ClinicalTrials.gg
Active, not recruitingNCT04925479Updated Nov 9, 2026

Study to Determine the Dose and Safety of Asciminib in Pediatric Patients With Chronic Myeloid Leukemia

A Phase 1/2 interventional study of Asciminib Pediatric formulation group and Asciminib Adult formulation group in Myeloid Leukemia, Philadelphia Positive, sponsored by Novartis Pharmaceuticals. Active, not recruiting at 23 sites in 12 countries. Open to participants aged 1 Year to 17 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 1/2, Interventional, and Treatment

Updated Nov 9, 2026Now Active, not recruitingNo longer in Hungary and Russia+5 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
46
Allocation
Not applicable
Ages
1 Year to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 21 studies testing asciminib in Leukemia, Myelogenous, Chronic, BCR-ABL Positive — 8 open to participants now, 13 under way, 2 of them phase 3. asciminib · Leukemia, Myelogenous, Chronic, BCR-ABL Positive.

Enrollment
17th of 21
46 · median 100
Started
2021
with 4 others
Phase 1/2
Only one
of the 21
Primary completion
2027-09
later than 4 of 12 live
Registered
10th of 21
by date
Lead sponsor
12 of 21
Novartis Pharmaceuticals

Among the 21 studies testing asciminib in Leukemia, Myelogenous, Chronic, BCR-ABL Positive, this one is the 17th largest by enrollment, is one of 5 that started in 2021, is the only one in phase 1/2, reaches primary completion later than 4 of the 12 other live ones, and was the 10th registered.

Leukemia, Myelogenous, Chronic, BCR-ABL Positive

894 studies on the registry are indexed under Leukemia, Myelogenous, Chronic, BCR-ABL Positive; 109 are open to participants now.

Browse Leukemia, Myelogenous, Chronic, BCR-ABL Positive studies →

Open to participants now

8 of the 21 studies testing asciminib in Leukemia, Myelogenous, Chronic, BCR-ABL Positive are open now, in 12 countries. Recruiting first, the newest first:

3 more — sign in →

By country, each count listing its studies:

All 8 open studies →

About asciminib

asciminib: first FDA approval 2021 (SCEMBLIX), first EMA approval 2022. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 79 Leukemia, Myelogenous, Chronic, BCR-ABL Positive studies recruiting now, 48 (61%) set no upper age limit and 20 (25%) stop at 75 or younger; 20 take children under 18; 7 take healthy volunteers.

This study: 1 Year to 17 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies testing asciminib in Leukemia, Myelogenous, Chronic, BCR-ABL Positive, or all of them as a file.
02

Study summary

The aim of this study is to support development of asciminib in the pediatric population (1 to \<18 years) previously treated with one or more TKIs. Full extrapolation of the efficacy of asciminib from adult to pediatric patients will be conducted. Full extrapolation is based on the concept that CML in the pediatric population has the same pathogenesis, similar clinical characteristics and progression pattern as in adults.

Read the detailed description

The aim of this study is to support development of asciminib in the pediatric population (1 to \<18 years) with Philadelphia chromosome positive chronic myeloid leukemia in chronic phase (PH+ CML-CP) previously treated with one or more Tyrosine kinase inhibitor (TKIs).

The primary objective of this study is to characterize the pharmacokinetic (PK) profile of asciminib in pediatric patients with the goal of identifying the pediatric formulation dose (fed) leading to asciminib exposure comparable to 40 mg BID in adult patients (fasted).

The pediatric formulation group will include at least 15 participants in each of the following two age categories: 1 to \<12 years and 12 to \<18 years; leading to at least 30 participants enrolled treated with the pediatric formulation. It will consist of a dose determination part (Part 1) and a cohort expansion (Part 2 BID regimen and Part 3 QD regimen).

In Part 1, 4-6 participants will be enrolled in order to obtain at least 4 participants evaluable for PK (these participants may be from either of the age categories described above). The initial starting dose will be based on body weight and will be administered BID with food.

Once the body weight adjusted dose has been determined in Part 1 of the study, the patients will be enrolled in Part 2 until at least 20 participants, including those who were included in Part 1, have been enrolled (10 per age group) in the pediatric formulation group. Once the interim safety and PK analysis 2 is completed for one of the age groups, the Part 3 QD regimen will open for the respective age group to enroll 10 patients (5 patients by age group).

Due to the fact that the pediatric formulation was in development and was not available, this study started with the recruitment of adolescent patients. These participants aged 14 to \<18 years, weighing at least 40 kg receive the adult formulation at a flat dose of 40 mg BID under fasted conditions.

The total duration of the treatment period of the study will be 5 years (260 weeks). Participants who, according to Investigator's judgement, are benefiting from study treatment will remain on treatment up to the completion of the treatment period (Week 260/5 years).

The primary analysis for the BID regimen is planned after all participants in Part 1 and 2 have completed at least 52 weeks of study treatment or discontinued earlier.

The primary analysis for combined regimen (BID+QD) is planned after all participants in Part 1, 2 and 3 have completed at least 52 weeks of study treatment or discontinued earlier.

03

Conditions studied

  • Myeloid Leukemia, Philadelphia Positive

Keywords

  • Asciminib
  • pediatric patients
  • Philadelphia chromosome positive chronic myeloid leukemia in chronic phase
  • Ph+ CML-CP
  • ABL001
04

Who can participate

Ages eligible
1 Year to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female participants:

    • Pediatric formulation group: ≥ 1 and less than 18 years of age at study entry.
    • Adult formulation group: ≥ 14 and less than 18 years of age and body weight of ≥ 40 kg at study entry.
  • Participants with Ph+ CML-CP must meet all of the following laboratory values at the screening visit. In the case where bone marrow blast and promyelocyte counts are available, these will be accepted if done within 56 days prior to the screening visit, to avoid unnecessary repetition of this test.

    1. \< 15% blasts in peripheral blood and bone marrow
    2. \< 30% combined blasts plus promyelocytes in peripheral blood and bone marrow
    3. \< 20% basophils in the peripheral blood
    4. Neutrophils ≥ 1.5 x 10\^9/L (or WBC ≥ 3 x 10\^9/L if neutrophils are not available) and count ≥ 100 x 10\^9/L
    5. No evidence of extramedullary leukemic involvement, with the exception of hepatosplenomegaly
  • Prior treatment with a minimum of one TKI
  • Failure (adapted from the 2020 European Leukemia Net (ELN) Guidelines Hochhaus et al 2020 and 2013 ELN Guidelines Baccarani et al 2013) or intolerance to the most recent TKI therapy at the time of screening.
  • Performance status: ≥ 50% for patients ≥ 16 years of age, and Lansky ≥ 50 for patients \< 16 years of age at the time of screening
  • Participants must have adequate renal, hepatic, pancreatic and cardiac function
  • Participants must have electrolyte values within normal limits or corrected to be within normal limits with supplements prior to first dose of study medication:
  • Evidence of typical BCR::ABL1 transcript [e14a2 and/or e13a2] at the time of screening which are amenable to standardized RQ-PCR quantification.

Exclusion criteria

Exclusion Criteria:

  • Known presence of the T315I mutation prior to study entry or a BCR::ABL mutation with known resistance to study treatment any time prior to study entry.
  • Known second chronic phase of CML after previous progression to AP/BC.
  • Previous treatment with a hematopoietic stem-cell transplantation.
  • Patient planning to undergo hematopoietic stem cell transplantation.
  • Cardiac or cardiac repolarization abnormality
  • Severe and/or uncontrolled concurrent medical disease that in the opinion of the Investigator could cause unacceptable safety risks or compromise compliance with the protocol
  • History of acute pancreatitis within 1 year of study entry or past medical history of chronic pancreatitis.
  • History of acute or chronic liver disease.
  • Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drug
  • Pregnant or nursing (lactating) females.

Other protocol-defined inclusion/exclusion may apply.

Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
46 participants (actual)

Study arms

  • Experimental
    Asciminib

    This arm consists of 2 groups: * The pediatric formulation group where the dose is based on body weight (1.3mg/kg BID or 2.6 mg/kg QD) * The adult formulation group where participants will receive a flat dose of 40mg BID

    Drug: Asciminib Pediatric formulation group · Drug: Asciminib Adult formulation group

Interventions

  • Asciminib Pediatric formulation group: 1 mg film-coated granules in a size 0 capsule will be supplied, taken orally (capsules are a container for the granules and are not ingested): 10 mg (10x 1 mg film-coated granules in capsule) 15 mg (15x 1 mg film-coated granules in capsule) 30 mg (30x 1 mg film-coated granules in capsule)

    Also known as: ABL001

  • Asciminib Adult formulation group: 40 mg tablets BID, taken orally. 20 mg tablets BID, taken orally.

    Also known as: ABL001

06

What researchers measure

Primary outcomes

  1. Primary Pharmacokinetic (PK) parameter: AUClast

    Goal: identifying the pediatric formulation dose (fed) leading to asciminib exposure comparable to 40 mg BID in adult patients (fasted).

    Time frame: 52 weeks

  2. Primary PK parameter: AUCtau

    Goal: identifying the pediatric formulation dose (fed) leading to asciminib exposure comparable to 40 mg BID in adult patients (fasted).

    Time frame: 52 weeks

  3. Secondary PK parameter: Cmax

    Goal: identifying the pediatric formulation dose (fed) leading to asciminib exposure comparable to 40 mg BID in adult patients (fasted).

    Time frame: 52 weeks

  4. Secondary PK parameter: Tmax

    Goal: identifying the pediatric formulation dose (fed) leading to asciminib exposure comparable to 40 mg BID in adult patients (fasted).

    Time frame: 52 weeks

  5. Secondary PK parameter: Ctrough

    Goal: identifying the pediatric formulation dose (fed) leading to asciminib exposure comparable to 40 mg BID in adult patients (fasted).

    Time frame: 52 weeks

Secondary outcomes

  1. Hematologic responses

    Complete hematological response will be defined as all of the following present for ≥ 4 weeks: * WBC count \< 10 x 10\^9/L * Platelet count \< 450 x 10\^9/L * Basophils \< 5% * No blasts and promyelocytes in peripheral blood * Myelocytes + metamyelocytes \< 5% in peripheral blood * No evidence of extramedullary disease, including spleen and liver

    Time frame: 52 weeks

  2. Molecular responses

    To assess pharmacodynamic markers of asciminib's anti-leukemic activity. Molecular response will be assessed by Breakpoint Cluster Region gene-Abelson proto-oncogene (BCR-ABL) 1 level.

    Time frame: 52 weeks

  3. Questionnaire on acceptability and palatability after first dose, 4 and 52 weeks

    To assess acceptability and palatability of the pediatric formulation

    Time frame: after first dose at Week 1 Day 1, 4 weeks, 52 weeks

07

Study locations

23 sites
  • Indiana UH Riley H for CIU
    Indianapolis, Indiana 46202-5167, United States
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • Columbia University Medical Center New York Presbyterian
    New York, New York 10032, United States
  • Novartis Investigative Site
    Beijing, 100044, China
  • Novartis Investigative Site
    Lille, 59000, France
  • Novartis Investigative Site
    Paris, 75019, France
  • Novartis Investigative Site
    Erlangen, 91054, Germany
  • Novartis Investigative Site
    Essen, 45147, Germany
  • Novartis Investigative Site
    Hamburg, 20246, Germany
  • Novartis Investigative Site
    Athens, 115 27, Greece
  • Novartis Investigative Site
    Genova, GE 16147, Italy
  • Novartis Investigative Site
    Roma, RM 00165, Italy
  • Novartis Investigative Site
    Yokohama, Kanagawa 2328555, Japan
  • Novartis Investigative Site
    Shinjuku-ku, Tokyo 1608582, Japan
  • Novartis Investigative Site
    Osaka, 5340021, Japan
  • Novartis Investigative Site
    Utrecht, 3584 CS, Netherlands
  • Novartis Investigative Site
    Wroclaw, 50-367, Poland
  • Novartis Investigative Site
    Seoul, 03080, South Korea
  • Novartis Investigative Site
    Seoul, 05505, South Korea
  • Novartis Investigative Site
    Khon Kaen, THA 40002, Thailand
  • Novartis Investigative Site
    Chiang Mai, 50200, Thailand
  • Novartis Investigative Site
    Istanbul, Fatih 34093, Turkey (Türkiye)
  • Novartis Investigative Site
    Bursa, Nilufer 16059, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent expert panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data is currently available according to the process described on www.clinicalstudydatarequest.com.

Data sharing details ↗ · www.clinicalstudydatarequest.com

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2021 (actual). Primary completion is estimated for Sep 2027, 68 months after the start.

Of 26 phase 1/2 interventional studies under Leukemia, Myelogenous, Chronic, BCR-ABL Positive, half reached primary completion within 69 months of starting (the median), counting those still running; a quarter within 56 and three quarters within 94. This study's planned 68 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
May 18, 2021
First posted
Jun 14, 2021
StartActual
Dec 27, 2021
Primary completionEst.
Sep 3, 2027
CompletionEst.
Oct 2, 2031
Last update
Nov 9, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Recruiting→Active, not recruiting
changed Nov 9, 2026
Sites
16 sites removed; no longer in Hungary and Russia. 2 sites changed recruiting status (2 now withdrawn)
Show 2 sites
  • Novartis Investigative Site · Saint Petersburg, RussiaRecruiting→Withdrawn
  • Novartis Investigative Site · Bangkok, ThailandRecruiting→Withdrawn
Show 16 removed
  • University of Mississippi Medical Center · Jackson, United States
  • Cinn Children Hosp Medical Center · Cincinnati, United States
  • Childrens Hospital of Philadelphia · Philadelphia, United States
  • Uni Of Texas MD Anderson Cancer Ctr · Houston, United States
  • University Of Utah · Salt Lake City, United States
  • Novartis Investigative Site · Hangzhou, China
  • Novartis Investigative Site · Shanghai, China
  • Novartis Investigative Site · Tianjin, China
  • Novartis Investigative Site · Bordeaux, France
  • Novartis Investigative Site · Poitiers, France
  • Novartis Investigative Site · Budapest, Hungary
  • Novartis Investigative Site · Monza, Italy
  • Novartis Investigative Site · Torino, Italy
  • Novartis Investigative Site · Moscow, Russia
  • Novartis Investigative Site · Saint Petersburg, Russia
  • Novartis Investigative Site · Bangkok, Thailand
across 2 updates, Sep 25, 2026 – Nov 9, 2026
Primary completion
Sep 2, 2027→Sep 3, 2027
Nov 9, 2026
Study completion
Oct 1, 2031→Oct 2, 2031
Nov 9, 2026
Enrollment
34 (estimated)→46 (actual)
Nov 9, 2026
Show all 2 updates
  1. Nov 9, 2026
    Recruiting→Active, not recruiting
    16 sites removed; no longer in Hungary and Russia
    Show 16 removed
    • University of Mississippi Medical Center · Jackson, United States
    • Cinn Children Hosp Medical Center · Cincinnati, United States
    • Childrens Hospital of Philadelphia · Philadelphia, United States
    • Uni Of Texas MD Anderson Cancer Ctr · Houston, United States
    • University Of Utah · Salt Lake City, United States
    • Novartis Investigative Site · Hangzhou, China
    • Novartis Investigative Site · Shanghai, China
    • Novartis Investigative Site · Tianjin, China
    • Novartis Investigative Site · Bordeaux, France
    • Novartis Investigative Site · Poitiers, France
    • Novartis Investigative Site · Budapest, Hungary
    • Novartis Investigative Site · Monza, Italy
    • Novartis Investigative Site · Torino, Italy
    • Novartis Investigative Site · Moscow, Russia
    • Novartis Investigative Site · Saint Petersburg, Russia
    • Novartis Investigative Site · Bangkok, Thailand
    Primary completion Sep 2, 2027→Sep 3, 2027
    Study completion Oct 1, 2031→Oct 2, 2031
    Enrollment 34 (estimated)→46 (actual)
    + 2 other changes: verification date and contact details
  2. Sep 25, 2026
    2 sites changed recruiting status (2 now withdrawn)
    Show 2 sites
    • Novartis Investigative Site · Saint Petersburg, RussiaRecruiting→Withdrawn
    • Novartis Investigative Site · Bangkok, ThailandRecruiting→Withdrawn

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04925479
Responsible party
Sponsor
First posted
Jun 14, 2021
Start date
Dec 27, 2021
Primary completion
Sep 3, 2027 (estimated)
Completion
Oct 2, 2031 (estimated)
Last update
Nov 9, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Asciminib

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