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Recruiting Phase 1

A Study of CHM-029 in Participants With NPM1 Mutated, KMT2A or NUP98 Rearranged AML

NCT07751991 · tracked via the Priya Life Science UK tracker
Sponsor
Charm Therapeutics
Phase
Phase 1
Started
2026-09-28
Last updated
2026-10-08

Condition(s) studied

AML (Acute Myeloid Leukemia)

Investigational drug(s) / intervention(s)

CHM-029

CHM-029: oral

Study summary

The goal of this study is to evaluate the safety of CHM-029, an investigational oral medicine, and to evaluate its activity in treating certain types of acute myeloid leukemia (AML) in adults. The main questions the study aims to answer are:

* What is an appropriate dose of CHM-029?
* What side effects may occur with CHM-029?
* How does the body process CHM-029?

Researchers will evaluate increasing dose levels of CHM-029 to better understand its safety and how the body responds to treatment.

Participants will visit the study clinic regularly for safety assessments, blood tests, electrocardiograms (ECGs), and bone marrow evaluations to monitor their health and response to treatment.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
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

Primary outcome measure(s)

  • Number of participants with dose limiting toxicities (DLTs) — Baseline through Day 28
    A DLT is defined as any Adverse Event (AE) which meets DLT criteria, not clearly due to the underlying disease or extraneous causes, that occurs within the DLT observation period.
  • Number of participants with adverse events (AEs) — Baseline through study completion, an average of 3 years
    An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
  • Number of participants with adverse events (AEs) by severity — Baseline through study completion, an average of 3 years
    Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 6.0
  • Number of participants with laboratory value abnormalities and/or adverse events (AEs) — Baseline through study completion, an average of 3 years
    Number of participants with potentially clinically significant laboratory values.
  • Rates of dose modification due to adverse events (AEs) according to NCI CTCAE — Baseline through study completion, an average of 3 years
    Safety and tolerability will be evaluated by dose interruption, modification, and discontinuation due to adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v.6.0
  • Maximum tolerated dose (MTD) and/or optimal biological dose (OBD) of CHM-029 — Baseline through study completion, an average of 3 years
    Maximum tolerated dose or optimal biological dose will be determined by the sponsor based on the Safety Review Committee's recommendation considering the totality of the available clinical safety, clinical efficacy, pharmacokinetics (PK), and pharmacodynamic data

Trial sites (4)

FacilityCityRegionStatus
City of Hope Center Medical Center Duarte California Recruiting
Yale - New Haven Hospital / Cancer Center New Haven Connecticut Recruiting
START Midwest Grand Rapids Michigan Recruiting
Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07751991 on ClinicalTrials.gov ↗ ← All trials in the UK