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OncoMatch/Clinical Trials/NCT04925479

Study to Determine the Dose and Safety of Asciminib in Pediatric Patients With Chronic Myeloid Leukemia

Is NCT04925479 recruiting? Yes, currently enrolling (Sep 2026). This Phase 1/2 trial studies multiple treatments including Asciminib Pediatric formulation group and Asciminib Adult formulation group for myeloid leukemia, philadelphia positive.

Phase 1/2RecruitingNovartis PharmaceuticalsNCT04925479Data as of Sep 2026Location: International · 14 countries

Treatment: Asciminib Pediatric formulation group · Asciminib Adult formulation groupThe aim of this study is to support development of asciminib in the pediatric population (1 to \<18 years) previously treated with one or more TKIs. Full extrapolation of the efficacy of asciminib from adult to pediatric patients will be conducted. Full extrapolation is based on the concept that CML in the pediatric population has the same pathogenesis, similar clinical characteristics and progression pattern as in adults.

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Extracted eligibility criteria

Treatments studied

Other

Asciminib Pediatric formulation groupAsciminib Adult formulation group

Cancer type

Acute Myeloid Leukemia

Biomarker criteria

Required: ABL1 bcr-abl1 fusion

Evidence of typical BCR::ABL1 transcript [e14a2 and/or e13a2] at the time of screening which are amenable to standardized RQ-PCR quantification

Excluded: ABL1 t315i

Known presence of the T315I mutation prior to study entry

Excluded: ABL1 mutation with known resistance to study treatment

BCR::ABL mutation with known resistance to study treatment any time prior to study entry

Disease stage

Required: Stage CHRONIC PHASE

Excluded: Stage SECOND CHRONIC PHASE AFTER PREVIOUS PROGRESSION TO AP/BC

chronic phase; Known second chronic phase of CML after previous progression to AP/BC [excluded]

Demographics

Ages 1–17

Prior therapy

Min 1 prior line

Must have received: tyrosine kinase inhibitor

Prior treatment with a minimum of one TKI

Cannot have received: hematopoietic stem cell transplantation

Previous treatment with a hematopoietic stem-cell transplantation

Lab requirements

Blood counts

< 15% blasts in peripheral blood and bone marrow; < 30% combined blasts plus promyelocytes in peripheral blood and bone marrow; < 20% basophils in the peripheral blood; Neutrophils ≥ 1.5 x 10^9/L (or WBC ≥ 3 x 10^9/L if neutrophils are not available) and platelet count ≥ 100 x 10^9/L

Kidney function

adequate renal function

Liver function

adequate hepatic function; history of acute or chronic liver disease [excluded]

Cardiac function

adequate cardiac function; cardiac or cardiac repolarization abnormality [excluded]

Participants must have adequate renal, hepatic, pancreatic and cardiac function; Karnofsky ≥ 50% for patients ≥ 16 years of age, and Lansky ≥ 50 for patients < 16 years of age; laboratory values at the screening visit; cardiac or cardiac repolarization abnormality [excluded]; history of acute or chronic liver disease [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Indiana UH Riley H for CIU · Indianapolis, Indiana
  • Dana Farber Cancer Institute · Boston, Massachusetts
  • University of Mississippi Medical Center · Jackson, Mississippi
  • Columbia University Medical Center New York Presbyterian · New York, New York
  • Cinn Children Hosp Medical Center · Cincinnati, Ohio

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT04925479 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior hematopoietic stem cell transplantation disqualifies patients from enrollment.

Does this trial require ABL1?

Yes, ABL1 bcr-abl1 fusion is a required biomarker for enrollment.

Are patients with ABL1 alterations eligible?

No. ABL1 t315i is an exclusion criterion.

Are patients with ABL1 alterations eligible?

No. ABL1 mutation with known resistance to study treatment is an exclusion criterion.

What disease stage is eligible?

Stage CHRONIC PHASE is required.

Is there an age limit?

Yes. Patients must be 17 years or younger and at least 1 years old.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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