have at least one of these conditions:
    – An ECOG score of 2-3
    – Heart problems including heart failure or reduced heart function
    – Reduced lung function
    – Decreased kidney function
    – Elevated bilirubin levels
    – Other health conditions that prevent standard chemotherapy use

Who Cannot Join the Study?

  • Prior treatment with chemotherapy, targeted therapy, or investigational agents for Acute Myeloid Leukemia (AML)
  • Active or uncontrolled infections requiring systemic treatment
  • Significant heart conditions, including uncontrolled heart failure or unstable heart disease within the past 6 months
  • Severe kidney problems (requiring dialysis)
  • Severe liver disease
  • Known active central nervous system involvement from leukemia
  • Other types of cancer requiring treatment in the past 2 years (except for adequately treated skin cancer or early-stage cancer)
  • Psychiatric conditions that could interfere with study participation
  • Pregnancy or breastfeeding
  • Unable to swallow oral medications
  • Known allergic reactions to study medications
  • Life expectancy less than 3 months due to other medical conditions
  • Participation in another clinical trial within 30 days before starting this study

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
IRCCS Humanitas Research Hospital Rozzano Italy

Other Sites

Site Name City Country Status
Ospedale Vito Fazzi Lecce Lecce Italy
Instytut Hematologii I Transfuzjologii Warsaw Poland
Azienda Ospedaliera Ordine Mauriziano Di Torino Turin Italy
Specjalistyczny Szpital Im. Dra Alfreda Sokolowskiego Walbrzych Poland
Servei De Salut De Les Illes Balears Palma Spain
Azienda Ospedaliero Universitaria Pisana Pisa Italy
Iepcdtxi Rflxpmfeg Pwm Ld Sqnfas Dxo Tqruwi Durd Ahybcyp Irai Scilko Meldola Italy
Uuigbokgqp Dvsxx Szkth Da Rmrf Lo Sovcqsmn Rome Italy
Iqekbhtf Cpngnq Djnlpnhkdniakktlo L'hospitalet De Llobregat Spain

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Italy Italy
Not yet recruiting
01.05.2025
Poland Poland
Not yet recruiting
01.05.2025
Spain Spain
Recruiting
01.05.2025

Trial locations

Investigated drugs:

APG-2575 (Lisaftoclax) is an investigational medication being studied for the treatment of acute myeloid leukemia. It is designed to work in combination with other medications to treat blood cancer in elderly patients who have been newly diagnosed and cannot receive standard chemotherapy treatments.

Azacitidine (AZA) is a medication used to treat certain types of blood cancers. It works by helping bone marrow produce normal blood cells and by killing abnormal cells in the blood and bone marrow. In this trial, it is being used in combination with APG-2575 to treat elderly patients with acute myeloid leukemia.

Investigated diseases:

Acute myeloid leukemia – A type of blood and bone marrow cancer that progresses rapidly. The disease begins in the bone marrow where abnormal white blood cells grow uncontrollably, interfering with normal blood cell production. These abnormal cells build up in the bone marrow and blood, reducing the body’s ability to fight infections and maintain healthy blood cell counts. The condition affects the myeloid line of blood cells, which normally develop into various types of mature blood cells.

Trial ID:
2024-516436-10-00
Protocol code:
APG2575AG301
NCT ID:
NCT06389292
Trial Phase:
Therapeutic confirmatory (Phase III)

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