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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 (Jun 2026). This Phase 1 trial studies STI-8591 for aml, adult.

Phase 1RecruitingZhejiang ACEA Pharmaceutical Co. Ltd.NCT05947344Data as of Jun 2026Location: China

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

Treatments studied

Other

STI-8591

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.

Frequently asked questions

Is NCT05947344 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior anti-tumor therapy, anti-tumor therapy, radiation therapy disqualifies patients from enrollment.

Does this trial require FLT3?

Yes, FLT3 mutation is a required biomarker for enrollment.

Are patients with BCR alterations eligible?

No. BCR ABL 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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