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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
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

Full criteria on ClinicalTrials.gov

Sites (119)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
AT-Feldkirch-IKHF
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FeldkirchAustriaNot yet recruiting
AT-Salzburg-SALK
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SalzburgAustriaNot yet recruiting
AT-Vienna-HANUSCH
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ViennaAustriaNot yet recruiting
BE-Antwerpen-ZAS
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AntwerpBelgiumNot yet recruiting
BE-Brussel-UZBRUSSEL
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BrusselsBelgiumNot yet recruiting
BE-Bruxelles-STLUC
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BrusselsBelgiumNot yet recruiting
BE-Brussel-BORDET
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BrusselsBelgiumNot yet recruiting
BE-Gent-UZGENT
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GhentBelgiumNot yet recruiting
BE-Leuven-UZLEUVEN
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LeuvenBelgiumNot yet recruiting
BE-Liege-CHULIEGE
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LiègeBelgiumNot yet recruiting
BE-Yvoir-MONTGODINNE
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YvoirBelgiumRecruiting
CH-Basel-USB
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BaselSwitzerlandNot yet recruiting
CH-Bellinzona-IOSI
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BellinzonaSwitzerlandNot yet recruiting
CH-Bern-INSEL
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BernSwitzerlandNot yet recruiting
CH-Zürich-USZ
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ZurichSwitzerlandNot yet recruiting
DE-Berlin-CAMPUSVIRCHOW
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BerlinGermanyNot yet recruiting
DE-Berlin-CAMPUSBENFRANKLIN
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BerlinGermanyNot yet recruiting
DE-Berlin-VIVANTESNEUKOLLN
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BerlinGermanyNot yet recruiting
DE-Bochum-RUB
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BochumGermanyNot yet recruiting
DE-Bonn-UNIBONN
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BonnGermanyNot yet recruiting
DE-Braunschweig-KLINIKUMBRAUNSCHWEIG
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BraunschweigGermanyNot yet recruiting
DE-Bremen-KBM
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BremenGermanyNot yet recruiting
DE-Darmstadt-KLINIKUMDARMSTADT
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DarmstadtGermanyNot yet recruiting
DE-Flensburg-MALTESER
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FlensburgGermanyNot yet recruiting
DE-Freiburg-UNIKLINIKFREIBURG
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Freiburg im BreisgauGermanyNot yet recruiting
DE-Greifswald-UNIGREIFSWALD
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GreifswaldGermanyNot yet recruiting
DE-Halle-UMH
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HalleGermanyNot yet recruiting
DE-Hamburg-ASKLEPIOSSTGEORG
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HamburgGermanyNot yet recruiting
DE-Hamburg-UKE
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HamburgGermanyNot yet recruiting
DE-Hannover-SILOAHKRH
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HanoverGermanyNot yet recruiting
DE-Hannover-MHHANNOVER
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HanoverGermanyNot yet recruiting
DE-Heilbronn-SLK
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HeilbronnGermanyNot yet recruiting
DE-Karlsruhe-KLINIKUMKARLSRUHE
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KarlsruheGermanyNot yet recruiting
DE-Mainz-UNIMEDIZINMAINZ
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MainzGermanyNot yet recruiting
DE-Minden-MUEHLENKREISKLINKEN
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MindenGermanyNot yet recruiting
DE-München-IRZTUM
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MünchenGermanyNot yet recruiting
DE-Oldenburg-KLINIKUMOLDENBURG
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OldenburgGermanyNot yet recruiting
DE-Regensburg-UKR
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RegensburgGermanyNot yet recruiting
DE-Stuttgart-KLINIKUMSTUTTGART
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StuttgartGermanyNot yet recruiting
DE-Tübingen-MEDUNITUEBINGEN
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TübingenGermanyNot yet recruiting
DE-Ulm-UNIKLINKULM
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UlmGermanyNot yet recruiting
DK-Aalborg-AALBORGUH
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AalborgDenmarkNot yet recruiting
DK-Aarhus N-AUH
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Aarhus NDenmarkNot yet recruiting
DK-Copenhagen-RIGSHOSPITALET
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CopenhagenDenmarkNot yet recruiting
DK-Odense-OUH
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OdenseDenmarkNot yet recruiting
DK-Roskilde-ROSKILDE
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RoskildeDenmarkNot yet recruiting
EE-Tallinn-REGIONAALHAIGLA
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TallinnEstoniaNot yet recruiting
EE-Tartu-TARTU
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TartuEstoniaNot yet recruiting
ES-Barcelona-GERMANTRIALS
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BarcelonaSpainNot yet recruiting
ES-Barcelona-CLINICUB
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BarcelonaSpainNot yet recruiting
ES-Barcelona-SANTPAU
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BarcelonaSpainNot yet recruiting
ES-Girona-ICSTRUETA
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GironaSpainNot yet recruiting
ES-Valencia-MALVARROSA
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ValenciaSpainNot yet recruiting
FI-Helsinki-HUS
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HelsinkiFinlandNot yet recruiting
FI-Tampere-TAYS
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TampereFinlandNot yet recruiting
FR-Angers-CHUANGERS
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AngersFranceNot yet recruiting
FR-Pessac Cedex-CHUBORDEAUX
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BordeauxFranceNot yet recruiting
FR-Caen-CHUCAEN
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CaenFranceNot yet recruiting
FR-Créteil cedex-CHUMONDOR
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CréteilFranceNot yet recruiting
FR-Grenoble cedex 9-CHUGRENOBLE
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GrenobleFranceNot yet recruiting
FR-Lille-CHULILLE
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LilleFranceNot yet recruiting
FR-Lyon Pierre Benite cedex-LYONSUD
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LyonFranceNot yet recruiting
FR-Montpellier-CHUSAINTELOIS
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MontpellierFranceNot yet recruiting
FR-Nantes-CHUNANTES
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NantesFranceNot yet recruiting
FR-Nice-LARCHET
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NiceFranceNot yet recruiting
FR-Rennes cedex 9-CHURENNES
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RennesFranceNot yet recruiting
FR-Rouen cedex-BECQUEREL
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RouenFranceNot yet recruiting
FR-Saint-Priest-en-Jarez-STETIENNE
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Saint-EtienneFranceNot yet recruiting
FR-Le Chesnay cedex-CHVERSAILLES
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VersaillesFranceNot yet recruiting
UK-Birmingham-QE
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BirminghamUnited KingdomNot yet recruiting
UK-Blackpool-BLACKPOOLVICTORIA
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BlackpoolUnited KingdomNot yet recruiting
UK-Bristol-BRISTOLCENTRE
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BristolUnited KingdomNot yet recruiting
UK-Cardiff-UHW
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CardiffUnited KingdomNot yet recruiting
UK-Glasgow-BEATSON
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GlasgowUnited KingdomNot yet recruiting
UK-Leeds-STJAMESUH
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LeedsUnited KingdomNot yet recruiting
UK-Leicester-LEICESTERRI
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LeicesterUnited KingdomNot yet recruiting
UK-London-KCH
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LondonUnited KingdomNot yet recruiting
UK-London-ROYALMARSDEN
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LondonUnited KingdomNot yet recruiting
UK-London-UNICOLLEGEHOSP
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LondonUnited KingdomNot yet recruiting
UK-Manchester-CHRISTIE
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ManchesterUnited KingdomNot yet recruiting
UK-Manchester-ROYALINFIRMARY
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ManchesterUnited KingdomNot yet recruiting
UK-Newcastle on Tyne-FREEMAN
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Newcastle upon TyneUnited KingdomNot yet recruiting
UK-Nottingham-NOTTINGHAMCH
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NottinghamUnited KingdomNot yet recruiting
UK-Oxford-CHURCHILL
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OxfordUnited KingdomNot yet recruiting
UK-Portsmouth-QUEENALEXANDRA
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PortsmouthUnited KingdomNot yet recruiting
UK-Southampton-SOUTHAMPTONGH
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SouthamptonUnited KingdomNot yet recruiting
UK-Wolverhampton-NEWCROSSH
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WolverhamptonUnited KingdomNot yet recruiting
IE-Cork-CUH
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CorkIrelandNot yet recruiting
IE-Dublin 7-MATER
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DublinIrelandNot yet recruiting
IE-Dublin 8-ST JAMES
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DublinIrelandNot yet recruiting
IE-Galway-UHGALWAY
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GalwayIrelandNot yet recruiting
IT-Bologna-MALPHIGI
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BolognaItalyNot yet recruiting
IT-Milano-NIGUARDA
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MilanItalyNot yet recruiting
IT-Roma-TORVERGATA
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RomaItalyNot yet recruiting
IT-Roma-SAPIENZA
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RomaItalyNot yet recruiting
IT-Torino-CITTADELLASALUTE
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TorinoItalyNot yet recruiting
LT-Vilnius-SANTA
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VilniusLithuaniaNot yet recruiting
NL-Amsterdam-VUMC
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AmsterdamNetherlandsNot yet recruiting
NL-Arnhem-RIJNSTATE
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ArnhemNetherlandsNot yet recruiting
NL-Breda-AMPHIA
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BredaNetherlandsNot yet recruiting
NL-Dordrecht-ASZ
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DordrechtNetherlandsNot yet recruiting
NL-Eindhoven-CATHARINA
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EindhovenNetherlandsNot yet recruiting
NL-Enschede-MST
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EnschedeNetherlandsNot yet recruiting
NL-Sittard-Geleen-ZUYDERLAND
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GeleenNetherlandsNot yet recruiting
NL-Groningen-UMCG
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GroningenNetherlandsRecruiting
NL-Nijmegen-RADBOUDUMC
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NijmegenNetherlandsNot yet recruiting
NL-Rotterdam-ERASMUSMC
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RotterdamNetherlandsNot yet recruiting
NL-Den Bosch-JBZ
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's-HertogenboschNetherlandsNot yet recruiting
NL-DenHaag-HAGA
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The HagueNetherlandsNot yet recruiting
NL-Utrecht-UMCU
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UtrechtNetherlandsNot yet recruiting
NL-Zwolle-ISALA
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ZwolleNetherlandsNot yet recruiting
NO-Bergen-HELSEBERGEN
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BergenNorwayNot yet recruiting
NO-Oslo-OSLOUH
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OsloNorwayNot yet recruiting
NO-Tromsø-NORTHNOORWEGEN
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TromsøNorwayNot yet recruiting
NO-Trondheim-STOLAV
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TrondheimNorwayNot yet recruiting
SE-Goteborg-SAHLGRENSKA
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GothenburgSwedenNot yet recruiting
SE-Lund-SUH
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LundSwedenNot yet recruiting
SE-Stockholm-KAROLINSKAHUDDINGE
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StockholmSwedenNot yet recruiting
SE-Uppsala-UPPSALAUH
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UppsalaSwedenNot yet recruiting

This page is information, not medical advice. Discuss any trial with your doctor.