A Pivotal Study of APG-2575 (Lisaftoclax) Combined With Azacitidine in the Treatment of Acute Myeloid Leukemia

Last updated: November 20, 2025
Sponsor: Ascentage Pharma Group Inc.
Overall Status: Active - Recruiting

Phase

3

Condition

Leukemia

Acute Myeloid Leukemia

Platelet Disorders

Treatment

APG-2575(Lisaftoclax )

Azacitidine Injection

Placebo

Clinical Study ID

NCT06389292
APG2575AG301
  • Ages > 18
  • All Genders

Study Summary

A global, multicenter, randomized, double-blind, placebo-controlled, phase III pivotal registration study, to evaluate the efficacy of APG-2575 (Lisaftoclax) combined with azacitidine (AZA) versus placebo combined with azacitidine in newly diagnosed acute myeloid leukemia who are not eligible for standard induction chemotherapy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Patients must have newly diagnosed AML that meets the criteria for acute myeloidleukemia (AML) and ineligible for standard chemotherapy.

  2. Life expectancy of ≥3 months.

  3. Be able to accept oral administration.

  4. Patients aged ≥70 years with ECOG score of 0-2, or those aged≥18 years and <70 yearswith ECOG score of 0-3.

  5. Adequate kidney function.

  6. White blood cell ≤ 30×10^9/L.

  7. Adequate liver function.

  8. Men, women with childbearing potential, and their partners voluntarily usecontraception that researchers consider effective.

  9. Be able to understand and voluntarily sign written informed consent.

  10. Patients must be willing and able to complete study procedures and follow-upexaminations.

Exclusion

Exclusion Criteria:

  1. The patient was diagnosed with acute promyelocytic leukemia or AML BCR-ABL1positive.

  2. Active leukemic infiltration of the central nervous system.

  3. Active infection that is uncontrolled and requires systemic treatment.

  4. Use of strong inducers of CYP3A4 within 7 days prior to the first dose of theinvestigational drug, and/or use of moderate to strong inhibitors of CYP3A4 within 7days or 3-5 half-lives (whichever is longer) prior to the first dose of theinvestigational drug.

  5. Previous treatment for hematologic disorders.

  6. Patients who has a cardiovascular disability status of New York Heart AssociationClass > 2.

  7. Patients have malabsorption syndrome or other conditions that cannot be administeredthrough the gastrointestinal tract or affect drug absorption.

  8. Patients had a history of other malignancies prior to study initiation.

  9. Any other circumstances or conditions, at the discretion of the investigator, makethe patient unsuitable to participate in the study.

Study Design

Total Participants: 486
Treatment Group(s): 4
Primary Treatment: APG-2575(Lisaftoclax )
Phase: 3
Study Start date:
June 11, 2024
Estimated Completion Date:
March 26, 2029

Study Description

The newly diagnosed acute myeloid leukemia, who are not eligible for standard induction chemotherapy, will be randomized to the investigational group 'Lisaftoclax (APG-2575) + AZA' or the control group 'placebo+ AZA'.

Connect with a study center

  • Hematology Hospital of the Chinese Academy of Medical Sciences

    Tianjin, Tianjin 300020
    China

    Site Not Available

  • Hematology Hospital of the Chinese Academy of Medical Sciences

    Tianjin 1792947, Tianjin Municipality 1792943 300020
    China

    Active - Recruiting

  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang 310003
    China

    Site Not Available

  • The First Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou 1808926, Zhejiang 1784764 310003
    China

    Active - Recruiting

  • Botkin Moscow Multidisciplinary Research and Clinical Center

    Moscow 524901, 125284
    Russia

    Active - Recruiting

  • Moscow Multidisciplinary Clinical Center "Kommunarka"

    Moscow 524901, 108814
    Russia

    Active - Recruiting

  • Leningrad Regional Clinical Hospital

    Saint Petersburg 498817, 194291
    Russia

    Active - Recruiting

  • Russian Research Institute of Hematology and Transfusiology of the Federal Medical and Biological Agency

    Saint Petersburg 498817, 191024
    Russia

    Active - Recruiting

  • Botkin Moscow Multidisciplinary Research and Clinical Center

    Moscow, 125284
    Russian Federation

    Site Not Available

  • Moscow Multidisciplinary Clinical Center "Kommunarka"

    Moscow, 108814
    Russian Federation

    Active - Recruiting

  • Leningrad Regional Clinical Hospital

    Saint Petersburg, 194291
    Russian Federation

    Site Not Available

  • Russian Research Institute of Hematology and Transfusiology of the Federal Medical and Biological Agency

    Saint Petersburg, 191024
    Russian Federation

    Active - Recruiting

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.