New hope for leukemia patients too sick for chemo?
NCT ID NCT04150029
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested a new drug called sabatolimab combined with two other drugs (azacitidine and venetoclax) in 90 adults with acute myeloid leukemia who were not healthy enough for intensive chemotherapy. The goal was to see if the combination could help patients achieve remission. However, the study 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
- Sabatolimab (MBG453) plus azacitidine and venetoclax
- What this could lead to
- If successful, this combination could offer a new treatment option for AML patients who cannot tolerate standard chemotherapy.
- What could go wrong
- The trial was terminated early, so results are limited. It is a phase 2 study, and the combination may cause serious side effects or not improve outcomes.
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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90 people
The number who actually took part.
- Started
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Sep 2020
- Finished
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Oct 2024
- 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 to 100 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: * Signed informed consent must be obtained prior to participation in the study. * Age ≥ 18 years at the date of signing the informed consent form (ICF) * Newly diagnosed with AML based on 2016 WHO classification (Arber et al 2016) and not suitable for intensive chemotherapy defined as: age ≥75, ECOG performance Status 2 or 3, or any of the following comomorbitities: severe cardiac comorbities (including congestive heart failure, LVEF ≤ 50%, chronic stable Angina) , pulmonary comorbidity (DLCO ≤ 65% or FEVI ≤ 65%). moderate hepatic impairment (with total Bilirubin \>1.5 to 3x ULN) , renal impairment (eGFR≥ 30 ml/min/1.73m\^2 to \<45 ml/min/1.73m\^2), or other comorbidity incompatible with intensive chemotherapy per Investigator assessement and approved by the Novartis Medical monitor) * Not planned for hematopoietic stem-cell transplantation (HSCT) * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 , 2 or 3 Exclusion Criteria: * Prior exposure to TIM-3 directed therapy * History of severe hypersensitivity reactions to any ingredient of study drug(s) (azacitidine, venetoclax or MGB453) or monoclonal antibodies (mAbs) and/or their excipients * Current use or use within 14 days prior to randomization of systemic, steroid therapy (\> 10 mg/day prednisone or equivalent) or any immunosuppressive therapy. Topical, inhaled, nasal, ophthalmic steroids are allowed. Replacement therapy, steroids given in the context of a transfusion are allowed and not considered a form of systemic treatment. * Previous treatment at any time, with any of the following antineoplastic agents, approved or investigational; checkpoint inhibitors, venetoclax and hypomethylating agents (HMAs) such as decitabine or azacitidine. * Active autoimmune disease requiring systemic therapy (e.g.corticosteroids). * Live vaccine administered within 30 Days prior to randomization
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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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25Uni of Alabama at Birmingham
Birmingham, Alabama, 35294, United States
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Chattanooga Onc And Hem Assoc PC
Chattanooga, Tennessee, 37404, United States
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Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Duke Univ Medical Center
Durham, North Carolina, 27710, United States
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Huntsman Cancer Institute Univ of Utah
Salt Lake City, Utah, 84112 0550, United States
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Levine Cancer Insitute Carolinas Healthcare System
Charlotte, North Carolina, 28204, United States
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MD Anderson Cancer Center University of Texas
Houston, Texas, 77030, United States
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Mayo Clinic Rochester
Rochester, Minnesota, 55905, United States
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Memorial Sloan Kettering
New York, New York, 10017, United States
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Novartis Investigative Site
Clayton, Victoria, 3168, Australia
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Novartis Investigative Site
Vancouver, British Columbia, V5Z 1M9, Canada
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Novartis Investigative Site
Toronto, Ontario, M5G 2M9, Canada
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Novartis Investigative Site
Montreal, Quebec, H3T 1E2, Canada
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Novartis Investigative Site
Paris, 75475, France
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Novartis Investigative Site
Toulouse, 31059, France
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Novartis Investigative Site
Leipzig, Saxony, 04103, Germany
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Novartis Investigative Site
Berlin, 13353, Germany
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Novartis Investigative Site
Milan, MI, 20162, Italy
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Novartis Investigative Site
Roma, RM, 00133, Italy
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Novartis Investigative Site
Fukushima, Fukushima, 960 1295, Japan
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Novartis Investigative Site
Yamagata, Yamagata, 990 9585, Japan
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Novartis Investigative Site
Seoul, Seocho gu, 06591, South Korea
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Novartis Investigative Site
Barcelona, 08036, Spain
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Novartis Investigative Site
Madrid, 28009, Spain
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Novartis Investigative Site
Kaohsiung City, 83301, Taiwan
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Uni Of Iowa Hospitals And Clinics
Iowa City, Iowa, 52242, United States
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Weill Cornell Medicine NY-Presb
New York, New York, 10021, United States
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Yale University School Of Medicine
New Haven, Connecticut, 06520, United States
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