A Randomized, Double-Blind, Phase 3 Study Evaluating the Safety and Efficacy of Venetoclax in Combination With Azacitidine in Patients Newly Diagnosed With Higher-Risk Myelodysplastic Syndrome (Higher-Risk MDS)
A Randomized, Double-Blind, Phase 3 Study Evaluating the Safety and Efficacy of Venetoclax in Combination With Azacitidine in Patients Newly Diagnosed With Higher-Risk Myelodysplastic Syndrome (Higher-Risk MDS)
Myelodysplastic Syndrome (MDS) is a group of disorders that gradually affect the ability of a person's bone marrow (semi-liquid tissue present in many bones like backbones) to produce normal blood cells. Some people with MDS have a risk of the disease progressing to acute myeloid leukemia (AML), and a risk of death from the disease itself. Symptoms of MDS include fatigue, shortness of breath, unusual paleness due to anemia (low red blood cell count), easy or unusual bruising, and red spots just beneath the skin caused by bleeding. The purpose of this study is to see how safe and effective venetoclax and azacitidine (AZA) combination are when compared to AZA and a placebo (contains no medicine), in participants with newly diagnosed higher-risk MDS.
Venetoclax is an investigational drug being developed for the treatment of MDS. The study consists of two treatment arms - In one arm, participants will receive venetoclax and AZA. In another arm, participants will receive AZA and placebo. Adult participants with newly diagnosed higher-risk MDS will be enrolled. Around 500 participants will be enrolled in approximately 220 sites worldwide.
Participants in one arm will receive oral doses of venetoclax tablet and intravenous (infusion in the vein) or subcutaneous (given under the skin) AZA solution. Participants in another arm will receive oral doses of placebo tablet and intravenous or subcutaneous AZA solution.
There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the course of the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood and bone marrow tests, checking for side effects, and completing questionnaires.
Inclusion Criteria:
Participants with a diagnosis of Myelodysplastic Syndrome (MDS) according to the 2016 World Health Organization (WHO) classification wtih presence of < 20% bone marrow blasts per marrow biopsy/aspirate at screening.
Participants must meet the following disease activity criteria:
Exclusion Criteria:
Torrance, California 90505-5004, United States
Newark, Delaware 19713-2055, United States
Chicago, Illinois 60611-2927, United States
Saint Louis Park, Minnesota 55416, United States
Henderson, Nevada 89052-2648, United States
East Brunswick, New Jersey 08816, United States
Albany, New York 12206-5013, United States
Eugene, Oregon 97401-6043, United States
Chattanooga, Tennessee 37404-3230, United States
Dallas, Texas 75246-2003, United States
Houston, Texas 77030-4000, United States
San Antonio, Texas 78240, United States
Gainesville, Virginia 20155-3257, United States
Richmond, Virginia 23219, United States
Fitzroy Melbourne, Victoria 3065, Australia
Yvoir, Namur 5530, Belgium
São Paulo, São Paulo 05652-900, Brazil
São Paulo, 05403-000, Brazil
Montreal, Quebec H4J 1C5, Canada
Wuhan, Hubei 430022, China
Tianjin, Tianjin Municipality 300020, China
Hangzhou, Zhejiang 310003, China
Hangzhou, Zhejiang 310020, China
Yiwu, Zhejiang 322000, China
Hradec Králové, Hradec Kralove 500 05, Czechia
Nantes, Pays de la Loire Region 44000, France
Kaposvár, Somogy County 7400, Hungary
Nyíregyháza, Szabolcs-Szatmár-Bereg 4400, Hungary
Reggio Calabria, 89125, Italy
Yoshida-gun, Fukui 910-1104, Japan
Higashiibaraki-gun, Ibaraki 311-3193, Japan
Osakasayama-shi, Osaka 589-8511, Japan
Shinagawa-ku, Tokyo 141-8625, Japan
Bydgoszcz, Kuyavian-Pomeranian Voivodeship 85-168, Poland
Lublin, Lublin Voivodeship 20-081, Poland
Lodz, Łódź Voivodeship 93-513, Poland
Petrozavodsk, Murmansk Oblast 185019, Russia
Busan, Busan Gwang Yeogsi 49241, South Korea
Oxford, Oxfordshire OX3 9DU, United Kingdom