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cAMeLot-1 Myeloid malignancies
A Phase 1/2, first-in-human study of bleximenib (menin inhibitor) in participants with relapsed or refractory acute leukemia
Phase
Compound
Bleximenib (menin inhibitor)
NCT identifier
NCT04811560
Enrollment

N=~400

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Study overview & design

Key eligibility criteria*:

  • ECOG PS 0–2
  • WBC count: ≤20 × 109/L
  • Adequate renal and hepatic function
  • No active CNS involvement

Phase 1:

  • R/R acute leukemia with KMT2A, NPM1, NUP98, or NUP214 gene alterations
  • Age ≥2

Phase 2:

  • R/R AML with KMT2Ar or NPM1m
  • Adults ≥18
Study design
Study design

Primary outcomes:

Phase 1:

  • Safety, including AEs and DLTs

Phase 2:

  • Rate of CR/CRh

Secondary outcomes:

Phase 1:

  • ORR, DOR, TTR, PK

Phase 2:

  • ORR, duration of CR/CRh, TTR, EFS, OS, safety, PK

*Not a complete list of inclusion and exclusion criteria. Not a complete list of secondary outcomes.
AE, adverse event; AML, acute myeloid leukemia; CNS, central nervous system; CR, complete remission; CRh, complete remission with partial hematologic recovery; DLT, dose-limiting toxicity; DOR, duration of response; ECOG PS, Eastern Cooperative Oncology Group performance status; EFS, event-free survival; KMT2A, histone-lysine N-methyltransferase 2A; KMT2Ar, KMT2A rearrangement; NPM1, nucleophosmin 1; NPM1m, NPM1 mutated; NUP98, nucleoporin 98; NUP214, nucleoporin 214; ORR, overall response rate; OS, overall survival; PK, pharmacokinetics; PO, orally; RP2D, recommended Phase 2 dose; R/R, relapsed or refractory; TTR, time to response; WBC, white blood cell.

Recruiting site locations
World Map
Australia, Brazil, Canada, China, France, Israel, Japan, South Korea, Spain, Taiwan, United Kingdom, United States
Study design
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Bleximenib mechanism of action
The following is video of the proposed mechanism of action for bleximenib, an investigational product which has not been reviewed by the FDA.
Correlation to clinical effect has not been established.
Bleximenib mechanism of action
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