Design of the VIALE-M phase III trial of venetoclax and oral azacitidine maintenance therapy in acute myeloid leukemia

被引:20
作者
Ivanov, Vladimir [1 ]
Yeh, Su-Peng [2 ]
Mayer, Jiri [3 ,4 ]
Saini, Lalit [5 ]
Unal, Ali [6 ]
Boyiadzis, Michael [7 ]
Hoffman, David M. [8 ]
Kang, Kingston [8 ]
Addo, Sadiya N. [8 ]
Mendes, Wellington L. [8 ]
Fathi, Amir T. [9 ]
机构
[1] Almazov Natl Med Res Ctr, St Petersburg, Russia
[2] China Med Univ Hosp, Taichung, Taiwan
[3] Fak Nemocnice Brno, Brno, Czech Republic
[4] Masaryk Univ, Brno, Czech Republic
[5] London Hlth Sci Ctr, London, ON, Canada
[6] Erciyes Univ, Sch Med, Kayseri, Turkey
[7] Genentech Inc, San Francisco, CA USA
[8] AbbVie Inc, N Chicago, IL USA
[9] Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA 02115 USA
关键词
acute myeloid leukemia; BCL-2; inhibitor; CC-486 (oral azacitidine); first remission; maintenance therapy; minimal residual disease conversion; phase III; relapse-free survival; venetoclax; QUALITY-OF-LIFE; HEMATOPOIETIC-CELL TRANSPLANTATION; CONVENTIONAL CARE REGIMENS; LOW-DOSE CYTARABINE; OLDER PATIENTS; COMPLETE REMISSION; ELDERLY-PATIENTS; POSTREMISSION TREATMENT; TREATMENT OUTCOMES; BCL-2; INHIBITION;
D O I
10.2217/fon-2022-0450
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Prevention of relapse is a major therapeutic challenge and an unmet need for patients with acute myeloid leukemia (AML). Venetoclax is a highly selective, potent, oral BCL-2 inhibitor that induces apoptosis in AML cells. When combined with azacitidine, it leads to prolonged overall survival and rapid, durable remissions in treatment-naive AML patients ineligible for intensive chemotherapy. VIALE-M is a randomized, double-blind, two-arm study to evaluate the safety and efficacy of venetoclax in combination with oral azacitidine (CC-486) as maintenance therapy in patients in complete remission with incomplete blood count recovery after intensive induction and consolidation therapies. The primary end point is relapse-free survival. Secondary outcomes include overall survival, minimal residual disease conversion and improvement in quality-of-life.
引用
收藏
页码:2879 / 2889
页数:11
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