A Study of Bleximenib, Venetoclax and Azacitidine For Treatment of Participants With Newly Diagnosed Acute Myeloid Leukemia (AML)
This research trial is investigating new treatment options for people newly diagnosed with a specific type of blood cancer called Acute Myeloid Leukemia, known as AML. Specifically, it's for patients whose AML has certain genetic changes (in the NPM1 or KMT2A genes) and who can't have strong chemotherapy. The study will compare how well an experimental drug called bleximenib works when added to current treatments (Venetoclax and Azacitidine), versus the current treatments alone, or a dummy treatment (placebo) with current treatments. The aim is to understand if this new combination can be a better way to treat AML, helping people live longer or have their cancer go into remission.
At a glance
What is this study about?
This study is investigating a new way to treat Acute Myeloid Leukemia (AML), a type of blood cancer, in adults who have been newly diagnosed. AML causes the body to make too many abnormal white blood cells, which don't work properly and can stop healthy cells from growing. We are particularly looking at individuals whose AML has specific genetic changes in what are called the NPM1 or KMT2A genes.
The main goal of this study is to see if a new experimental drug, bleximenib, can improve treatment outcomes when combined with an existing treatment combination of Venetoclax (VEN) and Azacitidine (AZA). For some people with AML, particularly those who are older or have other health conditions, intensive chemotherapy might not be suitable. This study focuses on these individuals, offering an alternative approach.
You might be offered to join this study if you're newly diagnosed with AML, have the specific gene changes mentioned, and your medical team believes that intensive chemotherapy wouldn't be safe or effective for you. The study will compare different treatment groups to understand which approach works best: bleximenib plus VEN and AZA, VEN and AZA on their own, or a dummy treatment (placebo) alongside VEN and AZA. The aim is to find more effective and gentler treatments for AML.
Key takeaways
- This study is for adults newly diagnosed with a specific type of AML.
- It's exploring new treatment options for those who can't receive standard intense chemotherapy.
- The study compares a new drug, bleximenib, with existing treatments and a placebo.
- Participation involves regular hospital visits, monitoring, and specific health checks.
- It aims to find safer and more effective treatments for AML patients with specific genetic factors.
Who may be eligible?
This study is for adults aged 18 or over who have been recently diagnosed with Acute Myeloid Leukemia (AML). You would need to have certain genetic changes in your AML cells, specifically in the NPM1 or KMT2A genes.
Critically, this study is for people who are not suitable for standard, strong chemotherapy. This might be because you are aged 75 or older, or if you are younger but have other health issues like certain heart or lung conditions, kidney problems, or other medical issues that make intensive chemotherapy too risky. Your medical team would make this decision along with you.
There are also some reasons why you wouldn't be able to join, such as if you have a different specific type of leukaemia (called APL), if your leukaemia has spread to your brain or spinal cord, or if you've had an organ transplant in the past.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Have you been newly diagnosed with Acute Myeloid Leukemia (AML)?
- Does your AML have changes in the NPM1 or KMT2A genes?
- Are you unable to have strong chemotherapy due to age or other health conditions?
- Are you willing to use contraception as required during the study?
What does participation involve?
If you decide to take part in this study, you would first undergo a thorough health check to make sure the study is right for you. If you are eligible, you would be assigned to one of several treatment groups. This could involve receiving the experimental drug bleximenib, or the standard combination of Venetoclax and Azacitidine, or a dummy drug (placebo) along with Venetoclax and Azacitidine.
You would have regular appointments at the hospital, which would include blood tests, bone marrow checks, and other assessments to monitor your health and how the treatment is working. It's important to note that you would need to use specific contraception if you are a woman of childbearing age or a man, for a set period during and after the study treatment. The exact number of visits and the duration of your participation would be explained in detail by the study team, but typically, clinical trials involve ongoing monitoring and follow-up for a period after the main treatment phase.
Potential risks and benefits
Locations (248)
- University of Alabama at BirminghamVerified postcodeBirmingham, United States· Recruiting
- Cancer Treatment Center of America PhoenixVerified postcodeGoodyear, United States· Recruiting
- The University of Arizona Cancer CenterVerified postcodeTucson, United States· Recruiting
- University of Arkansas at Little RockVerified postcodeLittle Rock, United States· Recruiting
- City of HopeVerified postcodeDuarte, United States· Recruiting
- Medical Oncology Hematology Consultants, PAVerified postcodeNewark, United States· Recruiting
- Florida Cancer Specialists & Research InstituteVerified postcodeFort Myers, United States· Recruiting
- Jupiter ResearchVerified postcodeJupiter, United States· Recruiting
- Orlando Health Cancer InstituteVerified postcodeOrlando, United States· Recruiting
- Moffit Cancer centerVerified postcodeTampa, United States· Recruiting
- Cleveland Clinic FloridaVerified postcodeWeston, United States· Recruiting
- University of Chicago MedicineVerified postcodeChicago, United States· Recruiting
Common questions
What is Acute Myeloid Leukemia (AML)?
AML is a type of cancer that affects the blood and bone marrow, where new blood cells are made. It causes the body to produce abnormal white blood cells.
What are NPM1 and KMT2A genes?
These are specific genes. Changes (mutations) in these genes are sometimes found in AML cells and can influence how the leukaemia behaves and responds to treatment.
What does 'ineligible for intensive chemotherapy' mean?
It means that your doctors believe that strong, standard chemotherapy might be too risky for you, perhaps due to your age or other existing health problems.
What is a placebo?
A placebo is a dummy treatment that looks like the real drug but contains no active medicine. It helps researchers compare the effects of the actual drug more accurately.
Will I know which treatment I'm getting?
In many clinical trials like this, participants are 'blinded,' meaning neither you nor your doctor will know which specific treatment you are receiving until the end of the study. This helps ensure fair results.
How to find out more
Study Contact
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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