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HOVON 181 AML/AML SG 37-25* Myeloid malignancies
A Phase 3, double-blind study of bleximenib or placebo in combination with standard induction and consolidation therapy followed by maintenance for the treatment of patients with newly diagnosed KMT2A-rearranged or NPM1-mutant AML eligible for intensive chemotherapy
Phase
Compound
Bleximenib (menin inhibitor) + cytarabine + daunorubicin or idarubicin
NCT identifier
NCT07223814
Enrollment

N=~875

For more information, including
contact details, please visit
ClinicalTrials.gov
Study overview & design

Key eligibility criteria:

  • ND AML with KMT2Ar or NPM1m
  • Eligible for intensive chemotherapy
  • Adults ≥18
  • ECOG PS 0–2
  • Adequate renal and hepatic functions
  • No active leukemic involvement of the CNS
  • No solid organ transplant
  • No significant cardiac disorder ≤6 months of randomization
Study design
Study design

Primary outcome:

  • EFS

Secondary outcomes:

  • OS
  • Rates of CR, CRh, CRi
  • Duration of CR
  • % allo-SCT
  • AEs

*Study sponsored by HOVON/AMLSG. Not a complete list of inclusion and exclusion criteria. Second induction cycle: IDAC ± anthracycline. §All participants eligible for maintenance, regardless of allo-HSCT status.

‘7+3’, cytarabine + daunorubicin or idarubicin chemotherapy; AE, adverse event; allo-HSCT, allogeneic hematopoietic stem cell transplant; AML, acute myeloid leukemia; CNS, central nervous system; CR, complete remission; CRh, complete remission with partial hematologic recovery; CRi, complete remission with incomplete hematologic recovery; ECOG PS, Eastern Cooperative Oncology Group performance status; EFS, event-free survival; IDAC, intermediate dose cytarabine; KMT2Ar, histone-lysine N-methyltransferase 2A rearrangement; MRD, minimal residual disease; ND, newly diagnosed; NPM1m, nucleophosmin 1 mutation; OS, overall survival.

Recruiting site locations
World Map
Australia, Austria, Belgium, Germany, Netherlands, 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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