The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04102020




Registration number
NCT04102020
Ethics application status
Date submitted
23/09/2019
Date registered
25/09/2019
Date last updated
25/10/2023

Titles & IDs
Public title
A Study of Oral Venetoclax Tablets and Oral Azacitidine Versus Oral Azacitidine as Maintenance Therapy in Adult Participants With Acute Myeloid Leukemia in First Remission After Conventional Chemotherapy
Scientific title
A Multicenter, Phase 3 Study of Venetoclax and Oral Azacitidine Versus Oral Azacitidine as Maintenance Therapy for Patients With Acute Myeloid Leukemia in First Remission After Conventional Chemotherapy (VIALE-M)
Secondary ID [1] 0 0
2019-002217-19
Secondary ID [2] 0 0
M19-708
Universal Trial Number (UTN)
Trial acronym
VIALE-M
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Acute Myeloid Leukemia (AML) 0 0
Condition category
Condition code
Cancer 0 0 0 0
Leukaemia - Acute leukaemia
Cancer 0 0 0 0
Leukaemia - Chronic leukaemia
Cancer 0 0 0 0
Children's - Leukaemia & Lymphoma

Intervention/exposure
Study type
Interventional(has expanded access)
Description of intervention(s) / exposure
Treatment: Drugs - Venetoclax
Treatment: Drugs - Azacitidine
Treatment: Drugs - CC-486

Experimental: Part 1: Dose Confirmation - Participants will receive venetoclax once daily (QD) (Days 1-28) for up to 48 cycles, azacitidine (AZA) QD on Days 1-5 of each 28 day cycle for up to 6 cycles.

Experimental: Part 3 (Dose Finding): Dose Escalation - Participants will receive venetoclax QD for up to 24 cycles, CC-486 QD on Days 1 to 14 of each 28-day cycle for up to 24 cycles to determine recommended phase 3 dose (RPTD).

Experimental: Part 3 (Dose Finding): Safety Expansion - Participants will receive venetoclax QD for up to 24 cycles, CC-486 QD on Days 1 to 14 of each 28-day cycle for up to 24 cycles at the RPTD.


Treatment: Drugs: Venetoclax
Tablet: Oral

Treatment: Drugs: Azacitidine
Subcutaneous (SC) or intravenous (IV) injection

Treatment: Drugs: CC-486
Tablet; Oral

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of Participants With Dose-Limiting Toxicities (DLTs) (Part 1)
Timepoint [1] 0 0
Time from treatment of first participant to 20th participant reaching end of cycle 1, approximately 7 Months
Primary outcome [2] 0 0
Number of Participants With Dose-Limiting Toxicities (DLTs) of Venetoclax in Combination with Azacitidine (CC-486) (Part 3 Dose Finding Portion)
Timepoint [2] 0 0
Time from treatment of first participant to the 14th patient in Safety Expansion reaching the end of Cycle 1, approximately 16 months.

Eligibility
Key inclusion criteria
- Diagnosis of newly diagnosed acute myeloid leukemia (AML).

- Participant meets the following disease activity criteria:

- Confirmation of AML by World Health Organization (WHO) criteria (2016) and have
confirmed complete remission (CR) or complete remission with incomplete blood
count recovery (CRi) following completion of intensive induction and
consolidation chemotherapies.

- Achieved first CR + CRi within 120 days of first dose of study drug or be no more
than 75 days since last dose of intensive conventional (including both induction
and consolidation) chemotherapies.

- AML has intermediate or poor risk cytogenetics per National Comprehensive Cancer
Network (NCCN) 2016 criteria.

- Eastern Cooperative Oncology Group (ECOG) performance status <= 2.

- Participant must have adequate hematologic, renal, and liver function laboratory
values as described in the protocol.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- History of acute promyelocytic leukemia (APL).

- History of active central nervous system involvement with acute myeloid leukemia
(AML).

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Other
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
Recruitment hospital [1] 0 0
St George Hospital /ID# 215416 - Kogarah
Recruitment hospital [2] 0 0
Liverpool Hospital /ID# 215415 - Liverpool
Recruitment hospital [3] 0 0
Shoalhaven District Memorial Hospital /ID# 221973 - Nowra
Recruitment hospital [4] 0 0
Wollongong Hospital /ID# 216071 - Wollongong
Recruitment hospital [5] 0 0
Gold coast University Hospital /ID# 214650 - SouthPort
Recruitment hospital [6] 0 0
Toowoomba Hospital /ID# 217922 - Toowoomba
Recruitment hospital [7] 0 0
Princess Alexandra Hospital /ID# 238753 - Woolloongabba
Recruitment hospital [8] 0 0
Royal Adelaide Hospital /ID# 238754 - Adelaide
Recruitment hospital [9] 0 0
Box Hill Hospital /ID# 217622 - Box Hill
Recruitment hospital [10] 0 0
Barwon Health /ID# 217921 - Geelong
Recruitment hospital [11] 0 0
Perth Blood Institute Ltd /ID# 217531 - Nedlands
Recruitment postcode(s) [1] 0 0
2217 - Kogarah
Recruitment postcode(s) [2] 0 0
2170 - Liverpool
Recruitment postcode(s) [3] 0 0
2541 - Nowra
Recruitment postcode(s) [4] 0 0
2500 - Wollongong
Recruitment postcode(s) [5] 0 0
4215 - SouthPort
Recruitment postcode(s) [6] 0 0
4350 - Toowoomba
Recruitment postcode(s) [7] 0 0
4102 - Woolloongabba
Recruitment postcode(s) [8] 0 0
5000 - Adelaide
Recruitment postcode(s) [9] 0 0
3128 - Box Hill
Recruitment postcode(s) [10] 0 0
3220 - Geelong
Recruitment postcode(s) [11] 0 0
6009 - Nedlands
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
California
Country [3] 0 0
United States of America
State/province [3] 0 0
Colorado
Country [4] 0 0
United States of America
State/province [4] 0 0
Idaho
Country [5] 0 0
United States of America
State/province [5] 0 0
Illinois
Country [6] 0 0
United States of America
State/province [6] 0 0
Kentucky
Country [7] 0 0
United States of America
State/province [7] 0 0
Louisiana
Country [8] 0 0
United States of America
State/province [8] 0 0
Massachusetts
Country [9] 0 0
United States of America
State/province [9] 0 0
Missouri
Country [10] 0 0
United States of America
State/province [10] 0 0
New Jersey
Country [11] 0 0
United States of America
State/province [11] 0 0
New York
Country [12] 0 0
United States of America
State/province [12] 0 0
Oregon
Country [13] 0 0
United States of America
State/province [13] 0 0
Pennsylvania
Country [14] 0 0
United States of America
State/province [14] 0 0
South Carolina
Country [15] 0 0
United States of America
State/province [15] 0 0
Tennessee
Country [16] 0 0
United States of America
State/province [16] 0 0
Texas
Country [17] 0 0
Canada
State/province [17] 0 0
Alberta
Country [18] 0 0
Canada
State/province [18] 0 0
Ontario
Country [19] 0 0
Canada
State/province [19] 0 0
Quebec
Country [20] 0 0
China
State/province [20] 0 0
Beijing
Country [21] 0 0
China
State/province [21] 0 0
Guangdong
Country [22] 0 0
China
State/province [22] 0 0
Henan
Country [23] 0 0
China
State/province [23] 0 0
Hubei
Country [24] 0 0
China
State/province [24] 0 0
Shaanxi
Country [25] 0 0
China
State/province [25] 0 0
Shanghai
Country [26] 0 0
China
State/province [26] 0 0
Sichuan
Country [27] 0 0
China
State/province [27] 0 0
Tianjin
Country [28] 0 0
China
State/province [28] 0 0
Zhejiang
Country [29] 0 0
Czechia
State/province [29] 0 0
Brno
Country [30] 0 0
Czechia
State/province [30] 0 0
Ostrava
Country [31] 0 0
Czechia
State/province [31] 0 0
Praha
Country [32] 0 0
France
State/province [32] 0 0
Alpes-Maritimes
Country [33] 0 0
France
State/province [33] 0 0
Gironde
Country [34] 0 0
France
State/province [34] 0 0
Hauts-de-France
Country [35] 0 0
France
State/province [35] 0 0
Ile-de-France
Country [36] 0 0
France
State/province [36] 0 0
Indre-et-Loire
Country [37] 0 0
France
State/province [37] 0 0
Pays-de-la-Loire
Country [38] 0 0
France
State/province [38] 0 0
Pyrenees-Atlantiques
Country [39] 0 0
France
State/province [39] 0 0
Sarthe
Country [40] 0 0
France
State/province [40] 0 0
Val-de-Marne
Country [41] 0 0
France
State/province [41] 0 0
Angers
Country [42] 0 0
France
State/province [42] 0 0
Creteil
Country [43] 0 0
France
State/province [43] 0 0
Le Chesnay
Country [44] 0 0
Germany
State/province [44] 0 0
Sachsen
Country [45] 0 0
Germany
State/province [45] 0 0
Schleswig-Holstein
Country [46] 0 0
Germany
State/province [46] 0 0
Chemnitz
Country [47] 0 0
Germany
State/province [47] 0 0
Halle (Saale)
Country [48] 0 0
Germany
State/province [48] 0 0
Marburg
Country [49] 0 0
Greece
State/province [49] 0 0
Attiki
Country [50] 0 0
Greece
State/province [50] 0 0
Kriti
Country [51] 0 0
Greece
State/province [51] 0 0
Alexandroupolis
Country [52] 0 0
Greece
State/province [52] 0 0
Athens
Country [53] 0 0
Greece
State/province [53] 0 0
RION Patras Achaia
Country [54] 0 0
Hungary
State/province [54] 0 0
Hajdu-Bihar
Country [55] 0 0
Hungary
State/province [55] 0 0
Somogy
Country [56] 0 0
Hungary
State/province [56] 0 0
Szabolcs-Szatmar-Bereg
Country [57] 0 0
Hungary
State/province [57] 0 0
Vas
Country [58] 0 0
Hungary
State/province [58] 0 0
Budapest
Country [59] 0 0
Israel
State/province [59] 0 0
Tel-Aviv
Country [60] 0 0
Israel
State/province [60] 0 0
Yerushalayim
Country [61] 0 0
Israel
State/province [61] 0 0
Jerusalem
Country [62] 0 0
Israel
State/province [62] 0 0
Petakh Tikva
Country [63] 0 0
Italy
State/province [63] 0 0
Ancona
Country [64] 0 0
Italy
State/province [64] 0 0
Bologna
Country [65] 0 0
Italy
State/province [65] 0 0
Brescia
Country [66] 0 0
Italy
State/province [66] 0 0
Catania
Country [67] 0 0
Italy
State/province [67] 0 0
Milano
Country [68] 0 0
Italy
State/province [68] 0 0
Milan
Country [69] 0 0
Italy
State/province [69] 0 0
Napoli
Country [70] 0 0
Italy
State/province [70] 0 0
Rome
Country [71] 0 0
Italy
State/province [71] 0 0
Turin
Country [72] 0 0
Japan
State/province [72] 0 0
Aichi
Country [73] 0 0
Japan
State/province [73] 0 0
Fukui
Country [74] 0 0
Japan
State/province [74] 0 0
Fukuoka
Country [75] 0 0
Japan
State/province [75] 0 0
Hokkaido
Country [76] 0 0
Japan
State/province [76] 0 0
Ibaraki
Country [77] 0 0
Japan
State/province [77] 0 0
Miyagi
Country [78] 0 0
Japan
State/province [78] 0 0
Nagasaki
Country [79] 0 0
Japan
State/province [79] 0 0
Okayama
Country [80] 0 0
Japan
State/province [80] 0 0
Osaka
Country [81] 0 0
Japan
State/province [81] 0 0
Saitama
Country [82] 0 0
Japan
State/province [82] 0 0
Tokyo
Country [83] 0 0
Japan
State/province [83] 0 0
Yamagata
Country [84] 0 0
Korea, Republic of
State/province [84] 0 0
Gyeonggido
Country [85] 0 0
Korea, Republic of
State/province [85] 0 0
Busan
Country [86] 0 0
Korea, Republic of
State/province [86] 0 0
Seoul
Country [87] 0 0
Puerto Rico
State/province [87] 0 0
Rio Piedras
Country [88] 0 0
Russian Federation
State/province [88] 0 0
Nizhegorodskaya Oblast
Country [89] 0 0
Russian Federation
State/province [89] 0 0
Sankt-Peterburg
Country [90] 0 0
Russian Federation
State/province [90] 0 0
Moscow
Country [91] 0 0
Russian Federation
State/province [91] 0 0
Novosibirsk
Country [92] 0 0
Russian Federation
State/province [92] 0 0
Yaroslavl
Country [93] 0 0
Spain
State/province [93] 0 0
Barcelona
Country [94] 0 0
Spain
State/province [94] 0 0
Navarra
Country [95] 0 0
Spain
State/province [95] 0 0
Cordoba
Country [96] 0 0
Spain
State/province [96] 0 0
Madrid
Country [97] 0 0
Spain
State/province [97] 0 0
Malaga
Country [98] 0 0
Taiwan
State/province [98] 0 0
Kaohsiung
Country [99] 0 0
Taiwan
State/province [99] 0 0
Taichung
Country [100] 0 0
Taiwan
State/province [100] 0 0
Taipei City
Country [101] 0 0
Taiwan
State/province [101] 0 0
Taoyuan City
Country [102] 0 0
Turkey
State/province [102] 0 0
Kayseri
Country [103] 0 0
Turkey
State/province [103] 0 0
Ankara
Country [104] 0 0
Turkey
State/province [104] 0 0
Istanbul
Country [105] 0 0
Turkey
State/province [105] 0 0
Trabzon
Country [106] 0 0
United Kingdom
State/province [106] 0 0
Bristol, City Of
Country [107] 0 0
United Kingdom
State/province [107] 0 0
England
Country [108] 0 0
United Kingdom
State/province [108] 0 0
London, City Of
Country [109] 0 0
United Kingdom
State/province [109] 0 0
Wales
Country [110] 0 0
United Kingdom
State/province [110] 0 0
Birmingham
Country [111] 0 0
United Kingdom
State/province [111] 0 0
London

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
AbbVie
Address
Country
Other collaborator category [1] 0 0
Commercial sector/Industry
Name [1] 0 0
Roche-Genentech
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
This study will be conducted in two parts. Part 1 will be the Dose Confirmation portion to
determine recommended Phase 3 dose (RPTD) of venetoclax in combination with AZA. Part 3 will
be the Dose Finding portion to determine RPTD of venetoclax in combination with CC-486. Part
2 and Part 3 Randomization of the study were removed.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04102020
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
ABBVIE INC.
Address 0 0
AbbVie
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04102020