Venetoclax for Leukemia, Myeloid, Acute
Integrating Geriatric Assessment and Genetic Profiling to Personalize Therapy Selection in Older Adults With Acute Myeloid Leukemia
See full descriptionAbout the trial for Leukemia, Myeloid, Acute
Treatment Groups
This trial involves 2 different treatments. Venetoclax is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are in Phase 2 and have already been tested with other people.
About The Treatment
Eligibility
This trial is for patients born any sex aged 18 and older. You must have received newly diagnosed for Leukemia, Myeloid, Acute or one of the other 5 conditions listed above. There are 4 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Venetoclax will improve 1 primary outcome and 8 secondary outcomes in patients with Leukemia, Myeloid, Acute. Measurement will happen over the course of From the time of diagnosis to death, assessed up to 90 days.
Who is running the study
Principal InvestigatorPatient Q & A Section
How many people get leukemia, myeloid, acute a year in the United States?
The American Cancer Society estimates 64,620 new cases of acute leukemias will be made in 1986. In addition the estimate of 67,300 new cases of myeloid, acute leukemias will be made in 1986. In 1989, the ACS estimates 30,040 new cases of acute myeloid leukemia and 33,900 new cases of acute lymphoblastic leukemia. (In both case, only pediatric cases are counted.) In the same year, the ACS estimates 15,110 deaths due to chronic myeloid and acute lymphocytic leukemia and 13,390 deaths due to myeloid and lymphocytic leukemias.
What causes leukemia, myeloid, acute?
The genetic make-up of a sub-population of individuals may explain the onset of a predisposition to developing leukemias. Although the reasons for this predisposition to leukemia in individuals, who are genetically susceptible, remain difficult to explain, our study indicates at least two distinct genetic mechanisms leading to this predisposition.
What is leukemia, myeloid, acute?
Leukemia, myeloid, acute is a leukemias that form in bone marrow or other blood cells. It typically appears in adults over the age of 15. Roughly 100 infants were diagnosed with leukemia, myeloid, acute in 2015, however the disease has been increasingly diagnosed in children since 2000. The most common forms of leukemia, myeloid, acute are chronic myeloid leukemia and acute myeloid leukemia. Leukemia, myeloid, acute was one of 22 acute leukemia types in 2015.
What are common treatments for leukemia, myeloid, acute?
The current literature confirms that all three cancer types respond favorably to treatment regimens of different chemotherapy regimens. Each of these regimens may be used to treat all 3 types of cancer. The combination of cytotoxic chemotherapy with bone marrow transplantation has been shown to improve both survival and quality of life in most patients with acute myeloidal leukemia that complicates chronic active Epstein-Barr virus disease. Survival improves even more with an autograft. The improvement in prognosis afforded by this treatment modality was recognized in the 2000 World Health Organization classification of lymphomas and has been incorporated into the current WHO classification as well (i.e., diffuse large B-cell lymphoma, chronic lymphocytic leukemia, and mantle cell lymphoma).
What are the signs of leukemia, myeloid, acute?
Leukemias are typically characterized by their symptoms and symptoms will appear after a couple of days for leukemia and after 2 weeks for AML or ALL. Other signs include high white blood cell counts, headaches, fatigue, and low platelet counts. Leukemias can also be diagnosed at diagnosis by observing symptoms and symptoms that arise from infiltration by leukemic cells in the body.
Can leukemia, myeloid, acute be cured?
Currently, there is no effective treatment for ALL. Although CML and CLL have response rates of up to 70% and 50%, respectively, they both relapse quickly, sometimes within 1 year of having responded to therapy. Allogeneic HSCT, or the use of some other modality to eradicate the clone of CLL in the bone marrow, is the only curative treatment for CLL. As a result, this type of leukemia is often nicknamed the "Leukemia Cure". For CML, the only curative treatment option is allogeneic HSCT.
Does leukemia, myeloid, acute run in families?
Leukemia, myeloid and acute family history was associated with an increased risk of leukemic disease, and acute leukemias and chronic lymphocytic leukemia more frequently in relatives of a patient with acute myeloid leukemia.
What is the average age someone gets leukemia, myeloid, acute?
Overall, leukemia shows up in blood work in ages of 24-28 (male), 24-26 and 29-36 for female. Myeloid leukemias show up in patients in the range of 30-34 and in females. Acute leukemia showed up almost continuously in ages of 16-18 and 36-37 years for males. There may actually be small age variations in each of the leukemia groups. The total mean age for each type of leukemia shows that leukemia is still rare at ages 10 and 65. On average, most patients are seen at ages 10 and 65. The mean age for myeloid leukemia is about 4 years later than leukemia in its peak age group.
Is venetoclax safe for people?
A very small number of people experienced elevated liver enzymes when taking venetoclax, although they had none of the common side effect of elevated transaminases. To date, it has never been identified as a cause for a clinical reaction. Additional safety tests were not conducted in this study. [No data on the clinical usefulness was reported].
Has venetoclax proven to be more effective than a placebo?
While venetoclax failed to improve response rates or increase progression-free survival in the first-line treatment of adults with myeloid leukemia, it did reduce the rate of discontinuation due to toxicity in this trial. These data must be interpreted cautiously in view of the small number of subjects enrolled in this study.
Is venetoclax typically used in combination with any other treatments?
[Power(http://www.withpower.co/d/leukemia-clinical-trials) Venetoclax is typically used in combination with other treatments in B-cell malignancies, including lymphoblastic lymphoma. The most common combination partners for venetoclax are cyclophosphamide, cisplatin and doxorubicin.] [Power(http://www.withpower.co/d/lymphoma-clinical-trials) Venetoclax is used in combination with chemotherapy in a number of types of the aggressive cancers lymphoma. [Power(http://www.withpower.
What are the chances of developing leukemia, myeloid, acute?
Given the elevated risk of leukemia after a history of acute myeloid leukemia, it is prudent to monitor your risk of developing leukemias following treatment, and it is important for patients to report any symptoms of leukemia within 2 months of initiating therapy so a baseline complete blood count can be obtained. The risk factors for development of leukemia following acute myeloid leukemia are mainly clinical and don't appear to be a function of treatment intensity. In fact, these risk factors can be seen in patients treated with lower doses of cytotoxic agents like fludarabine or cladribine.