Preclinical efficacy of the potent, selective menin-KMT2A inhibitor JNJ-75276617 (bleximenib) in KMT2A- and NPM1-altered leukemias.
Min Chul Kwon, Jan Willem Thuring, Olivier Querolle...
https://pubmed.ncbi.nlm.nih.gov/38905635/Actively Recruiting
Led by Janssen Research & Development, LLC · Updated on 2026-07-31
420
Participants Needed
102
Research Sites
186 weeks
Total Duration
Researchers are studying bleximenib, an oral drug, in participants with acute leukemia to find the best dose and evaluate its safety and effectiveness. The study includes Phase 1 dose escalation to find recommended doses and Phase 1 dose expansion and Phase 2 to assess safety, tolerability, and anti-leukemia activity. Participants include both pediatric and adult patients with relapsed or refractory acute leukemia, especially those with specific genetic alterations. In Phase 1 Part 1, participants receive increasing doses of bleximenib orally to identify recommended doses based on tolerance. In Phase 1 Part 2, participants receive bleximenib at these doses to further evaluate safety. Phase 2 participants take the recommended dose to study the drugs effect on leukemia. The study monitors participants up to 4 years and 9 months for safety and treatment response. Participants will undergo assessments including monitoring adverse events, dose-limiting toxicities, and treatment responses. Blood tests will measure drug levels and leukemia remission rates. Safety and efficacy are tracked throughout treatment and follow-up, with a focus on remission rates and survival outcomes. The total study duration extends to September 2030, allowing long-term evaluation of bleximenib.
CONDITIONS
A Phase 1/2 Study of Bleximenib in Participants With Acute Leukemia (cAMeLot-1)
S
Study Contact
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Janssen Research & Development, LLC
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Bleximenib (investigational) | Approved menin inhibitor (clinical context) |
|---|---|---|
| What it is | An investigational oral menin inhibitor being tested sequentially in a phase 1/2 dose‑expansion study for relapsed or refractory acute leukemia with KMT2A rearrangements or NPM1 mutations | An FDA‑approved oral menin inhibitor (e.g. revumenib or ziftomenib) used in relapsed/refractory AML with KMT2A‑r or NPM1‑mutated disease |
| Role in trial | Study treatment under investigation | Not part of the trial; provided as current therapeutic context |
| Purpose | To assess safety, tolerability, and preliminary efficacy in relapsed/refractory acute leukemia with KMT2A‑r or NPM1 mutations | Approved targeted treatment for the same molecular subtypes in relapsed/refractory AML |
| Administration | Given orally in a sequential phase 1/2 study with dose‑escalation and expansion cohorts | Administered orally per approved dosing regimens |
| Evidence status | Early‑phase clinical data pending; safety and remission rates to be evaluated | Clinical responses observed including CR/CRh in approved menin inhibitors in similar populations |
| Important risks | Safety profile under study; risks expected similar to class (e.g. differentiation syndrome, QT prolongation) | Known risks include differentiation syndrome and QTc prolongation |
| Important limitations | Unknown efficacy and safety; early‑phase data only; dose‑finding and feasibility still under evaluation | Single‑arm approval based on response rates; long‑term benefit and transplant impact still under study |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 28 days for Cycle 1, with ongoing evaluation
Participants receive increasing oral doses of bleximenib to determine the recommended Phase 2 dose based on safety and tolerability.
Regular visits during dose escalation
Duration - Up to 4 years and 9 months
Participants receive bleximenib orally at the recommended dose to further assess safety and tolerability.
Scheduled visits for safety monitoring
Duration - Up to 4 years and 9 months
Participants receive bleximenib orally at the recommended dose to evaluate efficacy and safety in treating acute leukemia.
Regular visits for treatment and assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
1
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Min Chul Kwon, Jan Willem Thuring, Olivier Querolle...
https://pubmed.ncbi.nlm.nih.gov/38905635/Janssen Research & Development, LLC
Lead Sponsor