Status:

NOT_YET_RECRUITING

Bleximenib in Combination With Standard Induction and Consolidation Therapy Followed by Maintenance for Treatment of Patients With Acute Myeloid Leukemia (AML)

Lead Sponsor:

Stichting Hemato-Oncologie voor Volwassenen Nederland

Collaborating Sponsors:

German-Austrian Acute Myeloid Leukemia Study Group

Conditions:

Acute Myeloid Leukemia

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The current standard of care treatment for adult patients with acute myeloid leukemia (AML) consists of chemotherapy and, if indicated, donor stem cell transplantation. Bleximenib blocks the interact...

Eligibility Criteria

Inclusion

  • ≥18 years of age (or the legal age of majority in the jurisdiction in which the study is taking place, whichever is greater) at the time of informed consent.
  • New diagnosis of AML (≥10% blasts in BM or peripheral blood) with mutated NPM1 or with recurring rearrangements involving KMT2A according to ICC 2022 criteria.
  • Considered eligible for intensive chemotherapy.
  • WHO/ECOG performance status ≤2.
  • Adequate renal and hepatic functions prior to randomization.

Exclusion

  • Prior (chemo-)therapy for AML, including prior treatment with hypomethylating agents
  • Known active leukemic involvement of the central nervous system (CNS).
  • Recipient of solid organ transplant.
  • Cardiac disease:
  • Any of the following within 6 months of randomization: myocardial infarction, uncontrolled/unstable angina, congestive heart failure (NYHA Class III or IV), uncontrolled or symptomatic arrhythmias, stroke, or transient ischemic attack.
  • QTc interval using Fridericia's formula (QTcF) ≥470 ms. Prolonged QTc interval associated with bundle branch block or pacemaking is permitted.
  • Left ventricular ejection fraction (LVEF) \<40% by ECHO or MUGA scan obtained within 28 days prior to the start of study treatment.
  • Previously received cumulative dose of any combination of anthracyclines or anthracenediones of ≥500 mg/m2.
  • Chronic respiratory disease requiring supplemental oxygen.

Key Trial Info

Start Date :

December 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2033

Estimated Enrollment :

875 Patients enrolled

Trial Details

Trial ID

NCT07223814

Start Date

December 1 2025

End Date

December 1 2033

Last Update

November 3 2025

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