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Relapsed and Refractory Acute Myeloid Leukemia (RR-AML)Phase 2NCT07874737

Mitoxantrone Hydrochloride Liposome Combined With Cladribine And Sotorasib For Relapsed Refractory Acute Myeloid Leukemia

A Phase 2 study testing Mitoxantrone Hydrochloride Liposome+cladribine+sotoraclib in people with Relapsed and Refractory Acute Myeloid Leukemia (RR-AML), run by The Affiliated People's Hospital of Ningbo University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record

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Trial summary

This is a single-arm, single-center clinical study to assess the efficacy and safety of Mitoxantrone Hydrochloride Liposome combined with cladribine and sotoraclib in patients with relapsed/refractory acute myeloid leukemia (R/R-AML). Read more about this study

Who is it for?
Ages 16 to 65 years
What is being tested?
Mitoxantrone Hydrochloride Liposome+cladribine+sotoraclib
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
No sites listed yet
Study dates
Dec 2026to May 2029
Phase
Phase 2

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Age ≥16 and <65 years old.
  • Confirmed diagnosis of acute myeloid leukemia (AML) according to WHO classification.
  • Relapsed or refractory AML after at least one prior line of anti-leukemia therapy.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
  • Adequate organ function: total bilirubin ≤1.5 × upper limit of normal (ULN); alanine transaminase (ALT) and aspartate transaminase (AST) ≤2.5 × ULN; estimated creatinine clearance ≥50 mL/min.
  • Women of child-bearing potential must have negative pregnancy test; all patients must agree to use effective contraception during study treatment and for 6 months after last dose.
  • Voluntarily sign written informed consent.

Who cannot join

  • Acute promyelocytic leukemia (APL).
  • Prior allogeneic hematopoietic stem cell transplant within 100 days before enrollment.
  • Active uncontrolled severe infection.
  • Clinically significant cardiovascular disease including uncontrolled arrhythmia, myocardial infarction within 6 months.
  • Known central nervous system leukemia.
  • Pregnant or breastfeeding women.
  • Any severe medical or psychiatric condition that would interfere with study participation.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: A Clinical Study Of Mitoxantrone Hydrochloride Liposome Plus Cladribine Combined With Sotorasib In Patients With Relapsed And Refractory Acute Myeloid Leukemia

This is a single-arm, single-center clinical study to assess the efficacy and safety of Mitoxantrone Hydrochloride Liposome combined with cladribine and sotoraclib in patients with relapsed/refractory acute myeloid leukemia (R/R-AML). Eligible adult participants will receive the following regimen: Mitoxantrone Hydrochloride Liposome 20 mg/m²; cladribine 5 mg/m² on day 1-5; sotoraclib 20 mg on day1, 40 mg on day2, 80 mg on day3, 160 mg on day4-day9. Clinical efficacy endpoints include overall response rate. Safety will be assessed via adverse event monitoring and laboratory examinations. All subjects will be followed up for survival and relapse status.

Being tested
Mitoxantrone Hydrochloride Liposome+cladribine+sotoraclib
Medical subject headings
Recurrence, Leukemia, Myeloid, Acute

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mitoxantrone Hydrochloride Liposome+cladribine+sotoraclibDrug

    Mitoxantrone Hydrochloride Liposome 20 mg/m² intravenous infusion on Day 1; cladribine 5 mg/m² intravenous infusion on Day 1-Day 5; sotoraclib 20 mg Day1, 40 mg Day2, 80 mg Day3, 160 mg Day4-Day9 intravenous infusion, administered as one treatment cycle.

Study groups in NCT07874737
Study groupRoleWhat they receive
Mitoxantrone Hydrochloride Liposome-cladribine-sotoraclib Combination Therapy ArmExperimentalNot described
Receives: Drug: Mitoxantrone Hydrochloride Liposome+cladribine+sotoraclib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Response Rate (ORR)

    Measured: At the end of Cycle 1 (each cycle is 28 days)

Secondary outcomes (2)
  1. Complete Remission (CR) Rate

    Measured: At the end of Cycle 1 (each cycle is 28 days), with follow-up up to 6 months.

  2. Safety: Incidence of Adverse Events

    Measured: From first dose up to 30-days after last study drug administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Oct 2026
  2. Study startDec 2026 (estimated)
  3. Primary completionDec 2028 (estimated)
  4. Study completionMay 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07874737
Sponsor's protocol ID
2026-R/R-AML
Status last verified
Oct 2026
First submitted
1 Oct 2026
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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