ClinicalTrials.gg
RecruitingNCT07789574ESTIMATIONUpdated Nov 10, 2026

Efficacy of Asciminib in Chronic Phase CML Patients With T315I Mutations

A Phase 2 interventional study of asciminib 200 mg BID in Chronic Myeloid Leukemia (CML), sponsored by Thomas Ernst, Prof. Dr. med.. Recruiting at 10 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Thomas Ernst, Prof. Dr. med. · Phase 2, Interventional, and Treatment

Updated Nov 10, 2026Now RecruitingSite recruiting status changed+4 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a multi-center, prospective, single-arm, non-randomized, interventional phase II study of CML patients in first or second chronic phase (i.e. after allogeneic stem cell transplantation) and proven BCR::ABL1 T315I mutation. All patients will be treated with asciminib 200 mg BID. 50 patients will be enrolled from approximately 20 study sites in Germany.

Read the detailed description

This is a multi-center, prospective, single-arm, non-randomized, interventional phase II study of CML patients in first or second chronic phase (i.e. after allogeneic stem cell transplantation) and proven BCR::ABL1 T315I mutation. All patients will be treated with asciminib 200 mg BID. 50 patients will be enrolled from approximately 20 study sites in Germany.

Total maximum study duration is anticipated to be approximately 4 years. This includes an enrolment period of approximately 24 months and a minimum of 24 months of treatment with asciminib. The study will continue for 24 months from the date of the last patient enrolled. Enrolled patients will be followed for the duration of the study, death or withdrawal from participation. Patients who discontinue treatment during the study will also be followed for the duration of the study, including those, who changed anticancer therapy. Patients who experience an AE within the 30 days post discontinuation will be followed in particular to determine the consequences of the AE.

02

Conditions studied

  • Chronic Myeloid Leukemia (CML)
03

In context

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.

This study's planned enrollment of 50 is above the median of 44 across 681 interventional studies indexed under Leukemia, Myelogenous, Chronic, BCR-ABL Positive.

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

Lead sponsor

This is the only study on the registry with Thomas Ernst, Prof. Dr. med. 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

  • Male or female patients with BCR::ABL1 positive CML in first or second chronic phase (i.e. after stem cell transplantation) and proven T315I mutations detected by Sanger sequencing or NGS.
  • Age ≥ 18 years old (no upper age limit is given)
  • performance status of ≤2.
  • Serum levels of potassium, magnesium, total calcium within the normal limits (≥LLN [lower limit of normal] and ≤ [upper limit of normal]). Correction of electrolytes levels with supplements to fulfil enrolment criteria is allowed.
  • and ALT ≤2.5 x ULN or 5.0 x ULN if considered due to leukemia
  • Alkaline phosphatase ≤2.5 x ULN unless considered due to leukemia
  • Total ≤1.5 x ULN, except known Gilbert disease
  • Serum creatinine ≤2 x ULN
  • Written prior to any study procedures being performed

Exclusion criteria

Exclusion Criteria:

  • Pre-treatment with asciminib
  • BCR::ABL1 variants lacking ABL1 exon a2
  • Known impaired cardiac function, including any of the following:

    • Congenital long syndrome
    • History of or presence of ventricular or atrial tachyarrhythmia
    • QTc >450 msec on screening
    • Myocardial infarction within 12 months prior to starting therapy
  • Other clinically significant heart disease (e.g., unstable angina, congestive heart failure)
  • Acute or chronic viral hepatitis with moderate or severe hepatic impairment ( scores >6), even if controlled
  • Other concurrent uncontrolled medical conditions (e.g., active or uncontrolled infections, acute or chronic liver and renal disease) that could cause unacceptable safety risks or compromise compliance with the protocol
  • Impaired gastrointestinal function or disease that may alter the absorption of study drug (e.g., ulcerative disease, uncontrolled nausea, vomiting and diarrhea, malabsorption syndrome, small bowel resection or gastric by-pass surgery)
  • Known chronic pancreatitis
  • Concomitant medications known to be strong inducers or inhibitors of the CYP450 isoenzyme
  • Patients who have undergone major surgery ≤2 weeks prior to starting study drug or who have not recovered from side effects of such therapy
  • Patients who are pregnant or breastfeeding or women of not employing an effective method of . Women of must have a negative serum pregnancy test within 14 days of study start. women must be amenorrheic for at least 12 months in order to be considered of non-childbearing potential.
  • Male and female patients must agree to employ an effective method of birth control throughout the study and for up to 2 weeks following discontinuation of study drug. (It is required that sexually active men use condom during intercourse while taking the drug and for 2 weeks after stopping treatment and not father a child in this period. A condom is required to be used also by vasectomized men in order to prevent delivery of the drug via seminal fluid. Female partners of male patients must be advised to use highly effective methods of contraception.)
  • Known diagnosis of (HIV) infection (HIV testing is not mandatory)
  • Active disorder, including autoimmune hepatitis
  • Patients with a history of another primary that is currently clinically significant or currently requires active intervention
  • to the active ingredient asciminib or to any of the other ingredients listed according to the latest version of the SmPC
  • Patients unwilling or unable to comply with the protocol.
Terms in these criteria, in plain language(19)

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.

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.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    asciminib 200 mg BID

    All patients will be treated with asciminib 200 mg BID

    Drug: asciminib 200 mg BID

Interventions

06

What researchers measure

Primary outcomes

  1. Rate of MR2 at 12 months

    rate of response after 12 months

    Time frame: 12 months after start of therapy

07

Study locations

5 of 10 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Active, not recruiting→Recruiting
changed Nov 10, 2026
Sites
9 sites added. Universitätsklinikum Jena is now Recruiting
Show 9 added (9 Germany)
  • Uniklinik der RWTH Aachen · Aachen, Germany
  • Charite CVK · Berlin, Germany
  • Klinikum Chemnitz gGmbH · Chemnitz, Germany
  • Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden · Dresden, Germany
  • Universitätsklinikum Hamburg-Eppendorf · Hamburg, Germany
  • Medizinische Hochschule Hannover · Hanover, Germany
  • Universitätsklinikum Leipzig AöR · Leipzig, Germany
  • Medizinische Fakultät Mannheim der Universität Heidelberg · Mannheim, Germany
  • Universitätsklinikum Ulm · Ulm, Germany
Nov 10, 2026
Start date
Jun 22, 2026→Nov 2026
Nov 10, 2026
Contact
Study contact now listed: added e•••@med.uni-jena.de · •••6670. See the current contact
Nov 10, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Universitätsklinikum Jena · Jena, GermanyContact added k•••@med.uni-jena.de · •••6670
Nov 10, 2026
Sponsor
Thomas Ernst, PD Dr. med.→Thomas Ernst, Prof. Dr. med.
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    Active, not recruiting→Recruiting
    9 sites added. Universitätsklinikum Jena is now Recruiting
    Show 9 added (9 Germany)
    • Uniklinik der RWTH Aachen · Aachen, Germany
    • Charite CVK · Berlin, Germany
    • Klinikum Chemnitz gGmbH · Chemnitz, Germany
    • Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden · Dresden, Germany
    • Universitätsklinikum Hamburg-Eppendorf · Hamburg, Germany
    • Medizinische Hochschule Hannover · Hanover, Germany
    • Universitätsklinikum Leipzig AöR · Leipzig, Germany
    • Medizinische Fakultät Mannheim der Universität Heidelberg · Mannheim, Germany
    • Universitätsklinikum Ulm · Ulm, Germany
    Start date Jun 22, 2026→Nov 2026
    Sponsor Thomas Ernst, PD Dr. med.→Thomas Ernst, Prof. Dr. med.
    Contact Study contact now listed: added e•••@med.uni-jena.de · •••6670. See the current contact
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Universitätsklinikum Jena · Jena, GermanyContact added k•••@med.uni-jena.de · •••6670
    + 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
NCT07789574
Lead sponsor
Thomas Ernst, Prof. Dr. med.
Responsible party
Thomas Ernst, Prof. Dr. med. (Principal Investigator, University of Jena) — Sponsor-investigator
First posted
Aug 27, 2026
Start date
Nov 2026 (estimated)
Primary completion
Jun 30, 2030 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Nov 10, 2026

Study contacts

Christian Fabisch, Dr.
Contact
estimation@med.uni-jena.de
+49 3641 939 66 70

Oversight

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

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