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.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Charm Therapeutics Industry-sponsored |
| Drugs / interventions | chemotherapy, radiation |
| Locations | 8 sites (Duarte, California and 7 other locations) |
| Status | Recruiting |
| Started | September 28, 2026 |
| Main results expected | December 2027 |
| Study ends | March 2029 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07751991 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
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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
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Oxford University Hospitals NHS Foundation Trust
Oxford, United Kingdom Recruiting -
Cardiff & Vale University Hospital
Wales, United Kingdom Recruiting
Study contacts
- Study coordinator: Charm Study Contact
- Email: clinicaltrials@charmtx.com
- Phone: 312-682-0586
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.