New drug cocktail targets rare blood cancer in promising trial
NCT ID NCT04216524
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 2 times
Summary
This study tests a new treatment plan for people with a rare and aggressive blood cancer called BPDCN. The plan combines two targeted drugs (tagraxofusp and venetoclax) with standard chemotherapy to kill cancer cells. The goal is to see if this combination can control the disease longer and help more patients achieve remission. About 40 adults with newly diagnosed or returning BPDCN will take part.
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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 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2020
- Expected to finish
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Dec 2026
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.
- Ages
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18 years and older
- 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. Treatment naïve or relapsed refractory patients with histologically confirmed diagnosis of blastic plasmacytoid dendritic cell neoplasm (BPDCN) per 2016 WHO criteria 2. Front line participants may have received emergent chemotherapy prior to study enrollment: 1. One prior cycle of SL-401, or other BPDCN-directed therapy, will be allowed prior to entering the study. 2. Prior or concomitant doses of ARA-C (cytarabine) or Hydroxyurea are allowed on before or during the study for proliferative disease due to BPDCN. 3. Relapsed/refractory participants may have received at least one prior cycle of therapy. 4. Age ≥ 18 years 5. ECOG performance status 0, 1, or 2 (see APPENDIX B) 6. Adequate organ function as defined by: * Albumin ≥ 3.2 g/dL (in the absence of receipt of intravenous albumin in the previous 72 hours) * Serum creatinine \< 1.5x ULN * Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \< 2.5x ULN * Total bilirubin \< 1.5x ULN (if total bilirubin is \> 1.5x but \< 3x ULN, and thought to be elevated due to Gilbert's disease or the patient's BPDCN, the subject may be eligible but must discuss with the PI) 7. Ability to understand and the willingness to sign a written informed consent document. 8. Able to adhere to study visit schedule and other protocol requirements including follow-up for survival assessment 9. Women of child-bearing potential and men enrolled on this protocol must agree to use adequate contraception for the duration of study participation and for 2 months after completion VEN administration. Acceptable birth control methods allowed to be used while on study include: * Birth control pills or injections * Intrauterine devices (IUDs) * Double-barrier methods for example condom in combination with spermicide. Males should not donate sperm while on study and for at least 8 weeks after the last dose of SL-401. 10. Left ventricular ejection fraction ≥ institutional lower limit of normal by MUGA scan or echocardiogram within 30 days of first protocol treatment. Exclusion Criteria: 1. Participants is pregnant or breastfeeding 2. Known active hepatitis B or C infection, or known seropositivity for human immunodeficiency virus (HIV) 3. Major surgery or radiation therapy within 14 days prior to the first study dose 4. Symptomatic or untreated leptomeningeal disease or spinal cord compression 5. Participants with active heart disease (New York Heart Association (NYHA) class 3-4 as assessed by history and physical examination, unstable angina/stroke/myocardial infarction within the last 6 months) 6. Malabsorption syndrome or other conditions that preclude enteral route of administration 7. Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that in the opinion of the investigator may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and/or would make the participants inappropriate for enrollment into 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.
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
1 site. 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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M D Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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