Chronic Myelomonocytic LeukemiaPhase 3NCT06647862
IMM01+Azacitidine VS Placebo +Azacitidine in Patients With Newly Diagnosed Chronic Myelomonocytic Leukemia (CMML1-2)
A Phase 3 study testing IMM01 and Azacitidine in people with Chronic Myelomonocytic Leukemia, run by ImmuneOnco Biopharmaceuticals (Shanghai) Inc. at 43 sites in China.
Trial summary
This study is a randomized, controlled, double-blind, multicenter, phase Ⅲ clinical study to evaluate the efficacy of IMM01(timdarpacept) in combination with azacitidine versus placebo in combination with azacitidine in patients with newly diagnosed chronic leukemia monocytic (CMML1-2).Primary endpoint are Complete… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Myelomonocytic Leukemia
- What is being tested?
- IMM01 and Azacitidine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 170 participants
- Where
- 43 sitesChina
- Study dates
- 11 Nov 2024to 24 Oct 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥ 18 years old, regardless of gender;
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1.
- Life expectancy ≥ 12 weeks;
- Patients with CMML diagnosed according to WHO 2016 criteria, including CMML-1 and CMML-2;
- White blood cell count ≤ 13×10⁹/L before the first treatment with the study drug (hydroxyurea and leukapheresis are allowed).
- Patients must be treatment-naïve to any systemic agents for CMML (e.g., azacitidine, decitabine,chemotherapy<1 cycle, and the washout period should be more than 28 days, which is acceptable.), allogeneic stem cell transplant for CMML. Note: During screening and study participation, subjects may continue oral corticosteroids for diseases other than CMML (e.g. asthma) at a stable daily dose equivalent to ≤ 10 mg prednisone. In addition, supportive care in the form of blood transfusions or growth factors is not considered prior therapy in this case and is permitted prior to and as needed during the study.
Who cannot join
- Previous treatment with anti-CD47 monoclonal antibody/SIRPα fusion protein;
- History of allogeneic stem cell transplant and other organ transplants; Patients who have undergone autologous haematopoietic stem cell transplant;
- Prior diagnosis of: therapy-related Myelodysplastic syndrome / Myeloproliferative neoplasm(MDS/MPN); MDS evolved from a pre-existing Myelodysplastic syndrome / Myeloproliferative neoplasm (MDS/MPN) ;other MDS/MPN including atypical chronic myeloid leukemia (aCML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN. Patients positive for BCR-ABL fusion genes, PDGFRA, PDGFRB, and FGFR1 rearrangements need to be excluded;
- Current or history of central nervous system (CNS) leukemia, extramedullary leukemia(excluding: Enlarged spleen, enlarged liver, enlarged lymph nodes), or myeloid sarcoma;
- Diagnosis of other malignant neoplasms within 3 years prior to the first dose. Exceptions: a. Radically treated cervical carcinoma in situ or non-melanoma skin cancer,Surgery-cured prostate cancer and papillary thyroid cancer; b. a second primary cancer that has been curatively treated and has no recurrence within three years;
Trial locations and contacts
43 sites in 1 country. Contact the study team or a site near you to ask about taking part.
43 sites in 1 country
China43 sites, 43 recruiting
- Recruiting
China-Japan Friendship Hospita
Beijing, Beijing Municipality
zhenling li
- Not yet recruiting
Peking University People's Hospital
Beijing
qian Jiang
- Recruiting
The First Hospital of Jilin University
Changchun, Jilin
hai Lin
- Not yet recruiting
Xiangya Hospital Central South University
Changsha, Hunan
yajing xu
zhiping jiang
- Recruiting
Changzhou First People's Hospital
Changzhou, Jiangsu
weiying gu
- Not yet recruiting
Sichuan Provincial People's Hospital
Chengdu, Sichuan
xiaobing huang
- Not yet recruiting
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality
li wang
- Recruiting
Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong
dan xu
- Recruiting
Guangdong Provincial People's Hospital
Guangzhou, Guangzhou
xin Du
- Recruiting
Affiliated Hospital of Guizhou Medical University
Guiyang, Guizhou
jishi wang
- Recruiting
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003
hongyan Tong, PHD, 0571-87235589, hongyantong@aliyun.com
- Not yet recruiting
Harbin First Hospital
Harbin, Heilongjiang
tiejun Gong
- Recruiting
Anhui Provincial Hospital
Hefei, Anhui
xiaoyu zhu
- Recruiting
Qilu Hospital of Shandong University
Jinan, Shandong
qiang song
- Not yet recruiting
The Second Affiliated Hospital of Kunming Medical University
Kunming, Yunnan
zeping Zhou
- Not yet recruiting
First Hospital of Lanzhou University
Lanzhou, Gansu
bei liu
- Not yet recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi
fei Li
- Not yet recruiting
Jiangsu Province Hospital
Nanjing, Jiangsu
wenyi shen
- Recruiting
Zhongda Hospital affiliated to Southeast University
Nanjing, Jiangsu
zheng Ge
- Recruiting
The First Affiliated Hospital of Guangxi Medical University
Nanning, Gaungxi
zhenfang liu
- Recruiting
Ningbo First Hospital
Ningbo, Zhejiang
guifang ouyang
- Recruiting
Shengjing Hospital of China Medical University
Shenyang, Liaoning
wei Yang
- Not yet recruiting
The First Hospital of China Medical University
Shenyang, Liaoning
xiaojing Yan
- Not yet recruiting
Shenzhen Second People's Hospital
Shenzhen, Guangdong
xin du
- Not yet recruiting
Affiliated Hospital of Hebei University
Shijiazhuang, Hebei
hua xue
- Not yet recruiting
The Second Hospital of Hebei Medical University
Shijiazhuang, Hebei
jinhai Ren
- Not yet recruiting
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu
miao miao
- Recruiting
Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College;
Tianjin, Tianjin Municipality, 300020
Zhijian Xiao, PHD, 022-23909184, zjxiao@ihcams.ac.cn
- Recruiting
Tianjin People's Hospital
Tianjin
xingli Zhao
- Recruiting
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang
jianping hao
- Not yet recruiting
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang
songfu jiang
- Recruiting
Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei
weiming Li
- Not yet recruiting
Zhongnan Hospital Affiliated to Wuhan University
Wuhan, Hubei
fuling Zhou
- Recruiting
Shaanxi Provincial People's Hospital
Xi’an, Shanxi
yi wang
- Recruiting
Xiangyang Central Hospital
Xiangyang, Hubei
guolin yuan
- Recruiting
Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu
zhenyu li
- Recruiting
Jiangsu Subei People's Hospital
Yangzhou, Jiangsu
mei sun
- Recruiting
Yibin Second People's Hospital
Yibin, Sichuan
shihua huang
- Recruiting
First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan
lijie Han
xinsheng Xie
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan
hu Zhou
- Not yet recruiting
Henan Provincial People's Hospital
Zhengzhou, Henan
zunmin Zhu
- Not yet recruiting
The First Affiliated Hospital of Henan University of Science and Technology
Zhengzhou, Henan
haiping Yang
- Not yet recruiting
Zhujiang Hospital of Southern Medical University
Zhujiang, Guangdong
chaoyang Song
About this study
Official title: A Randomized, Controlled, Double-Blind, Multicenter, Phase Ⅲ Study to Evaluate the Efficacy and Safety of IMM01 (Timdarpacept) in Combination With Azacitidine in Patients With Newly Diagnosed Chronic Myelomonocytic Leukemia (CMML1-2)
This study is a randomized, controlled, double-blind, multicenter, phase Ⅲ clinical study to evaluate the efficacy of IMM01(timdarpacept) in combination with azacitidine versus placebo in combination with azacitidine in patients with newly diagnosed chronic leukemia monocytic (CMML1-2).Primary endpoint are Complete remission rate and Overall survival.
- Conditions
- Chronic Myelomonocytic Leukemia
- Being tested
- IMM01, Azacitidine, Placebo
- Medical subject headings
- Leukemia, Myelomonocytic, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IMM01Drug
Also called Timdarpacept
IV infusion
AzacitidineDrug
subcutaneous injection
PlaceboDrug
IV infusion
| Study group | Role | What they receive |
|---|---|---|
| IMM01 in combination with azacitidine | Experimental | One treatment cycle consists of 4 weeks (28 days). IMM01(timdarpacept) will be administered once weekly, and azacitidine will be administered from Day 1 to Day 7 of each cycle. Receives: Drug: IMM01; Drug: Azacitidine |
| placebo in combination with azacitidine | Placebo comparator | One treatment cycle consists of 4 weeks (28 days). Placebo will be administered once weekly, and azacitidine will be administered on days 1-7 of each cycle. Receives: Drug: Azacitidine; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Complete remission( CR) rate
CR rate: CR rate determined by Independent Review Committee (IRC) based on IWG2006 MDS efficacy evaluation criteria;
Measured: approximately 24 months
Overall survival (OS)
Overall survival (OS): Time from randomization to death from any cause;
Measured: approximately 24 months
Secondary outcomes (8)
Event-free survival(EFS)
Time from randomization to transformation to AML or death from any cause, whichever occurs first
Measured: approximately 24 months
Progression-free survival(PFS)
Time from randomization to transformation to AML or death from any cause, whichever occurs first
Measured: approximately 24 months
Time to response (TTR)
time from first dose to first occurrence of CR, partial remission (PR), marrow complete remission (mCR) ± hematologic improvement (HI), HI, assessed by IRC and investigators, respectively
Measured: approximately 24 months
overall response rate(ORR)
is defined as the proportion of the analysis population achieving CR, PR, mCR±HI, or HI
Measured: approximately 24 months
Duration of response(DOR)
is defined as the time from the first occurrence of CR, PR, mCR±HI, or HI to disease progression or death from any cause, whichever occurs first
Measured: approximately 24 months
Red blood cell transfusion independence (RTI)
the proportion of patients who did not receive red blood cell (or whole blood) transfusion for 8 consecutive weeks during the study treatment period among patients who required transfusion at baseline.
Measured: approximately 24 months
Complete remission(CR) rate
CR rate determined by IRC based on IWG2006 MDS efficacy evaluation criteria assessed by the investigator;
Measured: approximately 24 months
Time to transformation to acute myeloid leukemia
Time from initiation of study treatment to transformation to AML; defined as ≥ 20% blasts in the bone marrow or peripheral blood by manual differential count, according to the 2016 WHO classification criteria.
Measured: approximately 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Oct 2024
- Study start11 Nov 2024
- Primary completion24 Apr 2026 (estimated)
- Study completion24 Oct 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Myelomonocytic LeukemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 170 participants (estimated)
Sponsor and investigators
- Lead sponsor
- ImmuneOnco Biopharmaceuticals (Shanghai) Inc.
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- zhijian xiao, PHD, Principal investigator, Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeHongyan Tong, PHD, Principal investigator, Zhejiang University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06647862
- Sponsor's protocol ID
- IMM01-010
- Status last verified
- Nov 2025
- First submitted
- 16 Oct 2024
- Last updated
- 25 Nov 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Controlled, Double-Blind, Multicenter, Phase Ⅲ Study to Evaluate the Efficacy and Safety of IMM01 (Timdarpacept) in Combination With Azacitidine in Patients With Newly Diagnosed Chronic Myelomonocytic Leukemia (CMML1-2)
- ClinicalTrials.gov ID
- NCT06647862
- Acronym / sponsor ID
- IMM01-010
- Conditions
- Chronic Myelomonocytic Leukemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 170 participants (estimated)
- Lead sponsor
- ImmuneOnco Biopharmaceuticals (Shanghai) Inc.University, hospital or other
- Study start
- 11 Nov 2024 (actual)
- Primary completion
- 24 Apr 2026 (estimated)
- Study completion
- 24 Oct 2029 (estimated)
- First posted
- 18 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a randomized, controlled, double-blind, multicenter, phase Ⅲ clinical study to evaluate the efficacy of IMM01(timdarpacept) in combination with azacitidine versus placebo in combination with azacitidine in patients with newly diagnosed chronic leukemia monocytic (CMML1-2).Primary endpoint are Complete remission rate and Overall survival.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| IMM01 in combination with azacitidine | Experimental | Drug: IMM01, Drug: AzacitidineOne treatment cycle consists of 4 weeks (28 days). IMM01(timdarpacept) will be administered once weekly, and azacitidine will be administered from Day 1 to Day 7 of each cycle. |
| placebo in combination with azacitidine | Placebo comparator | Drug: Azacitidine, Drug: PlaceboOne treatment cycle consists of 4 weeks (28 days). Placebo will be administered once weekly, and azacitidine will be administered on days 1-7 of each cycle. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Age ≥ 18 years old, regardless of gender;
- Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1.
- Life expectancy ≥ 12 weeks;
- Patients with CMML diagnosed according to WHO 2016 criteria, including CMML-1 and CMML-2;
- White blood cell count ≤ 13×10⁹/L before the first treatment with the study drug (hydroxyurea and leukapheresis are allowed).
Key exclusion criteria (5 listed)
- Previous treatment with anti-CD47 monoclonal antibody/SIRPα fusion protein;
- History of allogeneic stem cell transplant and other organ transplants; Patients who have undergone autologous haematopoietic stem cell transplant;
- Prior diagnosis of: therapy-related Myelodysplastic syndrome / Myeloproliferative neoplasm(MDS/MPN); MDS evolved from a pre-existing Myelodysplastic syndrome / Myeloproliferative neoplasm (MDS/MPN) ;other MDS/MPN including atypical chronic myeloid leukemia (aCML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN. Patients positive for BCR-ABL fusion genes, PDGFRA, PDGFRB, and FGFR1 rearrangements need to be excluded;
- Current or history of central nervous system (CNS) leukemia, extramedullary leukemia(excluding: Enlarged spleen, enlarged liver, enlarged lymph nodes), or myeloid sarcoma;
- Diagnosis of other malignant neoplasms within 3 years prior to the first dose. Exceptions: a. Radically treated cervical carcinoma in situ or non-melanoma skin cancer,Surgery-cured prostate cancer and papillary thyroid cancer; b. a second primary cancer that has been curatively treated and has no recurrence within three years;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IMM01Also: TimdarpaceptIV infusion | Drug | IMM01 in combination with azacitidine |
| Azacitidinesubcutaneous injection | Drug | IMM01 in combination with azacitidine, placebo in combination with azacitidine |
| PlaceboIV infusion | Drug | placebo in combination with azacitidine |
Primary outcome
Complete remission( CR) rate
Time frame: approximately 24 months
CR rate: CR rate determined by Independent Review Committee (IRC) based on IWG2006 MDS efficacy evaluation criteria;
Overall survival (OS)
Time frame: approximately 24 months
Overall survival (OS): Time from randomization to death from any cause;
8 secondary outcomes
Event-free survival(EFS)
Time frame: approximately 24 months
Progression-free survival(PFS)
Time frame: approximately 24 months
Time to response (TTR)
Time frame: approximately 24 months
overall response rate(ORR)
Time frame: approximately 24 months
Duration of response(DOR)
Time frame: approximately 24 months
Red blood cell transfusion independence (RTI)
Time frame: approximately 24 months
Complete remission(CR) rate
Time frame: approximately 24 months
Time to transformation to acute myeloid leukemia
Time frame: approximately 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Nov 2025.
- Individual participant dataSharing planned: No
Related trials for Chronic Myelomonocytic Leukemia
Active, not recruitingPhase 2
Clofarabine and Melphalan Before Donor Stem Cell Transplant in Treating Patients With Myelodysplasia, Acute Leukemia in Remission, or Chronic Myelomonocytic Leukemia
Adult Acute Lymphoblastic Leukemia in Remission, Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome
Not yet recruitingPhase 2
Ropeginterferon Alfa-2b for the Treatment of Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap Syndromes and Chronic Myelomonocytic Leukemia
Atypical Chronic Myeloid Leukemia, Chronic Myelomonocytic Leukemia
RecruitingPhase 1
Phase 1 Study of 6MW5311 in Adults With Relapsed or Refractory Blood Cancers
AML, Multiple Myeloma
Active, not recruitingPhase 2
Trametinib in Treating Patients With Relapsed or Refractory Juvenile Myelomonocytic Leukemia
Juvenile Myelomonocytic Leukemia, Neurofibromatosis Type 1
RecruitingPhase 2
Personalized NK Cell Therapy in CBT
Accelerated Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive, Acute Biphenotypic Leukemia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
zhijian xiao, PHD principal investigator
Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Hongyan Tong, PHD principal investigator
Zhejiang University
43 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing IMM01 and Azacitidine in people with Chronic Myelomonocytic Leukemia, run by ImmuneOnco Biopharmaceuticals (Shanghai) Inc. at 43 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 25 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 43 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Yujuan Ma (86-15021694761, yujuan.ma@immuneonco.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Complete remission( CR) rate (time frame: approximately 24 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Nov 2025.