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Ph+ Acute Lymphoblastic Leukemia (Ph+ALL)Phase 2ASIM-POST Ph+NCT07493408

Asciminib & Standard-of-Care Integration in Maintenance Therapy for POST Allogeneic Stem Cell Transplant (Allo-HSCT) of Patient With Ph+ B-ALL or Blastic Transformed CML

A Phase 2 study testing Asciminib add-on, Imatinib and Dasatinib in people with Ph+ Acute Lymphoblastic Leukemia (Ph+ALL) and Blastic Transformation of Chronic Myeloid Leukemia, run by The University of Hong Kong at 1 site in Hong Kong.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if Asciminib, a first in class allosteric inhibitor, as a add-on maintenance therapy can provides benefits and further prevents relapse in post allogenic hematopoietic stem-cell transplant (HSCT) of patients with Philadelphia chromosome-positive B-cell acute lymphoblastic… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Asciminib add-on, Imatinib and Dasatinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
1 siteHong Kong
Study dates
30 Mar 2026to 31 Dec 2037
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The subject (or the subject's legally acceptable representative, if applicable) must be capable of giving written informed consent and, prior to the commencement of any study-specific procedure, must sign an informed consent form (ICF) indicating the consent on the subject's voluntary participation in the study and compliance with the requirements and restrictions listed on the ICF.
  • Age ≥ 18 years
  • Patients with Ph+ B-ALL or CML-BP, who had undergone allogeneic HSCT
  • Patients must have received TKI therapy in induction/consolidation therapy
  • Absolute neutrophil count ≥ 1.0 × 109/L
  • Platelet count ≥ 50 × 109/L

Who cannot join

  • Patients with known atypical transcript that cannot be measured by available polymerase chain reaction (PCR) methods.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≥ 2
  • Uncontrolled hypertension
  • Corrected QT interval (QTc) > 460 milliseconds for women or > 450 milliseconds for men
  • Amylase and lipase values > 3 × upper limit of normal
  • Patients refused standard TKI maintenance post-HSCT
Show all 9Show fewer
  • Unable to comply with study requirements
  • Patients taking ponatinib as choice of TKI
  • Patients with documented T315I mutation

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Garret M.K. LEUNG, MBBS, MRCP(UK), FHKCP(HK) contact

+852 2255 3975

lmk381@ha.org.hk

Joycelyn P.Y. SIM, MBBS, MRCP(UK), FHKCP(HK) contact

+852 2255 3975

simpyj@ha.org.hk

Hong Kong1 site
  • The University of Hong Kong

    Hong Kong

    Rebecca W.M. CHUNG, +852 2255 4155, rebeccachung@hku.hk

    Yok-Lam Kwong, MBBS, MD, FRCP(UK), FRCPath(UK

Other trials in Hong Kong

About this study

Official title: Efficacy and Safety of Adding Asciminib to the Standard-of-care for Post Allogenic Hematopoietic Stem-cell Transplant (HSCT) Maintenance in Philadelphia Chromosome-positive B-cell Acute Lymphoblastic Leukemia (Ph+ B-ALL) or Blastic Transformed CML (Myeloid or Lymphoid) (CML-BP)

The goal of this clinical trial is to learn if Asciminib, a first in class allosteric inhibitor, as a add-on maintenance therapy can provides benefits and further prevents relapse in post allogenic hematopoietic stem-cell transplant (HSCT) of patients with Philadelphia chromosome-positive B-cell acute lymphoblastic leukemia (Ph+ B-ALL) or blastic transformed Chronic Myeloid Leukemia (CML-BP).

The main questions it aims to answer are:

Read more

Would Ascminib add-on maintenance therapyimprove Morphological relapse-free survival rate? Would Ascminib add-on maintenance therapy improve Molecular relapse-free survival and Overall survival ? Any toxicity or intolerable events during Ascminib add-on maintenance therapy?

Researchers will compare Study arm (Ascminib plus tyrosine-kinase inhibitors [TKIs]) and Control arm (TKIs only) to see if Ascminib add-on maintenance therapy would provide better relapse-free survival (RFS) with optimal tolerability.

Participants will

  • Enrolled and Randomized into either Study arm or Control arm
  • Take Ascminib plus selected TKI or selected TKI only according to schedule
  • Visit the clinic once every 2-4 weeks for checkups and tests
  • Record and Report any adverse event and graft-versus-host-disease (GvHD) development
Read the detailed description

Philadelphia chromosome-positive B-cell acute lymphoblastic leukemia (Ph+ B-ALL) or blastic transformed Chronic Myeloid Leukemia (myeloid or lymphoid) (CML-BP) represent a group of high-risk disease. The outcome has improved since the introduction of tyrosine kinase inhibitors (TKIs). However, a significant proportion of patients still relapse despite undergoing allogeneic (allo-) hematopoietic stem cell transplant (HSCT) and post-transplant maintenance with TKIs. Moreover, many patients may not be able to tolerate the standard recommended dose of TKIs due to cytopenia especially during the early phase after transplant.

Asciminib is a first in class allosteric inhibitor that works by a mechanism totally different from the current TKIs in market. Its safety and efficacy have been studied in previous studies. We therefore postulate that combination of standard ATP-competitive TKIs (our current standard of care) and asciminib as post allo-HSCT maintenance can more effectively reduce risk of relapse post-transplant without increased toxicities.

This is a two-arm, parallel group, single-center, prospective, open-label, randomized clinical study to investigate the efficacy and safety of adding asciminib to the standard-of-care for post allogenic HSCT maintenance in patients with Ph+ B-ALL or CML-BP to prevent post-HSCT relapse.

Subjects in study group will receive Asciminib plus standard of care (SOC) while those in control group will receive standard of care. Eligible subjects will be randomized into study group and control group in a 2:1 ratio.

The subjects in study group commence study drug (Asciminib) for post-transplant maintenance at 80 mg QD (in combination with nilotinib or dasatinib) or 60 mg QD (in combination with imatinib) after stable count recovery (i.e. absolute neutrophile count [ANC] ≥ 1.0 × 109/L, granulocyte colony-stimulating factor (G-CSF) independent and platelet ≥ 50 × 109/L, transfusion independent). SOC TKI will be added from 5th week onwards after.

Being tested
Asciminib add-on, Imatinib, Dasatinib, Nilotinib
Keywords
Ph+ B-ALL, CML-BP, Asciminib, Asciminib add-on, allogeneic HSCT maintenance, Asciminib with Imatinib, Asciminib with Nilotinib, Asciminib with Dasatinib

What participants receive

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

  • Asciminib add-onDrug

    Asciminib 80mg QD (in combination with Nilotinib or Dasatinib) or Asciminib 60mg QD (in combination with Imatinib)

  • ImatinibDrug

    Imatinib 300mg QD (Ramp-up from 100mg QD for first 4-weeks, 200mg QD for following 4-weeks then 300mg QD for subsequent weeks), Maximum 2-years treatment

  • DasatinibDrug

    Dasatinib 50mg QD (Ramp-up from 20mg QD for first 4-weeks, 40mg QD for following 4-weeks then 50mg QD for subsequent weeks), Maximum 2-years treatment

  • NilotinibDrug

    Nilotinib 200mg BID (Ramp-up from 200mg QD for first 4-weeks then 200mg BID for subsequent weeks), Maximum 2-years treatment

Study groups in NCT07493408
Study groupRoleWhat they receive
Study Arm (ASC + TKIs)ExperimentalAsciminib (ASC) add-on with a 2 years treatment on ONE of the following tyrosine kinase inhibitors (TKIs): Imatinib / Dasatinib / Nilotinib. TKI will be added from 5th week onwards after.
Receives: Drug: Asciminib add-on; Drug: Imatinib; Drug: Dasatinib; Drug: Nilotinib
Control Arm (TKIs only)Other2-years treatment on ONE of the following tyrosine kinase inhibitors (TKIs): Imatinib / Dasatinib / Nilotinib
Receives: Drug: Imatinib; Drug: Dasatinib; Drug: Nilotinib

What is being measured

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

  1. Morphological relapse-free survival (M-RFS)

    Morphological relapse-free survival (M-RFS) is defined as the time from date of allogeneic Hematopoietic Stem Cell Transplantation (HSCT) until the date of first documented morphological relapse or death from any cause, whichever occurs earlier. Morphological relapse is defined as the presence of ≥ 5% blasts in the bone marrow and/or evidence of new onset extramedullary disease.

    Measured: From date of allogeneic HSCT until the date of first documented morphological relapse or death from any cause, whichever occurs earlier, up to 12 years.

Secondary outcomes (7)
  1. Molecular relapse-free survival (m-RFS)

    Molecular RFS is defined as the time from the date of randomization to the date of documented molecular relapse or the date of death from any causes, whichever occurs earlier. Molecular relapse was defined as loss of major molecular response (MMR, defined as BCR::ABL1 transcript ≤0.1% on the international scale for p210 transcript and/or a 3-log reduction from baseline for p190 transcript).

    Measured: From date of randomization until the date of first documented molecular relapse or death from any cause, whichever occurs earlier, up to 12 years.

  2. Cumulative incidence of grade II-IV acute Graft versus Host Disease (acute GvHD)

    Cumulative incidence of grade II-IV acute GvHD (by Mount Sinai Acute GvHD International Consortium [MAGIC] criteria)

    Measured: Within 100 day after allogeneic Hematopoietic Stem Cell Transplantation (HSCT)

  3. Cumulative incidence of chronic Graft versus Host Disease (chronic GvHD)

    Cumulative incidence of moderate to severe chronic GvHD (by National Institute of Health [NIH] criteria) requiring systemic treatment

    Measured: From enrollment through study completion, an average of 2 years

  4. Treatment toxicities and Adverse Events (AEs)

    Number of incidence of Treatment toxicities and adverse events will be assessed and graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 throughout the study duration, from baseline through 24 months post-treatment or end of study participation.

    Measured: From randomization through treatment completion, an average of 2 years

  5. Event-free survival (EFS)

    Event-free survival (EFS) is defined as the time from the date of Hematopoietic Stem Cell Transplantation (HSCT) to the date of morphological disease relapse, molecular relapse, onset of acute or chronic GvHD, or death from any cause.

    Measured: From date of allogeneic HSCT until the date of first documented morphological relapse, molecular relapse, onset of acute of chronic GvHD or death from any cause, whichever occurs earlier, up to 12 years.

  6. Overall survival (OS)

    Overall survival (OS) is defined as the time from the date of Hematopoietic Stem Cell Transplantation (HSCT) to the time of death.

    Measured: From date of allogeneic HSCT until the date of death from any cause or trial completion, whichever occurs earlier, up to 12 years.

  7. 2-year morphological relapse-free survival rate (2-year M-RFS rate)

    The proportion of subjects with morphological relapse-free survival at 2 years from time of Hematopoietic Stem Cell Transplantation (HSCT).

    Measured: From date of allogeneic HSCT until the date of first documented morphological relapse, molecular relapse, or death from any cause, whichever occurs earlier, up to 2 years.

Timeline

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

  1. First posted25 Mar 2026
  2. Study start30 Mar 2026 (estimated)
  3. Primary completion31 Dec 2035 (estimated)
  4. Study completion31 Dec 2037 (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
Randomised
Intervention model
Parallel groups
Model description
This is a two-arm, parallel group, single-center, prospective, open-label, randomized clinical study to investigate the efficacy and safety of adding asciminib to the standard-of-care for post allogenic hematopoietic stem-cell transplant (HSCT) maintenance in patients with Philadelphia chromosome-positive B-cell acute lymphoblastic leukemia (Ph+ B-ALL) or blastic transformed Chronic Myeloid Leukemia (myeloid or lymphoid) (CML-BP) to prevent post-HSCT relapse. Ph+ B-ALL and CML-BP patients will not be stratified. Subjects in study group will receive Asciminib plus standard of care (SOC) while those in control group will receive SOC. Eligible subjects will be randomized into study group and control group in a 2:1 ratio.
Masking
None (open label)
Enrolment
45 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07493408
Sponsor's protocol ID
ASCPT-01
Acronym
ASIM-POST Ph+
Status last verified
Mar 2026
First submitted
8 Dec 2025
Last updated
25 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Asciminib add-on, Imatinib and Dasatinib in people with Ph+ Acute Lymphoblastic Leukemia (Ph+ALL) and Blastic Transformation of Chronic Myeloid Leukemia, run by The University of Hong Kong at 1 site in Hong Kong.

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 9 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: opening soon, as of the sponsor's last update on 25 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Hong Kong. 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 Garret M.K. LEUNG, MBBS, MRCP(UK), FHKCP(HK) (+852 2255 3975, lmk381@ha.org.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Morphological relapse-free survival (M-RFS) (time frame: From date of allogeneic HSCT until the date of first documented morphological relapse or death from any cause, whichever occurs earlier, up to 12 years.). 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 Mar 2026.

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