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Chronic Myelogenous LeukemiaPhase 2NCT07354074

Study to Determine the Efficacy and Safety of Asciminib in Pediatric Patients With Ph+ CML-CP

A Phase 2 study testing Asciminib single agent in people with Chronic Myelogenous Leukemia and Leukemia, Myelogenous, Chronic, Philadelphia Chromosome Positive, run by Novartis Pharmaceuticals at 34 sites in 15 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The aim of this study is to support development of asciminib in the pediatric population (1 to < 18 years) with Ph+ CML-CP. The study will evaluate the efficacy and safety of asciminib in pediatric formulation (weigh-based dose, fed state) or adult formulation (fasted) in newly diagnosed and resistant or intolerant… Read more about this study

Who is it for?
Ages 1 year to 18 years
What is being tested?
Asciminib single agent
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
34 sitesin 15 countries
Study dates
28 Apr 2026to 23 Feb 2033
Phase
Phase 2
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 1 year to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Participants eligible for inclusion in this study must meet all of the following criteria:
  • Signed informed consent must be obtained prior to participation in the study.
  • Male or female participants 1 and < 18 years of age at study enrollment
  • Diagnosis of CML-CP (Apperley et al 2025) with cytogenetic confirmation of Philadelphia positive (Ph+) chromosome
  • For participants with CML-CP newly diagnosed within 3 months of screening OR 5 For participants with CML - CP with high risk of developing resistance or intolerance to previous TKI:
  • Unfavourable response to TKI is defined following the Apperley et al 2025 guidelines as:
Show all 16Show fewer
  • At three months after the initiation of therapy: BCR::ABL1 ratio > 10% IS (if confirmed within 1-3 months)
  • At six months after the initiation of therapy: BCR::ABL1 ratio > 10% IS
  • At twelve months after initiation of therapy: BCR::ABL1 ratio > 1% IS
  • At any time loss of previous response
  • At any time emergent resistant BCR::ABL1 mutations or high-risk ACA from prior TKI treatment as per local test results
  • Intolerance to TKI is defined as:
  • Non-hematologic intolerance: participants with grade 3 or 4 toxicity while on therapy (in which case the patient is eligible whether or not there was a dose reduction); or with persistent grade 2 toxicity unresponsive to optimal management including dose adjustments (unless dose reduction is not considered in the best interest of the patient if response is already suboptimal)
  • Hematologic intolerance: participants with grade 3 or 4 toxicity (absolute neutrophil count [ANC] or platelets) while on therapy that is recurrent after dose reduction to the lowest doses of the TKI
  • 6. Evidence of typical BCR::ABL1 transcript [e14a2 and/or e13a2] at the time of screening which are amenable to standardized RQ-PCR quantification.
  • 7. Performance status: Karnofsky ≥ 50% for participants ≥ 16 years of age, and Lansky ≥ 50 for participants < 16 years of age at the time of screening.

Who cannot join

  • Known second chronic phase (CP) of CML after previous progression to Accelerated Phase (AP)/Blast Phase (BP).
  • Previous treatment with a hematopoietic stem-cell transplantation.
  • Patient planned to undergo allogeneic hematopoietic stem cell transplantation
  • Known presence of a BCR::ABL1 mutation with known resistance to study treatment in accordance with the most recent public version of international CML clinical guidelines (e.g. NCCN CML treatment guidelines v 1.2026 and Apperley et al 2025) any time prior to study entry
  • Other inclusion/exclusion criteria may apply.

Trial locations and contacts

34 sites in 15 countries. Contact the study team or a site near you to ask about taking part.

Novartis Pharmaceuticals contact

1-888-669-6682

novartis.email@novartis.com

Novartis Pharmaceuticals contact

+41613241111

34 sites in 15 countries

United States4 sites, 4 recruiting
  • Cinn Children Hosp Medical Center

    Cincinnati, Ohio, 45229-3039

    Lori Backus, lori.backus@cchmc.org

    Benjamin Mizukawa

    Recruiting
  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey, 08901

    Beverly Poscablo, bp646@cinj.rutgers.edu

    Richard DRACHTMAN

    Recruiting
  • Columbia University Medical Center New York Presbyterian

    New York, New York, 10032

    Karishma Sookraj, 212-305-6953, kss2158@cumc.columbia.edu

    Nobuko Hijiya

    Recruiting
  • Seattle Childrens Hospital

    Seattle, Washington, 98105

    Angela Bleeker, 206-884-1071, Angela.Bleeker@seattlechildrens.org

    Todd Cooper

    Recruiting

Other trials in United States

France4 sites, 4 recruiting
  • Novartis Investigative Site

    Marseille, 13885

    Recruiting
  • Novartis Investigative Site

    Paris, 75019

    Recruiting
  • Novartis Investigative Site

    Poitiers, 86021

    Recruiting
  • Novartis Investigative Site

    Strasbourg, 67000

    Recruiting

Other trials in France

Brazil3 sites, 3 recruiting
  • Novartis Investigative Site

    Barretos, São Paulo, 14784-400

    Recruiting
  • Novartis Investigative Site

    Rio de Janeiro, Rio de Janeiro, 20211-030

    Recruiting
  • Novartis Investigative Site

    São Paulo, São Paulo, 04829-310

    Recruiting

Other trials in Brazil

Japan3 sites, 3 recruiting
  • Novartis Investigative Site

    Fukuoka, 8128582

    Recruiting
  • Novartis Investigative Site

    Saitama, 3308777

    Recruiting
  • Novartis Investigative Site

    Yokohama, Kanagawa, 2328555

    Recruiting

Other trials in Japan

Spain3 sites, 3 recruiting
  • Novartis Investigative Site

    Barcelona, 08035

    Recruiting
  • Novartis Investigative Site

    Madrid, 28009

    Recruiting
  • Novartis Investigative Site

    Madrid, 28046

    Recruiting

Other trials in Spain

Australia2 sites, 2 recruiting
  • Novartis Investigative Site

    Brisbane, Queensland, 4101

    Recruiting
  • Novartis Investigative Site

    North Adelaide, South Australia, 5066

    Recruiting

Other trials in Australia

Canada2 sites, 2 recruiting
  • Novartis Investigative Site

    Edmonton, Alberta, T6G 1C9

    Recruiting
  • Novartis Investigative Site

    Montreal, Quebec, H3T 1C5

    Recruiting

Other trials in Canada

China2 sites, 2 recruiting
  • Novartis Investigative Site

    Tianjin, 300020

    Recruiting
  • Novartis Investigative Site

    Zhengzhou, Henan, 450003

    Recruiting

Other trials in China

Germany2 sites, 2 recruiting
  • Novartis Investigative Site

    Erlangen, 91054

    Recruiting
  • Novartis Investigative Site

    Frankfurt am Main, Hesse, 60590

    Recruiting

Other trials in Germany

Italy2 sites, 2 recruiting
  • Novartis Investigative Site

    Padova, PD, 35128

    Recruiting
  • Novartis Investigative Site

    Roma, RM, 00165

    Recruiting

Other trials in Italy

Poland2 sites, 2 recruiting
  • Novartis Investigative Site

    Gdansk, 80-214

    Recruiting
  • Novartis Investigative Site

    Wroclaw, 50-556

    Recruiting

Other trials in Poland

South Korea2 sites, 2 recruiting
  • Novartis Investigative Site

    Seoul, 03080

    Recruiting
  • Novartis Investigative Site

    Seoul, 06591

    Recruiting

Other trials in South Korea

Hungary1 site, 1 recruiting
  • Novartis Investigative Site

    Debrecen, Hajdu Bihar Megye, 4032

    Recruiting

Other trials in Hungary

Netherlands1 site, 1 recruiting
  • Novartis Investigative Site

    Utrecht, 3584 CS

    Recruiting

Other trials in Netherlands

Thailand1 site, 1 recruiting
  • Novartis Investigative Site

    Bangkok, 10700

    Recruiting

Other trials in Thailand

About this study

Official title: A Phase II, Multicenter, Open-label, Single Arm Study to Evaluate the Safety and Efficacy of Asciminib in Pediatric Participants Newly Diagnosed or Previously Treated With Philadelphia Positive Chronic Myelogenous Leukemia in Chronic Phase (Ph+ CML-CP) With or Without Known T315I Mutation

The aim of this study is to support development of asciminib in the pediatric population (1 to < 18 years) with Ph+ CML-CP. The study will evaluate the efficacy and safety of asciminib in pediatric formulation (weigh-based dose, fed state) or adult formulation (fasted) in newly diagnosed and resistant or intolerant Ph+ CML-CP with or without T315I mutation.

Read the detailed description

This is a multi-center, open-label, single arm study of asciminib in pediatric participants aged

1 to <18 years old with Ph+ CML-CP newly diagnosed and previously treated with TKI treatment, with or without T315I mutation.

The study population will consist of three cohorts of Ph+ CML-CP pediatric participants:

  • Newly-diagnosed Ph+ CML-CP participants without known T315I mutation
  • Ph+ CML-CP participants resistant or intolerant to previous TKI without known T315I mutation
  • Ph+ CML-CP participants with known T315I mutation irrespective of prior TKI treatment

There is no fixed duration of study treatment for the participants. The study will end 5 years (240 weeks) after the last enrolled participants received their first dose of treatment in the study. The objective is to have enough follow up for safety, including growth and development and efficacy.

Being tested
Asciminib single agent
Keywords
Asciminib, ABL001, Pediatric participants, Philadelphia chromosome positive chronic myeloid leukemia in chronic phase, Ph+ CML-CP, tyrosine kinase inhibitor, TKI, Molecular Response, MR, CML, Chronic phase, T3151, Ph+
Medical subject headings
Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Leukemia, Bronchiolitis Obliterans Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Asciminib single agentDrug

    Also called ABL001

    Asciminib (labelled as ABL001) administered as 40 mg tablet (adult formulation) or as 1 mg film-coated granules mini-tablets (pediatric formulation)

Study groups in NCT07354074
Study groupRoleWhat they receive
Single arm studyExperimentalThis study will enroll pediatric patients (≥ 1 and < 18 years of age) with newly diagnosed or previously treated with Philadelphia positive Chronic Myelogenous Leukemia in Chronic Phase (Ph+ CML-CP) with or without known T315I mutation
Receives: Drug: Asciminib single agent

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. MMR at Week 48

    MMR is defined as BCR::ABL1 IS ≤0.1%. MMR is defined as a ≥ 3.0 log reduction in BCR::ABL1 transcripts compared to the standardized baseline equivalent to ≤ 0.1 % BCR::ABL1/ABL % by international scale as measured by RQ-PCR.

    Measured: 48 weeks

Secondary outcomes (17)
  1. MMR at Week 96

    MMR is defined as BCR::ABL1 IS ≤0.1%. MMR is defined as a ≥ 3.0 log reduction in BCR::ABL1 transcripts compared to the standardized baseline equivalent to ≤ 0.1 % BCR::ABL1/ABL % by international scale as measured by RQ-PCR.

    Measured: 96 weeks

  2. MMR at and by scheduled timepoints

    MMR is defined as BCR::ABL1 IS ≤0.1%. MMR is defined as a ≥ 3.0 log reduction in BCR::ABL1 transcripts compared to the standardized baseline equivalent to ≤ 0.1 % BCR::ABL1/ABL % by international scale as measured by RQ-PCR.

    Measured: Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, and 96

  3. Hematologic response at and by scheduled timepoints

    Complete hematologic response (CHR) is defined as all of the following present for ≥ 4 weeks (which means present at least at 2 visits 4-week apart, with no intermediate visit showing no CHR):

    • White blood cell(s) (WBC) count < 10 x 10^9/L
    • Platelet count < 450 x 10^9/L
    • Basophils < 5%
    • No blasts and promyelocytes in peripheral blood
    • Myelocytes + metamyelocytes < 5% in peripheral blood
    • No evidence of extramedullary disease, including spleen and liver

    Measured: Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, and 96

  4. Cytogenetic response at and by scheduled timepoints

    Cytogenetic response is defined as follows:

    • Complete (CCyR) - 0% Ph+ metaphases
    • Partial (PCyR) - >0 to 35% Ph+ metaphases
    • Major* (MCyR) - 0 to 35% Ph+ metaphases
    • Minor (mCyR) - >35 to 65% Ph+ metaphases
    • Minimal - >65 to 95% Ph+ metaphases
    • None - >95 to 100% Ph+ metaphases Bone marrow aspirate for cytogenetic analyses will be performed at screening, and upon unfavorable response to treatment at the physician's discretion.

    Measured: 5 years

  5. Time to response

    Time to the first response is defined as: date of the first documented occurrence of the response or time from first study drug intake to first response - date of the first study treatment intake + 1.

    Measured: 240 weeks after the last participant enrolled in the study received the first dose of treatment

  6. Duration of response (limited to the binary response endpoints)

    Duration of response is defined as the time between the date of the first documented occurrence of the response and the earliest date of confirmed loss of the response, progression to accelerated phase/blast crisis (AP/BC) or CML-related death for participants in the respective Responder Set.

    Measured: 240 weeks after the last participant enrolled in the study received the first dose of treatment

  7. Time to treatment failure (TTF)

    TTF is defined as the time from the first study drug intake to the first/earliest documented date of any of the following events: unfavorable response to treatment, confirmed loss of MMR at any time while on study treatment and discontinuation from study treatment due to any reason.

    Measured: 240 weeks after the last participant enrolled in the study received the first dose of treatment

  8. Time to disease progression

    Measured: 5 years

  9. Event-free survival (EFS)

    EFS is defined as the time from the first study drug intake to the earliest occurrence of the following events: unfavorable response to treatment, confirmed loss of MMR at any time while on study treatment, discontinuation from the study treatment due to an adverse event (AE) and death due to any cause.

    Measured: 240 weeks after the last participant enrolled in the study received the first dose of treatment

  10. Overall survival (OS)

    OS is defined as the time from the first study drug intake to the date of death from any cause during the study (including death observed during the survival follow-up period after discontinuation of study treatment).

    Measured: 240 weeks after the last participant enrolled in the study received the first dose of treatment

  11. Growth: Height/length, weight, bone age measured by X-Ray

    To assess growth and sexual maturation. An X-ray of the left hand and wrist to assess bone age will be performed at screening and every 48 weeks until end of treatment (EOT). This assessment will no longer be required for participants once bone maturity in post-puberty stage is confirmed by the last X-ray.

    Measured: 240 weeks after the last participant enrolled in the study received the first dose of treatment

  12. Sexual maturation: Height/length, weight, bone age measured by Tanner staging

    To assess growth and sexual maturation. Tanner staging will be based on external genitalia, breast and pubic hair examination. Tanner staging will be assessed for all study participants at screening. Participants who do not have a baseline Tanner Stage of 5 will continue to be assessed every 24 weeks until achievement of Tanner Stage 5 on both secondary sexual characteristics or EOT, whichever comes first. Once a participant reaches stage 5, examinations do not need to be conducted anymore. For all male participants, Tanner Stage 5 will be achieved once the participant has demonstrated both stage 5 genitalia development and stage 5 pubic hair development. For all female participants, Tanner Stage 5 will be achieved once the participant has demonstrated both stage 5 breast development and stage 5 pubic hair development.

    Measured: 240 weeks after the last participant enrolled in the study received the first dose of treatment

  13. PK parameters of asciminib: AUClast

    AUClast: The AUC from time zero to the last measurable concentration sampling time.

    Measured: Week 2, Day 1 at 1, 3 and 6 hours post dose

  14. PK parameters of asciminib: AUCtau

    AUCtau: The AUC calculated to the end of a dosing interval (tau) at steady-state.

    Measured: Week 2, Day 1: pre dose (0 hour), Week 2: Day 1 at 1, 2, 3, and 6 hours post-dose

  15. PK parameter of asciminib: Cmax

    Cmax is the maximum (peak) observed plasma drug concentration after single dose administration.

    Measured: Week 2, Day 1 at 1, 3, and 6 hours post dose

  16. PK parameter of asciminib: Tmax

    Tmax is the time to reach maximum (peak) plasma drug concentration (h) after administration.

    Measured: Week 2, Day 1 at 1, 3, and 6 hours post dose

  17. PK parameter of asciminib: Ctrough

    Ctrough refers to the lowest concentration a drug reaches in the bloodstream immediately before the next dose is administered.

    Measured: Week 2, Day 1: pre-dose (0 hr), Week 24: pre-dose (0 hr), Week 48: Pre-dose (0 hr)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jan 2026
  2. Study start28 Apr 2026
  3. Primary completion23 Feb 2033 (estimated)
  4. Study completion23 Feb 2033 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
Three cohorts of Ph+ CML-CP pediatric participants receive asciminib: (1) newly-diagnosed without known T315I mutation; (2) resistant or intolerant to previous TKI without known T315I mutation; and (3)with known T315I mutation irrespective of prior TKI treatment. Outcomes are evaluated separately for each cohort.
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07354074
Sponsor's protocol ID
CABL001I12202
Other IDs
2025-522138-29, 2025
Status last verified
Oct 2026
First submitted
15 Jan 2026
Last updated
15 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent expert panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data is currently available according to the process described on www.clinicalstudydatarequest.com.
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Asciminib single agent in people with Chronic Myelogenous Leukemia and Leukemia, Myelogenous, Chronic, Philadelphia Chromosome Positive, run by Novartis Pharmaceuticals at 34 sites in 15 countries.

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 16 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 15 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, France, Brazil, Japan, Spain and 10 more countries. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Novartis Pharmaceuticals (1-888-669-6682, novartis.email@novartis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

MMR at Week 48 (time frame: 48 weeks). 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 15 Oct 2026.

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