Experimental AML combo trial halted early – what happened?
NCT ID NCT03055286
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tested an experimental drug called CWP232291 combined with the standard chemotherapy cytarabine in 15 adults with acute myeloid leukemia (AML) that had returned or not responded to prior treatments. The study aimed to find a safe dose and check for signs of effectiveness, but it was terminated early, so the full results are not available.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CWP232291 (an experimental drug) combined with cytarabine (a standard chemotherapy)
- What this could lead to
- If successful, this combination could offer a new treatment option for people with AML that has come back or not responded to other therapies.
- What could go wrong
- This was a very early, small trial that was terminated early, so we don't know if the drug works or is safe. The results may never be published.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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15 people
The number who actually took part.
- Started
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Feb 2017
- Finished
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Aug 2025
- 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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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. Understands and is willing to sign an informed consent form (ICF) prior to initiation of any study-specific procedure. 2. 18 years of age at the time of consenting. 3. A pathologically confirmed diagnosis of AML by World Health Organization (WHO) classification that is progressing. 4. Has failed (refractory) or relapsed after no more than 2 prior regimens, and for whom for whom no other standard therapy options are available. 5. Subjects with prior autologous and allogeneic hematopoietic stem cell transplantation (allo HSCT) are eligible. 6. Adequate laboratory results including the following: * Serum creatinine ≤ 2.0 mg/dL * Total bilirubin ≤ 1.5 x upper limit of institutional normal (ULN), unless due to Gilbert's syndrome * Aspartate transaminase (AST) or alanine transaminase (ALT) ≤ 3 x ULN, unless due to organ leukemic involvement 7. Eastern Cooperative Oncology Group (ECOG) performance score 0-2. 8. The subject should be off any anticancer therapy including chemotherapy, immunotherapy, radiotherapy, hormonal, biologic or any investigational agents for at least 14 days or 5 half lives, whichever is greater, prior to enrollment with the exception of hydroxyurea. All prior treatment-related non-hematologic toxicities must have resolved to ≤ grade 2 prior to screening. 9. Female subject of childbearing potential (ie, premenopausal or not surgically sterile) must agree to use effective contraception from Day 1 until 28 days after the last dose of study drug, and have a negative serum or urine pregnancy test within 2 weeks prior to Day 1. Sexually active male subjects must also use effective contraception from Day 1 until 90 days after the last dose of any study drug. 10. Female subject must agree not to breastfeed at screening and throughout the study period and for 45 days after the final study drug administration. Female subject must not donate ova starting at screening and throughout the study period and for 45 days after the final study drug administration. 11. Male subject must not donate sperm starting at screening and throughout the study period and for 90 days after the final study drug administration. 12. Agree to adhere to all study protocol requirements. Exclusion Criteria: 1. Subject has BCR-ABL-positive leukemia (Chronic myeloid leukemia \[CML\] in blast crisis). 2. Subject is diagnosed as acute promyelocytic leukemia (APL). 3. Subject has AML secondary to prior chemotherapy. 4. Subject has active clinically significant graft versus host disease (GVHD) or is on treatment with systemic corticosteroids for GVHD (except grade 1 skin GVHD). At least 3 months must have elapsed since completion of allogeneic stem cell transplantation. 5. Subject had a myocardial infarction within 6 months of enrollment, heart failure (New York Heart Association (NYHA) Class III or IV), uncontrolled angina, severe uncontrolled ventricular arrhythmias, left ventricular ejection fraction (LVEF) ≤ 40% or evidence of acute ischemia or active conduction system abnormalities. 6. Presence of a systemic fungal, bacterial, viral or other infection not controlled (defined as exhibiting ongoing signs/symptoms related to the infection and without improvement, despite appropriate antibiotics or other treatment). 7. Known in tolerance and allergy to cytarabine. 8. Active central nervous system (CNS) disease. 9. Known positive status for human immunodeficiency virus (HIV) and/or active hepatitis B or C. 10. Prior exposure to CWP232291. 11. Pregnant or breastfeeding women. 12. Suitable for imminent bone marrow transplant, or within 4 weeks of one. 13. Major surgery within 4 weeks prior to the first study dose. 14. Concurrent other malignancy, unless the patient has been disease-free for at least five years following curative intent therapy, with the following exceptions: (1) adequately treated in-situ carcinoma of cervix; (2) localized basal cell or squamous cell carcinoma of skin; (3) previous malignancy confined and treated locally (surgery or other modality) with curative intent.
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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
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Asan Medical Center
Seoul, Songpa-Gu, South Korea
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Samsung medical center
Seoul, Gangnam-gu, South Korea
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Seoul National University Hospital
Seoul, Jongno-gu, South Korea
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The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of Washington
Seattle, Washington, 98195, United States
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