The VICTORY Study: A Phase I Study of Venetoclax in Combination With Non-myeloablative Conditioning Allogeneic Haematopoietic Stem Cell Transplantation

Who is this study for? Patients with hematological malignancies who are planned for allogeneic stem cell transplantation 
What treatments are being studied? Venetoclax+Fludarabine+Cyclophosphamide
Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
View:

∙ 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

Locations
Other Locations
Australia
Melbourne Health
RECRUITING
Melbourne
Contact Information
Primary
David Ritchie
David.Ritchie@mh.org.au
+61393427000
Time Frame
Start Date: 2022-06-08
Estimated Completion Date: 2026-03-31
Participants
Target number of participants: 18
Treatments
Experimental: Dose Level A
Subjects will receive receive short-course venetoclax on day -11 to -6 \[venetoclax 100mg daily administered on day -11 to -6 (total venetoclax dose: 600mg)\], followed by intravenous fludarabine 30mg/m2 daily (day -5 to -3) and intravenous cyclophosphamide 750mg/m2 daily (day -5 to -3). Allogeneic stem cell infusion will occur on day 0.
Experimental: Dose Level B
Subjects will receive receive short-course venetoclax on day -11 to -6 \[venetoclax 100mg daily administered on day -11, followed by 200mg daily administered on day -10 to -6 (total venetoclax dose: 1100mg)\], followed by intravenous fludarabine 30mg/m2 daily (day -5 to -3) and intravenous cyclophosphamide 750mg/m2 daily (day -5 to -3). Allogeneic stem cell infusion will occur on day 0.
Experimental: Dose Level C
Subjects will receive receive short-course venetoclax on day -11 to -6 \[venetoclax 100mg daily administered on day -11, followed by 200mg daily administered on day -10, 400mg daily administered on day -9 and 600mg daily administered on day -8 to -6 (total venetoclax dose: 2500mg)\], followed by intravenous fludarabine 30mg/m2 daily (day -5 to -3) and intravenous cyclophosphamide 750mg/m2 daily (day -5 to -3). Allogeneic stem cell infusion will occur on day 0.
Experimental: Dose Level B'
Subjects will receive receive short-course venetoclax on day -11 to -6 \[venetoclax 100mg daily administered on day -11, followed by 200mg daily administered on day -10 and 400mg daily administered on day -9 to -6 (total venetoclax dose: 1900mg)\], followed by intravenous fludarabine 30mg/m2 daily (day -5 to -3) and intravenous cyclophosphamide 750mg/m2 daily (day -5 to -3). Allogeneic stem cell infusion will occur on day 0.
Sponsors
Leads: Melbourne Health

This content was sourced from clinicaltrials.gov