预约演示
更新于：2025-06-24
Bleximenib
更新于：2025-06-24
概要
基本信息
药物类型 小分子化药 |
别名 Bleximenib、JNJ 6617、JNJ 75276617 + [4] |
作用方式 抑制剂 |
作用机制 MLL1抑制剂(lysine methyltransferase 2A inhibitors)、menin抑制剂(Menin蛋白抑制剂) |
在研适应症 |
非在研适应症 |
非在研机构- |
权益机构- |
最高研发阶段临床3期 |
首次获批日期- |
最高研发阶段(中国)临床3期 |
特殊审评孤儿药 (美国) |
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结构/序列
分子式C32H50FN7O3 |
InChIKeyPDUGAXSIWNMIBQ-HHHXNRCGSA-N |
CAS号2654081-35-1 |
关联
4
项与 Bleximenib 相关的临床试验NCT05521087
A Phase I/Ib Study of JNJ-75276617 in Combination With Conventional Chemotherapy for Pediatric and Young Adult Participants With Relapsed/Refractory Acute Leukemias Harboring KMT2A, NPM1, or Nucleoporin Gene Alterations
The purpose of this study is to determine the recommended Phase 2 dose(s) (RP2Ds) of JNJ-75276617 in combination with a conventional chemotherapy backbone in pediatric and young adult participants with relapsed/refractory acute leukemia harboring histone-lysine N-methyltransferase 2A1 ([KMT2A1], nucleophosmin 1 gene (NPM1), or nucleoporin alterations in Part 1 (Dose Escalation) and to further evaluate safety at the RP2D(s) of JNJ-75276617 in combination with chemotherapy in pediatric and young adult participants with relapsed/refractory acute leukemia harboring KMT2A1, NPM1, or nucleoporin alterations and safety at the RP2D(s) of JNJ-75276617 as monotherapy in a select low burden of disease cohort in Part 2 (Dose Expansion).
开始日期2025-12-26 |
NCT06852222
A Phase 3 Randomized, Double-Blind, Placebo-Controlled, Study of Bleximenib, Venetoclax and Azacitidine for the Treatment of Participants With Newly Diagnosed Acute Myeloid Leukemia Harboring KMT2A Rearrangements or NPM1 Mutations Who Are Ineligible for Intensive Chemotherapy
The purpose of this study is to assess how bleximenib and Venetoclax (VEN)+ Azacitidine (AZA) works as compared to placebo and VEN+AZA alone for the treatment of participants with Acute Myeloid Leukemia (AML).
开始日期2025-06-04 |
NCT05453903
A Phase 1b Study of Bleximenib in Combination With AML-Directed Therapies for Participants With Acute Myeloid Leukemia Harboring KMT2A or NPM1 Alterations
The purpose of this study is to determine the recommended Phase 2 dose (RP2D) candidate(s) of bleximenib in combination with AML directed therapies (dose selection) and further to evaluate safety and tolerability of bleximenib in combination with AML directed therapies at the RP2D(s) (dose expansion).
开始日期2022-10-04 |
100 项与 Bleximenib 相关的临床结果
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100 项与 Bleximenib 相关的转化医学
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100 项与 Bleximenib 相关的专利（医药）
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6
项与 Bleximenib 相关的文献（医药）2025-09-01·CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY
Menin inhibitors in KMT2A-rearranged and NPM1-mutated acute leukemia: A scoping review of safety and efficacy
Review
作者: Kalfah, Anas ; Dali, Sara Al ; Mohamed, Shehab F ; Al-Mashdali, Abdulrahman F
BACKGROUND:
Menin inhibitors represent a novel therapeutic approach targeting the Menin-KMT2A interaction in acute leukemias with KMT2A rearrangements or NPM1 mutations. This scoping review synthesizes current clinical evidence for emerging Menin inhibitors in development.
METHODS:
We systematically analyzed clinical trials, conference proceedings, and regulatory documents regarding Menin inhibitors in clinical development through December 2024. Primary outcomes included response rates, minimal residual disease (MRD) status, and safety profiles.
RESULTS:
Thirteen clinical trials investigating six Menin inhibitors (Revumenib, Ziftomenib, Bleximenib, BMF-219, DS-1594, and Enzomenib) were identified. Revumenib demonstrated consistent efficacy across five pivotal trials, achieving MRD-negative rates of 70-90 % in both KMT2A-rearranged and NPM1-mutated leukemias, leading to FDA approval in November 2024. Ziftomenib showed particular efficacy in NPM1-mutated cases but exhibited a higher incidence of differentiation syndrome (30 %) in KMT2A-rearranged patients. Bleximenib reported a 93 % overall response rate, pending MRD validation. Early resistance emergence, primarily through MEN1 mutations, was observed across trials, emerging as early as two treatment cycles.
CONCLUSIONS:
Menin inhibitors demonstrate promising clinical activity in molecularly defined leukemias, with Revumenib establishing proof-of-concept for this therapeutic approach. However, challenges remain, including resistance development, optimal timing of therapy initiation, and determination of effective combination strategies. Larger randomized trials with extended follow-up are needed to establish long-term efficacy and safety profiles. The rapid clinical development of multiple agents in this class suggests an expanding role for Menin inhibitors in leukemia treatment paradigms.
2024-09-12·BLOOD
Preclinical efficacy of the potent, selective menin-KMT2A inhibitor JNJ-75276617 (bleximenib) in KMT2A- and NPM1-altered leukemias
Article
作者: Cai, Wei ; Thuring, Jan Willem ; Shaffer, Paul L ; Kuchnio, Anna ; Fischer, Eric S. ; Jin, Cyrus ; Querolle, Olivier ; Attar, Ricardo M ; Pietsch, E. Christine ; Wilson, David Matthew ; Wenge, Daniela V. ; Fischer, Eric S ; Vinken, Petra ; Urbanietz, Gregor ; Elsayed, Yusri ; Edwards, James P ; Cowley, Glenn S ; Wenge, Daniela V ; Pande, Vineet ; Packman, Kathryn ; Jacobs, Frank ; Wilson, David M. ; Philippar, Ulrike ; Eyassu, Filmon ; Darville, Nicolas ; Verbist, Bie ; Schuringa, Jan Jacob ; Cutler, Jevon A ; Barreyro, Laura ; Verhulst, Tinne ; Cutler, Jevon A. ; Edwards, James P. ; Attar, Ricardo ; Marien, Ann ; Hogeling, Shanna M. ; Pietsch, E Christine ; Daskalakis, Nikki ; Bhogal, Balpreet ; Keersmaekers, Vikki ; Kirkpatrick, Robert ; Elsayed, Yusri A ; Ashkar, Sara El ; Armstrong, Scott A ; Verstraeten, Karin ; Steele, Ruth ; Krosky, Daniel ; Cowley, Glenn S. ; Yue, Hong ; Perry, Jennifer A. ; Armstrong, Scott A. ; Perner, Florian ; Guttke, Christina ; Hogeling, Shanna M ; Perry, Jennifer A ; Goffin, Dries ; Dai, Xuedong ; Kwon, Min Chul ; El Ashkar, Sara ; Shaffer, Paul L. ; Ferrante, Lucille ; Jayaguru, Prathiba
Abstract:
The interaction between menin and histone-lysine N-methyltransferase 2A (KMT2A) is a critical dependency for KMT2A- or nucleophosmin 1 (NPM1)–altered leukemias and an emerging opportunity for therapeutic development. JNJ-75276617 (bleximenib) is a novel, orally bioavailable, potent, and selective protein-protein interaction inhibitor of the binding between menin and KMT2A. In KMT2A-rearranged (KMT2A-r) and NPM1-mutant (NPM1c) acute myeloid leukemia (AML) cells, JNJ-75276617 inhibited the association of the menin-KMT2A complex with chromatin at target gene promoters, resulting in reduced expression of several menin-KMT2A target genes, including MEIS1 and FLT3. JNJ-75276617 displayed potent antiproliferative activity across several AML and acute lymphoblastic leukemia (ALL) cell lines and patient samples harboring KMT2A or NPM1 alterations in vitro. In xenograft models of AML and ALL, JNJ-75276617 reduced leukemic burden and provided a significant dose-dependent survival benefit accompanied by expression changes of menin-KMT2A target genes. JNJ-75276617 demonstrated synergistic effects with gilteritinib in vitro in AML cells harboring KMT2A-r. JNJ-75276617 further exhibited synergistic effects with venetoclax and azacitidine in AML cells bearing KMT2A-r in vitro, and significantly increased survival in mice. Interestingly, JNJ-75276617 showed potent antiproliferative activity in cell lines engineered with recently discovered mutations (MEN1M327I or MEN1T349M) that developed in patients refractory to the menin-KMT2A inhibitor revumenib. A cocrystal structure of menin in complex with JNJ-75276617 indicates a unique binding mode distinct from other menin-KMT2A inhibitors, including revumenib. JNJ-75276617 is being clinically investigated for acute leukemias harboring KMT2A or NPM1 alterations, as a monotherapy for relapsed/refractory acute leukemia (NCT04811560), or in combination with AML-directed therapies (NCT05453903).
2024-09-12·BLOOD
A menin-KMT2A inhibitor to overcome resistance
Communications
作者: Heckman, Caroline A.
13
项与 Bleximenib 相关的新闻（医药）2025-06-15
·药明康德
本期看点1. 强生（Johnson & Johnson）公司口服menin抑制剂bleximenib联用venetoclax和azacitidine（VEN+AZA）治疗新确诊但不适合强化化疗的急性髓系白血病（AML），在一项早期临床试验中的总缓解率（ORR）达90%，复合完全缓解（cCR）率达75%。2. 布鲁顿酪氨酸激酶（BTK）降解剂bexobrutideg单药治疗复发/难治性慢性淋巴细胞白血病（CLL）和华氏巨球蛋白血症（WM）患者的1a/1b期临床试验结果积极，在两类患者中的客观缓解率均超80%。3. 有望加速和增强肝脏再生过程的小分子疗法HRX-215进入临床试验阶段，其针对因结直肠癌肝转移而接受部分肝切除术的患者开展的1b期临床试验已完成首例患者给药。Bleximenib（JNJ-75276617）：公布1b期临床试验的新数据强生公司公布了其在研药物bleximenib的1b期临床试验的积极数据。Bleximenib是一种口服menin抑制剂，通过阻断menin与KMT2A融合蛋白之间的致癌相互作用，抑制携带KMT2A基因重排或NPM1基因突变的白血病细胞生长。该研究评估了bleximenib联用VEN+AZA在复发/难治性（R/R）AML和新确诊但不适合强化化疗的AML患者中的安全性和有效性。该研究共纳入125名患者，其中52例携带KMT2A重排，73例携带NPM1突变。在推荐的2期剂量（RP2D）下，R/R AML患者的ORR为82%，cCR率为59%。新确诊但不适合强化化疗的AML患者的ORR为90%，cCR率为75%。安全性方面，数据显示分化综合征的发生率低，且无QTc间期延长的心脏安全信号。Bexobrutideg（NX-5948）：公布1a/1b期临床试验的新数据Nurix Therapeutics公司公布了其布BTK降解剂bexobrutideg单药治疗复发/难治性CLL和WM患者的1a/1b期临床试验的新数据。Bexobrutideg是一种口服、可穿越血脑屏障的小分子BTK蛋白降解剂。截至2025年3月12日，中位随访时间为9.0个月，大多数患者仍在接受治疗。在疗效可评估的47名CLL患者中，客观缓解率为80.9%，首次缓解的中位时间为1.9个月。许多患者在更长的时间内经历了缓解加深，多次从病情稳定转变为部分缓解（PR），一名接受治疗两年多的患者经历了完全缓解。中位缓解持续时间尚未达到，有18名患者接受了一年多的治疗。在所有CLL患者群体中观察到缓解，无论既往治疗、基线突变或中枢神经系统（CNS）受累如何。在疗效可评估的19名WM患者中，客观缓解率为84.2%，包括2例非常好的部分缓解（VGPR）、11例PR和3例轻微缓解（MR）患者，3名患者获得疾病稳定（SD）。无论基线时MYD88突变和CXCR4突变的情况如何，患者均观察到缓解。此外，从4周的第一次评估开始就观察到关键疗效指标IgM水平的稳步下降，随后继续加深，3例患者的IgM水平降低超过90%。安全性方面，bexobrutideg耐受性良好，在较长的研究持续时间或更高的剂量下未观察到新的安全信号。Tuspetinib：公布1/2期联合治疗试验的新数据Aptose Biosciences公司公布了其针对新确诊的AML患者开展的1/2期TUSCANY试验的新数据。这些患者接受了不同剂量的tuspabetinib联用标准剂量的venetoclax和azacitidine（TUS+VEN+AZA三联疗法）。该三联疗法正在被开作发为一种安全且不依赖于特定突变的一线治疗方案，用于治疗那些无法接受诱导化疗的新确诊AML患者，这些患者具有多样的突变。此次公布的结果显示，携带不同突变（包括TP53突变/复杂核型、FLT3野生型）的AML患者安全地达到了CR和最小残留病（MRD）阴性。40毫克剂量组（n=4）中有3名患者达到CR且MRD状态为阴性。80毫克剂量组（n=3）中所有3名患者均达到了CR和伴有血液学不完全恢复的完全缓解（CRi）。120毫克剂量组（n=3）的患者仍在接受治疗。安全性方面，该三联疗法的安全性良好，无治疗相关死亡，迄今为止接受治疗的所有10名患者均存活。MP0533：公布1/2a期临床试验数据Molecular Partners公司公布了其四特异性T细胞接合器MP0533用于治疗R/R AML患者的1/2a期临床试验的最新积极数据。MP0533是一种新型多特异性蛋白分子，可同时靶向CD33、CD123、CD70和CD3四个靶点。截至2025年4月14日的数据，队列8中8名可评估的R/R AML患者中，有3人（超过30%）在第一个治疗周期后达到临床缓解，其中包括1例CR和2例伴有部分血液学恢复的完全缓解（CRh）。两名患者的缓解持续时间超过3个月，一名患者仍在接受治疗，缓解已维持超过6个月。安全性方面，MP0533在所有队列中均显示出可接受的安全性特征。SGR-1505：公布1期临床试验的初步数据Schrödinger公司宣布其候选药物SGR-1505在针对复发/难治性B细胞恶性肿瘤患者的1期临床试验中展现出积极的初步数据。SGR-1505是一种口服MALT1抑制剂，靶向NF-κB信号通路中的关键节点MALT1，旨在阻断癌细胞的存活与增殖。在临床前研究中，观察到SGR-1505具有高效性和选择性，并且在临床前模型中作为单一疗法以及与BTK抑制剂和BCL-2抑制剂联用均显示出抗肿瘤活性。截至2025年5月13日，49名患者进行了安全性评估，SGR-1505整体安全且耐受性良好，未出现剂量限制毒性或因治疗伴发不良事件（TEAE）导致的死亡，常见不良事件包括皮疹和疲劳。45名疗效可评估的患者中，ORR为22%，并在多个B细胞肿瘤类型中观察到缓解，包括CLL/小淋巴细胞白血病（SLL）、WM和边缘区淋巴瘤（MZL）。值得注意的是，一些曾接受过BTK和BCL-2抑制剂治疗失败的患者也出现了缓解。目前，该研究正扩展至侵袭性淋巴瘤患者，并观察到1名患者达到PR。HRX-215：1b期临床试验完成首例患者给药HepaRegeniX公司宣布其候选药物HRX-215的1b期临床试验已完成首例患者给药。该试验旨在评估HRX-215在因结直肠癌肝转移而接受部分肝切除术的患者中的安全性和有效性。HRX-215是一种口服的小分子抑制剂，靶向肝脏再生过程中的关键调节因子丝裂原活化蛋白激酶激酶4（MKK4）。通过选择性地抑制MKK4，HRX-215已在临床前模型中被证明可以稳定和保护肝细胞，并加速和增强肝脏再生过程，即使是在受损或患病的肝脏中也同样有效。参考资料（可上下滑动查看）[1] Metsera Announces Positive Phase 1 Data of First-in-Class Once-Monthly Amylin Candidate MET-233i. Retrieved June 13, 2025, from https://www.globenewswire.com/news-release/2025/06/09/3095726/0/en/Metsera-Announces-Positive-Phase-1-Data-of-First-in-Class-Once-Monthly-Amylin-Candidate-MET-233i.html[2] Avidity Biosciences Announces Positive Topline Phase 1/2 FORTITUDE™ Data Demonstrating Consistent Improvement Across Multiple Functional Measures Compared to Placebo in Del-Brax Treated FSHD Participants. Retrieved June 13, 2025, from https://www.prnewswire.com/news-releases/avidity-biosciences-announces-positive-topline-phase-12-fortitude-data-demonstrating-consistent-improvement-across-multiple-functional-measures-compared-to-placebo-in-del-brax-treated-fshd-participants-302476040.html[3] Eluminex Biosciences Announces Phase 1b Single Ascending Dose Study Results of a Novel Pentavalent Trispecific Fusion Antibody (EB-105) in Patients with Diabetic Macular Edema (DME). Retrieved June 13, 2025, from https://www.prnewswire.com/news-releases/eluminex-biosciences-announces-phase-1b-single-ascending-dose-study-results-of-a-novel-pentavalent-trispecific-fusion-antibody-eb-105-in-patients-with-diabetic-macular-edema-dme-302476053.html[4] 큐어버스, 자가면역 ‘S1P1 작용제’ 美 1상 “IND 승인”. Retrieved June 13, 2025, from https://www.biospectator.com/news/view/25347[5] Myosin Therapeutics Receives FDA Clearance to Initiate First-in-Human Trial of MT-125 in Glioblastoma. Retrieved June 13, 2025, from https://www.prnewswire.com/news-releases/myosin-therapeutics-receives-fda-clearance-to-initiate-first-in-human-trial-of-mt-125-in-glioblastoma-302475329.html[6] Nuevocor Announces FDA Clearance of IND for NVC-001 for LMNA-Related Dilated Cardiomyopathy. Retrieved June 13, 2025, from https://www.prnewswire.com/news-releases/nuevocor-announces-fda-clearance-of-ind-for-nvc-001-for-lmna-related-dilated-cardiomyopathy-302477505.html[7] Monte Rosa Therapeutics Announces FDA Clearance of IND Application for MRT-8102, a NEK7-Directed Molecular Glue Degrader for the Treatment of Multiple Inflammatory Diseases. Retrieved June 13, 2025, from https://www.globenewswire.com/news-release/2025/06/10/3096463/0/en/Monte-Rosa-Therapeutics-Announces-FDA-Clearance-of-IND-Application-for-MRT-8102-a-NEK7-Directed-Molecular-Glue-Degrader-for-the-Treatment-of-Multiple-Inflammatory-Diseases.html[8] HepaRegeniX Doses First Patient in Phase Ib Trial with Small Molecule Inhibitor HRX-215 to Promote Liver Regeneration. Retrieved June 13, 2025, from https://www.globenewswire.com/news-release/2025/06/10/3096394/0/en/HepaRegeniX-Doses-First-Patient-in-Phase-Ib-Trial-with-Small-Molecule-Inhibitor-HRX-215-to-Promote-Liver-Regeneration.html[9] BioInvent Announces Promising Phase 1 Data of BI-1206 in Combination with KEYTRUDA® (pembrolizumab) in Solid Tumors. Retrieved June 13, 2025, from https://www.bioinvent.com/en/press/bioinvent-announces-promising-phase-1-data-bi-1206-combination-keytrudar-pembrolizumab-solid[10] Capsida is initiating the Phase 1/2 study for CAP-003, with the first patient expected to be dosed in the third quarter of this year. Retrieved June 13, 2025, from https://capsida.com/capsida-receives-fda-ind-clearance-for-its-iv-administered-gene-therapy-for-parkinsons-disease-associated-with-gba-mutations/[11] Molecular Partners presents positive data from ongoing Phase 1/2a trial of MP0533 in AML at EHA 2025. 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Retrieved June 13, 2025, from https://www.capstantx.com/press-releases/capstan-therapeutics-announces-initiation-of-phase-1-trial-of-lead-in-vivo-car-t-therapy-cptx2309-for-treating-autoimmune-disease/[14] Vanda Pharmaceuticals Announces First Patient Dosed in a Trial Evaluating VCA-894A in Charcot-Marie-Tooth disease Type 2S. Retrieved June 13, 2025, from https://www.prnewswire.com/news-releases/vanda-pharmaceuticals-announces-first-patient-dosed-in-a-trial-evaluating-vca-894a-in-charcot-marie-tooth-disease-type-2s-302477600.html[15] Silence Therapeutics Presents Additional Phase 1 Data Highlighting Promise of Divesiran as the Potential First-in-Class siRNA Treatment for Polycythemia Vera. Retrieved June 13, 2025, from https://silence-therapeutics.com/investors/press-releases/press-releases-details/2025/Silence-Therapeutics-Presents-Additional-Phase-1-Data-Highlighting-Promise-of-Divesiran-as-the-Potential-First-in-Class-siRNA-Treatment-for-Polycythemia-Vera/default.aspx[16] Schrödinger Reports Encouraging Initial Phase 1 Clinical Data for SGR-1505 at EHA Annual Congress. Retrieved June 13, 2025, from https://ir.schrodinger.com/press-releases/news-details/2025/Schrdinger-Reports-Encouraging-Initial-Phase-1-Clinical-Data-for-SGR-1505-at-EHA-Annual-Congress/default.aspx[17] New results for Johnson & Johnson's bleximenib demonstrate promising antileukemic activity in combination with venetoclax and azacitidine for acute myeloid leukemia. Retrieved June 13, 2025, from https://www.investor.jnj.com/news/news-details/2025/New-results-for-Johnson--Johnsons-bleximenib-demonstrate-promising-antileukemic-activity-in-combination-with-venetoclax-and-azacitidine-for-acute-myeloid-leukemia/default.aspx[18] Nurix Therapeutics Presents Updated Positive Data Demonstrating Durable, Deepening Responses in Ongoing Clinical Trial of Bexobrutideg (NX-5948) Monotherapy in Patients with Relapsed/Refractory Chronic Lymphocytic Leukemia (CLL) and Waldenström Macroglobulinemia (WM). Retrieved June 13, 2025, from https://ir.nurixtx.com/news-releases/news-release-details/nurix-therapeutics-presents-updated-positive-data-demonstrating[19] Angitia Biopharmaceuticals Announces Topline Results from First in Human Study of AGA2115, A Bispecific Antibody for the Treatment of Osteogenesis Imperfecta. Retrieved June 13, 2025, from https://www.globenewswire.com/news-release/2025/06/12/3098209/0/en/Angitia-Biopharmaceuticals-Announces-Topline-Results-from-First-in-Human-Study-of-AGA2115-A-Bispecific-Antibody-for-the-Treatment-of-Osteogenesis-Imperfecta.html[20] Fate Therapeutics Announces Updated Clinical Data for FT819 Off-the-shelf CAR T-cell Product Candidate Demonstrating Durability of Drug-free Remission for Severe Lupus Nephritis at EULAR 2025 Congress. Retrieved June 13, 2025, from https://ir.fatetherapeutics.com/news-releases/news-release-details/fate-therapeutics-announces-updated-clinical-data-ft819-shelf#:~:text=All%20three%20patients%20treated%20with%20FT819%20following%20fludarabine-free,in%20drug-free%20Definition%20of%20Remission%20in%20SLE%20%28DORIS%29tients-with-squamous-non-small-cell-lung-cancer免责声明：药明康德内容团队专注介绍全球生物医药健康研究进展。本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。版权说明：欢迎个人转发至朋友圈，谢绝媒体或机构未经授权以任何形式转载至其他平台。转载授权请在「药明康德」微信公众号回复“转载”，获取转载须知。分享，点赞，在看，聚焦全球生物医药健康创新2
临床2期临床1期临床结果
2025-06-12
Bleximenib, an investigational selective menin inhibitor, shows potential as combination therapy for the treatment of relapsed or refractory AML and newly diagnosed, intensive chemo-ineligible AML
Phase 1b data show low rate of differentiation syndrome and no cardiac safety signal of QTc prolongation
MILAN, June 12, 2025 /PRNewswire/ -- Johnson & Johnson (NYSE: JNJ) today announced new Phase 1b data showing encouraging antileukemic activity and a promising safety profile for bleximenib (JNJ-75276617) in combination with venetoclax and azacitidine (VEN + AZA) for the treatment of acute myeloid leukemia (AML) harboring KMT2A gene rearrangements (KMT2Ar) or NPM1 gene mutations (NPM1m). The study evaluated patients with newly diagnosed, intensive chemo-ineligible AML and relapsed or refractory AML.1 The results were featured in an oral presentation at the 2025 European Hematology Association (EHA) Congress (S137).
Even though AML is the most common type of acute leukemia in adults, it has the lowest survival rate and is associated with poor patient outcomes, despite treatment advances to date – especially for patients with KMT2Ar and NPM1m.2,3,4
"AML encompasses a spectrum of genetically diverse cancers affecting the bone marrow and blood, which progress rapidly, making it an extremely challenging cancer to treat," said Andrew M. Wei*, MBBS, PhD, Peter MacCallum Cancer Centre, Royal Melbourne Hospital, Walter and Eliza Hall Institute of Medical Research and University of Melbourne, Australia. "These data highlight the potential of this targeted therapy in combination with VEN + AZA for patients with newly diagnosed AML who are ineligible for intensive chemotherapy or with disease that has relapsed after prior therapy."
The Phase 1b dose-finding study (NCT05453903) evaluated 125 patients with relapsed or refractory AML and newly diagnosed, intensive chemo-ineligible AML who harbored KMT2Ar (n=52) or NPM1m (n=73). Bleximenib in combination with VEN + AZA was evaluated across multiple dose levels without step-up dosing. Of the 85 relapsed or refractory patients, 36 percent received one, 42 percent received two and 12 percent received three lines of prior treatment; 47 percent had previously been treated with venetoclax.1
The bleximenib data at 100 mg twice a day in combination with VEN + AZA showed higher efficacy and a similar safety profile in comparison to other dose levels. At the recommended Phase 2 dose (RP2D), patients with relapsed or refractory AML achieved an overall response rate (ORR) of 82 percent and a composite complete response (cCR) rate of 59 percent.1 The newly diagnosed, intensive chemo-ineligible patient population showed an ORR of 90 percent and a cCR rate of 75 percent.1
Safety analysis of the study population showed a profile comparable among dose groups, genetic subtypes and disease settings. At the RP2D in combination with VEN+AZA, differentiation syndrome events were reported in two of 49 patients (4 percent). Bleximenib safety data continued to support a lack of QTc prolongation signal, with no events of Grade 3 or higher and only three Grade 1 events (6 percent) at the RP2D.1 The most common all-grade treatment-emergent adverse events (TEAEs) were nausea (65 percent), thrombocytopenia (61 percent), neutropenia (59 percent) and anemia (49 percent).1 The most common Grade 3 or higher TEAEs were thrombocytopenia (59 percent), neutropenia (59 percent), and anemia (49 percent).1
"Building on our heritage of leadership and innovation in hematologic malignancies, we are committed to delivering transformative treatment options that address the significant unmet needs of patients with acute myeloid leukemia," said Jeffrey Infante, M.D., Vice President of Early Clinical Development and Translational Research at Johnson & Johnson Innovative Medicine. "We continue to explore the potential of this compound as a monotherapy and in combination with standard of care regimens in additional Phase 2 and 3 studies, which are currently enrolling patients."
About Phase 1b Bleximenib Combination Dosing Study
This bleximenib combination trial (NCT05453903) is an ongoing Phase 1b open-label, non-randomized sequential assignment multicenter study to determine the recommended Phase 2 dose (RP2D) and further evaluate the safety and tolerability of bleximenib in combination with VEN + AZA in approximately 200 patients with either newly diagnosed or relapsed/refractory acute myeloid leukemia harboring KMT2A or NPM1 alterations.
Patients received VEN + AZA in combination with oral bleximenib twice daily at 15–150 mg (relapsed/refractory) or 30–100 mg (newly diagnosed) over a 28-day cycle and during count recovery. Bleximenib was started on day 4 without the need for step-up dosing. Primary outcome measures included adverse events and dose-limiting toxicity. Secondary efficacy measures included depletion of leukemic blasts, percentage of patients achieving complete response (CR), and percentage of patients who achieve overall response.
About Bleximenib (JNJ-75276617)
Bleximenib is an investigational oral menin inhibitor being evaluated for the treatment of patients with newly diagnosed and relapsed or refractory AML. It targets a key oncogenic interaction between menin and KMT2A fusion proteins, disrupting a pathway that drives leukemic cell growth in patients with KMT2Ar or NPM1m mutations.
It is currently being investigated in Phase 1, 2, and 3 trials, both as a monotherapy and in combination with AML-directed therapies to further explore its potential in both relapsed or refractory and newly diagnosed AML populations.
About Acute Myeloid Leukemia (AML)
Acute myeloid leukemia is an aggressive, fast-growing blood cancer that originates in the bone marrow and is marked by the uncontrolled proliferation of immature white blood cells known as myeloblasts.2, 5 These malignant cells crowd out healthy blood-forming cells, leading to complications such as anemia, infections and bleeding.6 Acute myeloid leukemia progresses rapidly, often requiring immediate treatment after diagnosis.5 It is the most common type of acute leukemia in adults, with a median age of diagnosis around 70 years.2
Despite treatment advances, acute myeloid leukemia remains associated with poor patient outcomes, particularly in older adults or those with high-risk genetic profiles.7 The five-year survival rate remains the lowest among leukemias, with outcomes especially poor in patients with KMT2Ar or NPM1m where relapse/refractory disease survival can be as short as 2 to 3 months after a second relapse – highlighting a significant unmet medical need.7
About Johnson & Johnson
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at or at . Follow us at @JanssenUS and @JNJInnovMed. Janssen Research & Development, LLC, Janssen Biotech, Inc., and Janssen Global Services, LLC are Johnson & Johnson companies.
Cautions Concerning Forward-Looking Statements
This press release contains "forward-looking statements" as defined in the Private Securities Litigation Reform Act of 1995 regarding product development and the potential benefits and treatment impact of bleximenib (JNJ-75276617). The reader is cautioned not to rely on these forward-looking statements. These statements are based on current expectations of future events. If underlying assumptions prove inaccurate or known or unknown risks or uncertainties materialize, actual results could vary materially from the expectations and projections of Johnson & Johnson. Risks and uncertainties include, but are not limited to: challenges and uncertainties inherent in product research and development, including the uncertainty of clinical success and of obtaining regulatory approvals; uncertainty of commercial success; manufacturing difficulties and delays; competition, including technological advances, new products and patents attained by competitors; challenges to patents; product efficacy or safety concerns resulting in product recalls or regulatory action; changes in behavior and spending patterns of purchasers of health care products and services; changes to applicable laws and regulations, including global health care reforms; and trends toward health care cost containment. A further list and descriptions of these risks, uncertainties and other factors can be found in Johnson & Johnson's most recent Annual Report on Form 10-K, including in the sections captioned "Cautionary Note Regarding Forward-Looking Statements" and "Item 1A. Risk Factors," and in Johnson & Johnson's subsequent Quarterly Reports on Form 10-Q and other filings with the Securities and Exchange Commission. Copies of these filings are available online at , or on request from Johnson & Johnson. Johnson & Johnson does not undertake to update any forward-looking statement as a result of new information or future events or developments.
SOURCE Johnson & Johnson
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临床1期临床结果临床2期ASCO会议
2025-05-23
Servier is continuing to add to its oncology pipeline, announcing on Friday a deal to acquire an experimental menin inhibitor from Chinese firm BioNova Pharmaceuticals that is currently in Phase I/II development for the treatment of acute leukaemias. While exact financial terms of the transaction were not disclosed, Servier will make a cash payment, with BioNova eligible for additional earn-outs.Claude Bertrand, Servier's executive vice president of R&D, called BioNova's asset — dubbed BN104 — "a natural fit" with the company's focus on developing targeted therapies for genetically defined patient populations. In March, Servier in-licensed Black Diamond Therapeutics' experimental small-molecule drug BDTX-4933, which targets both RAS mutations and RAF alterations in solid tumours.Servier labelled BN104 "a potential best-in-class" menin inhibitor for the treatment of acute leukaemias with a KMT2A gene rearrangement or NPM1 mutation. Results presented at last year's American Society of Hematology (ASH) annual meeting showed that in patients with relapsed refractory acute myeloid leukaemia (AML) and a KMT2A gene rearrangement, the small-molecule drug achieved a complete response/complete response with partial hematologic recovery rate of 60.9%. Meanwhile, in those with a NPM1 mutation, the rate was 40%.The French firm noted that in line with its 2030 strategy, it aims to accelerate global development of BN104 in mutated AML, as well as for acute lymphoblastic leukaemia.Syndax's Revuforj (revumenib) became the first approved menin inhibitor when it gained FDA clearance at the end of last year for patients with relapsed or refractory KMT2A-rearranged acute leukaemia. A handful of other menin inhibitors are also in development, led by Kura Oncology/Kyowa Kirin's ziftomenib and Johnson & Johnson's earlier-stage programme bleximenib.
临床结果上市批准ASH会议临床1期
100 项与 Bleximenib 相关的药物交易
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研发状态
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| 适应症 | 最高研发状态 | 国家/地区 | 公司 | 日期 |
|---|---|---|---|---|
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 美国 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 中国 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 日本 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 澳大利亚 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 奥地利 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 比利时 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 巴西 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 加拿大 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 捷克 | 2025-06-23 | |
| 伴有 11q23 异常的急性髓系白血病 | 临床3期 | 丹麦 | 2025-06-23 |
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临床结果
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适应症
分期
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| 研究 | 分期 | 人群特征 | 评价人数 | 分组 | 结果 | 评价 | 发布日期 |
|---|
N/A | - | - | 網糧鏇廠鹽蓋餘衊築鑰(積餘網築窪網構鏇衊鹹) = TRAEs (all grades) attributed to bleximenib alone occurred in 18% (4/22) of pts, including thrombocytopenia and neutropenia (2/22; 9% each) and single cases (5% each) of anemia, diarrhea, cerebrovascular accident, dysesthesia and upper abdominal pain. 顧淵艱鹽繭艱構遞蓋艱 (鏇夢膚鏇願醖艱構糧廠 ) 更多 | - | 2024-12-07 | ||
临床1期 | 121 | 願願艱觸襯餘糧獵齋網(襯蓋積顧遞糧膚選鑰製) = Seventeen pts experienced DS (bothKMT2AandNPM1), with 8 (7%) DS events ≥G3, including 2 fatal events. One fatal DS AE occurred in a pt with recurrent DS after rapid dose escalation. 鏇選製夢顧壓構遞顧鏇 (鹹糧鹹鑰網窪廠繭壓製 ) 更多 | 积极 | 2024-12-07 | |||
临床1期 | 急性髓性白血病 KMT2A Mutation | NPM1 Mutation | 45 | 願衊糧廠餘蓋鏇廠製願(選範糧壓願醖製淵鏇夢) = 87% (39/45) of pts experienced ≥1 treatment-related AE (TRAE) attributed to any study treatment (allgrades); nausea (38%), vomiting (31%), and thrombocytopenia (31%) were the most common. 淵繭願襯艱簾膚構襯選 (網構獵窪鑰願願淵艱選 ) 更多 | 积极 | 2024-05-14 |
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