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Phase 3 Study of Revumenib in Combination with Intensive Chemotherapy in Newly Diagnosed NPM1-mutated AML

This study is evaluating whether adding revumenib to standard chemotherapy is safe and effective for people aged 12 years and older with newly diagnosed acute myeloid leukemia (AML) that has an NPM1 gene mutation. Participants will receive either revumenib or a placebo in combination with standard AML treatment. The study will compare how well the treatments work, including how many participants achieve remission and how long they remain free of disease. Researchers will also monitor side effects and overall safety throughout the study.

What you need to know

Who can take part?

Inclusion criteria

  • Age 12 years or older and weight 40kg or more
  • Newly diagnosed, untreated AML with an NPM1 mutation
  • Eligible for intensive chemotherapy
  • Adequate kidney, liver, and heart function
  • Acceptable performance status
  • WBC count within study limits
  • Negative pregnancy test and contraception use (if applicable)
  • Able to provide informed consent


Exclusion criteria

  • Not eligible for standard AML chemotherapy
  • FLT3 mutation above study limit
  • Prior stem cell or organ transplant
  • Acute promyelocytic leukemia (APL)
  • Active CNS leukemia
  • Significant heart disease or prolonged QT interval
  • Serious gastrointestinal conditions affecting drug absorption
  • Another active cancer requiring treatment
  • Uncontrolled infection, HIV, hepatitis B, or hepatitis C
  • Pregnant or breastfeeding
  • Prior AML-directed therapy (except permitted emergency treatment)
  • Use of prohibited medications or participation in another clinical trial recently/currently


What is involved for me?

Participants who join this study will:

  • Undergo screening tests to confirm eligibility
  • Receive standard chemotherapy for AML
  • Receive either revumenib or placebo in addition to chemotherapy
  • Attend regular study visits, including physical examinations and health assessments
  • Have blood and bone marrow samples collected to monitor their disease and response to treatment
  • Have heart monitoring tests (such as ECGs) and other safety assessments
  • Be monitored for side effects and overall health throughout the study
  • Attend follow-up visits after treatment to assess long-term outcomes and survival
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