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Protocol Number75276617AML3001
Active

2025-02-28 - 2029-08-15

Phase III

Recruiting4

A phase 3, randomized, double-blind, placebo-controlled trial of Bleximenib, Venetoclax, and Azacitidine in newly diagnosed acute myeloid leukemia patients with KMT2A gene recombination or NPM1 gene mutation who were ineligible for high-intensity chemotherapy.

  • Trial Applicant

    Johnson & Johnson

  • Sponsor

    Johnson & Johnson Inc.

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/08/17

Investigators and Locations

Principal Investigator 蕭聖諺 Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator HSIN-AN HOU Division of General Internal Medicine

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 王銘崇 Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Ming-Chung Kao

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

Acute myeloid leukemia

Objectives

The aim of this study was to evaluate the efficacy of Bleximenib and Venetoclax (VEN) + Azacitidine (AZA) compared with placebo and VEN + AZA in newly diagnosed acute myeloid leukemia (AML) patients with NPM1 or KMT2A gene mutations.

Test Drug

Azacitidine
Bleximenib
Venetoclax

Active Ingredient

Azacitidine
Bleximenib
Venetoclax

Dosage Form

Frozen Crystal Injection
Tablets
Film-Coated Tablets

Dosage

N/A
N/A
N/A

Endpoints

- Percentage of participants who achieved complete remission (CR).
- Overall survival (OS).

Inclution Criteria

 Must be 18 years of age or older at the time of signing the informed consent form.

 Must have untreated KMT2A recombinant (KMT2Ar) or NPM1 gene mutation (NPM1m) acute myeloid leukemia (AML) meeting the 2022 International Consensus Classification (ICC) criteria, with a myeloblastic cytology ≥ 10%.

 Must be unsuitable for high-intensity chemotherapy based on the following criteria:

• ≥ 75 years of age and deemed unsuitable by a physician, with an East Coast Cancer Clinical Research Consortium (ECOG) performance status score of 0-2

• ≥ 18 to < 75 years of age and have ≥ 1 of the following comorbidities:

- ECOG performance status score of 2

- Severe heart disease

- Severe lung disease

- Kidney impairment

- Moderate liver impairment

- Comorbidities deemed by the trial administrator to make the participant unsuitable for high-intensity chemotherapy, which must have been recorded prior to enrollment and approved by the trial commissioner.

Participants must have adequate liver and kidney function.

Female participants must agree not to become pregnant, breastfeed, or plan to become pregnant during the trial and for six months after the last dose of treatment, and must use the contraceptive methods specified in the trial protocol.

Male participants must agree to use the contraceptive methods specified in the trial protocol during the trial and for six months after the last dose of treatment.

Participants must sign a participant consent form indicating that they understand the purpose and procedures of the trial and are willing to participate.

Exclusion Criteria

**Diagnosis of Acute Premyeloid Leukemia (APL)**

**Active Leukemia Known to Involve the Central Nervous System (CNS)**

**Solid Organ Transplant Recipients**

**Any Cardiac Disorders Within 6 Months Prior to Randomization**, such as Heart Attack, Uncontrolled/Unstable Chest Pain, Congestive Heart Failure, Uncontrolled or Symptomatic Arrhythmia, Cerebral Vascular Obstruction, or Transient Ischemic Attack (Tissue Oxygen Deprivation).

**Active Infectious Hepatitis**

**Received a Live Attenuated Vaccine Within 4 Weeks Prior to Randomization**

**Known Hypersensitivity, Allergic Reaction, or Intolerance to the Excipients of Bleximenib**

The Estimated Number of Participants

  • Taiwan

    20 participants

  • Global

    600 participants