New Protocol: Revumenib with Azacitidine and Venetoclax for KMT2-Rearranged / NPM1-Mutated


  • Study

    Phase I dose-escalation and expansion study [NCT03013998]
    First-line treatment for patients aged 60 years and older with newly diagnosed NPM1-mutated or KMT2A-rearranged AML
    Azacitidine + Venetoclax + Revumenib at two dose levels (113 mg or 163 mg) in combination with azoles (n=43)



  • Efficacy

    ORR: 88.4% (NPM1m: 85%; KMT2Ar: 100%)
    CR: 67.4% (NPM1m: 65%; KMT2Ar: 78%) Median time to response: 28 days mOS: 15.5 mos (NPM1m: 15.5 mos, KMT2Ar: 18.0 mos)



  • Safety

    Grade >=3 AE: QTc prolongation (44%), hypokalemia (44%), nausea (60%), constipation (53%) Differentiation syndrome: 19%



  • J Clin Oncol 2025;43:2606-2615

    Zeidner JF,Lin TL,Welkie RL Azacitidine, Venetoclax, and Revumenib for Newly Diagnosed NPM1-Mutated or KMT2A-Rearranged AML

    http://doi.org/10.1200/JCO-25-00914

    Reviewed by Elvin Chalabiyev, MD on Sep 3, 2025

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