Can an HDAC inhibitor wipe out residual leukemia cells?
NCT ID NCT07822789
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers are studying whether the drug chidamide can help keep high-risk acute myeloid leukemia (AML) in remission when used as maintenance therapy. The trial enrolls adults with specific genetic features and measurable residual disease who are not receiving a stem cell transplant. Participants receive chidamide for at least three months, and the study tracks whether the drug clears residual disease and how long patients stay in remission.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- chidamide, an HDAC inhibitor drug
- What this could lead to
- If chidamide helps, it could offer a maintenance option for high-risk AML patients who cannot receive a stem cell transplant, possibly keeping the disease in remission longer.
- What could go wrong
- This is a small, real-world study of 33 patients, so results may not apply broadly. Chidamide can cause side effects like fatigue, low blood counts, and digestive problems, and it may not clear residual disease in everyone.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
-
33 people
The number who actually took part.
- Started
-
Jul 2026
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
High-risk patients who had completed standard induction and consolidation therapy and achieved complete remission (CR) or CR with incomplete peripheral blood count recovery (CRi), and could not receive allo-HSCT, and had taken chidamide as maintenance therapy for at least 3 months. High-risk patients were defined as those with CFB-AML and MRD positive, or patients with ELN 2022-high risk fusion genes, such as MLL rearrangement, or NUP98 rearrangement, ect.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age range ≥18 years, both male and female were eligible. 2. Patients with CFB-AML and MRD positive, or patients with ELN 2022-high risk fusion genes, such as MLL rearrangement, or NUP98 rearrangement, ect. 3. Use of chidamide-based regimens as maintenance therapy for at least 3 months, without undergoing or not planning to undergo allo-HSCT. 4. ECOG ≤4; 5. At screening, laboratory tests meet the following criteria: (1) Complete blood count: hemoglobin (Hb) ≥90 g/L, absolute neutrophil count (ANC) ≥1.5×10⁹/L, platelet count (PLT) ≥90×10⁹/L; (2) Biochemical tests: serum creatinine (Cr) ≤1.5× upper limit of normal (ULN); total bilirubin (TBIL) ≤1.5×ULN; alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5×ULN (for cases with liver metastasis: ≤5×ULN). Exclusion Criteria: 1. Known history of allergy to the study drug. 2. Resistant to chidamide. 3. Unable to take oral medications. 4. Concurrent uncontrolled active infection (including bacterial, fungal, or viral infections). 5. Concurrent uncontrolled major organ failure. 6. Currently participating in other clinical studies that affected the primary objectives of this study. 7. Patients deemed by the investigators to be unsuitable for participation in this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Department of Hematology, Guangdong Second Provincial General Hospital
Guangzhou, Guangdong, China
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