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Table 2 Summary of select ongoing or planned trials evaluating menin inhibitors combined with standard of care therapies

From: Menin inhibitors for the treatment of acute myeloid leukemia: challenges and opportunities ahead

Age

Phase

Agent

Indication and line of therapy

Combination regimen

Results

Adults > 18 years

I

Ziftomenib (KO-539) KOMET-007 (NCT05735184)

Upfront and R/R AML with KMT2Ar and NPM1m

7 + 3; (Daunorubicin cytarabine); Venetoclax. Azacitidine, and Venetoclax

In accrual

Adults > 18 years

I

Ziftomenib (KO-539) KOMET-008 (NCT06001788)

R/R AML with NPM1m and KMT2Ar, FLT3m

FLAG-IDA; LDAC; Gilteritinib

In accrual

Adults > 18 years

Ib

Revumenib (SNDX-5613) (NCT05886049)

Upfront AML with NPM1m and KMT2Ar

7 + 3 (Daunorubicin cytarabine)

In accrual

Adults > 18 years

I/II

Revumenib (SNDX-5613) SAVE trial (NCT05360160)

Upfront AML with NPM1m and KMT2Ar

ASTX (oral Decitabine-Cedazuridine)

In accrual

Pediatric and young adults 1–30 years

I

Revumenib (SNDX-5613) (NCT06177067)

Upfront AML, ALAL KMT2Ar NUP98r, NPM1m or fusion, PICALM::MLLT10, DEK::NUP214, UBTF-TD, KAT6A::CREBBP, or SET::NUP214

Azacitidine and Venetoclax

In accrual

Children > 12 years, and adults

I/II

Revumenib (SNDX-5613) (NCT06284486)

CR1 or CR2 with detectable MRD NPM1m, or KMT2Ar, or NUP98r AML

Venetoclax

Not yet open

Adults > 18 years

Ib

Revumenib (SNDX-5613) BEAT-AML[74] (NCT03013998)

Upfront AML with NPM1m and KMT2Ar

 

Composite CR(cCR) of 100% (95% CI: 75.3–100)

Adults > 18 years

I

Revumenib (SNDX-5613) (NCT06222580)

R/R AML with NPM1m or KMT2Ar, and FLT3m

Gilteritinib

In accrual

Adults > 18 years

I

Bleximenib (JNJ-75276617(60) (NCT05453903)

R/R AML with NPM1m or KMT2Ar

Azacitidine and Venetoclax

Composite CR(CR/CRh/CRi) of 48% and CR/CRh of 24%

  1. R/R, relapsed/refractory; AML, acute myeloid leukemia; ALL, Acute Lymphoblastic Leukemia; KMT2A, histone-lysine N-methyltransferase 2A; NPM1, nucleophosmin 1; ALAL, acute leukemia of ambiguous lineage; MRD, measurable residual disease; HMA, hypomethylating agent; FLAG-Ida, fludarabine, cytarabine, granulocyte colony stimulating factor-idarubicin; LDAC, low dose cytarabine; ORR, overall response rate; CR, complete remission; Ccr, composite complete remission; CRh, complete remission with partial hematologic recovery; Cri, complete remission with incomplete count recovery; FLT3m, FLT3-ITD and TKD gene mutations