RecruitingPhase 3NCT07211958

Study of Revumenib in Combination With Intensive Chemotherapy in Newly Diagnosed Acute Myeloid Leukemia (AML) With a NPM1 Mutation

A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Revumenib in Combination With Intensive Chemotherapy in Participants With Newly Diagnosed AML With an NPM1 Mutation


Sponsor

Syndax Pharmaceuticals

Enrollment

468 participants

Start Date

Nov 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess if adding revumenib to standard chemotherapy improves outcomes in participants with AML with certain genetic mutations compared to chemotherapy alone. The study will also assess the safety of adding revumenib to chemotherapy.


Eligibility

Min Age: 12 Years

Inclusion Criteria6

  • Participants must have newly diagnosed and previously untreated AML and be candidates for intensive chemotherapy.
  • Presence of an NPM1 mutation.
  • Eastern Cooperative Oncology Group performance status ≤2 (≤1 if \>65 years old); Karnofsky or Lansky ≥40.
  • Have a life expectancy of ≥3 months as judged by the Investigator.
  • Negative serum pregnancy test.
  • Adequate liver, kidney, and cardiac function.

Exclusion Criteria8

  • Diagnosis of active acute promyelocytic leukemia.
  • Active central nervous system disease.
  • Fridericia's corrected QT interval (QTcF) \>450 milliseconds at screening, diagnosis or suspicion of Long QT syndrome or family history of Long QT syndrome.
  • Any gastrointestinal (GI) issue of the upper GI tract likely to affect oral drug absorption or ingestion.
  • Any concurrent malignancy requiring active therapy (except breast or prostate cancer stable on or responding to endocrine therapy).
  • Inability to swallow oral medication.
  • Pregnant or nursing females.
  • Participant has known active or chronic hepatitis B or active hepatitis C (HCV) infection or human immunodeficiency virus (HIV)-positive with detectable viral load.

Interventions

DRUGRevumenib

Participants will receive revumenib orally.

DRUGPlacebo

Participants will receive placebo (non-active agent) orally.

DRUGIntensive Chemotherapy Regimen

Participants will receive an intensive chemotherapy regimen of cytarabine and daunorubicin by intravenous (IV) infusion.


Locations(5)

Clinical Trial Site

Batumi, Adjara, Georgia

Clinical Trial Site

Tbilisi, Georgia

Clinical Trial Site

Tbilisi, Georgia

Clinical Trial Site

Seoul, South Korea

Clinical Trial Site

Seoul, South Korea

View Full Details on ClinicalTrials.gov

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NCT07211958


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