ClinicalTrials.gg
Not yet recruitingNCT07905183ENABLE-2Updated Oct 29, 2026

A Randomized Study of ELVN-001 Versus Investigator-Selected TKI, in CP-CML Previously Treated With One or More TKIs

A Phase 3 interventional study of ELVN-001 and TKI in Chronic Myeloid Leukemia (CML), Chronic Myeloid Leukemia (CML) Philadelphia Chromosome Positive and Chronic Phase Chronic Myeloid Leukemia, BCR::ABL1 Positive CML, sponsored by Enliven Therapeutics. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Enliven Therapeutics · Phase 3, Interventional, and Treatment

Updated Oct 29, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study is designed to compare the efficacy of ELVN-001 versus Investigator-selected tyrosine kinase inhibitor (TKI) for adults with previously treated chronic myeloid leukemia in the chronic phase (CP-CML). The Investigator-selected TKI will be one of the following standard of care therapies: Dasatinib, Nilotinib, or Bosutinib.

Read the detailed description

This is a multicenter, open-label, randomized study of ELVN-001 versus Investigator-selected TKI (Dasatinib, Nilotinib, or Bosutinib) in adult participants with CP-CML previously treated with one or more TKIs. Participants will be randomized to receive either ELVN-001 or their investigator's choice of one of the comparator TKIs (Dasatinib, Nilotinib, or Bosutinib). Treatment will continue until one of the protocol defined treatment discontinuation criteria are met. Participants will then enter a long-term follow-up period for survivorship and updates on disease status.

02

Conditions studied

  • Chronic Myeloid Leukemia (CML)
  • Chronic Myeloid Leukemia (CML) Philadelphia Chromosome Positive
  • Chronic Phase Chronic Myeloid Leukemia, BCR::ABL1 Positive CML

Keywords

  • Chronic Myeloid Leukemia
  • CML
  • ELVN-001
  • Philadelphia chromosome
  • Tyrosine kinase inhibitor
  • TKI
  • TKIs
  • ENABLE-2
  • Bosutinib
  • Dasatinib
  • Nilotinib
  • Molecular Response
  • BCR::ABL
  • Active site inhibitor of BCR::ABL
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 450 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

Enliven Therapeutics is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

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 at least 18 years of age
  • Diagnosis of chronic myeloid leukemia in chronic phase (CP-CML)
  • Prior treatment with 1 or more BCR::ABL1 TKI(s)
  • Failure or intolerance on the immediate prior TKI
  • Adequate end organ function as measured by blood tests

Exclusion criteria

Exclusion Criteria:

  • Known T315I mutation
  • Known second chronic phase of CML after previous progression to accelerated or blast phase
  • Any serious or uncontrolled medical disorder
  • corrected by Fridericia's formula (QTcF) ≥ 470 msec
  • Previous treatment with a hematopoietic stem-cell transplantation
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
450 participants (estimated)

Study arms

  • Experimental
    ELVN-001

    ELVN-001

    Drug: ELVN-001

  • Active comparator
    Investigator-selected TKI

    Randomized to receive one of the following investigator's choice TKIs: Dasatinib, Nilotinib, or Bosutinib

    Drug: TKI

Interventions

  • ELVN-001 orally daily

  • DrugTKI

    TKI orally daily

    Also known as: Dasatinib, Nilotinib, Bosutinib

06

What researchers measure

Primary outcomes

  1. Major Molecular Response (MMR) Rate at Week 24 - ELVN-001 versus Investigator-selected TKI

    Molecular response is assessed using BCR::ABL1 transcript levels measured by quantitative polymerase chain reaction (qPCR). MMR is defined as a ratio BCR::ABL/ABL1 ≤ 0.1% on the International Scale.

    Time frame: 24 weeks

Secondary outcomes

  1. Major Molecular Response (MMR) Rate at Week 96 - ELVN-001 versus Investigator-selected TKI

    Molecular response is assessed using BCR::ABL1 transcript levels measured by quantitative polymerase chain reaction (qPCR). MMR is defined as a ratio BCR::ABL/ABL1 ≤ 0.1% on the International Scale.

    Time frame: 96 weeks

  2. Change in overall scores, individual scales, and health status based on participant reporting - ELVN-001 versus Investigator-selected TKI

    Validated questionnaires will be used to assess disease-related symptoms, functioning, and tolerability.

    Time frame: planned total follow-up duration of 5 years

  3. Major Molecular Response (MMR) at all scheduled collection time points - ELVN-001 versus Investigator-selected TKI

    Molecular response is assessed using BCR::ABL1 transcript levels measured by quantitative polymerase chain reaction (qPCR). MMR is defined as a ratio BCR::ABL/ABL1 ≤ 0.1% on the International Scale

    Time frame: planned total follow-up duration of 5 years

  4. Major Molecular Response (MMR) by all scheduled collection time points - ELVN-001 versus Investigator-selected TKI

    Molecular response is assessed using BCR::ABL1 transcript levels measured by quantitative polymerase chain reaction (qPCR). MMR is defined as a ratio BCR::ABL/ABL1 ≤ 0.1% on the International Scale

    Time frame: planned total follow-up duration of 5 years

  5. Time to Major Molecular Response (MMR) - ELVN-001 versus Investigator-selected TKI

    The time to MMR is defined as the time from the date of randomization to the date of the first documented occurrence of MMR

    Time frame: planned total follow-up duration of 5 years

  6. Duration of Major Molecular Response (MMR) - ELVN-001 versus Investigator-selected TKI

    Duration of MMR is defined as the time between the date of the first achievement of MMR and the earliest date of loss of MMR or CML-related death

    Time frame: planned total follow-up duration of 5 years

  7. BCR::ABL1 ratio ≤ 1% at and by all scheduled data collection time points - ELVN-001 versus Investigator-selected TKI

    BCR::ABL1 transcript levels are measured by quantitative polymerase chain reaction (qPCR). The ratio is calculated for BCR::ABL/ABL1 based on the International Scale

    Time frame: planned total follow-up duration of 5 years

  8. Time to treatment failure - ELVN-001 versus Investigator-selected TKI

    Time to treatment failure is defined as the time from randomization to the first date of any of the following events: treatment failure as defined per protocol

    Time frame: planned total follow-up duration of 5 years

  9. Progression-free survival - ELVN-001 versus Investigator-selected TKI

    Progression-free survival is defined as the time from randomization to the earliest occurrence of progression or death from any cause

    Time frame: planned total follow-up duration of 5 years

  10. Overall survival (OS) - ELVN-001 versus Investigator-selected TKI

    OS is defined as the time from randomization to death from any cause

    Time frame: planned total follow-up duration of 5 years

  11. MR4 and MR4.5 at and by all scheduled data collection time points - ELVN-001 versus Investigator-selected TKI

    Molecular response is assessed using BCR::ABL1 transcript levels measured by quantitative polymerase chain reaction (qPCR). MR4 is defined as a ratio BCR::ABL/ABL1 ≤ 0.01% on the International Scale and MR4.5 is defined as a ratio BCR::ABL/ABL1 ≤ 0.0032% on the International Scale

    Time frame: planned total follow-up duration of 5 years

  12. Time to treatment discontinuation due to adverse event (AE) - ELVN-001 versus Investigator-selected TKI

    This is defined as the time from randomization to discontinuation of study treatment due to an adverse event

    Time frame: planned total follow-up duration of 5 years

  13. Characterization of adverse events (AE) and clinically relevant findings, including laboratory abnormalities, electrocardiogram (ECG) changes, and other safety data - ELVN-001 versus Investigator-selected TKI

    Characteristics of AEs will be evaluated to assess safety and tolerability profiles

    Time frame: planned total follow-up duration of 5 years

  14. Plasma concentrations of ELVN-001 in participants treated with ELVN-001 will be assessed at all scheduled collection timepoints

    Relevant pharmacokinetic parameters will be evaluated

    Time frame: planned total follow-up duration of 5 years

07

Study locations

No study locations are listed for this record.

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
Registered
First appeared on the registry. No changes since
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    First appeared on the registry

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
NCT07905183
Lead sponsor
Enliven Therapeutics
Responsible party
Sponsor
First posted
Oct 29, 2026
Start date
Dec 31, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Jul 2033 (estimated)
Last update
Oct 29, 2026

Study contacts

Enliven Medical Information
Contact
MedInfo@enliventherapeutics.com
+1 6505475814

Oversight

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

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