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A Study of JNJ-90189892 for Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Neoplasms
The purpose of Part 1 (Dose Escalation) of the study is to assess the effective dose (recommended Phase 2 dose[s] [RP2Ds]) that can be safely administered, and dosing regimens of JNJ-90189892 in participants with relapsed or refractory (R/R) acute myeloid leukemia (AML) or R/R higher-risk type of myelodysplastic neoplasms (MDS [type of cancer of the blood and bone marrow, which does not respond to treatment or comes back after treatment]). The purpose of Part 2 (Cohort Expansion) is to further assess the safety, tolerability and efficacy in participants with R/R AML or higher-risk types of MDS at the RP2D regimen(s). The purpose of Part 3 and 4 is to assess the effective dose (recommended Phase 2 combination dose [RP2CD]) that can be safely administered, and dosing regimens of JNJ-90189892 in combination with azacitadine (AZA) + venetoclax (VEN) in participants with R/R AML (part 3) and newly diagnosed (ND) AML (part 4).
Primary outcome measures
Number of Participants with Adverse events (AEs) by Severity
Part 1: Number of Participants with Dose-Limiting Toxicity (DLTs)
Secondary outcome measures
Serum Concentration of JNJ-90189892
Area Under the Curve Over a Dosing Interval (AUC tau) of JNJ-90189892
Maximum Observed Plasma Concentration (Cmax) of JNJ-90189892
Minimum Observed Plasma Concentration (Cmin) of JNJ-90189892
Number of Participants with Presence of Anti-JNJ-90189892 Antibodies
Complete Response (CR) in Acute Myeloid Leukemia (AML)
Overall Response (OR) in Myelodysplastic Neoplasms (MDS)
Complete Response in MDS
Duration of Response (DOR)
Time to Response (TTR)
Number of Participants Achieving Transfusion Independence