Clinical trial Recruiting at 36 sites Phase 3 Interventional Ages 18 to 71

QTX-2101 (oral arsenic) plus ATRA for adults with low- or intermediate-risk APL

Official title: A Pivotal Open-label Phase 3 Clinical Study Evaluating the Efficacy and Safety of QTX-2101 in Combination With All-trans Retinoic Acid in Newly Diagnosed, Low-risk Acute Promyelocytic Leukemia

Run by Quetzal Therapeutics · NCT07504458 · Data updated 2026-11-12

This Phase 3 trial tests whether an oral arsenic capsule (QTX-2101) combined with ATRA works well and is safe for adults aged 18–70 with newly diagnosed low- or intermediate-risk acute promyelocytic leukemia.

More Acute Promyelocytic Leukemia With PML-RARA trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years to 71 Years
SexAll
Enrollment150 (estimated)
SponsorQuetzal Therapeutics
Industry-sponsored
Locations36 sites (Birmingham, Alabama and 35 other locations)
StatusRecruiting
StartedJune 8, 2026
Main results expectedMarch 2027
Study endsDecember 2030
Registry record updatedOctober 30, 2026
Trial IDNCT07504458 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 to under 71 with newly diagnosed, low- or intermediate-risk APL confirmed by t(15;17) or PML-RARA who can comply with study visits, tests, and contraception guidance are ideal candidates.

Probably not a fit

Patients with high-risk APL, central nervous system leukemia, significant cardiac rhythm problems, uncontrolled infections or severe organ disease, or those who are pregnant or breastfeeding are unlikely to benefit or be eligible.

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

What this trial studies

This open-label Phase 3 study enrolls adults with newly diagnosed low- or intermediate-risk APL confirmed by t(15;17) or PML-RARA. Participants will receive either an oral capsule formulation of arsenic (QTX-2101) plus ATRA or standard IV arsenic trioxide (ATO) plus ATRA according to protocol dosing schedules. The study will track remission rates, safety events, and the pharmacokinetics of the oral formulation with regular clinic visits, laboratory tests, and ECG monitoring. The goal is to determine whether the oral option can match the effectiveness and safety of IV ATO while offering more convenient administration.

Why it matters

Potential benefit: If successful, an effective oral arsenic option could reduce or eliminate the need for IV infusions and make treatment more convenient for patients.

How similar studies have gone: ATRA plus IV ATO is an established, highly effective treatment for low-risk APL, while oral arsenic formulations have shown promise in earlier work but have less large-scale phase 3 evidence so far.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Informed Consent
2. Participants must be between 18 and under 71 years of age
3. Participants must have a confirmed diagnosis of APL proven by standard genetic testing (t(15;17) or PML-RARA)
4. Participants must be classified as low- or intermediate-risk APL
5. Participants must be willing and able to comply with the scheduled study visits, treatment plans, laboratory tests, contraception guidance, and other procedures

Exclusion Criteria

1. Participants who have significant heart rhythm problems including long QT syndrome, serious arrhythmias, very slow heart rate, or prolonged QTc on ECG
2. Participants who have central nervous system leukemia
3. Participants having serious ongoing medical conditions or infections including uncontrolled infections, severe organ disease, or conditions that make study participation unsafe
4. Participants who are pregnant, breastfeeding, or unwilling to use contraception
5. Participants who are unable to safely take study medication, including severe neuropathy, inability to swallow oral medication, malabsorption issues, or known allergy to ATO or ATRA

Where it's running

  • University of Alabama at Birmingham (UAB)
    Birmingham, Alabama, United States
    Recruiting
  • City of Hope Comprehensive Cancer Center
    Duarte, California, United States
    Recruiting
  • University of California, Irvine
    Irvine, California, United States
    Recruiting
  • USC Norris Comprehensive Cancer Center
    Los Angeles, California, United States
    Recruiting
  • UCI Health - UCI Medical Center
    Orange, California, United States
    Recruiting
  • Stanford University School of Medicine
    Stanford, California, United States
    Recruiting
Show 30 more locations
  • Augusta University Medical Center
    Augusta, Georgia, United States
    Recruiting
  • University of Kentucky Markey Cancer Center
    Lexington, Kentucky, United States
    Recruiting
  • University of Maryland Medical Center
    Baltimore, Maryland, United States
    Recruiting
  • Johns Hopkins Kimmel Cancer Center
    Baltimore, Maryland, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Roswell Park Comprehensive Cancer Center
    Buffalo, New York, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York, United States
    Recruiting
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina, United States
    Recruiting
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio, United States
    Recruiting
  • Sarah Cannon Research Institute at TriStar Centennial Medical Center
    Nashville, Tennessee, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • University of Virginia Health
    Charlottesville, Virginia, United States
    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Bordeaux - Groupe Hospitalier Sud, Centre François Magendie
    Bordeaux, France
    Recruiting
  • CHU Grenoble Alpes - Hôpital Michallon
    La Tronche, France
    Recruiting
  • Centre Hospitalier Régional Universitaire (CHRU) de Nancy - Hôpitaux de Brabois
    Nancy, France
    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Nice - Hôpital de l'Archet 1
    Nice, France
    Recruiting
  • Assistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Saint-Louis
    Paris, France
    Recruiting
  • Centre Hospitalier Universitaire (CHU) de Saint-Étienne - Hôpital Nord
    Saint-Priest-en-Jarez, France
    Recruiting
  • Hôpitaux Universitaires de Strasbourg
    Strasbourg, France
    Recruiting
  • Hospital Tor Vergata Roma
    Roma, Italy
    Recruiting
  • Azienda ULSS 8 Berica - Ospedale San Bortolo
    Vicenza, Italy
    Recruiting
  • Institutul Oncologic "Prof. Dr. Ion Chiricuță"
    Cluj-Napoca, Romania
    Recruiting
  • Hospital Universitari Son Espases
    Palma de Mallorca, Balearic Islands, Spain
    Recruiting
  • Institut Català d'Oncologia (ICO) Badalona - Hospital Universitari Germans Trias i Pujol
    Badalona, Spain
    Recruiting
  • Hospital Universitari Vall d'Hebron
    Barcelona, Spain
    Recruiting
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, Spain
    Recruiting
  • Hospital Universitario San Pedro de Alcántara
    Cáceres, Spain
    Recruiting
  • Hospital Regional Universitario de Málaga
    Málaga, Spain
    Recruiting
  • Hospital Universitario Central de Asturias
    Oviedo, Spain
    Recruiting
  • Hospital Universitario y Politécnico La Fe
    Valencia, Spain
    Recruiting

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.