Clinical Trials

Multiple clinical trials evaluate bleximenib across Phase 1 through Phase 3 development for hematologic malignancies, specifically targeting acute myeloid leukemia, acute lymphoblastic leukemia, and relapsed or refractory acute leukemias. These investigations—sponsored by entities including Janssen Research & Development, LLC, Beat AML, LLC, and Stichting Hemato-Oncologie voor Volwassenen Nederland—encompass first-in-human evaluations, combination regimens, and randomized protocols. Participant recruitment across this research portfolio ranges from active, not recruiting to actively recruiting.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT03013998 RECRUITING
Previously Untreated Relapsed Refractory Acute Myeloid Leukemia
Beat AML, LLC
2016-11 PHASE2; PHASE3
NCT07223814 RECRUITING
Acute Myeloid Leukemia
Stichting Hemato-Oncologie voor Volwassenen Nederland
2026-03-01 PHASE3
NCT06852222 RECRUITING
Leukemia, Myeloid, Acute
Janssen Research & Development, LLC
2025-06-04 PHASE3
NCT04811560 RECRUITING
Acute Leukemia
Janssen Research & Development, LLC
2021-05-19 PHASE1; PHASE2
NCT05453903 ACTIVE_NOT_RECRUITING
Leukemia, Myeloid, Acute
Janssen Research & Development, LLC
2022-10-04 PHASE1
NCT07295951 RECRUITING
Acute Lymphoblastic Leukemia; Acute Leukemias; Acute Myeloid Leukemia
Janssen Research & Development, LLC
2025-11-18 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-09-03)

Check the Bleximenib oxalate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Bleximenib oxalate directly binds to menin, effectively disrupting its interaction with mixed-lineage leukemia 1 (MLL1/KMT2A) and suppressing downstream oncogenic gene expression to induce cell differentiation and apoptosis. By inhibiting menin-MLL-mediated transcriptional activation, this targeted disruption halts leukemic cell proliferation, providing a mechanistically grounded therapeutic strategy directly relevant to clinical trial investigations in acute myeloid leukemia and acute lymphoblastic leukemia.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.