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Not yet recruitingNCT07923071Updated Nov 6, 2026

A Study to Assess the Pharmacokinetics and Safety of Revumenib in Participants With Advanced Cancer and Hepatic or Renal Impairment

A Phase 1 interventional study of Revumenib in Relapsed/Refractory (R/R) Hematologic Malignancies, Acute Leukemia and Refractory Leukemia, sponsored by Syndax Pharmaceuticals. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Primary conditionHematologic NeoplasmsRegistry: RecurrenceReclassifiedWhy we changed it
Registry
Recurrence — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hematologic Neoplasms
Why
  1. Recurrence describes something many studies share rather than a condition a study is about.
  2. The study's listed conditions name Hematologic Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Syndax Pharmaceuticals · Phase 1, Interventional, and Treatment

Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary purpose of this study is to characterize the pharmacokinetic (PK) parameters of revumenib and its major metabolite, N-deethyl revumenib (M1) after a single dose of revumenib in participants with severe liver or kidney impairment or normal liver and kidney function.

02

Conditions studied

  • Relapsed/Refractory (R/R) Hematologic Malignancies
  • Acute Leukemia
  • Refractory Leukemia
  • Relapsed Leukemia

Keywords

  • Renal Impairment
  • Hepatic Impairment
  • Neoplasms by Histologic Type Leukemia
  • Neoplasms
  • Hematologic Diseases
  • Hemic and Lymphatic Diseases
  • revumenib
  • SNDX-5613
  • Mixed Phenotype Acute Leukemia
  • Pharmacokinetics
  • Menin Inhibitor
  • Acute Lymphoblastic Leukemia
  • Organ Impairment
  • Acute Myeloid Leukemia
03

In context

Hematologic Neoplasms Reclassified

1,444 studies on the registry are indexed under Hematologic Neoplasms; 420 are open to participants now.

This study's planned enrollment of 18 is below the median of 46 across 1,044 interventional studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

Syndax Pharmaceuticals is the lead sponsor of 31 studies on the registry; 4 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 6 (55%) have results posted.

Compared within Hematologic Neoplasms, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Recurrence. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Documented active diagnosis of R/R hematologic (for example, R/R acute leukemias [acute myeloblastic leukemia [AML]/acute lymphoblastic leukemia [ALL] or mixed phenotype acute leukemia [MPAL]) in medically stable individuals based on their medical history and clinical evaluation who may benefit from revumenib as determined by the Investigator.
  • Hepatic and renal function as indicated by clinical chemistry values.
  • Adequate cardiac function defined as ≥50% by echocardiogram or multigated acquisition (MUGA) scan.
  • Potassium maintained at ≥4.0 milliequivalent/liter (mEq/L) and magnesium at ≥2.0 milligram/deciliter (mg/dL).
  • White blood cell (WBC) must be \< 25,000/microliter (µL) prior to the first dose of revumenib.
  • (ECOG) performance status (PS) score of ≤2 at Screening. (For participants ≥65 years of age, an ECOG PS score of 0 or 1.)

Key Exclusion Criteria:

  • Gastrointestinal Disease (GI) within previous 6 months.
  • Uncontrolled active infection of any type. Infections under control with antibiotic treatment are acceptable for study entry.
  • Uncontrolled invasive fungal infection (positive blood or tissue culture).
  • Any of the following within the 6 months prior to study entry: myocardial infarction, uncontrolled/unstable angina, congestive heart failure ( Classification Class ≥II), life-threatening, uncontrolled arrhythmia, cerebrovascular accident, or .
  • corrected for heart rate using Fridericia's formula (QTcF) of >450 millisecond (ms) (average of triplicate), diagnosis or suspicion of Long QT syndrome or family history of Long QT syndrome.
  • Participants requiring the concurrent use of medications known or suspected to prolong the QT/QTc interval, with the exception of drugs with low risk of QT/QTc prolongation that are used as standard supportive therapies (for example, diphenhydramine, famotidine, ondansetron, Bactrim) and the azoles permitted.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(6)

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Group A: Severe Hepatic Impairment

    PK evaluation Period: Participants will receive a single Reduced Dose A of revumenib on Day 1. Optional Treatment Period: If the Investigator believes it is in the best clinical interest of the participant, the participant may start the Optional Treatment Period immediately after completing the PK Evaluation Period on Study Day 2. Participants who start the Optional Treatment Period will receive revumenib twice daily (Q12h), which may be continued for up to 2 years.

    Drug: Revumenib

  • Experimental
    Group B: Severe Renal Impairment

    PK evaluation Period: Participants will receive a single Reduced Dose B of revumenib on Day 1. Optional Treatment Period: If the Investigator believes it is in the best clinical interest of the participant, the participant may start the Optional Treatment Period immediately after completing the PK Evaluation Period on Study Day 2. Participants who start the Optional Treatment Period will receive revumenib twice daily, which may be continued for up to 2 years.

    Drug: Revumenib

  • Experimental
    Group C: Normal Hepatic and Renal Function

    PK evaluation Period: Participants will receive a single Recommended Dose of revumenib on Day 1. Optional Treatment Period: If the Investigator believes it is in the best clinical interest of the participant, the participant may start the Optional Treatment Period immediately after completing the PK Evaluation Period on Study Day 2. Participants who start the Optional Treatment Period will receive revumenib twice daily, which may be continued for up to 2 years.

    Drug: Revumenib

Interventions

  • Administered as oral tablets.

    Also known as: SNDX-5613

06

What researchers measure

Primary outcomes

  1. Area Under the Concentration-Time Curve From Time 0 to 24 hours (AUC0-24) of Revumenib

    Time frame: Up to 1 day postdose

  2. Area Under the Concentration-Time Curve From Time 0 to 24 hours (AUC0-24) of M1

    Time frame: Up to 1 day postdose

  3. Maximum Observed Concentration (Cmax) of Revumenib

    Time frame: Up to 1 day postdose

  4. Maximum Observed Concentration (Cmax) of M1

    Time frame: Up to 1 day postdose

  5. Terminal Elimination Half-Life (t1/2) of Revumenib

    Time frame: Up to 1 day postdose

  6. Terminal Elimination Half-Life (t1/2) of M1

    Time frame: Up to 1 day postdose

Secondary outcomes

  1. Number of Participants With Adverse Events

    Time frame: Up to 25 months

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
Nov 6, 2026
Show all 1 update
  1. Nov 6, 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
NCT07923071
Responsible party
Sponsor
First posted
Nov 6, 2026
Start date
Nov 2026 (estimated)
Primary completion
Jan 2030 (estimated)
Completion
Jan 2032 (estimated)
Last update
Nov 6, 2026

Study contacts

Syndax Pharmaceuticals
Contact
clinicaltrials@syndax.com
781-419-1400
Medical Director
study director · Syndax Pharmaceuticals

Oversight

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

Not currently enrolling

This study is not yet 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: Revumenib

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