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RecruitingNCT07751991Updated Nov 6, 2026

A Study of CHM-029 in Participants With NPM1 Mutated, KMT2A or NUP98 Rearranged AML

A Phase 1 interventional study of CHM-029 in AML (Acute Myeloid Leukemia), sponsored by Charm Therapeutics. Recruiting at 8 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Charm Therapeutics · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 6, 2026First site in United KingdomStart date moved+1 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to evaluate the safety of CHM-029, an investigational oral medicine, and to evaluate its activity in treating certain types of acute myeloid leukemia (AML) in adults. The main questions the study aims to answer are:

  • What is an appropriate dose of CHM-029?
  • What side effects may occur with CHM-029?
  • How does the body process CHM-029?

Researchers will evaluate increasing dose levels of CHM-029 to better understand its safety and how the body responds to treatment.

Participants will visit the study clinic regularly for safety assessments, blood tests, electrocardiograms (ECGs), and bone marrow evaluations to monitor their health and response to treatment.

Read the detailed description

CHM-029-01 is a Phase 1/2, first-in-human, open-label, multicenter, dose-escalation study designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antileukemic activity of orally administered CHM-029 in adults with relapsed or refractory acute myeloid leukemia (AML) with an NPM1 mutation, KMT2A rearrangement, or NUP98 rearrangement.

02

Conditions studied

  • AML (Acute Myeloid Leukemia)

Keywords

  • CHM-029
  • AML
  • Menin
  • leukemia
  • NPM1
  • KMT2A
  • NUP98
  • Charm
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 40 is close to the median of 40 across 3,005 interventional studies indexed under Leukemia, Myeloid, Acute.

Browse Leukemia, Myeloid, Acute studies →

Lead sponsor

This is the only study on the registry with Charm Therapeutics as lead sponsor.

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

  • 18 years old and above
  • (R/R) acute myeloid leukemia (AML) and has had treatment with any available standard therapies
  • Positive for NPM1 mutation, or KMT2A or NUP98 rearrangements

Exclusion criteria

Exclusion Criteria:

  • White blood cell (WBC) count higher than 25,000 u/L that cannot be maintained below threshold with hydroxyurea treatment
  • Extramedullary only AML
  • Has current complications related to hematopoietic stem cell transplant ()
  • Other cancers that require treatment
  • Active Hepatitis or infection
  • Moderate hepatic or renal impairment
  • Acute promyelocytic leukemia
  • Baseline prolongation of /QTc interval (≥ 470 ms) or additional risk factors for Torsades de Pointes (TdP)
  • Congestive heart failure Class 3 or 4
  • Central nervous system involvement to intrathecal chemotherapy and/or standard cranial-spinal radiation
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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    CHM-029 Dose Escalation

    Participants will receive CHM-029 orally. Dose levels will be escalated based on dose limiting toxicities (DLTs) as evaluated by the Safety Review Committee (SRC).

    Drug: CHM-029

  • Experimental
    CHM-029 Backfill

    Participants will receive CHM-029 orally at a dose level already evaluated by the Safety Review Committee (SRC).

    Drug: CHM-029

Interventions

  • DrugCHM-029

    oral

06

What researchers measure

Primary outcomes

  1. Number of participants with dose limiting toxicities (DLTs)

    A DLT is defined as any Adverse Event (AE) which meets DLT criteria, not clearly due to the underlying disease or extraneous causes, that occurs within the DLT observation period.

    Time frame: Baseline through Day 28

  2. Number of participants with adverse events (AEs)

    An Adverse Event (AE) is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

    Time frame: Baseline through study completion, an average of 3 years

  3. Number of participants with adverse events (AEs) by severity

    Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 6.0

    Time frame: Baseline through study completion, an average of 3 years

  4. Number of participants with laboratory value abnormalities and/or adverse events (AEs)

    Number of participants with potentially clinically significant laboratory values.

    Time frame: Baseline through study completion, an average of 3 years

  5. Rates of dose modification due to adverse events (AEs) according to NCI CTCAE

    Safety and tolerability will be evaluated by dose interruption, modification, and discontinuation due to adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v.6.0

    Time frame: Baseline through study completion, an average of 3 years

  6. Maximum tolerated dose (MTD) and/or optimal biological dose (OBD) of CHM-029

    Maximum tolerated dose or optimal biological dose will be determined by the sponsor based on the Safety Review Committee's recommendation considering the totality of the available clinical safety, clinical efficacy, pharmacokinetics (PK), and pharmacodynamic data

    Time frame: Baseline through study completion, an average of 3 years

Secondary outcomes

  1. Pharmacokinetics (PK) profile of CHM-029: Plasma concentrations

    Maximum plasma concentrations of CHM-029 will be reported.

    Time frame: Baseline through study completion, an average of 3 years

  2. Pharmacokinetic (PK) profile of CHM-029: Area under the curve

    Pharmacokinetics will be calculated including the area under the plasma concentration versus time curve (AUC)

    Time frame: Baseline through study completion, an average of 3 years

  3. Pharmacokinetic (PK) profile of CHM-029: Time of maximum concentration (Tmax) and half-life (T1/2)

    Pharmacokinetic parameters will be calculated using standard non-compartmental techniques

    Time frame: Baseline through study completion, an average of 3 years

  4. Complete remission and complete remission with partial hematological recovery (CR/CRh) rate

    The CR/CRh rate is defined as the number of participants who achieved either CR or CRh at any of the post baseline visits divided by the number of participants in the analysis population.

    Time frame: Baseline to study completion, an average of 3 years

  5. Composite complete remission rate (CRc)

    The number of participants who achieve an overall response of complete remission (CR), complete remission with partial hematologic recovery (CRh), complete remission with incomplete hematologic recovery (CRi), or complete remission with incomplete platelet recovery (CRp) at any post-baseline assessment, according to protocol-defined response criteria, divided by the number of participants in the analysis population.

    Time frame: Baseline through study completion, an average of 3 years

  6. Duration of response (DOR)

    DOR will be calculated among responders from the date of initial documentation of a response to the date of first documented evidence of relapse, as defined in the disease-specific response criteria, or death due to any cause, whichever occurs first.

    Time frame: Baseline through study completion, an average of 3 years

  7. Morphological leukemia free state (MLFS) rate

    The MLFS rate is defined as the number of participants who achieved MLFS at any post-baseline assessment, according to protocol-defined response criteria, divided by the number of participants in the analysis population.

    Time frame: Baseline through study completion, an average of 3 years

  8. Best response rate

    The number of participants who achieved a best overall response of CRc or MLFS, according to protocol-defined response criteria, divided by the number of participants in the analysis population.

    Time frame: Baseline through study completion, an average of 3 years

  9. Overall survival (OS)

    OS is defined from the date of first dose of study treatment to the date of death due to any cause.

    Time frame: Baseline through study completion, an average of 3 years

  10. Event free survival (EFS)

    EFS is defined as the number of days from the date of enrollment to the date of earliest evidence of relapse, treatment failure, or death.

    Time frame: Baseline through study completion, an average of 3 years

07

Study locations

8 of 8 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

3 registry updates since Sep 25, 2026
Sites
7 sites added — first site in United Kingdom
Show 7 added (4 United States, 3 United Kingdom)
  • City of Hope Center Medical Center · Duarte, United States
  • Yale - New Haven Hospital / Cancer Center · New Haven, United States
  • Oxford University Hospitals NHS Foundation Trust · Oxford, United Kingdom
  • The Christie NHS Foundation Trust · Manchester, United Kingdom
  • Memorial Sloan Kettering Cancer Center · New York, United States
  • Vanderbilt University Medical Center · Nashville, United States
  • Cardiff & Vale University Hospital · Wales, United Kingdom
across 3 updates, Oct 8, 2026 – Nov 6, 2026
Start date
Aug 2026→Sep 28, 2026 (actual)
Oct 8, 2026
Show all 3 updates
  1. Nov 6, 2026
    3 sites added
    Show 3 added (2 United States, 1 United Kingdom)
    • Memorial Sloan Kettering Cancer Center · New York, United States
    • Vanderbilt University Medical Center · Nashville, United States
    • Cardiff & Vale University Hospital · Wales, United Kingdom
    + 1 other change: verification date
  2. Oct 26, 2026
    1 site added
    Show site
    • The Christie NHS Foundation Trust · Manchester, United Kingdom
  3. Oct 8, 2026
    3 sites added — first site in United Kingdom
    Show 3 added (2 United States, 1 United Kingdom)
    • City of Hope Center Medical Center · Duarte, United States
    • Yale - New Haven Hospital / Cancer Center · New Haven, United States
    • Oxford University Hospitals NHS Foundation Trust · Oxford, United Kingdom
    Start date Aug 2026→Sep 28, 2026 (now actual)
    + 2 other changes: verification date and arm descriptions

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
NCT07751991
Lead sponsor
Charm Therapeutics
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Sep 28, 2026
Primary completion
Dec 2027 (estimated)
Completion
Mar 2029 (estimated)
Last update
Nov 6, 2026

Study contacts

Charm Study Contact
Contact
clinicaltrials@charmtx.com
312-682-0586

Oversight

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

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