Phase 2 Leukaemia Trial, Recruiting NCT04996875 Sponsor: Cogent Biosciences, Inc. Condition: Leukaemia
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Phase 2 Leukaemia Trial, Recruiting

NCT04996875
Recruiting Phase 2 🇦🇺 Australian site

Who may be able to join

AI generated eligibility summary. Written by an AI model from the official source data and checked on a sample basis. It can contain mistakes, so confirm anything important against the original source. How we use AI

Who might be able to join this trial:

Main Study

  • People who have been diagnosed with advanced mastocytosis — specifically Aggressive Systemic Mastocytosis (ASM), Systemic Mastocytosis with an Associated Blood Cancer (SM-AHN), or Mast Cell Leukemia (MCL), as confirmed by the trial's Eligibility Committee
  • People whose disease can be measured using specific standard criteria set for mastocytosis (a small group whose disease cannot be measured this way may also be included)
  • People with a general health/activity score between 0 and 3 on a standard medical scale (confirm with trial site)
  • People whose recent blood and chemistry test results fall within acceptable ranges set by the trial

Substudy – Rollover Group (for people already receiving the study drug, bezuclastinib)

  • People whose associated blood cancer has progressed and now needs immediate treatment while they are already receiving bezuclastinib
  • People who have shown a clinical benefit from bezuclastinib treatment
  • People whose recent blood and chemistry test results fall within acceptable ranges set by the trial

Substudy – High-Risk Group

  • People who are currently receiving, or have been identified as needing, treatment directed at their associated blood cancer
  • People diagnosed with SM-AHN alongside one of these specific blood conditions: high- or very high-risk myelodysplastic syndrome (MDS), accelerated-phase myeloproliferative neoplasm (MPN), MDS with too many abnormal cells in the bone marrow or blood, or a condition called CMML-2
  • People whose recent blood and chemistry test results fall within acceptable ranges set by the trial

Who may not be able to join:

Main Study

  • People who still have side effects from a previous mastocytosis treatment that have not reduced to a mild level (Grade 1 or lower)
  • People whose associated blood cancer needs immediate treatment right away
  • People with a serious heart condition
  • People who test positive for a specific genetic change called FIP1L1-PDGFRA fusion (people with high eosinophil counts and no detectable KIT D816V mutation must have this genetic test result available before joining)
  • People who are HIV positive, or who test positive for Hepatitis B or Hepatitis C
  • People who have had a significant bleeding event in the 30 days before starting the study drug, or who need ongoing blood-thinning medication during the study
  • People who have been diagnosed with or treated for another cancer (other than the mastocytosis being studied) within the past 3 years
  • People who have received certain cell-reducing treatments or experimental drugs too recently before the screening bone marrow test (specific waiting periods apply depending on the type of treatment — confirm with trial site)
  • People who have received blood cell growth factor support within 14 days before starting the study drug
  • People who have taken certain medications that strongly affect how the body processes drugs (strong CYP3A4 inhibitors or inducers) within 14 days, or within 5 half-lives of that drug, whichever is longer, before starting the study drug
  • People who need to take high-dose steroid medication

Substudy – Rollover Group

  • People who did not tolerate bezuclastinib well enough in previous treatment

Substudy – High-Risk Group

  • People with a type of blood cancer linked to the Philadelphia chromosome
  • People diagnosed with acute myeloid leukemia (AML)
  • People considered suitable for a stem cell transplant from a donor
  • People who have a medical reason they cannot take the other medications used alongside the study drug
  • People who have previously been treated with an experimental therapy for advanced mastocytosis
  • People who previously received cell-reducing therapy but had to stop because of serious side effects from that treatment
  • People who have received certain cell-reducing treatments or experimental drugs too recently before the screening bone marrow test (specific waiting periods apply depending on the type of treatment — confirm with trial site)

Important: Always verify eligibility with the trial site directly before applying.

Based on publicly available eligibility criteria from ClinicalTrials.gov. Verify directly with the trial site before acting. This is not medical advice.

This is a simplified plain English summary of the eligibility criteria. Full criteria are set by the trial investigators and may include additional requirements not shown here. Never self-exclude from a trial based on this summary. Contact the trial site directly to confirm your eligibility.
Last synced 8 July 2026
Phase 2: approximately ~30% of drugs entering this phase reach regulatory approval, based on published industry-wide historical data. This is not specific to this trial.
Phase success rates shown are historical industry-wide averages based on published data. They are not a prediction for this specific trial or your individual situation.

Contact this trial

Principal Investigator: Rachael Easton, MD, Ph.D., Cogent Biosciences, Inc.

Phone: 617-945-5576

Australian sites

Nepean Hospital, Kingswood, New South Wales
Gold Coast University Hospital, Southport, Queensland
Peter MacCallum Cancer Centre, Melbourne N., Victoria

Contact details sourced from ClinicalTrials.gov. Verify directly with the trial site before attending.

GP referral letter

Print a one-page summary to share with your doctor.

Trial details

Status
Recruiting
Phase
Phase 2
Sponsor
Cogent Biosciences, Inc.
Registry
ClinicalTrials.gov
Start date
9 November 2021
Est. completion
19 September 2025

Where this trial is recruiting

🇦🇺 Australia 🇦🇹 Austria 🇧🇪 Belgium 🇨🇦 Canada 🇫🇷 France 🇩🇪 Germany 🇮🇹 Italy 🇳🇱 Netherlands 🇳🇴 Norway 🇵🇱 Poland 🇪🇸 Spain 🇨🇭 Switzerland 🇬🇧 United Kingdom 🇺🇸 United States

3 site(s) in Australia. Confirm current status and contact details directly with the trial site.

Primary endpoints

Part I: Identify clinically active and tolerable exposures of bezuclastinib in patients with AdvSM; Part II: - Determine efficacy of bezuclastinib as measured by mIWG Objective Response Rate (ORR) - Confirm the exposure-response relationship of bezuclastinib

Can't join this trial?

Expanded access pathways

If this trial is not available to you, other access pathways may exist. In Australia, the TGA Special Access Scheme allows access to unapproved therapeutic goods for individual patients.

TGA Special Access Scheme information

Find other recruiting trials on ClinicalTrials.gov

Data last synced from ClinicalTrials.gov: 8 July 2026. Trial status can change. Always verify current status directly with the trial site before making any decision.

Trial recruitment status can change without notice between our nightly data updates. Always contact the trial site directly to confirm current recruitment status before making any decisions or travel arrangements.

View original record on ClinicalTrials.gov