The VICTORY Study: A Phase I Study of Venetoclax in Combination With Non-myeloablative Conditioning Allogeneic Haematopoietic Stem Cell Transplantation
This is a Phase 1, open-label, single center study of short-course oral venetoclax therapy prior to non-myeloablative conditioning with fludarabine and cyclophosphamide in subjects with haematological malignancies who are planned for allogeneic stem cell transplantation (alloSCT). The primary study objective is to determine the safety and maximum tolerated dose of venetoclax when used in combination with fludarabine and cyclophosphamide conditioning. Secondary objectives were to evaluate the transplant outcomes and donor/recipient engraftment of this regimen.
∙ Patients are eligible for inclusion if all of the following criteria are met:
• Age ≥ 18 years
• Planned to undergo alloSCT for one of the following haematological malignancies: acute leukaemia (including myeloid and/or lymphoid lineage or biphenotypic), myelodysplastic syndrome, chronic lymphocytic leukaemia (CLL), B-cell non-Hodgkin lymphoma (NHL) and plasma cell myeloma
• Physician preference for a non-myeloablative conditioning regimen
• Available 10/10 HLA-matched related or unrelated haematopoietic stem cell donor
• Transplantation to be performed from a peripheral blood stem cell source
• Adequate renal and hepatic function at screening as follows:
‣ Calculated creatinine clearance \>50ml/min as measured by Cockroft Gault formula
⁃ AST and ALT ≤ 3.0 x ULN
⁃ Bilirubin ≤ 1.5 x ULN (except patients with Gilbert's Syndrome)
• Able to tolerate oral medications
• Disease status at the time of transplantation as follows:
‣ Acute leukaemia in complete morphologic remission
⁃ Myelodysplastic syndrome with less than 10% bone marrow blasts
⁃ CLL in complete remission (CR), partial response (PR) or PR with lymphocytosis
⁃ NHL in CR or PR
⁃ Myeloma in CR, very good partial response (VGPR) or PR within 3 months of prior autologous stem cell transplantation as part of a tandem auto-allo transplant approach
• ECOG performance status 0-1