600 Participants Needed

Bleximenib + Venetoclax + Azacitidine for Acute Myeloid Leukemia

(cAMeLot-2 Trial)

Recruiting at 205 trial locations
SC
Overseen ByStudy Contact
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Janssen Research & Development, LLC
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether combining new and existing treatments benefits people with Acute Myeloid Leukemia (AML) who have specific gene mutations. Participants will receive either bleximenib (a new potential drug) with venetoclax and azacitidine or a placebo with venetoclax and azacitidine. The aim is to determine if the combination with bleximenib is more effective. Suitable candidates include those with newly diagnosed AML who cannot undergo intensive chemotherapy, particularly if they have certain gene changes or severe health issues. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to potentially groundbreaking treatment advancements.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. It's best to discuss this with the trial team or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that the combination of bleximenib, venetoclax, and azacitidine has delivered promising results in earlier studies. Patients with relapsed or hard-to-treat Acute Myeloid Leukemia (AML) demonstrated a high response rate of 82%, indicating that most experienced positive effects from the treatment.

Regarding safety, this combination has been well-tolerated by patients. Previous studies indicate that the safety levels are acceptable, suggesting that most can undergo the treatment without severe side effects. However, like any treatment, some side effects might occur, so discussing these with a healthcare provider is important.

The current study is in its advanced stages, indicating that the treatment has passed earlier safety checks. This can offer reassurance about its safety for those considering joining the trial.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about this treatment combination for acute myeloid leukemia (AML) because it introduces Bleximenib, a novel agent that targets cancer cell growth differently. Most treatments for AML, like chemotherapy and certain targeted therapies, focus on killing fast-dividing cells or blocking specific proteins. However, Bleximenib acts on a unique pathway that may enhance the effectiveness of Venetoclax and Azacitidine. This innovative approach could potentially improve outcomes for patients with AML, offering hope for better control of the disease.

What evidence suggests that this trial's treatments could be effective for Acute Myeloid Leukemia?

In this trial, participants with Acute Myeloid Leukemia (AML) will be assigned to different treatment arms. Arm A will receive Bleximenib combined with Venetoclax (VEN) and Azacitidine (AZA). Previous studies have shown that adding Bleximenib to VEN and AZA yields promising results for treating AML, proving more effective at combating leukemia than VEN and AZA alone. Research suggests this combination may be particularly effective for patients with specific genetic changes in the NPM1 or KMT2A genes. Additionally, the safety profile of the combination mirrors that of VEN and AZA alone, indicating no significant increase in side effects. While these findings are promising, further research is needed to fully confirm its effectiveness. Arm B will receive a placebo with VEN and AZA, serving as a comparator to evaluate the effectiveness of the Bleximenib combination.13467

Who Is on the Research Team?

JR

Janssen Research & Development, LLC Clinical Trial

Principal Investigator

Janssen Research & Development, LLC

Are You a Good Fit for This Trial?

This trial is for adults with previously untreated Acute Myeloid Leukemia (AML) that have specific genetic changes. They must have good liver and kidney function, not be pregnant or breastfeeding, agree to use contraception, and understand the study.

Inclusion Criteria

I have AML with specific genetic changes and at least 10% bone marrow blasts.
My liver and kidney functions are normal.
I am not pregnant or breastfeeding and agree to use contraception during and for 6 months after the study.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either Bleximenib with Venetoclax and Azacitidine or Placebo with Venetoclax and Azacitidine in 28-day cycles until progression or unacceptable toxicity

28-day cycles

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 4 years and 1 month

What Are the Treatments Tested in This Trial?

Interventions

  • Azacitidine
  • Bleximenib
  • Venetoclax
Trial Overview The study is testing Bleximenib in combination with Venetoclax (VEN) and Azacitidine (AZA), comparing it to a placebo plus VEN+AZA to see how well they work in treating AML patients.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Arm A: Bleximenib and Venetoclax (VEN) + Azacitidine (AZA)Experimental Treatment3 Interventions
Group II: Arm B: Placebo and Venetoclax (VEN) + Azacitidine (AZA)Placebo Group4 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Janssen Research & Development, LLC

Lead Sponsor

Trials
1,022
Recruited
6,408,000+
Joaquin Duato profile image

Joaquin Duato

Janssen Research & Development, LLC

Chief Executive Officer since 2022

MBA from ESADE, Master of International Management from Thunderbird School of Global Management

Dr. Jijo James, MD profile image

Dr. Jijo James, MD

Janssen Research & Development, LLC

Chief Medical Officer since 2014

MD from St. Johns Medical College, MPH from Columbia University

Citations

New results for Johnson & Johnson's bleximenib ...The bleximenib data at 100 mg twice a day in combination with VEN + AZA showed higher efficacy and a similar safety profile in comparison to ...
Acute Myeloid Leukemia AML-418: Recommended Phase ...As of February 2025, 120 participants received bleximenib plus VEN+AZA (R/R, n = 86; ND, n = 34). Median age was 66.5 years (range, 19–88), 52 had KMT2Ar, and ...
NCT06852222 | A Study of Bleximenib, Venetoclax and ...The purpose of this study is to assess how bleximenib and Venetoclax (VEN)+ Azacitidine (AZA) works as compared to placebo and VEN+AZA alone for the treatment ...
AML-418: Recommended Phase 2 Dose (RP2D) ...As of February 2025, 120 participants received bleximenib plus VEN+AZA (R/R, n = 86; ND, n = 34). Median age was 66.5 years (range, 19–88), 52 had KMT2Ar, and ...
A study of bleximenib, venetoclax and azacitidine for ...Based on scientific theory adding bleximenib to VEN+AZA may improve acute myeloid leukaemia outcomes. However, this cannot be guaranteed because ...
rp2d determination of bleximenib in combination with ven ...Safety analyses include all treated patients; efficacy analyses (intention-to-treat) encompass NPM1m or KMT2Ar AML patients receiving bleximenib ...
New results for Johnson & Johnson's bleximenib ...At the recommended Phase 2 dose (RP2D), patients with relapsed or refractory AML achieved an overall response rate (ORR) of 82 percent and a ...
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