drugset / Trial / NCT07507760

Oral Decitabine Plus Ivosidenib as First Line for Older/Unfit Adult AML Patients

NCT07507760

Phase 2 Not yet recruiting 50 enrolled PETHEMA Foundation
NaSingle-groupOpen-labelTreatment

Summary

The goal of this clinical trial is to learn if the combination of oral decitabine plus ivosidenib works to treat naïve adult patients with acute myeloid leukemia (AML) with IDH1 R132 mutation older than 60 years old or those who are older than 18 years old with defined comorbidities that make them not suitable for standard induction therapy. The main objectives of this clinical trial are: * Asses the Complete Remission (CR) and Complete Remission with incomplete marrow recovery (CRi) rates of this treatment. * Determine the incidence and severity of all adverse events (AEs). All participants will receive oral ivosidenib and oral decitabine in treatment cycles of 28 days until disease progression, lack of clinical benefit or the end of the study. Patients who achieve CR/CRi will be elegible to receive allogeneic stem cell transplantation.

Timeline

Start
2026-04
Primary completion
2029-04
Completion
2029-04

Drugs

EvaluationDrugModalityDoseRoute
Subject Cedazuridine Small molecule 100 mg Oral
Subject Decitabine Small molecule 35 mg Oral
Subject Ivosidenib Small molecule 500 mg Oral
Background Cytarabine Small molecule 1 g
Background Hydroxyurea Other / unclassified 0.5 g Oral
Background Hydroxyurea Other / unclassified 6 g Oral