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RecruitingNCT06852222cAMeLot-2Updated Nov 3, 2026

A Study of Bleximenib, Venetoclax and Azacitidine For Treatment of Participants With Newly Diagnosed Acute Myeloid Leukemia (AML)

A Phase 3 interventional study of Bleximenib and Venetoclax (VEN) in Leukemia, Myeloid, Acute, sponsored by Janssen Research & Development, LLC. Recruiting at 270 sites in 26 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Janssen Research & Development, LLC (part of Johnson & Johnson) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Updated Nov 3, 2026First site in South Africa9 sites added+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess how bleximenib and Venetoclax (VEN)+ Azacitidine (AZA) works as compared to placebo and VEN+AZA alone for the treatment of participants with newly diagnosed Acute Myeloid Leukemia (AML) with a mutation in the NPM1 or KMT2A gene.

02

Conditions studied

  • Leukemia, Myeloid, Acute
03

In context

Leukemia, Myeloid, Acute

3,667 studies on the registry are indexed under Leukemia, Myeloid, Acute; 816 are open to participants now.

This study's planned enrollment of 600 is above the median of 40 across 3,005 interventional studies indexed under Leukemia, Myeloid, Acute.

Browse Leukemia, Myeloid, Acute studies →

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 932 studies on the registry; 76 are open to participants now.

Of its 285 completed or terminated interventional studies of FDA-regulated products, 136 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
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

  • Be 18 years of age or older at the time of
  • Previously untreated lysine N-methyltransferase 2A gene rearranged (KMT2Ar) or nucleophosmin 1 gene mutated (NPM1m) acute myeloid leukemia (AML) with greater than or equal to (> or =) 10% bone marrow blasts per 2022 international Consensus Classification criteria
  • Ineligible for intensive chemotherapy based on the following criteria: a) >= 75 years of age and ineligible per physician's discretion, with (ECOG) performance status of 0-2, b) >=18 to \<75 years of age with >= 1 of the following comorbidities: i) ECOG performance status of 2, ii) Severe cardiac disorder, iii) Severe pulmonary disorder, iv) Renal impairment, v) Moderate hepatic impairment vi) Comorbidity that, in the investigator's opinion, makes the participant unsuitable for intensive chemotherapy, which must be documented before enrollment as defined in the protocol. Ineligibility for intensive chemotherapy should be explicitly approved by a multidisciplinary team in countries in which this process is standard of care
  • Participants must have adequate hepatic and renal function
  • A female participant must agree not to be pregnant, breast-feed, plan to become pregnant and use protocol-specified while enrolled in this study and for 6 months after the last dose of study treatment
  • A male participant must agree to use protocol-specified contraception while enrolled in this study for at least 90 days after the last dose of study treatment
  • Must sign an informed consent form indicating that the participant understands the purpose of, and procedures required for, the study and is willing to participate in the study

Exclusion criteria

Exclusion criteria:

  • Diagnosis of acute promyelocytic leukemia (APL)
  • Known active leukemic involvement of the central nervous system (CNS)
  • Recipient of solid organ transplant
  • Any cardiac disorders such as heart attack, uncontrolled/unstable chest pain, congestive heart failure, uncontrolled or symptomatic irregular heartbeat, blockage of a blood vessel to brain, or transient ischemic (decreased oxygen in tissue) attack within 6 months of randomization
  • Active infectious hepatitis
  • Live, attenuated vaccine within 4 weeks of randomization
  • Known allergies, , or intolerance of bleximenib, azacitidine, or venetoclax
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
600 participants (estimated)

Study arms

  • Experimental
    Arm A: Bleximenib and Venetoclax (VEN) + Azacitidine (AZA)

    Participants with acute myeloid leukemia (AML) will receive bleximenib in combination with venetoclax (VEN) and azacitidine (AZA) for 28-days treatment cycles and treatment will continue until progression or unacceptable toxicity.

    Drug: Bleximenib · Drug: Venetoclax (VEN) · Drug: Azacitidine (AZA)

  • Placebo comparator
    Arm B: Placebo and Venetoclax (VEN) + Azacitidine (AZA)

    Participants with AML will receive placebo in combination with VEN and AZA for 28-days treatment cycles, and treatment will continue until progression or unacceptable toxicity.

    Drug: Venetoclax (VEN) · Drug: Azacitidine (AZA) · Drug: Placebo

Interventions

  • Bleximenib will be administered orally.

    Also known as: JNJ-75276617

  • VEN will be administered orally.

  • AZA will be administered intravenously or subcutaneously.

  • DrugPlacebo

    Placebo will be administered orally.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants who Achieve Complete Remission (CR)

    CR is defined as Bone marrow blasts less than (\<) 5 percent (%); Absence of circulating blasts; Absence of extramedullary disease; Absolute neutrophil count (ANC) greater than or equal to (\>=) 1.0 \* 10\^9/Liter (1,000/microliter \[mcL\]); Platelet count \>= 100 \* 10\^9/L (100,000/mcL).

    Time frame: Up to 4 years and 1 month

  2. Overall Survival (OS)

    Overall survival time is defined as the time duration from the date of randomization to death due to any cause.

    Time frame: Up to 4 years and 1 month

Secondary outcomes

  1. Event-free survival (EFS)

    EFS is defined as the time from randomization to treatment failure, relapse, or death due to any cause, whichever occurs first.

    Time frame: Up to 4 years and 1 month

  2. Duration of CR

    Duration of CR will be estimated among responders from the date of initial documentation of CR, to the date of first documented evidence of relapse, or death due to any cause, whichever occurs first, respectively.

    Time frame: Up to 4 years and 1 month

  3. Time to CR

    Time to CR is defined as time from randomization to first documented response.

    Time frame: Up to 4 years and 1 month

  4. Rate of CR Without Measurable Residual Disease (MRD-)

    Rate of CR MRD- is defined as percentage of participants who have achieved CR without MRD.

    Time frame: Up to 4 years and 1 month

  5. Percentage of Participants who Achieved Transfusion Independence

    Transfusion independence is defined as lack of requirement for red blood cell (RBC) and platelet transfusions during any 56-day period.

    Time frame: Up to 4 years and 1 month

  6. Percentage of Participants with Allogeneic Hematopoietic Stem Cell Transplant (Allo-HSCT)

    Allo-HSCT rate is defined as the percentage of participants who have undergone allo-HSCT after randomization.

    Time frame: Up to 4 years and 1 month

  7. Number of Participants with Adverse Events (AEs)

    An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening and Grade 5= Death related to adverse event.

    Time frame: Up to 4 years and 1 month

  8. Number of Participants with Abnormalities in Clinical Laboratory Parameters

    Participants with abnormalities in clinical laboratory parameters will be reported.

    Time frame: Up to 4 years and 1 month

  9. Serum Concentration of Bleximenib

    Serum samples will be analyzed to determine concentrations of bleximenib.

    Time frame: Up to 4 years and 1 month

07

Study locations

270 of 270 sites recruiting

Showing the first 100 of 270 sites across 26 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Data sharing details ↗ · innovativemedicine.jnj.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Sites
9 sites added, 1 site removed — first site in South Africa
Show 9 added (5 United States, 1 Hungary, 1 Denmark, 1 Japan, 1 South Africa)
  • Beth Israel Deaconess Medical Center · Boston, United States
  • Memorial Sloan Kettering Cancer Center · New York, United States
  • The University of Texas Health Science Center at Houston · Houston, United States
  • Debreceni Egyetem Klinikai Kozpont · Debrecen, Hungary
  • City of Hope Orange County Lennar Foundation Cancer Center · Irvine, United States
  • MaineHealth Institute for Research · South Portland, United States
  • Zealand University Hospital · Køge, Denmark
  • University of Tsukuba Hospital · Tsukuba, Japan
  • Haemalife · Cape Town, South Africa
Show 1 removed
  • Zealand University Hospital · Roskilde, Denmark
across 2 updates, Sep 25, 2026 – Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    5 sites added, 1 site removed — first site in South Africa
    Show 5 added (2 United States, 1 Denmark, 1 Japan, 1 South Africa)
    • City of Hope Orange County Lennar Foundation Cancer Center · Irvine, United States
    • MaineHealth Institute for Research · South Portland, United States
    • Zealand University Hospital · Køge, Denmark
    • University of Tsukuba Hospital · Tsukuba, Japan
    • Haemalife · Cape Town, South Africa
    Show 1 removed
    • Zealand University Hospital · Roskilde, Denmark
    + 1 other change: verification date
  2. Sep 25, 2026
    4 sites added
    Show 4 added (3 United States, 1 Hungary)
    • Beth Israel Deaconess Medical Center · Boston, United States
    • Memorial Sloan Kettering Cancer Center · New York, United States
    • The University of Texas Health Science Center at Houston · Houston, United States
    • Debreceni Egyetem Klinikai Kozpont · Debrecen, Hungary
    + 1 other change: verification date

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
NCT06852222
Responsible party
Sponsor
First posted
Feb 28, 2025
Start date
Jun 4, 2025
Primary completion
Jun 22, 2029 (estimated)
Completion
Aug 15, 2029 (estimated)
Last update
Nov 3, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

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

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Studies of the drug tested here: Bleximenib

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