About this trial
The purpose of this study is to compare the efficacy and safety of venetoclax+decitabine+busulfan+fludarabine (VEN+DAC+Bu2Flu4) regimen with busulfan+fludarabine (Bu2Flu5) regimen in older patients with myeloid malignancies undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
60-75 years
Acute myeloid leukaemia in first complete remission or myelodysplastic syndrome
Willing to undergo the first allo-HSCT
Eastern Cooperative Oncology Group performance status of 0-2
Disqualifiers
Any abnormality in a vital sign (e.g., heart rate, respiratory rate, or blood pressure)
Patients with any conditions not suitable for the trial (investigators' decision)
Trial design
Parallel
Treatments tested in this trial
Venetoclax (VEN)
DrugVenetoclax (VEN) was administered at 400mg/day on days -10 to -4.
Decitabine (DAC)
DrugDecitabine (DAC) was administered at 20mg/m2/day on days -10 to -8.
Busulfan (Bu)
DrugBusulfan (Bu) was administered at 3.2 mg/kg/day on days -5 to -4.
Fludarabine (Flu)
DrugFludarabine (Flu) was administered at 30mg/m2/day on days -5 to -2.
Fludarabine (Flu)
DrugFludarabine (Flu) was administered at 30mg/m2/day on days -6 to -2.
Treatment groups
Trial outcomes
Primary outcomes
Disease-free survival (DFS) rate
Will calculate time from random assignment until disease progression or relapse or death from any cause
Secondary outcomes
Overall survival (OS) rate
Will calculate time from random assignment until death from any cause.
Relapse incidence
Will calculate time from random assignment until relapse or disease progression.
Non-relapse mortality (NRM) incidence
Defined as death from any cause not subsequent to relapse or disease progression.
Locations
Sponsors and contacts
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