Tests lisaftoclax with azacitidine for newly diagnosed higher-risk myelodysplastic syndrome
Tests lisaftoclax plus azacitidine against placebo in adults with newly diagnosed higher-risk myelodysplastic syndrome.
Key facts
- Who runs it
- Ascentage Pharma Group Inc.
- Where
- Alexandroupoli, Athens, Chaïdári, Patra, and Thessaloniki, GreeceSee the 7 sitesAlso in 17 other countries, 146 sites
- Trial code
- Registry title
- Lisaftoclax (APG-2575) Combined With Azacytidine (AZA) in the Treatment of Patients With Higher-risk Myelodysplastic Syndrome (GLORA-4).
- Status
- Recruiting
- Phase
- Phase 3
- People taking part
- 490 people, planned
- Started
- 22 Jan 2025
- Expected to end
- Dec 2029
- Type of study
- Interventional, 2 groupsOne group gets an existing treatment, for comparison.
- Treatments tested
- Lisaftoclax (APG-2575)
- Azacitidine Injection
- Placebo
- Record updated
- 13 October 2026
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults with newly diagnosed higher-risk myelodysplastic syndrome (MDS). It tests lisaftoclax or placebo, each given together with azacitidine.
- Age
- 18 years or older
- Sex
- All sexes can join
- Disease stage
- Newly diagnosed higher-risk MDS; ECOG score of 2 or less; expected survival of at least 3 months; adequate organ function
- Earlier treatment
- No stem cell transplant; no use of moderately potent CYP3A4 inducers or inhibitors within 14 days before the first dose
Main reasons for not taking part
- Another cancer now, or an earlier cancer with less than 1 year free of disease
- Earlier stem cell transplant
- Moderately potent CYP3A4 inducers or inhibitors within 14 days before the first dose
- MDS or other conditions that do not allow taking the drug by mouth or gut
- Any condition the investigator judges unsuitable for the trial
The registry criteria, word for word
Show all 12 criteriaShow less
Who can take part
- Newly diagnosed higher-risk MDS
- ECOG score of ≤2
- Expected survival ≥ 3 months
- Adequate organ function
- Female subjects of potential childbearing potential have a negative urine or serum pregnancy test before dosing. Subjects of childbearing potential as well as their partners voluntarily use contraception deemed effective by the investigator during the treatment period and for at least six months after the last dose of study drug
- Able to understand and voluntarily sign a written informed consent form, which must be signed prior to the performance of any trial-specified study procedures
- Subjects are able to complete study procedures and follow-up examinations
Who cannot take part
- Have undergone hematopoietic stem cell transplantation
- Use of moderately potent inducers and moderately potent inhibitors of CYP3A4 within 14 days prior to the first dose of study drug
- Concomitant other malignancies or prior malignancies with disease-free intervals of less than 1 year at the time of signing the informed consent
- MDS or other conditions that cannot be administered enterally
- Any condition that the subject is deemed to be inappropriate to participate in this study after evaluation by the investigator
Where in Greece
Also in 17 other countries, 146 sites
- University General Hospital of AlexandroupoliAlexandroupoli, GreeceTaking people
- Alexandra HospitalAthens, GreeceTaking people
- Evangelismos S AAthens, GreeceTaking people
- Laiko General Hospital of AthensAthens, GreeceTaking people
- University General Hospital "ATTIKON" - General Hospital of West Attica "H AGIA VARVARA"Chaïdári, GreeceTaking people
- Olympion Therapeftirio General Clinic Of Patras S.A.Patra, GreeceTaking people
- University General Hospital of Thessaloniki - AHEPAThessaloniki, GreeceTaking people
About the trial
What the trial wants to find out
A global multicenter, randomized, double-blind, placebo-controlled, pivotal phase III study. To evaluate overall survival (OS) of lisaftoclax (APG-2575) combined with azacitidine (AZA) vs. placebo combined with azacitidine in newly diagnosed patients with HR-MDS.
The 2 groups in the trial
- Lisaftoclax (APG-2575) combined with AzacitidineTreatment being tested
Treatment: Lisaftoclax (APG-2575) and Azacitidine Injection
- Placebo combined with AzacitidineExisting treatment, for comparison
Drug: azacitidine injection QD: hypodermic or intravenous injection
Treatment: Azacitidine Injection and Placebo
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov and on the EU's official list of trials (CTIS).
- Official title
- A Global Multicenter, Double-blind, Randomized, Registrational Phase 3 Study of Lisaftoclax (APG-2575) in Combination With Azacitidine (AZA) in Patients With Newly Diagnosed Higher Risk Myelodysplastic Syndrome (HR-MDS) (GLORA-4).
- Plain-language title
- Tests lisaftoclax with azacitidine for newly diagnosed higher-risk myelodysplastic syndromeGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 12 November 2026.
- Record updated
- 13 October 2026