NCT07075016RecruitingPhase 3
Ivosidenib and Azacitidine With or Without Venetoclax in Adult Patients With Newly Diagnosed IDH1-Mutated AML or MDS/AML Considered Ineligible for Intensive Chemotherapy
Source: ClinicalTrials.gov · Last updated 19 Aug 2025 · Not updated for over 12 months - ask the site whether it is still open
Brief summary (registry, in English)
The standard treatment for patients with acute myeloid leukemia (AML) with an abnormality in the IDH1 gene, who are not eligible for intensive chemotherapy, is a combination of ivosidenib and azacitidine. In this study it is investigated whether adding venetoclax to the standard treatment can improve the outcome of the treatment of this specific form of AML. The safety is investigated and how well it works. In order to properly assess the value of venetoclax, the effect of venetoclax is compared with the effect of a placebo. A placebo is a product without an active ingredient, a 'fake medicinal product'.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 227 (estimated)
- First submitted
- 19 Jun 2025
- Start date
- 5 Aug 2025
- Primary completion date
- 31 Dec 2028
- Lead sponsor
- Stichting Hemato-Oncologie voor Volwassenen Nederland
- Diseases
- Acute myeloid leukemia
- NCT number
- NCT07075016
- EudraCT number
- 2024-512753-24
What you commit to
- Study type: Interventional · Phase 3
- Planned participants: 227
- From 5 Aug 2025 to the primary completion date, 31 Dec 2028
- 119 sites in 16 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Who the study is looking for
- Central confirmation of IDH1 mutation in one of the dedicated central genetic laboratories.
- Age ≥ 18 years, no upper age limit.
- Patient is ineligible for intensive induction chemotherapy by meeting at least 1 of the following criteria: * older than or equal to 75 years of age ineligible for intensive chemotherapy per physician's discretion (with an ECOG performance status 0-2; Appendix C). * 18-74 years: patient is not eligible for standard chemotherapy because of any of the following co-morbidities: o ECOG performance status 2 or 3 (Appendix C). o Cardiac history of chronic heart failure requiring treatment; or with an ejection fraction ≤50%; or chronic stable angina. * DLCO ≤ 65% or FEV1 ≤ 65%. * Creatinine clearance ≥ 30 mL/min to \<45 ml/min calculated by the Cockcroft Gault formula. * Moderate hepatic impairment with total bilirubin \> 1.5 to \< 3.0 x upper limit of normal (ULN). * Any other comorbidity that the local physician assesses to be incompatible with intensive chemotherapy. If a patient meets this criterion, sponsor must be informed via 5. Patient must have a projected life expectancy of at least 12 weeks (as assessed by the treating physician).
- Patient must have a white cell blood (WBC) count of \< 25 x 109/L. Hydroxyurea can be used prior to study enrollment to reduce the WBC count to meet this criterion.
- Adequate renal function as evidenced by serum creatinine ≤ 2.0 × upper limit of normal (ULN) or creatinine clearance \>30 mL/min based on the Cockcroft-Gault glomerular filtration rate (GFR).
- Adequate hepatic function as evidenced by: * Serum total bilirubin ≤ 3.0 × ULN unless considered due to Gilbert's disease, or leukemic involvement. If a patient meets this criterion, sponsor must be informed via Page 30 of 117 HOVON 173 AML / AMLSG 34-23 / ACT-HOV-AML-001 Version 1.1, UK 11 FEB 2025 * Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase (ALP) ≤ 3.0 × ULN, unless considered due to leukemic involvement. If a patient meets this criterion, sponsor must be informed via 9. Female patients : * of nonchildbearing potential must be: o postmenopausal (defined as at least 1 year without any menses). o documented surgically sterile (e.g. documented hysterectomy, bilateral oophorectomy or bilateral salpingectomy) or status posthysterectomy (at least 1 month prior to screening). * of childbearing potential (not surgically sterile and not postmenopausal) must agree to avoid pregnancy during the study and for 6 months after the final study drug administration o and have a negative urine or serum pregnancy test at screening. o and, if heterosexually active, agree to consistently apply one highly effective\* method of birth control in combination to a barrier method for the duration of the study and for 6 months after the final study drug administration. * must agree not to breastfeed starting at screening and throughout the study period, and for 1 month after the final study drug administration. * must agree not to donate ova starting at screening and throughout the study period, and for 6 months after the final study drug administration.
- Men must use a latex condom during any sexual contact with women of childbearing potential (WOCBP), even if they have undergone a successful vasectomy and must agree to avoid to father a child (while on therapy and for 6 months after the final study drug administration). In addition, their female partners of childbearing potential must use a highly effective method of birth control.
- Male patient must not donate sperm starting at screening and throughout the study period and for 6 months after the final study drug administration.
- Able to understand and willing to sign an informed consent form (ICF).
- Institutional Review Board/Independent Ethics Committee-approved written informed consent and privacy language as per national regulations must be obtained from the participant prior to any study-related procedures (including consent for withdrawal of prohibited medication, if applicable). Exclusion Criteria: 1. Subject has previously been treated for AML; a treatment period with hydroxyurea to control WBC counts is allowed; prior treatment with a hypomethylating agent for MDS-EB is not allowed; prior treatment with erythropoiesis-stimulating agents or luspatercept for MDS is allowed.
- Acute promyelocytic leukemia (APL) with t(15;17)(q24.1;q21.2); PML-RARA; or one of the other pathognomonic variant chromosomal translocations / fusion genes.
- AML with BCR-ABL1; or myeloid blast crisis of CML
- Significant active cardiac disease within 3 months prior to the start of study treatment, including: \- New York Heart Association (NYHA) class III or IV congestive heart failure (Appendix F) \- Myocardial infarction \- Unstable angina * Severe cardiac arrhythmias * Congenital long QT syndrome of family member with this condition * QTcF \>480 msec on screening electrogram (mean of triplicate recordings).
- Familial history of sudden death or polymorphic ventricular arrhythmia.
- Severe obstructive or restrictive ventilation disorder.
- History of stroke or intracranial hemorrhage within 6 months prior to randomization.
- Clinical symptoms suggestive of active central nervous system (CNS) leukemia or known CNS leukemia. Evaluation of cerebrospinal fluid (CSF) during screening is only required if there is a clinical suspicion of CNS involvement by leukemia during screening.
- Active infection, including hepatitis B or hepatitis C or Human Immunodeficiency Virus (HIV) infection, that is uncontrolled prior to first dose of study treatment and may interfere with the study objectives or which could expose the patient to undue risk through the participation in the clinical trial; an infection controlled with an approved antibiotic/ antiviral/ antifungal treatment that is not a strong or moderate CYP3A inducer is allowed. Patients with COVID-19 infection can be enrolled, if the patient has no symptoms and was tested negative twice by PCR test prior to inclusion in the trial.
- Immediate life-threatening, severe complications of leukemia such as uncontrolled bleeding and/or disseminated intravascular coagulation.
- Conditions that limit the ingestion or gastrointestinal absorption of orally administered drugs
- Patient with a currently active second malignancy. Patients are not considered to have a currently active malignancy, if they have completed therapy and are considered by their physician to be at \< 30% risk of relapse within one year. However, patients with the following history/concurrent conditions are allowed: * Basal or squamous cell carcinoma of the skin; * Carcinoma in situ of the cervix; * Carcinoma in situ of the breast; * Incidental histologic finding of prostate cancer.
- Receipt of live, attenuated vaccine within 30 days prior to the study inclusion (NOTE: patient, if enrolled, should not receive live vaccine during the study and until 6 months after the therapy).
- Severe neurological or psychiatric disorder interfering with ability to give an informed consent.
- Contraindication to any of the anti-leukemic agents used (as per SmPC). 16. Participation in other prospective studies with anti-leukemic and/or investigational agents. 17\. Patient taking Dabigatran unless they can be transferred to other medications within ≥5 half-lives prior to dosing. Patients taking other P-gP transporter-sensitive medications (see Appendix J) should be properly monitored during the study if they cannot be transferred to other medications." 18. Patients taking known strong cytochrome P450 (CYP) 3A4 inducers (see Appendix H), unless they can be transferred to other medications within ≥5 half-lives prior to dosing. 19\. The patient is a pregnant or lactating woman, or plans to become pregnant during the study. 20\. Patient who has once been screened and randomized into this HO173 trial but was considered ineligible cannot re-enter this trial at a later date. \-
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (119)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| AT-Feldkirch-IKHF Coordinator of this site? Confirm its status | Feldkirch | Austria | Not yet recruiting |
| AT-Salzburg-SALK Coordinator of this site? Confirm its status | Salzburg | Austria | Not yet recruiting |
| AT-Vienna-HANUSCH Coordinator of this site? Confirm its status | Vienna | Austria | Not yet recruiting |
| BE-Antwerpen-ZAS Coordinator of this site? Confirm its status | Antwerp | Belgium | Not yet recruiting |
| BE-Brussel-UZBRUSSEL Coordinator of this site? Confirm its status | Brussels | Belgium | Not yet recruiting |
| BE-Bruxelles-STLUC Coordinator of this site? Confirm its status | Brussels | Belgium | Not yet recruiting |
| BE-Brussel-BORDET Coordinator of this site? Confirm its status | Brussels | Belgium | Not yet recruiting |
| BE-Gent-UZGENT Coordinator of this site? Confirm its status | Ghent | Belgium | Not yet recruiting |
| BE-Leuven-UZLEUVEN Coordinator of this site? Confirm its status | Leuven | Belgium | Not yet recruiting |
| BE-Liege-CHULIEGE Coordinator of this site? Confirm its status | Liège | Belgium | Not yet recruiting |
| BE-Yvoir-MONTGODINNE Coordinator of this site? Confirm its status | Yvoir | Belgium | Recruiting |
| CH-Basel-USB Coordinator of this site? Confirm its status | Basel | Switzerland | Not yet recruiting |
| CH-Bellinzona-IOSI Coordinator of this site? Confirm its status | Bellinzona | Switzerland | Not yet recruiting |
| CH-Bern-INSEL Coordinator of this site? Confirm its status | Bern | Switzerland | Not yet recruiting |
| CH-Zürich-USZ Coordinator of this site? Confirm its status | Zurich | Switzerland | Not yet recruiting |
| DE-Berlin-CAMPUSVIRCHOW Coordinator of this site? Confirm its status | Berlin | Germany | Not yet recruiting |
| DE-Berlin-CAMPUSBENFRANKLIN Coordinator of this site? Confirm its status | Berlin | Germany | Not yet recruiting |
| DE-Berlin-VIVANTESNEUKOLLN Coordinator of this site? Confirm its status | Berlin | Germany | Not yet recruiting |
| DE-Bochum-RUB Coordinator of this site? Confirm its status | Bochum | Germany | Not yet recruiting |
| DE-Bonn-UNIBONN Coordinator of this site? Confirm its status | Bonn | Germany | Not yet recruiting |
| DE-Braunschweig-KLINIKUMBRAUNSCHWEIG Coordinator of this site? Confirm its status | Braunschweig | Germany | Not yet recruiting |
| DE-Bremen-KBM Coordinator of this site? Confirm its status | Bremen | Germany | Not yet recruiting |
| DE-Darmstadt-KLINIKUMDARMSTADT Coordinator of this site? Confirm its status | Darmstadt | Germany | Not yet recruiting |
| DE-Flensburg-MALTESER Coordinator of this site? Confirm its status | Flensburg | Germany | Not yet recruiting |
| DE-Freiburg-UNIKLINIKFREIBURG Coordinator of this site? Confirm its status | Freiburg im Breisgau | Germany | Not yet recruiting |
| DE-Greifswald-UNIGREIFSWALD Coordinator of this site? Confirm its status | Greifswald | Germany | Not yet recruiting |
| DE-Halle-UMH Coordinator of this site? Confirm its status | Halle | Germany | Not yet recruiting |
| DE-Hamburg-ASKLEPIOSSTGEORG Coordinator of this site? Confirm its status | Hamburg | Germany | Not yet recruiting |
| DE-Hamburg-UKE Coordinator of this site? Confirm its status | Hamburg | Germany | Not yet recruiting |
| DE-Hannover-SILOAHKRH Coordinator of this site? Confirm its status | Hanover | Germany | Not yet recruiting |
| DE-Hannover-MHHANNOVER Coordinator of this site? Confirm its status | Hanover | Germany | Not yet recruiting |
| DE-Heilbronn-SLK Coordinator of this site? Confirm its status | Heilbronn | Germany | Not yet recruiting |
| DE-Karlsruhe-KLINIKUMKARLSRUHE Coordinator of this site? Confirm its status | Karlsruhe | Germany | Not yet recruiting |
| DE-Mainz-UNIMEDIZINMAINZ Coordinator of this site? Confirm its status | Mainz | Germany | Not yet recruiting |
| DE-Minden-MUEHLENKREISKLINKEN Coordinator of this site? Confirm its status | Minden | Germany | Not yet recruiting |
| DE-München-IRZTUM Coordinator of this site? Confirm its status | München | Germany | Not yet recruiting |
| DE-Oldenburg-KLINIKUMOLDENBURG Coordinator of this site? Confirm its status | Oldenburg | Germany | Not yet recruiting |
| DE-Regensburg-UKR Coordinator of this site? Confirm its status | Regensburg | Germany | Not yet recruiting |
| DE-Stuttgart-KLINIKUMSTUTTGART Coordinator of this site? Confirm its status | Stuttgart | Germany | Not yet recruiting |
| DE-Tübingen-MEDUNITUEBINGEN Coordinator of this site? Confirm its status | Tübingen | Germany | Not yet recruiting |
| DE-Ulm-UNIKLINKULM Coordinator of this site? Confirm its status | Ulm | Germany | Not yet recruiting |
| DK-Aalborg-AALBORGUH Coordinator of this site? Confirm its status | Aalborg | Denmark | Not yet recruiting |
| DK-Aarhus N-AUH Coordinator of this site? Confirm its status | Aarhus N | Denmark | Not yet recruiting |
| DK-Copenhagen-RIGSHOSPITALET Coordinator of this site? Confirm its status | Copenhagen | Denmark | Not yet recruiting |
| DK-Odense-OUH Coordinator of this site? Confirm its status | Odense | Denmark | Not yet recruiting |
| DK-Roskilde-ROSKILDE Coordinator of this site? Confirm its status | Roskilde | Denmark | Not yet recruiting |
| EE-Tallinn-REGIONAALHAIGLA Coordinator of this site? Confirm its status | Tallinn | Estonia | Not yet recruiting |
| EE-Tartu-TARTU Coordinator of this site? Confirm its status | Tartu | Estonia | Not yet recruiting |
| ES-Barcelona-GERMANTRIALS Coordinator of this site? Confirm its status | Barcelona | Spain | Not yet recruiting |
| ES-Barcelona-CLINICUB Coordinator of this site? Confirm its status | Barcelona | Spain | Not yet recruiting |
| ES-Barcelona-SANTPAU Coordinator of this site? Confirm its status | Barcelona | Spain | Not yet recruiting |
| ES-Girona-ICSTRUETA Coordinator of this site? Confirm its status | Girona | Spain | Not yet recruiting |
| ES-Valencia-MALVARROSA Coordinator of this site? Confirm its status | Valencia | Spain | Not yet recruiting |
| FI-Helsinki-HUS Coordinator of this site? Confirm its status | Helsinki | Finland | Not yet recruiting |
| FI-Tampere-TAYS Coordinator of this site? Confirm its status | Tampere | Finland | Not yet recruiting |
| FR-Angers-CHUANGERS Coordinator of this site? Confirm its status | Angers | France | Not yet recruiting |
| FR-Pessac Cedex-CHUBORDEAUX Coordinator of this site? Confirm its status | Bordeaux | France | Not yet recruiting |
| FR-Caen-CHUCAEN Coordinator of this site? Confirm its status | Caen | France | Not yet recruiting |
| FR-Créteil cedex-CHUMONDOR Coordinator of this site? Confirm its status | Créteil | France | Not yet recruiting |
| FR-Grenoble cedex 9-CHUGRENOBLE Coordinator of this site? Confirm its status | Grenoble | France | Not yet recruiting |
| FR-Lille-CHULILLE Coordinator of this site? Confirm its status | Lille | France | Not yet recruiting |
| FR-Lyon Pierre Benite cedex-LYONSUD Coordinator of this site? Confirm its status | Lyon | France | Not yet recruiting |
| FR-Montpellier-CHUSAINTELOIS Coordinator of this site? Confirm its status | Montpellier | France | Not yet recruiting |
| FR-Nantes-CHUNANTES Coordinator of this site? Confirm its status | Nantes | France | Not yet recruiting |
| FR-Nice-LARCHET Coordinator of this site? Confirm its status | Nice | France | Not yet recruiting |
| FR-Rennes cedex 9-CHURENNES Coordinator of this site? Confirm its status | Rennes | France | Not yet recruiting |
| FR-Rouen cedex-BECQUEREL Coordinator of this site? Confirm its status | Rouen | France | Not yet recruiting |
| FR-Saint-Priest-en-Jarez-STETIENNE Coordinator of this site? Confirm its status | Saint-Etienne | France | Not yet recruiting |
| FR-Le Chesnay cedex-CHVERSAILLES Coordinator of this site? Confirm its status | Versailles | France | Not yet recruiting |
| UK-Birmingham-QE Coordinator of this site? Confirm its status | Birmingham | United Kingdom | Not yet recruiting |
| UK-Blackpool-BLACKPOOLVICTORIA Coordinator of this site? Confirm its status | Blackpool | United Kingdom | Not yet recruiting |
| UK-Bristol-BRISTOLCENTRE Coordinator of this site? Confirm its status | Bristol | United Kingdom | Not yet recruiting |
| UK-Cardiff-UHW Coordinator of this site? Confirm its status | Cardiff | United Kingdom | Not yet recruiting |
| UK-Glasgow-BEATSON Coordinator of this site? Confirm its status | Glasgow | United Kingdom | Not yet recruiting |
| UK-Leeds-STJAMESUH Coordinator of this site? Confirm its status | Leeds | United Kingdom | Not yet recruiting |
| UK-Leicester-LEICESTERRI Coordinator of this site? Confirm its status | Leicester | United Kingdom | Not yet recruiting |
| UK-London-KCH Coordinator of this site? Confirm its status | London | United Kingdom | Not yet recruiting |
| UK-London-ROYALMARSDEN Coordinator of this site? Confirm its status | London | United Kingdom | Not yet recruiting |
| UK-London-UNICOLLEGEHOSP Coordinator of this site? Confirm its status | London | United Kingdom | Not yet recruiting |
| UK-Manchester-CHRISTIE Coordinator of this site? Confirm its status | Manchester | United Kingdom | Not yet recruiting |
| UK-Manchester-ROYALINFIRMARY Coordinator of this site? Confirm its status | Manchester | United Kingdom | Not yet recruiting |
| UK-Newcastle on Tyne-FREEMAN Coordinator of this site? Confirm its status | Newcastle upon Tyne | United Kingdom | Not yet recruiting |
| UK-Nottingham-NOTTINGHAMCH Coordinator of this site? Confirm its status | Nottingham | United Kingdom | Not yet recruiting |
| UK-Oxford-CHURCHILL Coordinator of this site? Confirm its status | Oxford | United Kingdom | Not yet recruiting |
| UK-Portsmouth-QUEENALEXANDRA Coordinator of this site? Confirm its status | Portsmouth | United Kingdom | Not yet recruiting |
| UK-Southampton-SOUTHAMPTONGH Coordinator of this site? Confirm its status | Southampton | United Kingdom | Not yet recruiting |
| UK-Wolverhampton-NEWCROSSH Coordinator of this site? Confirm its status | Wolverhampton | United Kingdom | Not yet recruiting |
| IE-Cork-CUH Coordinator of this site? Confirm its status | Cork | Ireland | Not yet recruiting |
| IE-Dublin 7-MATER Coordinator of this site? Confirm its status | Dublin | Ireland | Not yet recruiting |
| IE-Dublin 8-ST JAMES Coordinator of this site? Confirm its status | Dublin | Ireland | Not yet recruiting |
| IE-Galway-UHGALWAY Coordinator of this site? Confirm its status | Galway | Ireland | Not yet recruiting |
| IT-Bologna-MALPHIGI Coordinator of this site? Confirm its status | Bologna | Italy | Not yet recruiting |
| IT-Milano-NIGUARDA Coordinator of this site? Confirm its status | Milan | Italy | Not yet recruiting |
| IT-Roma-TORVERGATA Coordinator of this site? Confirm its status | Roma | Italy | Not yet recruiting |
| IT-Roma-SAPIENZA Coordinator of this site? Confirm its status | Roma | Italy | Not yet recruiting |
| IT-Torino-CITTADELLASALUTE Coordinator of this site? Confirm its status | Torino | Italy | Not yet recruiting |
| LT-Vilnius-SANTA Coordinator of this site? Confirm its status | Vilnius | Lithuania | Not yet recruiting |
| NL-Amsterdam-VUMC Coordinator of this site? Confirm its status | Amsterdam | Netherlands | Not yet recruiting |
| NL-Arnhem-RIJNSTATE Coordinator of this site? Confirm its status | Arnhem | Netherlands | Not yet recruiting |
| NL-Breda-AMPHIA Coordinator of this site? Confirm its status | Breda | Netherlands | Not yet recruiting |
| NL-Dordrecht-ASZ Coordinator of this site? Confirm its status | Dordrecht | Netherlands | Not yet recruiting |
| NL-Eindhoven-CATHARINA Coordinator of this site? Confirm its status | Eindhoven | Netherlands | Not yet recruiting |
| NL-Enschede-MST Coordinator of this site? Confirm its status | Enschede | Netherlands | Not yet recruiting |
| NL-Sittard-Geleen-ZUYDERLAND Coordinator of this site? Confirm its status | Geleen | Netherlands | Not yet recruiting |
| NL-Groningen-UMCG Coordinator of this site? Confirm its status | Groningen | Netherlands | Recruiting |
| NL-Nijmegen-RADBOUDUMC Coordinator of this site? Confirm its status | Nijmegen | Netherlands | Not yet recruiting |
| NL-Rotterdam-ERASMUSMC Coordinator of this site? Confirm its status | Rotterdam | Netherlands | Not yet recruiting |
| NL-Den Bosch-JBZ Coordinator of this site? Confirm its status | 's-Hertogenbosch | Netherlands | Not yet recruiting |
| NL-DenHaag-HAGA Coordinator of this site? Confirm its status | The Hague | Netherlands | Not yet recruiting |
| NL-Utrecht-UMCU Coordinator of this site? Confirm its status | Utrecht | Netherlands | Not yet recruiting |
| NL-Zwolle-ISALA Coordinator of this site? Confirm its status | Zwolle | Netherlands | Not yet recruiting |
| NO-Bergen-HELSEBERGEN Coordinator of this site? Confirm its status | Bergen | Norway | Not yet recruiting |
| NO-Oslo-OSLOUH Coordinator of this site? Confirm its status | Oslo | Norway | Not yet recruiting |
| NO-Tromsø-NORTHNOORWEGEN Coordinator of this site? Confirm its status | Tromsø | Norway | Not yet recruiting |
| NO-Trondheim-STOLAV Coordinator of this site? Confirm its status | Trondheim | Norway | Not yet recruiting |
| SE-Goteborg-SAHLGRENSKA Coordinator of this site? Confirm its status | Gothenburg | Sweden | Not yet recruiting |
| SE-Lund-SUH Coordinator of this site? Confirm its status | Lund | Sweden | Not yet recruiting |
| SE-Stockholm-KAROLINSKAHUDDINGE Coordinator of this site? Confirm its status | Stockholm | Sweden | Not yet recruiting |
| SE-Uppsala-UPPSALAUH Coordinator of this site? Confirm its status | Uppsala | Sweden | Not yet recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.