Leukemia, Myeloid, AcutePhase 1ELEVATENCT04150887
Cusatuzumab in Combination With Background Therapy for the Treatment of Participants With Acute Myeloid Leukemia
A Phase 1 study testing Cusatuzumab, Azacitidine and Venetoclax in people with Leukemia, Myeloid, Acute, run by OncoVerity, Inc. at 23 sites in 5 countries.
Trial summary
The purpose of the study is to characterize safety and tolerability of cusatuzumab in combination with various therapies used to treat acute myeloid leukemia (AML). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Leukemia, Myeloid, Acute
- What is being tested?
- Cusatuzumab, Azacitidine and Venetoclax
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 61 participants
- Where
- 23 sitesin 5 countries
- Study dates
- 23 Dec 2019to 15 May 2027
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of acute myeloid leukemia (AML) according to World Health Organization 2016 criteria . Participants with acute promyelocytic leukemia (APL) are not eligible
- Must be ineligible for intensive chemotherapy
- De novo or secondary AML
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Previously untreated AML except: emergency leukapheresis, hydroxyurea, and/or 1 dose 1-2 gram per meter square (g/m^2) cytarabine during the Screening Phase to control hyperleukocytosis. These treatments must be discontinued greater than or equal to (>=) 24 hours prior to start of study drug. Empiric all trans retinoic acid (ATRA) treatment for presumed acute promyelocytic leukemia (APL) is permitted but APL must be ruled out and ATRA must be discontinued >=24 hours prior to the start of study drug
- Contraceptive use by men or women should be consistent with local regulations regarding the use of contraceptive methods for participants participating in clinical studies
Who cannot join
- Leukemic involvement of the central nervous system
- Eligible for an allogeneic hematopoietic stem cell transplantation at study entry
- Received a live, attenuated vaccine within 4 weeks prior to initiation of study drug
- A history of human immunodeficiency virus (HIV) antibody positive or tests positive for HIV if tested at screening
- Known allergies, hypersensitivity, or intolerance to cusatuzumab, venetoclax, azacitidine, or their excipients (example: mannitol, an excipient of azacitidine)
Trial locations and contacts
23 sites in 5 countries.
23 sites in 5 countries
United States11 sites
Roswell Park Cancer Institute
Buffalo, New York, 14203
University of Vermont
Burlington, Vermont, 05401
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
City of Hope
Duarte, California, 91010
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Norton Cancer Institute
Louisville, Kentucky, 40207
Wisconsin Medical Center
Milwaukee, Wisconsin, 53226
Weill Cornell Medicine
New York, New York, 10021
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania, 15232
University of Rochester
Rochester, New York, 14642
Canada4 sites
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
University of Alberta Hospital
Edmonton, Alberta, T6G 2B7
McGill University Health Centre
Montreal, Quebec, H4A 3J1
University of Toronto
Toronto, Ontario, M5G 2M9
Germany3 sites
Universitaetsklinik Hamburg-Eppendorf
Hamburg, 20246
Universitaetsklinikum Leipzig
Leipzig, 04103
Klinikum der Universitaet Muenchen
München, 81377
Poland3 sites
Szpital Uniwersytecki w Krakowie
Krakow, 31-501
Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopernika w Lodzi
Lodz, 93-513
Instytut Hematologii i Transfuzjologii
Warsaw, 02-776
Switzerland2 sites
INSELSPITAL, Universitätsspital Bern
Bern, 3010
Kantonsspital St.Gallen
Sankt Gallen, 9007
About this study
Official title: An Open-label, Multicenter, Phase 1b Study of OV-1001 (Cusatuzumab; Anti-CD70 Monoclonal Antibody) in Combination With Background Therapy for the Treatment of Subjects With Acute Myeloid Leukemia
The purpose of the study is to characterize safety and tolerability of cusatuzumab in combination with various therapies used to treat acute myeloid leukemia (AML).
- Conditions
- Leukemia, Myeloid, Acute
- Being tested
- Cusatuzumab, Azacitidine, Venetoclax
- Medical subject headings
- Leukemia, Myeloid, Acute
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CusatuzumabDrug
Also called JNJ-74494550, ARGX-110
Cusatuzumab will be administered as a dose of 10mg/kg or 20mg/kg intravenously.
AzacitidineDrug
Also called Vidaza
Azacitidine will be administered 75 mg/m^2 subcutaneously or intravenously.
VenetoclaxDrug
Also called Venclexta
Venetoclax will be administered orally and the dose will ramp-up to 400 mg.
| Study group | Role | What they receive |
|---|---|---|
| Experimental: Cohort 2: Cusatuzumab + Venetoclax | Experimental | Participants enrolled in this cohort will receive venetoclax ramp-up to 400 mg orally (as background therapy) starting on Cycle 1 Day 1 and followed by 400 mg daily dosing starting on Cycle 1 Day 4 plus cusatuzumab IV on Day 3 and Day 17 of each 28-day cycle. Cohort 2 will not be enrolled in the US. Receives: Drug: Cusatuzumab; Drug: Venetoclax |
| Cohort 3: Cusatuzumab + Venetoclax + Azacitidine (CVA) | Experimental | Participants enrolled at US sites will receive cusatuzumab 10 mg/kg and potentially escalate to 20 mg/kg IV in combination with azacitidine 75 mg/m^2 SC or IV plus venetoclax ramp-up to 400 mg orally (as background therapies). Participants enrolled from ex-US sites will receive cusatuzumab 20 mg/kg and potentially de-escalate to 10 mg/kg IV in combination with azacitidine 75 mg/m^2 SC or IV plus venetoclax ramp-up to 400 mg orally (as background therapies). Receives: Drug: Cusatuzumab; Drug: Azacitidine; Drug: Venetoclax |
What is being measured
The primary outcome is the main question the study is designed to answer.
Frequency and Severity of Adverse Events (AEs), Laboratory Abnormalities, and Physical Exam Findings as a Measure of Safety
Frequency and severity of AEs, laboratory abnormalities, and physical exam findings will be reported.
Measured: Up to 42 months
Secondary outcomes (12)
Serum Concentration of Cusatuzumab
Serum concentration of cusatuzumab will be assessed.
Measured: Up to 23 months
Number of Participants with Anti-cusatuzumab Antibodies
Number of participants with anti-drug antibodies to cusatuzumab will be reported.
Measured: Up to 23 months
Percentage of Participants with Complete Response (CR)
Percentage of participants with complete response based on European Leukemia Network (ELN) 2017 response criteria assessment will be reported.
Measured: Up to 42 months
Percentage of Participants with Complete Remission with Partial Hematological Recovery (CRh)
Percentage of participants with CRh will be reported based on ELN 2017 response criteria assessment.
Measured: Up to 42 months
Percentage of Participants with CR with Incomplete Recovery (CRi)
Percentage of participants with CRi will be reported based on ELN 2017 response criteria assessment.
Measured: Up to 42 months
Percentage of Participants with CR plus CRh
Percentage of participants with CR plus CRh will be reported based on ELN 2017 response criteria assessment.
Measured: Up to 42 months
Overall Response Rate (ORR)
ORR is defined as percentage of participants with CR, CRh and CRi based on ELN 2017 response criteria assessment.
Measured: Up to 42 months
Percentage of Participants with CR without MRD
Percentage of participants with CR without minimal residual disease (MRD) will be reported and is defined as less than (<) 1 blast or leukemic stem cell in 1,000 leukocytes (MRD level <10^-3).
Measured: Up to 42 months
Percentage of Participants with Negative MRD who Achieved CR, CRh, CRi, or Morphologic Leukemia-free State (MLFS)
Percentage of participants with negative MRD who achieved CR, CRh, CRi, or MLFS will be reported and is defined as < 1 blast or leukemic stem cell in 1,000 leukocytes (MRD level <10^-3).
Measured: Up to 42 months
Cohort 2 and 3: Time to Response
Time to response is defined as time from first dose to achieving the first response of CR, CRh, or CRi.
Measured: Up to 42 months
Cohort 2 and 3: Duration of Response
Duration of response is defined as time from achieving the first response of CR, CRh, or CRi to hematologic relapse or death of any cause.
Measured: Up to 42 months
Cohort 2 and 3: Red Blood Cell (RBC) or Platelet Transfusion Independence
Transfusion independence (RBC or platelets) is defined as a period of greater than or equal to (>=) 56 consecutive days with no transfusion between first dose of study drug and the last dose of study drug +30 days.
Measured: Up to 42 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Nov 2019
- Study start23 Dec 2019
- Primary completion15 May 2027 (estimated)
- Study completion15 May 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Leukemia, Myeloid, AcuteStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 61 participants (actual)
Sponsor and investigators
- Lead sponsor
- OncoVerity, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- argenx, Janssen Research & Development, LLC
- Responsible party
- Sponsor
- Investigators
- Clayton Smith, MD, Study director, OncoVerity, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04150887
- Sponsor's protocol ID
- ELEV20235
- Other IDs
- 2019-002808-41, ELEV20235, 74494550AML1003, 2019
- Acronym
- ELEVATE
- Status last verified
- May 2026
- First submitted
- 1 Nov 2019
- Last updated
- 12 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Roboz GJ, Pabst T, Aribi A, Brandwein JM, Dohner H, Fiedler W, Riether C, Gandini D, Geddes M, Hou JZ, Yee K, Hultberg A, Huselton E, Jacobs J, Zabrocki P, Lech-Maranda E, Louwers M, Nottage K, Platzbecker U, Rampal R, Salman M, Shah P, Wilson K, Stuart M, Subklewe M, Sumbul A, Wang ES, Wierzbowska A, Yao B, Patel R, George A, Islam N, Smith C, Boyiadzis M, Borthakur G. Cusatuzumab combined with venetoclax with or without azacitidine in unfit patients with newly diagnosed acute myeloid leukemia: phase Ib ELEVATE study. Haematologica. 2026 Sep 3. doi: 10.3324/haematol.2026.300917. Online ahead of print.
PubMed 42689432Pabst T, Papayannidis C, Demirkan F, Doronin V, Fogliatto LM, Guttke C, Gyan E, Hamad N, Herrera P, Hultberg A, Jacobs J, Johnson AJ, Langlois A, Ma X, Martinelli G, Arnan M, Muller R, Nottage K, Ofran Y, Ozcan M, Samoilova O, Tolbert JA, Trudel GC, Xiu L, Vey N, Wei AH. Cusatuzumab plus azacitidine in newly diagnosed acute myeloid leukaemia ineligible for intensive chemotherapy (CULMINATE): part one of a randomised, phase 2, dose optimisation study. Lancet Haematol. 2023 Nov;10(11):e902-e912. doi: 10.1016/S2352-3026(23)00207-7.
PubMed 37914483Dewulf J, Flieswasser T, Delahaye T, Vangestel C, Miranda A, de Haard H, Jacobs J, Smits E, Van den Wyngaert T, Elvas F. Site-specific 68Ga-labeled nanobody for PET imaging of CD70 expression in preclinical tumor models. EJNMMI Radiopharm Chem. 2023 Apr 24;8(1):8. doi: 10.1186/s41181-023-00194-3.
PubMed 37093350
Study at a glance
From the registry record, last updated by the sponsor on 12 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Multicenter, Phase 1b Study of OV-1001 (Cusatuzumab; Anti-CD70 Monoclonal Antibody) in Combination With Background Therapy for the Treatment of Subjects With Acute Myeloid Leukemia
- ClinicalTrials.gov ID
- NCT04150887
- Acronym / sponsor ID
- ELEVATE / ELEV20235
- Conditions
- Leukemia, Myeloid, Acute
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 61 participants (actual)
- Lead sponsor
- OncoVerity, Inc.Industry (pharma, biotech, devices)
- Collaborators
- argenx, Janssen Research & Development, LLC
- Study start
- 23 Dec 2019 (actual)
- Primary completion
- 15 May 2027 (estimated)
- Study completion
- 15 May 2027 (estimated)
- First posted
- 5 Nov 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to characterize safety and tolerability of cusatuzumab in combination with various therapies used to treat acute myeloid leukemia (AML).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental: Cohort 2: Cusatuzumab + Venetoclax | Experimental | Drug: Cusatuzumab, Drug: VenetoclaxParticipants enrolled in this cohort will receive venetoclax ramp-up to 400 mg orally (as background therapy) starting on Cycle 1 Day 1 and followed by 400 mg daily dosing starting on Cycle 1 Day 4 plus cusatuzumab IV on Day 3 and Day 17 of each 28-day cycle. Cohort 2 will not be enrolled in the US. |
| Cohort 3: Cusatuzumab + Venetoclax + Azacitidine (CVA) | Experimental | Drug: Cusatuzumab, Drug: Azacitidine, Drug: VenetoclaxParticipants enrolled at US sites will receive cusatuzumab 10 mg/kg and potentially escalate to 20 mg/kg IV in combination with azacitidine 75 mg/m^2 SC or IV plus venetoclax ramp-up to 400 mg orally (as background therapies). Participants enrolled from ex-US sites will receive cusatuzumab 20 mg/kg and potentially de-escalate to 10 mg/kg IV in combination with azacitidine 75 mg/m^2 SC or IV plus venetoclax ramp-up to 400 mg orally (as background therapies). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Diagnosis of acute myeloid leukemia (AML) according to World Health Organization 2016 criteria . Participants with acute promyelocytic leukemia (APL) are not eligible
- Must be ineligible for intensive chemotherapy
- De novo or secondary AML
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
- Previously untreated AML except: emergency leukapheresis, hydroxyurea, and/or 1 dose 1-2 gram per meter square (g/m^2) cytarabine during the Screening Phase to control hyperleukocytosis. These treatments must be discontinued greater than or equal to (>=) 24 hours prior to start of study drug. Empiric all trans retinoic acid (ATRA) treatment for presumed acute promyelocytic leukemia (APL) is permitted but APL must be ruled out and ATRA must be discontinued >=24 hours prior to the start of study drug
Key exclusion criteria (5 listed)
- Leukemic involvement of the central nervous system
- Eligible for an allogeneic hematopoietic stem cell transplantation at study entry
- Received a live, attenuated vaccine within 4 weeks prior to initiation of study drug
- A history of human immunodeficiency virus (HIV) antibody positive or tests positive for HIV if tested at screening
- Known allergies, hypersensitivity, or intolerance to cusatuzumab, venetoclax, azacitidine, or their excipients (example: mannitol, an excipient of azacitidine)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CusatuzumabAlso: JNJ-74494550, ARGX-110Cusatuzumab will be administered as a dose of 10mg/kg or 20mg/kg intravenously. | Drug | Cohort 3: Cusatuzumab + Venetoclax + Azacitidine (CVA), Experimental: Cohort 2: Cusatuzumab + Venetoclax |
| AzacitidineAlso: VidazaAzacitidine will be administered 75 mg/m^2 subcutaneously or intravenously. | Drug | Cohort 3: Cusatuzumab + Venetoclax + Azacitidine (CVA) |
| VenetoclaxAlso: VenclextaVenetoclax will be administered orally and the dose will ramp-up to 400 mg. | Drug | Cohort 3: Cusatuzumab + Venetoclax + Azacitidine (CVA), Experimental: Cohort 2: Cusatuzumab + Venetoclax |
Primary outcome
Frequency and Severity of Adverse Events (AEs), Laboratory Abnormalities, and Physical Exam Findings as a Measure of Safety
Time frame: Up to 42 months
Frequency and severity of AEs, laboratory abnormalities, and physical exam findings will be reported.
12 secondary outcomes
Serum Concentration of Cusatuzumab
Time frame: Up to 23 months
Number of Participants with Anti-cusatuzumab Antibodies
Time frame: Up to 23 months
Percentage of Participants with Complete Response (CR)
Time frame: Up to 42 months
Percentage of Participants with Complete Remission with Partial Hematological Recovery (CRh)
Time frame: Up to 42 months
Percentage of Participants with CR with Incomplete Recovery (CRi)
Time frame: Up to 42 months
Percentage of Participants with CR plus CRh
Time frame: Up to 42 months
Overall Response Rate (ORR)
Time frame: Up to 42 months
Percentage of Participants with CR without MRD
Time frame: Up to 42 months
Percentage of Participants with Negative MRD who Achieved CR, CRh, CRi, or Morphologic Leukemia-free State (MLFS)
Time frame: Up to 42 months
Cohort 2 and 3: Time to Response
Time frame: Up to 42 months
Cohort 2 and 3: Duration of Response
Time frame: Up to 42 months
Cohort 2 and 3: Red Blood Cell (RBC) or Platelet Transfusion Independence
Time frame: Up to 42 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 May 2026.
- Derived from this study: PubMed 42689432Roboz GJ, Pabst T, Aribi A, Brandwein JM, Dohner H, Fiedler W, Riether C, Gandini D, Geddes M, Hou JZ, Yee K, Hultberg A, Huselton E, Jacobs J, Zabrocki P, Lech-Maranda E, Louwers M, Nottage K, Platzbecker U, Rampal R, Salman M, Shah P, Wilson K, Stuart M, Subklewe M, Sumbul A, Wang ES, Wierzbowska A, Yao B, Patel R, George A, Islam N, Smith C, Boyiadzis M, Borthakur G. Cusatuzumab combined with venetoclax with or without azacitidine in unfit patients with newly diagnosed acute myeloid leukemia: phase Ib ELEVATE study. Haematologica. 2026 Sep 3. doi: 10.3324/haematol.2026.300917. Online ahead of print.
- Derived from this study: PubMed 37914483Pabst T, Papayannidis C, Demirkan F, Doronin V, Fogliatto LM, Guttke C, Gyan E, Hamad N, Herrera P, Hultberg A, Jacobs J, Johnson AJ, Langlois A, Ma X, Martinelli G, Arnan M, Muller R, Nottage K, Ofran Y, Ozcan M, Samoilova O, Tolbert JA, Trudel GC, Xiu L, Vey N, Wei AH. Cusatuzumab plus azacitidine in newly diagnosed acute myeloid leukaemia ineligible for intensive chemotherapy (CULMINATE): part one of a randomised, phase 2, dose optimisation study. Lancet Haematol. 2023 Nov;10(11):e902-e912. doi: 10.1016/S2352-3026(23)00207-7.
- Derived from this study: PubMed 37093350Dewulf J, Flieswasser T, Delahaye T, Vangestel C, Miranda A, de Haard H, Jacobs J, Smits E, Van den Wyngaert T, Elvas F. Site-specific 68Ga-labeled nanobody for PET imaging of CD70 expression in preclinical tumor models. EJNMMI Radiopharm Chem. 2023 Apr 24;8(1):8. doi: 10.1186/s41181-023-00194-3.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clayton Smith, MD study director
OncoVerity, Inc.
23 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Cusatuzumab, Azacitidine and Venetoclax in people with Leukemia, Myeloid, Acute, run by OncoVerity, Inc. at 23 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 12 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 23 sites in United States, Canada, Germany, Poland, Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Frequency and Severity of Adverse Events (AEs), Laboratory Abnormalities, and Physical Exam Findings as a Measure of Safety (time frame: Up to 42 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04150887, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2026.