Outstanding Questions to Understand and Target Splicing Factor-Mutant Blood Cancers.
Maxim I Maron, Omar Abdel-Wahab
https://pubmed.ncbi.nlm.nih.gov/42013378/Actively Recruiting
Led by BlossomHill Therapeutics · Updated on 2025-09-24
170
Participants Needed
13
Research Sites
52 weeks
Total Duration
Researchers are studying BH-30236, a new oral drug, in adults with relapsed or refractory acute myelogenous leukemia RR AML or higher-risk myelodysplastic syndrome HR-MDS. This Phase 11b, open-label trial aims to assess the safety, tolerability, how the body processes the drug pharmacokinetics and pharmacodynamics, and preliminary anti-leukemic effects. The study is sponsored by BlossomHill Therapeutics and involves participants who have had 1 to 5 prior treatments and meet specific health criteria. The trial includes three parts Phase 1 Part 1 tests BH-30236 alone in ascending doses to identify safe dosage levels. Phase 1 Part 2 evaluates BH-30236 combined with venetoclax, another oral drug, also in increasing doses. The Phase 1b Dose Expansion enrolls participants to further study the safety and early effectiveness of BH-30236 alone or with venetoclax at selected dose levels from earlier phases. Participants will take BH-30236 tablets orally at assigned dose levels, with venetoclax tablets added in combination groups. Safety is closely monitored through treatment-related adverse events and dose-limiting toxicities during the first 28-day cycle. Researchers will also assess remission rates and other measures of anti-leukemic activity for up to approximately one year. The study tracks drug blood levels, response duration, time to remission, and changes in RNA markers to understand treatment impact and tolerability.
CONDITIONS
A Study of BH-30236 in Relapsed/ Refractory Acute Myelogenous Leukemia and Higher Risk Myelodysplastic Syndrome
S
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BlossomHill Therapeutics
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 | BH‑30236 (investigational regimen) | Venetoclax‑based regimen (current care) |
|---|---|---|
| What it is | An investigational oral agent BH‑30236 given during dose escalation and expansion, alone or with venetoclax, to treat relapsed/refractory AML or higher‑risk MDS. | A venetoclax‑based regimen combined with a hypomethylating agent represents a commonly used current‑care option in similar relapsed/refractory AML patients. |
| Role in trial | Participants receive BH‑30236 either alone or combined with venetoclax as assigned in sequential dose cohorts. | Not part of this trial; serves as external treatment benchmark. |
| Primary use | Exploratory treatment to assess safety, dosing, and preliminary anti‑leukemic activity in relapsed/refractory AML and HR‑MDS. | Used as salvage therapy in relapsed or refractory AML, often to induce remission or bridge to transplant. |
| How it is given or performed | Oral BH‑30236 tablets at escalating dose levels; combination cohorts receive oral venetoclax per label. | Venetoclax given orally together with a hypomethylating agent (e.g., azacitidine) per current practice protocols. |
| Evidence status | Early‑phase trial generating first‑in‑human data on safety, dosing, and preliminary remission rates. | Several studies and clinical experience support activity of venetoclax plus hypomethylating agents in AML, including R/R settings. |
| Important risks | Risks depend on dose levels and combination; dose‑limiting toxicities and treatment‑related adverse events are being monitored. | Known risks include cytopenias, infection risk, and tumor lysis syndrome with venetoclax plus hypomethylating agents. |
| Important limitations | Early‑phase, non‑randomized design without comparator limits certainty about relative benefit and optimal dosing. | Evidence in R/R AML remains limited compared to front‑line use; response durability may be lower in relapsed settings. |
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 - Repeated 28-day cycles until disease progression or discontinuation
Participants receive BH-30236 as a monotherapy or in combination with venetoclax to evaluate safety, tolerability, and preliminary anti-leukemic activity. Dosing follows a dose escalation design to determine recommended dose levels.
1 visit per cycle (in-person)
Duration - Up to 1 year
Participants are monitored for safety and response for up to approximately 1 year after starting treatment.
Regular visits depending on response and safety assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
4
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Maxim I Maron, Omar Abdel-Wahab
https://pubmed.ncbi.nlm.nih.gov/42013378/BlossomHill Therapeutics
Lead Sponsor