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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 71 Years |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Quetzal Therapeutics Industry-sponsored |
| Locations | 36 sites (Birmingham, Alabama and 35 other locations) |
| Status | Recruiting |
| Started | June 8, 2026 |
| Main results expected | March 2027 |
| Study ends | December 2030 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT07504458 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
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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
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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.
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Combining oral arsenic and ATRA for treating newly diagnosed acute promyelocytic leukemia
This study is testing if a new treatment combining oral arsenic and ATRA can help newly diagnosed patients with acute promyelocytic leukemia live longer and feel better, especially those at high risk.
-
Treatment for Children and Adolescents with Acute Promyelocytic Leukemia
This study is testing a new treatment for children and teenagers with acute promyelocytic leukemia that uses a combination of medications instead of traditional chemotherapy to see if it works better and is safer.
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Using advanced imaging to detect extramedullary myeloid leukemia in newly diagnosed acute myeloid leukemia patients
This study is testing new imaging methods to see if they can help find extramedullary myeloid leukemia in people who have just been diagnosed with acute myeloid leukemia.
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Combining tretinoin and arsenic trioxide with or without gemtuzumab ozogamicin for treating acute promyelocytic leukemia
This study is testing a new combination of treatments for people with acute promyelocytic leukemia to see if it helps them stay healthy longer and improves their chances of recovery without causing more side effects.
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Testing TURALIO(R) for treating hard-to-treat cancers in young people
This study is testing if TURALIO(R) can safely help children and young adults with tough-to-treat cancers by seeing how well it works to shrink tumors or stop them from growing.
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Evaluating first line treatment for adult acute promyelocytic leukemia with ATO and ATRA
This study is testing how well a combination of arsenic trioxide and all-trans retinoic acid works as the first treatment for adults with acute promyelocytic leukemia in Argentina.
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.