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OncoMatch/Clinical Trials/NCT06523556

Axatilimab With or Without Azacitidine for the Treatment of Patients With Advanced Phase Myeloproliferative Neoplasms, Myeloproliferative Neoplasm/Myelodysplastic Syndrome Overlap or High Risk Chronic Myelomonocytic Leukemia

Is NCT06523556 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Axatilimab and Azacitidine for atypical chronic myeloid leukemia.

Phase 1/2RecruitingUma BorateNCT06523556Data as of May 2026

Treatment: Axatilimab · AzacitidineThis phase Ib/II trial tests the best dose of axatilimab and effectiveness of axatilimab with or without azacitidine for the treatment of patients with advanced phase myeloproliferative neoplasms (MPN), myeloproliferative neoplasm/myelodysplastic syndrome (MPN/MDS) overlap or high risk chronic myelomonocytic leukemia (CMML). Axatilimab is an antibody that is cloned from a single white blood cell that is known to be able to recognize cancer cells and block a protein on the surface of the white blood cells that may be involved in cancer cell growth. By blocking the proteins, this may slow or halt the growth of the cancer. Azacitidine is in a class of medications called antimetabolites. It works by stopping or slowing the growth of cancer cells. Giving axatilimab with or without azacitidine may be safe and effective in treating patients with advanced phase MPN, MPN/MDS overlap or high risk CMML.

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Extracted eligibility criteria

Cancer type

Chronic Myeloid Leukemia

Acute Myeloid Leukemia

Myeloproliferative Neoplasm

Biomarker criteria

Required: SF3B1 mutation

Performance status

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

Prior therapy

Cannot have received: chemotherapy or other antineoplastic agents including lenalidomide and hypomethylating agent (HMAs) such as decitabine or azacitidine or INQOVI (oral decitabine) (lenalidomide, decitabine, azacitidine, INQOVI)

Exception: patients who had up to 2 cycles of hypomethylating agents [HMAs] can be included; previous treatment with hydroxyurea and/or ruxolitinib is permitted

Previous treatment for MPN or MDS/MPN overlap with chemotherapy or other antineoplastic agents including lenalidomide and hypomethylating agent (HMAs) such as decitabine or azacitidine or INQOVI (oral decitabine) (patients who had up to 2 cycles of hypomethylating agents [HMAs] can be included). However, previous treatment with hydroxyurea and/or ruxolitinib is permitted

Lab requirements

Kidney function

Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m^2 (MDRD formula, by local laboratory)

Liver function

AST and ALT ≤ 3 × upper limit of normal (ULN); Total bilirubin ≤ 1.5 × ULN (except in the setting of isolated Gilbert syndrome)

AST and ALT ≤ 3 × upper limit of normal (ULN); Total bilirubin ≤ 1.5 × ULN (except in the setting of isolated Gilbert syndrome); Estimated glomerular filtration rate (eGFR) ≥ 30 mL/min/1.73m^2 (MDRD formula, by local laboratory)

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

US trial sites

  • Ohio State University Comprehensive Cancer Center · Columbus, Ohio

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