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OncoMatch/Clinical Trials/NCT04996875

(Apex) Bezuclastinib in Patients With Advanced Systemic Mastocytosis

Is NCT04996875 recruiting? Yes, currently enrolling (Jun 2026). This Phase 2 trial studies bezuclastinib for advanced systemic mastocytosis (advsm).

Phase 2RecruitingCogent Biosciences, Inc.NCT04996875Data as of Jun 2026Location: International · 14 countries

Treatment: bezuclastinibThis is an open-label, two-part Phase 2 study investigating CGT9486 for the treatment of patients with Advanced Systemic Mastocytosis (AdvSM), including patients with Aggressive SM (ASM), SM with Associated Hematologic Neoplasm (SM-AHN), and Mast Cell Leukemia (MCL).

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Extracted eligibility criteria

Treatments studied

Targeted therapy

bezuclastinib

Cancer type

Myeloproliferative Neoplasm

Acute Myeloid Leukemia

Biomarker criteria

Excluded: FIP1L1 PDGFRA fusion

Known positivity for the FIP1L1 PDGFRA fusion. Patients with eosinophilia without detectable KIT D816V mutation must demonstrate lack of PDGFRA fusion mutation prior to enrollment

Performance status

ECOG 0–3(Limited self-care)

Prior therapy

Cannot have received: cytoreductive therapy

Received any cytoreductive therapy or any investigational agent less than 14 days, and for cladribine, interferon alpha, pegylated interferon, and any antibody therapy less than 28 days, before screening bone marrow biopsy

Cannot have received: hematopoietic growth factor support

Received hematopoietic growth factor support within 14 days before the first dose of study drug

Lab requirements

Blood counts

clinically acceptable local laboratory screening results (clinical chemistry, hematology) within certain limits

Kidney function

clinically acceptable local laboratory screening results (clinical chemistry, hematology) within certain limits

Liver function

clinically acceptable local laboratory screening results (clinical chemistry, hematology) within certain limits

Have clinically acceptable local laboratory screening results (clinical chemistry, hematology) within certain limits

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

US trial sites

  • University of Alabama at Birmingham (UAB) Hospital · Birmingham, Alabama
  • Mayo Clinic Arizona · Phoenix, Arizona
  • City of Hope Comprehensive Cancer Center · Duarte, California
  • UCLA Medical Center · Los Angeles, California
  • Stanford Cancer Institute · Stanford, California

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT04996875 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior cytoreductive therapy, hematopoietic growth factor support disqualifies patients from enrollment.

Are patients with FIP1L1 alterations eligible?

No. FIP1L1 PDGFRA fusion is an exclusion criterion.

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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