New drug combo aims to tame rare childhood leukemia

NCT ID NCT05849662

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times

Summary

This study tests a combination of two drugs, trametinib and azacitidine, for children newly diagnosed with juvenile myelomonocytic leukemia (JMML), a rare blood cancer. Lower-risk patients get just these two drugs, while higher-risk patients also receive standard chemotherapy. The goal is to see if this approach is safe and works better than current treatments. About 58 children and young adults up to age 21 will take part.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

trametinib and azacitidine (with or without fludarabine and cytarabine)

What this could lead to

If successful, this could provide a more effective, risk-adapted treatment for children with JMML, potentially improving survival and reducing side effects.

What could go wrong

This is an early-phase trial with only 58 participants, so results may not apply to all patients. The drug combinations can cause serious side effects like infections and organ damage.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

CBL-related disorder juvenile myelomonocytic leukemia neurofibromatosis type 1

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • C.S. Mott Children's Hospital

    RECRUITING

    Ann Arbor, Michigan, 48109, United States

    Contact

  • Children's Hospital Los Angeles

    RECRUITING

    Los Angeles, California, 900027, United States

    Contact

  • Children's Hospital of Atlanta

    RECRUITING

    Atlanta, Georgia, 30322, United States

    Contact

  • Children's Hospital of Colorado

    RECRUITING

    Denver, Colorado, 80045, United States

    Contact

  • Children's Hospital of Philadelphia

    RECRUITING

    Philadelphia, Pennsylvania, 19104, United States

    Contact

  • Children's Mercy Hospital

    RECRUITING

    Kansas City, Missouri, 64108, United States

    Contact

  • Children's National Medical Center

    RECRUITING

    Washington D.C., District of Columbia, 20010, United States

    Contact

  • Cincinnati Children's Hospital Medical Center

    RECRUITING

    Cincinnati, Ohio, 45229, United States

    Contact

  • Indiana University/Riley Hospital for Children

    RECRUITING

    Indianapolis, Indiana, 46202, United States

    Contact

  • Lurie Children's Hospital of Chicago

    RECRUITING

    Chicago, Illinois, 60611, United States

    Contact

  • Memorial Sloan Kettering Cancer Center

    RECRUITING

    New York, New York, 10065, United States

    Contact

  • Oregon Health & Science University

    RECRUITING

    Portland, Oregon, 97239, United States

    Contact

  • Phoenix Children's Hospital

    RECRUITING

    Phoenix, Arizona, 85016, United States

    Contact

  • Primary Children's Hospital

    RECRUITING

    Salt Lake City, Utah, 84113, United States

    Contact

  • Seattle Children's Hospital

    RECRUITING

    Seattle, Washington, 98105, United States

    Contact

  • Sidney Kimmel Cancer Center at Johns Hopkins

    RECRUITING

    Baltimore, Maryland, 21231, United States

    Contact

  • St. Jude Children's Research Hospital Memphis

    RECRUITING

    Memphis, Tennessee, 38105, United States

    Contact

  • University of California San Francisco

    RECRUITING

    San Francisco, California, 94158, United States

    Contact

  • University of Miami

    RECRUITING

    Miami, Florida, 33136, United States

    Contact