Clinical trial Recruiting at 127 sites Phase 2 Interventional Ages 18 and up

New treatment options for acute myeloid leukemia with IDH2 gene changes

Official title: A Randomized Phase II Trial of ASTX727 and Venetoclax Compared With ASTX727, Venetoclax, and Enasidenib for Newly Diagnosed Older Adults With IDH2 Mutant Acute Myeloid Leukemia: A MyeloMATCH Substudy

Run by National Cancer Institute (NCI) · NCT06672146 · Data updated 2026-11-12

This study is testing a new combination of treatments for older patients or younger patients who can't take standard therapy and have newly diagnosed acute myeloid leukemia with an IDH2 gene change to see if it helps them achieve better remission rates.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment93 (estimated)
SponsorNational Cancer Institute (NCI)
NIH
Drugs / interventionschemotherapy
Locations138 sites (Tucson, Arizona and 137 other locations)
StatusRecruiting
StartedMay 16, 2025
Main results expectedMarch 31, 2027
Study endsMarch 31, 2027
Registry record updatedOctober 27, 2026
Trial IDNCT06672146 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include older adults or younger patients with newly diagnosed AML and a detectable IDH2 mutation who are unfit for standard treatment.

Probably not a fit

Patients who have received prior therapy for AML or myelodysplastic syndromes may not benefit from this study.

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

What this trial studies

This phase II trial evaluates the effectiveness of combining ASTX727 and venetoclax with enasidenib compared to ASTX727 and venetoclax alone in treating older patients or younger patients unfit for standard treatment who have newly diagnosed acute myeloid leukemia (AML) with an IDH2 gene mutation. The study aims to assess the safety and efficacy of this combination therapy in achieving measurable residual disease negative complete remission. Participants will undergo treatment and be monitored for various outcomes, including remission rates and overall survival.

Why it matters

Potential benefit: If successful, this treatment could improve remission rates and overall survival for patients with acute myeloid leukemia harboring IDH2 mutations.

How similar studies have gone: Other studies have shown promise in targeting IDH2 mutations in AML, suggesting this approach may be beneficial.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants must have been registered to the MYELOMATCH Master Screening and Reassessment Protocol prior to consenting to this study. Participants must have disease with a detectable IDH2 mutation based on central testing through the MYELOMATCH and be assigned to this clinical trial via MATCHBox prior to registration to this study

  * Note: Pre-enrollment/diagnosis labs must have already been performed under MYELOMATCH
* Participants must have newly diagnosed, untreated acute myeloid leukemia (AML) defined by having ≥ 20% blasts in the bone marrow and/or peripheral blood, or with an AML defining genetic abnormality as described by the World Health Organization (WHO) classification of AML, excluding acute promyelocytic leukemia (APL) with PML-RARA
* Participants must not be receiving or planning to receive any other investigational agents while on protocol therapy
* Participants must not have received prior therapy for AML, myelodysplastic syndrome (MDS) or myeloproliferative neoplasm (MPN) with the exception of hydroxyurea, all-trans retinoic acid (ATRA), BCR-ABL directed tyrosine kinase inhibitor, colony-stimulating factors, erythropoiesis-stimulating agents, thrombopoietin receptor agonist, lenalidomide, luspatercept, immunosuppressive therapy, intrathecal chemotherapy, cytarabine (up to 1 g/m\^2 for the purpose of cytoreduction for hyperleukocytosis/trial eligibility), and/or leukapheresis, with a maximum limit of 1 month of exposure.

  * Note: White blood cell (WBC) must be \< 25 x 10\^9/L prior to start of treatment. Hydroxyurea, leukapheresis, and cytarabine ≤ 1g/m\^2 are permitted to control the WBC prior to enrollment and initiation of protocol-defined therapy but must be stopped prior to initiation of protocol therapy.
* Participants must be ≥ 60 years old; OR must be ≥ 18 years old and considered not eligible for cytarabine-based induction therapy
* Participants must have Zubrod Performance Status of 0-3 as determined by a history and physical (H\&P) exam completed within 14 days prior to registration
* Participants must have a complete medical history and physical exam within 14 days prior to registration
* Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) unless history of Gilbert's syndrome. Participants with history of Gilbert's syndrome must have total bilirubin ≤ 3 x institutional ULN (within 14 days prior to registration)
* Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase \[SGOT\])/alanine aminotransferase (ALT) (serum glutamic pyruvic transaminase \[SGPT\]) ≤ 3 × institutional ULN, unless considered to be elevated due to disease involvement (within 14 days prior to registration)
* Participants must have adequate kidney function as evidenced by creatinine clearance ≥ 30mL/min (by Cockcroft Gault) within 14 days prior to registration
* Participants must not have a baseline corrected QT interval ≥ 480 msec using Fridericia correction (QTcF).

  * NOTE: Since older participants are at risk for prolonged QTc and may require supportive care with agents that affect QTc, an electrocardiogram (ECG) is recommended if clinically indicated. If the QTc is prolonged, they should be treated on MYELOMATCH TAP instead of MM1OA-S03
* Participants must have adequate cardiac function in the assessment of their treating physician. Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, must have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, participants must be class 2 or better
* Participants with known human immunodeficiency virus (HIV)-infection must be on effective anti-retroviral therapy at registration and have undetectable viral load test on the most recent test results obtained within 6 months prior to registration
* Participants with a known history of chronic hepatitis B virus (HBV) infection must have undetectable HBV viral load while on suppressive therapy on the most recent test results obtained within 6 months prior to registration, if indicated
* Participants with a known history of hepatitis C virus (HCV) infection must have been treated and cured. Participants currently being treated for HCV infection must have undetectable HCV viral load test on the most recent test results obtained within 6 months prior to registration, if indicated
* Participants must not have a prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) has the potential to interfere with the safety or efficacy assessment of the investigational regimen
* Participants must not be pregnant or nursing (nursing includes breast milk fed to an infant by any means, including from the breast, milk expressed by hand, or pumped). Individuals who are of reproductive potential must have agreed to use an effective contraceptive method with details provided as a part of the consent process. A person who has had menses at any time in the preceding 12 consecutive months or who has semen likely to contain sperm is considered to be of "reproductive potential." In addition to routine contraceptive methods, "effective contraception" also includes refraining from sexual activity that might result in pregnancy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) including hysterectomy, bilateral oophorectomy, bilateral tubal ligation/occlusion, and vasectomy with testing showing no sperm in the semen
* Participants must be able to swallow and retain oral medications and have no known gastrointestinal disorders likely to interfere with absorption of oral medications
* Participants with central nervous system (CNS) involvement are eligible if follow-up CNS evaluation shows no evidence of progression, or if the treating physician determines that immediate CNS specific treatment is not required and is unlikely to be required during the first cycle of therapy
* Participants must have agreed to have specimens submitted for translational medicine for MRD under MYELOMATCH and specimens must be submitted

  * Enrollment to this treatment study requires prior enrollment into the myeloMATCH Master Protocol (MYELOMATCH). Participants enrolled in MYELOMATCH will submit bone marrow samples, peripheral blood samples, and buccal swabs to the Molecular Diagnostics Network (MDNet), the Clinical Laboratory Improvement Act (CLIA) laboratory network for myeloMATCH
  * In addition to the MYELOMATCH specimens, there will be specimens obtained on treatment for this substudy. These specimens will be derived from procedures performed as part of standard assessments in the clinical care and management of AML with material being sent to the MDNet laboratories as specified. Therefore, participants must be asked for their consent for the biobanking of specimens for future unspecified research. Participants may refuse this, but it is mandatory for sites to ask participants
* Participants must be offered the opportunity to participate in specimen banking
* NOTE: As a part of the Oncology Patient Enrollment Network (OPEN) registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system

  * Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines. For participants with impaired decision-making capabilities, legally authorized representatives may sign and give informed consent on behalf of study participants in accordance with applicable federal, local, and Central Institutional Review Board (CIRB) regulations

Where it's running

  • Banner University Medical Center - Tucson
    Tucson, Arizona, United States
    Recruiting
  • University of Arizona Cancer Center-North Campus
    Tucson, Arizona, United States
    Recruiting
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas, United States
    Recruiting
  • UCSF Medical Center-Parnassus
    San Francisco, California, United States
    Recruiting
  • Miami Cancer Institute
    Miami, Florida, United States
    Recruiting
  • Memorial Hospital West
    Pembroke Pines, Florida, United States
    Recruiting
Show 44 more locations
  • Augusta University Medical Center
    Augusta, Georgia, United States
    Recruiting
  • Saint Luke's Cancer Institute - Boise
    Boise, Idaho, United States
    Recruiting
  • Kootenai Health - Coeur d'Alene
    Coeur d'Alene, Idaho, United States
    Recruiting
  • Saint Luke's Cancer Institute - Fruitland
    Fruitland, Idaho, United States
    Recruiting
  • Saint Luke's Cancer Institute - Meridian
    Meridian, Idaho, United States
    Recruiting
  • Saint Alphonsus Cancer Care Center-Nampa
    Nampa, Idaho, United States
    Recruiting
  • Saint Luke's Cancer Institute - Nampa
    Nampa, Idaho, United States
    Recruiting
  • Kootenai Clinic Cancer Services - Post Falls
    Post Falls, Idaho, United States
    Recruiting
  • Kootenai Clinic Cancer Services - Sandpoint
    Sandpoint, Idaho, United States
    Recruiting
  • Northwestern University
    Chicago, Illinois, United States
    Recruiting
  • University of Illinois
    Chicago, Illinois, United States
    Recruiting
  • University of Chicago Comprehensive Cancer Center
    Chicago, Illinois, United States
    Recruiting
  • Northwestern Medicine Cancer Center Kishwaukee
    DeKalb, Illinois, United States
    Recruiting
  • NorthShore University HealthSystem-Evanston Hospital
    Evanston, Illinois, United States
    Recruiting
  • Northwestern Medicine Cancer Center Delnor
    Geneva, Illinois, United States
    Recruiting
  • NorthShore University HealthSystem-Glenbrook Hospital
    Glenview, Illinois, United States
    Recruiting
  • Northwestern Medicine Glenview Outpatient Center
    Glenview, Illinois, United States
    Recruiting
  • Northwestern Medicine Grayslake Outpatient Center
    Grayslake, Illinois, United States
    Recruiting
  • NorthShore University HealthSystem-Highland Park Hospital
    Highland Park, Illinois, United States
    Recruiting
  • Edward Hines Jr VA Hospital
    Hines, Illinois, United States
    Recruiting
  • Northwestern Medicine Lake Forest Hospital
    Lake Forest, Illinois, United States
    Recruiting
  • Loyola University Medical Center
    Maywood, Illinois, United States
    Recruiting
  • UC Comprehensive Cancer Center at Silver Cross
    New Lenox, Illinois, United States
    Recruiting
  • Northwestern Medicine Orland Park
    Orland Park, Illinois, United States
    Recruiting
  • University of Chicago Medicine-Orland Park
    Orland Park, Illinois, United States
    Recruiting
  • Northwestern Medicine Cancer Center Warrenville
    Warrenville, Illinois, United States
    Recruiting
  • UChicago Medicine Northwest Indiana
    Crown Point, Indiana, United States
    Recruiting
  • University of Kansas Clinical Research Center
    Fairway, Kansas, United States
    Recruiting
  • University of Kansas Cancer Center
    Kansas City, Kansas, United States
    Recruiting
  • University of Kansas Hospital-Westwood Cancer Center
    Westwood, Kansas, United States
    Recruiting
  • The James Graham Brown Cancer Center at University of Louisville
    Louisville, Kentucky, United States
    Recruiting
  • UofL Health Medical Center Northeast
    Louisville, Kentucky, United States
    Recruiting
  • LSU Health Baton Rouge-North Clinic
    Baton Rouge, Louisiana, United States
    Recruiting
  • Our Lady of the Lake Physician Group
    Baton Rouge, Louisiana, United States
    Recruiting
  • Our Lady of The Lake
    Baton Rouge, Louisiana, United States
    Recruiting
  • MaineHealth Cancer Care and IV Therapy - Brunswick
    Brunswick, Maine, United States
    Recruiting
  • Mid Coast Hospital
    Brunswick, Maine, United States
    Recruiting
  • MaineHealth Maine Medical Center - Portland
    Portland, Maine, United States
    Recruiting
  • MaineHealth Maine Medical Center- Scarborough
    Scarborough, Maine, United States
    Recruiting
  • MaineHealth Cancer Care and IV Therapy - South Portland
    South Portland, Maine, United States
    Recruiting
  • Tufts Medical Center
    Boston, Massachusetts, United States
    Recruiting
  • Trinity Health IHA Medical Group Hematology Oncology - Brighton
    Brighton, Michigan, United States
    Recruiting
  • Trinity Health IHA Medical Group Hematology Oncology - Canton
    Canton, Michigan, United States
    Recruiting
  • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
    Chelsea, Michigan, United States
    Recruiting

+88 more sites. See ClinicalTrials.gov for the full list.

Study contacts

  • Principal investigator: Eric J Huselton — SWOG Cancer Research Network

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.