New hope for AML patients: targeted drug ziftomenib enters final testing phase
NCT ID NCT07007312
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 6 times
Summary
This large Phase 3 trial is testing whether adding the experimental drug ziftomenib to standard chemotherapy helps people with untreated acute myeloid leukemia (AML) who have specific genetic mutations. About 1,300 participants will be randomly assigned to receive either ziftomenib or a placebo alongside their regular treatment. The study is double-blind, meaning neither patients nor doctors know who gets the real drug.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ziftomenib
- What this could lead to
- If successful, this could lead to a new targeted treatment option for people with certain genetic types of AML, potentially improving survival and remission rates.
- What could go wrong
- This is a large Phase 3 trial, but the drug is still investigational. It may not prove more effective than standard therapy, and side effects from combining drugs are possible.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 1,300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2025
- Expected to finish
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Nov 2031
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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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.
Key Inclusion Criteria: The following criteria apply to both the Nonintensive Therapy Study and the Intensive Therapy Study unless otherwise noted: * Age ≥18 years at time of signing the informed consent form. * Diagnosis of AML per the 2022 WHO Classification of Hematolymphoid Tumors (5th Edition). * Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2. * Adequate liver and kidney function according to protocol requirements. * A female of childbearing potential must agree to use adequate contraception from the time of screening through 180 days following the last dose of study intervention. A male with a female partner of childbearing potential must agree to use abstinence or adequate contraception from the time of screening through 90 days following the last dose of study intervention. * NONINTENSIVE THERAPY STUDY ONLY (VEN+AZA): 1. Documented NPM1-m. 2. Patients considered ineligible for Intensive Therapy defined by the following: * i. Age ≥75, OR * ii. Age \<75 with an ECOG performance status of 2 or cardiac, renal, or hepatic impairment per protocol criteria. * INTENSIVE THERAPY STUDY ONLY (7+3): 1. Documented NPM1-m or KMT2A-r (KMT2A-r patients with a partial tandem duplication are not eligible). 2. Documented FLT3 wild-type or ITD ratio \<0.05 OR ineligible to receive FLT3-targeted therapy (medically ineligible or mutation in which FLT3 inhibition is not SOC). Lack of access to an FLT3 inhibitor is not considered "ineligible" for FLT3-targeted therapy. 3. Ejection fraction of ≥50%. 4. Fit for Intensive Therapy per Investigator opinion. Key Exclusion Criteria: * Prior therapy for AML (except hydroxyurea or leukapheresis for WBC control). * Diagnosis of acute promyelocytic leukemia (APL), blast phase chronic myeloid leukemia, or isolated myeloid sarcoma. * Known history of BCR-ABL mutation. * History of other active concurrent malignancies prior to study entry except: 1. Basal cell skin cancer or localized squamous cell cancer of the skin 2. Previous malignancy confined and locally resected (or treated with other modalities) with curative intent 3. Prostate or breast cancer receiving adjuvant hormonal therapy. * Active central nervous system (CNS) involvement by AML. * Clinical signs/symptoms of leukostasis or white blood cells (WBC) \>25×10\^9/L prior to start of ziftomenib/placebo. Note: Hydroxyurea and/or leukapheresis are permitted to meet this criterion. * Known uncontrolled HIV infection or known active hepatitis B virus, hepatitis C virus infection, or other uncontrolled infection. * Uncontrolled intercurrent illness including but not limited to, cardiac illness as defined in the protocol. * Women who are pregnant or lactating.
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute myeloid leukemia (AML) are added.
Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
115 sites in 16 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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ASST Spedali Civili di Brescia
RECRUITINGBrescia, Lombardy, 25123, Italy
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ASUGI Ospedale Maggiore di Trieste
RECRUITINGTrieste, Friuli Venezia Giulia, 76038, Italy
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Algemeen Ziekenhuis Delta VZW
RECRUITINGRoeselare, West-Vlaanderen, 8800, Belgium
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Algemeen Ziekenhuis Sint-Jan Brugge
RECRUITINGBruges, West-Vlaanderen, 8800, Belgium
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Anam Hospital Korea University
RECRUITINGSeoul, Seoul-T'Ukpyolsi, 02841, South Korea
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Attikon University General Hospital of Athens
RECRUITINGChaïdári, Attica, 12462, Greece
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Azienda Ospedaliero-Universitaria
RECRUITINGPerugia, Umbria, 42270, Italy
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Azienda Sanitaria Territoriale di Ascoli Piceno
RECRUITINGAscoli Piceno, The Marches, 63100, Italy
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Baguio General Hospital and Medical Center
RECRUITINGBaguio City, Benguet, 02600, Philippines
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Banner MD Anderson Cancer Center
RECRUITINGGilbert, Arizona, 85234, United States
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Baptist Clinical Research Institute
RECRUITINGMemphis, Tennessee, 38120, United States
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Box Hill Hospital
RECRUITINGHeidelberg, Victoria, 3128, Australia
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Calvary Mater Newcastle
RECRUITINGWaratah, New South Wales, 02298, Australia
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Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Centre Henri Becquerel
RECRUITINGRouen, Normandy, 76038, France
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Centre Hospitalier Régional Verviers East Belgium
RECRUITINGVerviers, Walloonia, 4800, Belgium
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Centre Hospitalier Régional et Universitaire de Nancy Hôpitaux de Brabois
RECRUITINGVandœuvre-lès-Nancy, Grand Est, 54510, France
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Centre Hospitalier Universitaire Estaing - Clermont-Ferrand
RECRUITINGClermont-Ferrand, Auvergne-Rhône-Alpes, 63003, France
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Centre Hospitalier Universitaire de Bordeaux
RECRUITINGPessac, New Aquitaine, 33604, France
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Centre Hospitalier Universitaire de Marseille - Hôpital de la Conception
RECRUITINGMarseille, Provence-Alpes-Côte d'Azur Region, 13385, France
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Centre Hospitalier Universitaire de Nantes
RECRUITINGNantes, Loire-Atlantique, 44000, France
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Centre Hospitalier Universitaire de Saint Etienne
RECRUITINGSaint-Priest-en-Jarez, Auvergne-Rhône-Alpes, 42270, France
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Centre Hospitalier de Béziers
RECRUITINGBéziers, Occitanie, 35400, France
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Centre Hospitalier de Roubaix
RECRUITINGLille, Nord, 59000, France
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Centre Hospitalier de Versailles
RECRUITINGLe Chesnay, Île-de-France Region, 78150, France
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Chang Bing Show Chwan Memorial Hospital
RECRUITINGLugang, Central Taiwan, 505, Taiwan
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Chonnam National University Hwasun Hospital
RECRUITINGHwasun, Jeollanam-do, 58128, South Korea
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Chungnam National University Daejeon Hospital
RECRUITINGDaejeon, Daejeon Gwang'Yeogsi, 35015, South Korea
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Colorado Blood Cancer Institute
RECRUITINGDenver, Colorado, 80218, United States
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Columbia University
RECRUITINGNew York, New York, 10032, United States
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Daegu Catholic University Hospital
RECRUITINGDaegu, Gyeongsangbuk-do, 42472, South Korea
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Dong-A University Hospital
RECRUITINGPusan, Gyeongsangnam-do, 49201, South Korea
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Duke University Medical Center
RECRUITINGDurham, North Carolina, 27710, United States
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Fakultni Nemocnice Ostrava
RECRUITINGOstrava-Poruba, Moravian-Silesian, 70852, Czechia
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Fakultní Nemocnice Královské Vinohrady
RECRUITINGPrague, Prague, 10034, Czechia
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Fiona Stanley Hospital
RECRUITINGMurdoch, Western Australia, 6150, Australia
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Froedtert & Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Gachon University Gil Medical Center
RECRUITINGNamdong, Incheon Gwang'Yeogsi, 21565, South Korea
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General Hospital of Thessaloniki G. Papanikolaou
RECRUITINGExochi, Central Macedonia, 57010, Greece
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Groupe Hospitalier de la Region de Mulhouse et Sud Alsace Hôpital Emile Muller
RECRUITINGMulhouse, Grand Est, 68100, France
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Hartford HealthCare Cancer Institute
RECRUITINGHartford, Connecticut, 06106, United States
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Helios Klinikum Bad Saarow
RECRUITINGBad Saarow, Brandenburg, 15526, Germany
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Hospital Clinico Universitario Lozano Blesa
RECRUITINGZaragoza, Aragon, 50009, Spain
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Hospital Clinico Universitario de Valencia
RECRUITINGValencia, València, 46010, Spain
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Hospital General Universitario de Albacete
RECRUITINGAlbacete, Castille-La Mancha, 02006, Spain
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Hospital Santa Maria delle Croci
RECRUITINGRavenna, Emilia-Romagna, 48121, Italy
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, Madrid, 28041, Spain
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Hospital Universitario Central de Asturias
RECRUITINGOviedo, Principality of Asturias, 33011, Spain
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Hospital Universitario De Burgos
RECRUITINGBurgos, Castille and León, 09006, Spain
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Hospital Universitario Fundación Jiménez Díaz
RECRUITINGMadrid, Madrid, 28040, Spain
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Hospital Universitario Infanta Leonor
RECRUITINGMadrid, Madrid, 28031, Spain
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Hospital Universitario Y Politecnico La Fe
RECRUITINGValencia, València, 46026, Spain
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Hospital de Braga, Centro Clínico Académico de Braga
RECRUITINGBraga, 1099-023, Portugal
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Hôpital Avicenne
RECRUITINGBobigny, Île-de-France Region, 93009, France
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Hôpital Lyon Sud
RECRUITINGPierre-Bénite, Auvergne-Rhône-Alpes, 69495, France
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Hôpital Pitié-Salpêtrière
RECRUITINGParis, Île-de-France Region, 75013, France
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Hôpital Saint Louis
RECRUITINGParis, Île-de-France Region, 75010, France
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Hôpital Universitaire Henri Mondor
RECRUITINGCréteil, Val-de-Marne, 94010, France
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Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10003, United States
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Institut Gustave Roussy
RECRUITINGVillejuif, Val-De-Marne, 94805, France
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L'IRCCS Azienda Ospedaliero - Universitaria di Bologna
RECRUITINGBologna, Emilia-Romagna, 40138, Italy
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Laiko General Hospital of Athens
RECRUITINGAthens, Attica, 11527, Greece
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Moffitt Cancer Center & Research Institute
RECRUITINGTampa, Florida, 33612, United States
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National Taiwan University Hospital
RECRUITINGTaipei, Northern Taiwan, 10002, Taiwan
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Ohio State University
RECRUITINGColumbus, Ohio, 43210, United States
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Pusan National University Hospital
RECRUITINGBusan-si, Gyeongsangnam-do, 49241, South Korea
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Royal Victoria Hospital
RECRUITINGMontreal, Quebec, H4A3J1, Canada
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Rutgers Biomedical and Health Sciences
RECRUITINGNew Brunswick, New Jersey, 08903, United States
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Samsung Medical Center
RECRUITINGSeoul, Seoul-T'Ukpyolsi, 35015, South Korea
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St. Bartholomew's Hospital
NOT_YET_RECRUITINGLondon, England, EC1A 7BE, United Kingdom
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St. George's, University of London
NOT_YET_RECRUITINGLondon, England, SW17 0QT, United Kingdom
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St. Luke's Medical Center - Quezon City
RECRUITINGQuezon City, National Capital Region, 1112, Philippines
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State University of New York at Buffalo
RECRUITINGBuffalo, New York, 14263, United States
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Szpital Wojewodzki w Opolu
RECRUITINGOpole, Opole Voivodeship, 45-061, Poland
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Taichung Veterans General Hospital
RECRUITINGTaichung, Central Taiwan, 407, Taiwan
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Taipei Veterans General Hospital
RECRUITINGTaipei, Northern Taiwan, 613, Taiwan
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Tennessee Oncology
RECRUITINGNashville, Tennessee, 37203, United States
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Texas Oncology - San Antonio Medical Center
RECRUITINGSan Antonio, Texas, 78240, United States
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Texas Oncology-Austin Midtown
RECRUITINGAustin, Texas, 78705, United States
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Texas Oncology-Presbyterian Cancer Center
RECRUITINGDallas, Texas, 75231, United States
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The Catholic University of Korea Seoul St. Mary's Hospital
RECRUITINGSeoul, Seoul-T'Ukpyolsi, 06591, South Korea
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The Medical City
RECRUITINGPasig, National Capital Region, 1605, Philippines
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TriStar Centennial Medical Center
RECRUITINGNashville, Tennessee, 37203, United States
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Ulsan University Hospital
RECRUITINGUlsan, Gyeongsangnam-do, 44033, South Korea
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Universitair Ziekenhuis Brussel
RECRUITINGJette, Brussels Capital, 1090, Belgium
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Universitair Ziekenhuis Gent
RECRUITINGGhent, Oost-Vlaanderen, 9000, Belgium
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University General Hospital of Alexandroupoli
RECRUITINGAlexandroupoli, East Macedonia and Thrace, 68100, Greece
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University General Hospital of Ioannina
RECRUITINGIoannina, Epirus, 45500, Greece
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University Hospital Virgen Del Rocio S.L.
RECRUITINGSeville, Andalusia, 41013, Spain
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University of California, Fresno
RECRUITINGClovis, California, 93611, United States
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University of California, Irvine
RECRUITINGOrange, California, 92868, United States
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University of California, Los Angeles
RECRUITINGLos Angeles, California, 90095, United States
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University of California, San Diego
RECRUITINGLa Jolla, California, 92093, United States
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University of Colorado
RECRUITINGAurora, Colorado, 80045, United States
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University of Iowa
RECRUITINGIowa City, Iowa, 52246, United States
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University of Kentucky
RECRUITINGLexington, Kentucky, 40536, United States
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University of Massachusetts
RECRUITINGWorcester, Massachusetts, 01605, United States
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University of Miami
RECRUITINGMiami, Florida, 33136, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of Minnesota
RECRUITINGMinneapolis, Minnesota, 55455, United States
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University of New Mexico
RECRUITINGAlbuquerque, New Mexico, 87131, United States
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University of North Carolina, Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27514, United States
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University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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University of Santo Tomas
RECRUITINGManila, National Capital Region, 1015, Philippines
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University of Texas
RECRUITINGHouston, Texas, 77030, United States
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University of Vermont Medical Center
RECRUITINGBurlington, Vermont, 05401, United States
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University of Virginia School of Medicine
RECRUITINGCharlottesville, Virginia, 22903, United States
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University of Wisconsin
RECRUITINGMadison, Wisconsin, 53792, United States
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Universitätsklinikum Aachen
RECRUITINGAachen, North Rhine-Westphalia, 52074, Germany
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Virginia Cancer Specialists
RECRUITINGManassas, Virginia, 20110, United States
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WVU Medicine Wheeling Hospital
RECRUITINGWheeling, West Virginia, 26003, United States
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Wayne State University School of Medicine
RECRUITINGDetroit, Michigan, 48201, United States
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Weill Cornell Medical Center
RECRUITINGNew York, New York, 10065, United States
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Willamette Valley Cancer Institute
RECRUITINGEugene, Oregon, 97401, United States
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Yale University School of Medicine
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a liposomal drug combo improve AML treatment for older adults?
- Can a CDK8/CDK19 blocker help when leukemia and MDS return?
- Can an Anti-Inflammation drug make AML chemotherapy work better?
- Can a new drug trio overcome venetoclax resistance in leukemia?
- Can a targeted drug combo replace harsh chemo for NPM1 leukemia?
- Can engineered cells beat relapsed blood cancers?