Clinical trial Recruiting at 8 sites Phase 1 Interventional Ages 18 and up

CHM-029 in adults with certain AML mutations or rearrangements

Official title: A Phase 1/2, Multicenter, First-in-Human, Dose Escalation and Expansion Study Evaluating CHM-029 as Monotherapy in Participants With Relapsed or Refractory Acute Myeloid Leukemia (AML) With NPM1 Mutations, KMT2A or NUP98 Rearrangements

Run by Charm Therapeutics · NCT07751991 · Data updated 2026-11-12

This study tests whether an oral medicine called CHM-029 is safe and shows signs of activity in adults with relapsed or treatment-resistant AML with specific genetic features.

More AML (Acute Myeloid Leukemia) trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorCharm Therapeutics
Industry-sponsored
Drugs / interventionschemotherapy, radiation
Locations8 sites (Duarte, California and 7 other locations)
StatusRecruiting
StartedSeptember 28, 2026
Main results expectedDecember 2027
Study endsMarch 2029
Registry record updatedNovember 6, 2026
Trial IDNCT07751991 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with relapsed or refractory AML that harbors NPM1 mutation, KMT2A rearrangement, or NUP98 rearrangement.

Probably not a fit

Patients without one of the specified genetic alterations or those with certain comorbidities may not benefit and could be ineligible due to safety concerns.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1, first-in-human, open-label, multicenter dose-escalation trial of CHM-029 in adults with relapsed or refractory AML. The study aims to determine safe dosing, understand how the drug behaves in the body, and observe preliminary antileukemic activity in patients with NPM1 mutations, KMT2A rearrangements, or NUP98 rearrangements. Participants will undergo regular safety assessments, blood tests, ECGs, and bone marrow evaluations to monitor tolerability and response. The trial is sponsored by Charm Therapeutics and conducted at several U.S. centers to establish initial safety and pharmacokinetics data to guide further development.

Why it matters

Potential benefit: If successful, CHM-029 could become a new targeted option for adults with specified AML subtypes who have relapsed or are refractory to standard treatments.

How similar studies have gone: Prior early-phase studies of similar targeted AML approaches have shown safety signals and hints of activity in select genetic subtypes, but this exact CHM-029 program is an initial human experience for this target.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years old and above
* Relapsed or refractory (R/R) acute myeloid leukemia (AML) and has had treatment with any available standard therapies
* Positive for NPM1 mutation, or KMT2A or NUP98 rearrangements

Exclusion Criteria:

* White blood cell (WBC) count higher than 25,000 u/L that cannot be maintained below threshold with hydroxyurea treatment
* Extramedullary only AML
* Has current complications related to hematopoietic stem cell transplant (HSCT)
* Other cancers that require treatment
* Active Hepatitis or HIV infection
* Moderate hepatic or renal impairment
* Acute promyelocytic leukemia
* Baseline prolongation of QT/QTc interval (≥ 470 ms) or additional risk factors for Torsades de Pointes (TdP)
* Congestive heart failure NYHA Class 3 or 4
* Central nervous system involvement refractory to intrathecal chemotherapy and/or standard cranial-spinal radiation

Where it's running

  • City of Hope Center Medical Center
    Duarte, California, United States
    Recruiting
  • Yale - New Haven Hospital / Cancer Center
    New Haven, Connecticut, United States
    Recruiting
  • START Midwest
    Grand Rapids, Michigan, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee, United States
    Recruiting
  • The Christie NHS Foundation Trust
    Manchester, United Kingdom
    Recruiting
Show 2 more locations
  • Oxford University Hospitals NHS Foundation Trust
    Oxford, United Kingdom
    Recruiting
  • Cardiff & Vale University Hospital
    Wales, United Kingdom
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.