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OncoMatch/Clinical Trials/NCT05947344

A Study to Evaluate the STI-8591 in Subjects With Advanced Acute Myeloid Leukemia (AML)

Is NCT05947344 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies STI-8591 for aml, adult.

Phase 1RecruitingZhejiang ACEA Pharmaceutical Co. Ltd.NCT05947344Data as of May 2026

Treatment: STI-8591This is a first-in-human, dose-escalation and dose-expansion Phase I study to evaluate the safety, tolerability, pharmacokinetics (PK) and efficacy of STI-8591 in subjects with advanced AML who have signed an informed consent form (ICF) and have been screened for enrollment in this study. * Dose escalation phase: rapid titration and conventional 3+3 test design were used to evaluate the safety, dose-limiting toxicity (DLT), maximum tolerated dose (MTD) and PK characteristics of STI-8591. * Dose Expansion Phase: Evaluate the safety, preliminary efficacy and determine the recommended phase II dose (RP2D) of STI-8591 for the treatment of subjects with advanced AML under the conditions of reaching the expanded dose.

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Extracted eligibility criteria

Cancer type

Acute Myeloid Leukemia

Biomarker criteria

Required: FLT3 mutation

Subjects are required to provide FLT3 mutation status testing within 6 months prior to the first dose, and if not, are willing to undergo screening period testing as required by the protocol.

Excluded: BCR ABL fusion

Subjects have BCR-ABL positive leukemia (chronic myelogenous leukemia acute).

Performance status

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

Prior therapy

Must have received: standard therapy

have failed standard therapy or are intolerant of standard therapy

Cannot have received: anti-tumor therapy

Exception: except MDS, MDS/MPN

secondary AML after previous antitumor therapy for other tumors (except MDS, MDS/MPN)

Cannot have received: anti-tumor therapy

Received anti-tumor therapy (including chemotherapy, immunotherapy, endocrine therapy, targeted therapy, etc.) within 28 days or 5 half-lives (whichever is shorter) prior to the first dose.

Cannot have received: radiation therapy

Exception: palliative radiotherapy for symptom control is allowed to be completed at least 7 days prior to the first dose

Received radiotherapy within 14 days prior to the first dose.

Cannot have received: herbal therapy with approved indications for antitumor use

Have received herbal therapy with approved indications for antitumor use within 7 days prior to the first dose.

Cannot have received: CAR-T cell therapy

Received chimeric antigen receptor T-cell immunotherapy (CAR-T) within 3 months prior to the first dose.

Lab requirements

Blood counts

White blood cell count (WBC) ≤ 20 x 10^9 /L (hydroxyurea allowed up to first dose, max 5 g/day, may continue up to 28 days after first dose at investigator discretion)

Kidney function

eGFR > 50 mL/min (Cockcroft-Gault or 24-hour urine)

Liver function

ALT ≤ 2.5 x ULN (≤ 5 x ULN if liver involvement is known); AST ≤ 2.5 x ULN (≤ 5 x ULN if liver involvement is known); Total bilirubin ≤ 1.5 x ULN (< 3.0 x ULN if diagnosed with Gilbert's syndrome)

Cardiac function

QTcF interval >450 msec (Fridericia formula) [excluded]; LVEF <45% [excluded]

White blood cell count (WBC) ≤ 20 x 10^9 /L [...]. ALT ≤ 2.5 x ULN (≤ 5 x ULN if liver involvement is known). AST ≤ 2.5 x ULN (≤ 5 x ULN if liver involvement is known) Total bilirubin (TBIL) ≤ 1.5 x ULN (< 3.0 x ULN if diagnosed with Gilbert's syndrome) Estimated glomerular filtration rate (eGFR, calculated according to the Cockcroft-Gault formula or by measuring 24-hour urine) > 50 mL/min.

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

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