Evidence map›Paper›PMID 40332046›Full record

Trial reportBlood2025

Menin inhibition with revumenib for NPM1-mutated relapsed or refractory acute myeloid leukemia: the AUGMENT-101 study.

Martha L Arellano, Michael J Thirman, John F DiPersio, Maël Heiblig, Eytan M Stein, Andre C Schuh, Andrius Žučenka, Stephane de Botton, Carolyn S Grove, Gabriel N Mannis and 26 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04065399 (A Phase 1/2, Open-label, Dose-Escalation and Dose-Expansion Cohort Study of SNDX-5613 in Patients With Relapsed/Refractory Leukemias, Including Those Harboring an MLL/KMT2A Gene Rearrangement or Nucleophosmin 1), which is not on this map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04065399 phase1 / phase2recruitingnot on this map

A Phase 1/2, Open-label, Dose-Escalation and Dose-Expansion Cohort Study of SNDX-5613 in Patients With Relapsed/Refractory Leukemias, Including Those Harboring an MLL/KMT2A Gene Rearrangement or Nucleophosmin 1 (NPM1) Mutation

TypeinterventionalSponsorSyndax PharmaceuticalsRan2019 to 2027Enrolled447ConditionsAcute Myeloid Leukemia, Acute Lymphoblastic Leukemia, Mixed Lineage Acute Leukemia, Mixed Phenotype Acute LeukemiaArmsrevumenib, cobicistat
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Ziftomenib in Relapsed or RefractoryJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  4. Article
  5. Review
  6. Review
  7. Two Decades ofCancers · 2026
    Review
  8. Review
  9. Updates of CSCO guidelines for diagnosis and treatment of acute leukemia: 2026 edition.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Menin inhibition reshapes therapy inAnnals of translational medicine · 2026
    Article
  17. The Mutational Landscape of Acute Myeloid Leukemia and Its Impact.International journal of molecular sciences · 2026
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors.

Martha L ArellanoDepartment of Hematology and Medical Oncology, Winship Cancer Institute of Emory University School of Medicine, Atlanta, GA.
Michael J ThirmanDepartment of Medicine, Section of Hematology and Oncology, The University of Chicago Medicine, Chicago, IL.
John F DiPersioDepartment of Medicine, Washington University School of Medicine, St Louis, MO.
Maël HeibligHematology Department, Centre Hospitalier Lyon Sud, Lyon, France.ORCID 0000-0003-1682-8657
Eytan M SteinLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Andre C SchuhDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre and University of Toronto, Toronto, ON, Canada.
Andrius ŽučenkaFaculty of Medicine, Hematology and Oncology Department, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.
Stephane de BottonHematologie Clinique, Institut Gustave Roussy, Villejuif, France.ORCID 0000-0002-8126-4942
Carolyn S GroveDepartment of Haematology, Sir Charles Gairdner Hospital, Nedlands, WA, Australia.ORCID 0000-0003-2788-9893
Gabriel N MannisDivision of Hematology, Stanford University School of Medicine, Stanford, CA.
Cristina PapayannidisIRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia "Seràgnoli," Bologna, Italy.ORCID 0000-0001-8705-8333
Alexander E PerlDivision of Hematology-Oncology, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-1463-2231
Ghayas C IssaDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-4339-8683
Ibrahim AldossDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.
Ashish BajelDepartment of Haematology, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, VIC, Australia.
David S DickensDivision of Pediatric Hematology/Oncology, University of Iowa Stead Family Children's Hospital, Iowa City, IA.ORCID 0000-0001-8821-6022
Michael W M KühnDepartment of Hematology and Oncology, University Medical Center, Johannes Gutenberg-University, Mainz, Germany.
Ioannis MantzarisDepartment of Oncology, Montefiore Einstein Comprehensive Cancer Center, Bronx, NY.
Emmanuel RaffouxAdult Hematology Department, Hospital Saint Louis, Université Paris Diderot, Paris, France.
Elie TraerDivision of Hematology/Medical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, OR.ORCID 0000-0001-8844-2345
Irina AmitaiHematology Division, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Hartmut DöhnerDepartment of Internal Medicine III, Ulm University Hospital, Ulm, Germany.ORCID 0000-0003-2116-5536
Corinna GrecoDivision of Hematology, Ospedale San Bortolo, Aulss Berica, Vicenza, Italy.
Tibor KovacsovicsDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope Phoenix, Goodyear, AZ.
Christine M McMahonDepartment of Hematology, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0001-9745-9595
Pau MontesinosHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID 0000-0002-3275-5593
Arnaud PigneuxHematology Department, Centre Hospitalier Universitaire Bordeaux, Bordeaux, France.
Paul J ShamiDivision of Hematology and Hematologic Malignancies, University of Utah Huntsman Cancer Institute, Salt Lake City, UT.
Richard M StoneDepartment of Medical Oncology, Division of Leukemia, Dana-Farber Cancer Institute, Boston, MA.
Ofir WolachSchool of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
John G HarpelICON plc, New York, NY.
Yakov ChudnovskySyndax Pharmaceuticals, Inc, Waltham, MA.
Li YuSyndax Pharmaceuticals, Inc, Waltham, MA.
Rebecca G BagleySyndax Pharmaceuticals, Inc, Waltham, MA.
Angela R SmithSyndax Pharmaceuticals, Inc, Waltham, MA.
James S BlachlyDivision of Hematology, Department of Internal Medicine, The Ohio State University, Columbus, OH.ORCID 0000-0002-4275-5562

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Daniel G. Stover · 1985 to 2026
$132.3M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016058NCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

abstractThe prognosis for relapsed or refractory (R/R) nucleophosmin 1-mutated (NPM1m) acute myeloid leukemia (AML) is poor and represents an urgent unmet medical need. Revumenib, a potent, selective menin inhibitor, was recently approved for the treatment of R/R acute leukemia with a KMT2A translocation in patients aged ≥1 year based on results from the phase 1/2 AUGMENT-101 study. Here, we present results from patients with R/R NPM1m AML enrolled in the phase 2 portion of AUGMENT-101. Enrolled patients received revumenib with or without a strong CYP3A4 inhibitor every 12 hours in 28-day cycles. Primary end points were rate of complete remission (CR) or CR with partial hematologic recovery (CRh; CR + CRh), safety, and tolerability. Secondary end points included overall response rate (ORR) and duration of response. As of 18 September 2024, 84 patients received ≥1 dose of revumenib. Median age was 63 years; 1 patient was aged <18 years. The protocol-defined, efficacy-evaluable population for the primary analysis included 64 adult patients (≥3 previous lines of therapy, 35.9%; previous venetoclax, 75.0%). The CR + CRh rate was 23.4% (1-sided P = .0014); the ORR was 46.9%. Median duration of CR + CRh was 4.7 months. Of 30 responders, 5 (16.7%) proceeded to hematopoietic stem cell transplant (HSCT) and 3 resumed revumenib after HSCT. Treatment-related adverse events led to treatment discontinuation in 4 patients (4.8%). Revumenib demonstrated clinically meaningful responses in this heavily pretreated, older population with NPM1m AML, including remissions that enabled HSCT. The safety profile of revumenib was consistent with previously reported results. This trial was registered at www.clinicaltrials.gov as #NCT04065399.

Indexed as

Leukemia, Myeloid, AcuteMutationNuclear ProteinsProto-Oncogene ProteinsAdultAgedAged, 80 and overBenzamidesFemaleHumansMaleMiddle AgedNucleophosminRecurrenceSpiro CompoundsBenzamidesMEN1 protein, humanNPM1 protein, humanNuclear ProteinsNucleophosminProto-Oncogene ProteinsrevumenibSpiro Compounds

Identifiers

PMID40332046
PMCPMC12824668

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.