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OncoMatch/Clinical Trials/NCT05580861

Sulfasalazine in AML Treated by Intensive Chemotherapy: Elderly Patients-first Line Treatment

Is NCT05580861 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1/2 trial studies Sulfasalazine for acute myeloid leukemia.

Phase 1/2RecruitingAssistance Publique - Hôpitaux de ParisNCT05580861Data as of Jun 2026Location: France

Treatment: SulfasalazineAcute myeloid leukemia (AML) is a heterogeneous clonal myeloid neoplasm where abnormal proliferation and impaired differentiation of hematopoietic stem and myeloid progenitor cells impedes normal hematopoiesis. Sulfasalazine (SSZ) is a broadly available, well tolerated anti-inflammatory medicine approved for the treatment of ulcerative colitis and rheumatoid arthritis. Intact SSZ, but not its metabolites 5-aminosalicylic acid and sulfapyridine, competitively inhibits xCT.21 SSZ is thus an ideal candidate for drug repurposing in AML.The purpose of this phase I study is to evaluate the safety and feasibility of such strategy, provide preliminary signals of efficacy, and identify potential biomarkers

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Extracted eligibility criteria

Treatments studied

Other

Sulfasalazine

Cancer type

Acute Myeloid Leukemia

Biomarker criteria

Excluded: PML PML-RARA fusion transcript

presence of PML-RARA

Excluded: RUNX1 RUNX1-RUNX1T1 fusion transcript

presence of RUNX1-RUNX1T1

Excluded: CBFB CBFB-MYH11 fusion transcript

presence of CBFB-MYH11

Excluded: FLT3 ITD or TKD mutation mandating treatment with midostaurin

Presence of FLT3-ITD or TKD mandating treatment with midostaurin

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Demographics

Ages ≥ 60

Prior therapy

Cannot have received: sulfasalazine (sulfasalazine)

Previous treatment with sulfasalazine in the last 5 years or ongoing treatment with sulfasalazine

Cannot have received: 5-aminosalicylic acid (5-aminosalicylic acid, 5-ASA)

ongoing treatment with 5-aminosalicylic acid (5-ASA) for ulcerative colitis or inflammatory rheumatisms

Cannot have received: anthracycline

Previous treatment by anthracyclines

Cannot have received: cytarabine (cytarabine)

Any contraindication to use cytarabine

Cannot have received: CPX-351 (CPX-351)

Patients planned to received CPX-351 for myelodysplasia-related changes or therapy-related AML

Cannot have received: cytotoxic chemotherapy

Exception: Only hydroxyurea for the control of blood counts is permitted

Concurrent therapy with any cytotoxic drug within 3 weeks before the first study dose. Only hydroxyurea for the control of blood counts is permitted.

Cannot have received: investigational therapy

Administration of any therapy considered investigational (i.e., used for non-approved indications(s) or in the context of a research investigation) within 5 drug half-lives (whichever is longer) prior to the first dose of study drug.

Lab requirements

Kidney function

Estimated GFR ≥ 50 mL/min according to the MDRD equation

Liver function

AST and ALT ≤ 3.0 x ULN; total and direct serum bilirubin ≤ 1.5 x ULN unless considered due to leukemia

AST and Alanine transaminase (ALT) ≤ 3.0 times upper the limit of normal (ULN) and total and direct serum bilirubin ≤ 1.5 x ULN unless considered due to leukemia Estimated glomerular filtration rate (GFR) ≥ 50 mL/min according to the MDRD equation

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

Frequently asked questions

Is NCT05580861 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior sulfasalazine, 5-aminosalicylic acid, anthracycline disqualifies patients from enrollment.

Are patients with PML alterations eligible?

No. PML PML-RARA fusion transcript is an exclusion criterion.

Are patients with RUNX1 alterations eligible?

No. RUNX1 RUNX1-RUNX1T1 fusion transcript 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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