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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 93 (estimated) |
| Sponsor | National Cancer Institute (NCI) NIH |
| Drugs / interventions | chemotherapy |
| Locations | 138 sites (Tucson, Arizona and 137 other locations) |
| Status | Recruiting |
| Started | May 16, 2025 |
| Main results expected | March 31, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT06672146 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.
-
Tailored exercise program to improve quality of life for adults with hematologic cancers
This pilot trial tests a personalized 16-week exercise program to see if it’s feasible and helpful for adults with acute myeloid leukemia, lymphoma, or multiple myeloma after first-line treatment.
-
Characterization of CD180 Protein Expression in Myeloid Blood C cancers
This study tests how CD180 is presented on myeloid cancer cells and normal stem cells using existing patient samples from AML cases to see if it could help with diagnosis or monitoring.
-
Personalized AML: Find biomarkers to predict response to venetoclax
This study tests whether single-cell analyses can help group AML patients by biology and find biomarkers that predict who will respond to venetoclax.
-
Low-dose Liposomal Amphotericin B for preventing fungal infections in adults with blood cancers and prolonged neutropenia
This study tests whether giving a daily 50 mg dose of liposomal amphotericin B can help prevent invasive fungal infections in adults with blood cancers who have prolonged low white blood cell counts.
-
MAX-40279 with Venetoclax and Azacitidine for unfit newly diagnosed AML
This study tests MAX-40279 added to venetoclax and azacitidine in older or unfit adults newly diagnosed with AML to see if it is safe and shows activity.
-
Venetoclax and Azacitidine Consolidation After Remission in Intermediate-Risk AML
We’re testing if a venetoclax-plus-azacitidine consolidation approach works as well as standard high-dose chemotherapy for adults with intermediate-risk AML who have already achieved remission and are headed to stem cell transplant.
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.