CML (Chronic Myelogenous Leukemia)Phase 1CMLNCT06787144
ELVN-001 for the Treatment of Chronic Myeloid Leukemia With and Without T315I Mutation in Japanese Participants
A Phase 1 study testing ELVN-001 in people with CML (Chronic Myelogenous Leukemia) and Chronic Phase CML, run by Enliven Therapeutics at 4 sites in Japan.
Trial summary
The purpose of this study is to evaluate the safety, tolerability and determine the recommended dose for further clinical evaluation of ELVN-001 in Japanese patients with chronic phase chronic myeloid leukemia with and without T315I mutations in patients who has failed, or the patient is intolerant to, or not a… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- CML (Chronic Myelogenous Leukemia), Chronic Phase CML
- What is being tested?
- ELVN-001
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 21 participants
- Where
- 4 sitesJapan
- Study dates
- 23 Jan 2025to Jan 2028
- Phase
- Phase 1
- 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
- BCR::ABL1 positive CP-CML that has failed, or the patient is intolerant to, or not a candidate for, at least 2 prior TKIs.
- ECOG performance status of 0 to 2.
- The patient was born in Japan and both parents and grandparents are Japanese.
- Adequate hematologic, hepatic and renal function.
- Prior bone marrow transplant allowed if ≥ 6 months prior to the first dose of ELVN-001.
Who cannot join
- Treatment with anti-cancer or anti-CML therapy within 7 days or 5 half-lives, whichever is longer.
- History of acute tyrosine kinase inhibitor (TKI)-related pancreatitis within 6 months of study entry. Active chronic pancreatitis, or pancreatic disease due to any cause.
- QTc >470 ms.
Trial locations and contacts
4 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Japan4 sites, 4 recruiting
- Recruiting
Akita University Hospital
Akita, Akita
Yuzo Tomonaga, +81-3-6779-8000
- Recruiting
Aiiku Hospital
Sapporo, Hokkaido
Yuzo Tomonaga, +81-3-6779-8000
- Recruiting
Tokyo Medical University Hospital
Shinjuku-ku, Tokyo
Yuzo Tomonaga, +81-3-6779-8000
- Recruiting
The University of Osaka Hospital
Suita-shi, Osaka
Yuzo Tomonaga, +81-3-6779-8000
About this study
Official title: A Phase 1 Study of ELVN-001 for the Treatment of Chronic Myeloid Leukemia With and Without T315I Mutation in Japanese Participants
The purpose of this study is to evaluate the safety, tolerability and determine the recommended dose for further clinical evaluation of ELVN-001 in Japanese patients with chronic phase chronic myeloid leukemia with and without T315I mutations in patients who has failed, or the patient is intolerant to, or not a candidate for, at least 2 prior TKIs.
Read the detailed description
This first-in-human trial with ELVN-001 is a dose escalation study with the primary purpose to identify the recommended dose(s) for expansion (RDEs) of single agent ELVN-001 in chronic phase CML with or without T315I mutations. The safety, tolerability and pharmacokinetic profile of ELVN-001 will be assessed together with an evaluation of changes in BCR-ABL1 transcript. An understanding of the safety profile, PK and preliminary evidence of anti-CML activity will be used to inform future development of ELVN-001 in adults with CML. By virtue of its predicted pharmacological profile ELVN-001 has the potential to be tolerable and achieve a deep molecular response in patients with CML with or without T315I mutations who have failed, or are intolerant to, or not a candidate for, at least 2 prior TKIs.
- Being tested
- ELVN-001
- Keywords
- CML, Tyrosine Kinase Inhibitor, T315I, T315I Mutant, BCR-ABL
- Medical subject headings
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Leukemia, Myeloid, Chronic-Phase
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ELVN-001Drug
Orally once or twice daily
| Study group | Role | What they receive |
|---|---|---|
| Part 1 Dose Escalation | Experimental | ELVN-001 administered in 3+3 dose escalation Receives: Drug: ELVN-001 |
| Part 2 Dose Exploration | Experimental | ELVN-001 administered to approximately 6 participants per dose level who may be enrolled at or below the dose levels that have been deemed safe and tolerable in Part 1 Receives: Drug: ELVN-001 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Incidence of dose limiting toxicities
DLTs will be used to support that the recommended doses for expansion are </= MTD
Measured: 28 days
Part 1: Incidence of adverse events (AEs)
Adverse events will be used to support that the recommended doses for expansion are likely to be tolerable
Measured: Up to 28 days
Part 1: Incidence of clinically significant laboratory abnormalities
Clinically significant laboratory abnormalities will be used to support that the recommended doses for expansion are likely to be tolerable
Measured: Up to 28 days
Part 1: Incidence of clinically significant ECG abnormalities
Clinically significant ECG abnormalities will be used to support that the recommended doses for expansion are likely to be tolerable
Measured: Up to 28 days
Part 2: Incidence of adverse events
Adverse events will be used to support that the dose(s) evaluated in exploration is tolerable
Measured: Up to 3 years
Part 2: Incidence of clinically significant laboratory abnormalities
Clinically significant ECG abnormalities will be used to support that the dose(s) evaluated in exploration is tolerable
Measured: Up to 3 years
Part 2: Incidence of clinically significant ECG abnormalities
Clinically significant ECG abnormalities will be used to support that the recommended dose(s) evaluated in exploration is tolerable
Measured: Up to 3 years
Secondary outcomes (7)
Area under the curve
PK parameter based on measurement of drug concentration in blood over time
Measured: 6 months
Maximum concentration
PK parameter based on measurement of drug concentration in blood
Measured: 6 months
Time of maximum concentration
PK parameter which is the time at which the highest concentration of drug in the blood is measured
Measured: 6 months
Minimum concentration
PK parameter based on the measurement of the drug concentration that is at the lowest level once steady state has been achieved.
Measured: 6 months
Molecular response (MR)
Measured by quantitative polymerase chain reaction of BCR-ABL transcript levels
Measured: Up to 3 years
Duration of Molecular Response
Time from first molecular response (as measured by quantitative polymerase chain reaction of BCR-ABL transcript levels) to loss of response or discontinuation of study drug
Measured: Up to 3 years
Complete Hematologic Response (CHR)
The proportion of patients who achieve a CHR who are not in CHR at baseline
Measured: Up to 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Jan 2025
- Study start23 Jan 2025
- Primary completionJan 2028 (estimated)
- Study completionJan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CML (Chronic Myelogenous Leukemia)Studies 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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 21 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Enliven Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Helen Collins, MD, Study director, Enliven Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06787144
- Sponsor's protocol ID
- ELVN-001-105
- Acronym
- CML
- Status last verified
- Jun 2025
- First submitted
- 16 Dec 2024
- Last updated
- 1 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study of ELVN-001 for the Treatment of Chronic Myeloid Leukemia With and Without T315I Mutation in Japanese Participants
- ClinicalTrials.gov ID
- NCT06787144
- Acronym / sponsor ID
- CML / ELVN-001-105
- Keywords
- CML, Tyrosine Kinase Inhibitor, T315I, T315I Mutant, BCR-ABL
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 21 participants (estimated)
- Lead sponsor
- Enliven TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 23 Jan 2025 (actual)
- Primary completion
- Jan 2028 (estimated)
- Study completion
- Jan 2028 (estimated)
- First posted
- 22 Jan 2025 (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.
The purpose of this study is to evaluate the safety, tolerability and determine the recommended dose for further clinical evaluation of ELVN-001 in Japanese patients with chronic phase chronic myeloid leukemia with and without T315I mutations in patients who has failed, or the patient is intolerant to, or not a candidate for, at least 2 prior TKIs.
Detailed description
This first-in-human trial with ELVN-001 is a dose escalation study with the primary purpose to identify the recommended dose(s) for expansion (RDEs) of single agent ELVN-001 in chronic phase CML with or without T315I mutations. The safety, tolerability and pharmacokinetic profile of ELVN-001 will be assessed together with an evaluation of changes in BCR-ABL1 transcript. An understanding of the safety profile, PK and preliminary evidence of anti-CML activity will be used to inform future development of ELVN-001 in adults with CML. By virtue of its predicted pharmacological profile ELVN-001 has the potential to be tolerable and achieve a deep molecular response in patients with CML with or without T315I mutations who have failed, or are intolerant to, or not a candidate for, at least 2 prior TKIs.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Part 1 Dose Escalation | Experimental | Drug: ELVN-001ELVN-001 administered in 3+3 dose escalation |
| Part 2 Dose Exploration | Experimental | Drug: ELVN-001ELVN-001 administered to approximately 6 participants per dose level who may be enrolled at or below the dose levels that have been deemed safe and tolerable in Part 1 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- BCR::ABL1 positive CP-CML that has failed, or the patient is intolerant to, or not a candidate for, at least 2 prior TKIs.
- ECOG performance status of 0 to 2.
- The patient was born in Japan and both parents and grandparents are Japanese.
- Adequate hematologic, hepatic and renal function.
- Prior bone marrow transplant allowed if ≥ 6 months prior to the first dose of ELVN-001.
Key exclusion criteria (3 listed)
- Treatment with anti-cancer or anti-CML therapy within 7 days or 5 half-lives, whichever is longer.
- History of acute tyrosine kinase inhibitor (TKI)-related pancreatitis within 6 months of study entry. Active chronic pancreatitis, or pancreatic disease due to any cause.
- QTc >470 ms.
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 |
|---|---|---|
| ELVN-001Orally once or twice daily | Drug | Part 1 Dose Escalation, Part 2 Dose Exploration |
Primary outcome
Part 1: Incidence of dose limiting toxicities
Time frame: 28 days
DLTs will be used to support that the recommended doses for expansion are </= MTD
Part 1: Incidence of adverse events (AEs)
Time frame: Up to 28 days
Adverse events will be used to support that the recommended doses for expansion are likely to be tolerable
Part 1: Incidence of clinically significant laboratory abnormalities
Time frame: Up to 28 days
Clinically significant laboratory abnormalities will be used to support that the recommended doses for expansion are likely to be tolerable
Part 1: Incidence of clinically significant ECG abnormalities
Time frame: Up to 28 days
Clinically significant ECG abnormalities will be used to support that the recommended doses for expansion are likely to be tolerable
Part 2: Incidence of adverse events
Time frame: Up to 3 years
Adverse events will be used to support that the dose(s) evaluated in exploration is tolerable
Part 2: Incidence of clinically significant laboratory abnormalities
Time frame: Up to 3 years
Clinically significant ECG abnormalities will be used to support that the dose(s) evaluated in exploration is tolerable
Part 2: Incidence of clinically significant ECG abnormalities
Time frame: Up to 3 years
Clinically significant ECG abnormalities will be used to support that the recommended dose(s) evaluated in exploration is tolerable
7 secondary outcomes
Area under the curve
Time frame: 6 months
Maximum concentration
Time frame: 6 months
Time of maximum concentration
Time frame: 6 months
Minimum concentration
Time frame: 6 months
Molecular response (MR)
Time frame: Up to 3 years
Duration of Molecular Response
Time frame: Up to 3 years
Complete Hematologic Response (CHR)
Time frame: Up to 3 years
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 1 Jul 2025.
- Individual participant dataSharing planned: No
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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.
Helen Collins, MD study director
Enliven Therapeutics
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing ELVN-001 in people with CML (Chronic Myelogenous Leukemia) and Chronic Phase CML, run by Enliven Therapeutics at 4 sites in Japan.
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 5 inclusion and 3 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 1 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Japan. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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 Yuzo Tomonaga (+81-3-6779-8000, ClinicalTrialInformation@cmic.co.jp), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1: Incidence of dose limiting toxicities (time frame: 28 days). The study lists 7 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 1 Jul 2025.