New hope for kids with leukemia: drug trial targets cancer control
NCT ID NCT07354074
First seen Jun 27, 2026 · Last updated Sep 03, 2026 · Updated 7 times
Summary
This study tests a drug called asciminib in children aged 1 to 18 with a specific leukemia (Ph+ CML-CP). The goal is to see if the drug can control the cancer by reducing the number of cancer cells. About 50 children will take the drug, and researchers will check how well it works and if it is safe. This is not a cure, as children will need to keep taking the drug to manage their disease.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Feb 2033
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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1 year to 18 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.
Key Inclusion Criteria: Participants eligible for inclusion in this study must meet all of the following criteria: 1. Signed informed consent must be obtained prior to participation in the study. 2. Male or female participants 1 and \< 18 years of age at study enrollment 3. Diagnosis of CML-CP (Apperley et al 2025) with cytogenetic confirmation of Philadelphia positive (Ph+) chromosome 4. For participants with CML-CP newly diagnosed within 3 months of screening OR 5 For participants with CML - CP with high risk of developing resistance or intolerance to previous TKI: 1. Unfavourable response to TKI is defined following the Apperley et al 2025 guidelines as: * At three months after the initiation of therapy: BCR::ABL1 ratio \> 10% IS (if confirmed within 1-3 months) * At six months after the initiation of therapy: BCR::ABL1 ratio \> 10% IS * At twelve months after initiation of therapy: BCR::ABL1 ratio \> 1% IS * At any time loss of previous response * At any time emergent resistant BCR::ABL1 mutations or high-risk ACA from prior TKI treatment as per local test results 2. Intolerance to TKI is defined as: * Non-hematologic intolerance: participants with grade 3 or 4 toxicity while on therapy (in which case the patient is eligible whether or not there was a dose reduction); or with persistent grade 2 toxicity unresponsive to optimal management including dose adjustments (unless dose reduction is not considered in the best interest of the patient if response is already suboptimal) * Hematologic intolerance: participants with grade 3 or 4 toxicity (absolute neutrophil count \[ANC\] or platelets) while on therapy that is recurrent after dose reduction to the lowest doses of the TKI 6\. Evidence of typical BCR::ABL1 transcript \[e14a2 and/or e13a2\] at the time of screening which are amenable to standardized RQ-PCR quantification. 7\. Performance status: Karnofsky ≥ 50% for participants ≥ 16 years of age, and Lansky ≥ 50 for participants \< 16 years of age at the time of screening. Key Exclusion Criteria: 1. Known second chronic phase (CP) of CML after previous progression to Accelerated Phase (AP)/Blast Phase (BP). 2. Previous treatment with a hematopoietic stem-cell transplantation. 3. Patient planned to undergo allogeneic hematopoietic stem cell transplantation 4. Known presence of a BCR::ABL1 mutation with known resistance to study treatment in accordance with the most recent public version of international CML clinical guidelines (e.g. NCCN CML treatment guidelines v 1.2026 and Apperley et al 2025) any time prior to study entry Other inclusion/exclusion criteria may apply.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
30 sites in 13 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cinn Children Hosp Medical Center
RECRUITINGCincinnati, Ohio, 45229-3039, United States
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Columbia University Medical Center New York Presbyterian
RECRUITINGNew York, New York, 10032, United States
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Novartis Investigative Site
RECRUITINGBrisbane, Queensland, 4101, Australia
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Novartis Investigative Site
RECRUITINGNorth Adelaide, South Australia, 5066, Australia
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Novartis Investigative Site
RECRUITINGRio de Janeiro, Rio de Janeiro, 20211-030, Brazil
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Novartis Investigative Site
RECRUITINGBarretos, São Paulo, 14784-400, Brazil
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Novartis Investigative Site
RECRUITINGSão Paulo, São Paulo, 04829-310, Brazil
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Novartis Investigative Site
RECRUITINGEdmonton, Alberta, T6G 1C9, Canada
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Novartis Investigative Site
RECRUITINGMontreal, Quebec, H3T 1C5, Canada
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Novartis Investigative Site
RECRUITINGZhengzhou, Henan, 450003, China
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Novartis Investigative Site
RECRUITINGTianjin, 300020, China
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Novartis Investigative Site
RECRUITINGMarseille, 13885, France
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Novartis Investigative Site
RECRUITINGParis, 75019, France
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Novartis Investigative Site
RECRUITINGPoitiers, 86021, France
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Novartis Investigative Site
RECRUITINGStrasbourg, 67000, France
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Novartis Investigative Site
RECRUITINGFrankfurt am Main, Hesse, 60590, Germany
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Novartis Investigative Site
RECRUITINGErlangen, 91054, Germany
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Novartis Investigative Site
RECRUITINGRoma, RM, 00165, Italy
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Novartis Investigative Site
RECRUITINGYokohama, Kanagawa, 2328555, Japan
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Novartis Investigative Site
RECRUITINGFukuoka, 8128582, Japan
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Novartis Investigative Site
RECRUITINGSaitama, 3308777, Japan
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Novartis Investigative Site
RECRUITINGUtrecht, 3584 CS, Netherlands
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Novartis Investigative Site
RECRUITINGGdansk, 80-214, Poland
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Novartis Investigative Site
RECRUITINGWroclaw, 50-556, Poland
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Novartis Investigative Site
RECRUITINGSeoul, 03080, South Korea
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Novartis Investigative Site
RECRUITINGSeoul, 06591, South Korea
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Novartis Investigative Site
RECRUITINGBarcelona, 08035, Spain
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Novartis Investigative Site
RECRUITINGMadrid, 28009, Spain
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Rutgers Cancer Institute of New Jersey
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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Seattle Childrens Hospital
RECRUITINGSeattle, Washington, 98105, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a calming drug make cord blood transplants safer?
- Can a new pill outsmart leukemia that resists standard drugs?
- Real-World check: does bosutinib control CML safely?
- New transplant recipe aims to tame Graft-Versus-Host disease
- Suicide Gene-Equipped t cells aim to make stem cell transplants safer
- New drug combo aims to make stem cell transplants safer for blood cancer patients