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Cusatuzumab

Phase 2

Leukemia, Myeloid, Acute | Small molecule | Oncology |argenx SE|Last Updated: Aug 20, 2025

Target and mechanism

Molecular targetCD70
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials3
Total Enrollment170

FDA Designations

No designations recorded

Clinical trial landscape

Cusatuzumab · 3 trials · 1 indication

Phase 2 1Phase 1 2
NCT04023526A Study of Cusatuzumab Plus Azacitidine in Participants With Newly Diagnosed Acute Myeloid Leukemia Who Are Not Candidates for Intensive ChemotherapyLeukemia, Myeloid, Acute
ACTIVE NOT_RECRUITING103 Analytics
PHASE2ACTIVE NOT_RECRUITING
A Study of Cusatuzumab Plus Azacitidine in Participants With Newly Diagnosed Acute Myeloid Leukemia Who Are Not Candidates for Intensive Chemotherapy
Leukemia, Myeloid, AcuteUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Complete Remission (CR)
Up to 3 years and 5 months

Complete remission based on European Leukemia Network (ELN) 2017 response criteria. Defined as bone marrow blasts \<5%; absence of circulating blasts and blasts with Auer rods; absences of extramedullary disease; ANC \>= 1.0 x10\^9/L; platelet count \>=100 x 10\^9/L

Part 1 and Part 2: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to 3 years

Number of participants with AEs and SAEs will be reported.

Part 1 and Part 2: Number of Participants with Dose-Limiting Toxicity (DLTs)
Up to 42 days

Number of participants with DLTs will be reported.

Part 1 and Part 2: Severity of DLT as Assessed by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE)
Up to 42 days

Severity of DLT as assessed by NCI-CTCAE in participants will be reported.

Frequency and Severity of Adverse Events (AEs), Laboratory Abnormalities, and Physical Exam Findings as a Measure of Safety
Up to 42 months

Frequency and severity of AEs, laboratory abnormalities, and physical exam findings will be reported.

Secondary Endpoints

Percentage of Participants With CR With Partial Hematological Recovery (CRh)
Up to 3 years and 5 months
Percentage of Participants With CR Plus CRh
Up to 3 years and 5 months
Percentage of Participants With CR With Incomplete Recovery (CRi)
Up to 3 years and 5 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Azacitidine 75 mg/m^2 and Cusatuzumab 10 mg/kgEXPERIMENTALParticipants will receive azacitidine 75 milligram per meter square (mg/m\^2) subcutaneously (SC) or intravenously (IV) on Day 1 through Day 7 and cusatuzumab 10 milligram per kilogram (mg/kg) IV on Day 3 and Day 17 of each 28-day cycle in Part 1. Part 1 findings will be reviewed by a data review committee.
Azacitidine 75 mg/m^2 and Cusatuzumab 20 mg/kgEXPERIMENTALParticipants will receive azacitidine 75 mg/m\^2 SC or IV on Day 1 through Day 7 and cusatuzumab 20 mg/kg IV on Day 3 and Day 17 of each 28-day cycle in Part 1. Part 1 findings will be reviewed by a data review committee.
Part 1 (Dose Finding): Cusatuzumab + AzacitidineEXPERIMENTALParticipants with acute myeloid leukemia (AML) will receive cusatuzumab intravenously (IV) in combination with azacitidine subcutaneously (SC) or IV. The dose levels will be escalated based on the decisions of the Study Evaluation Team (SET) until the recommended Phase 2 Dose (RP2D) has been identified.
Part 2 (Dose Expansion): Cusatuzumab + AzacitidineEXPERIMENTALParticipants with acute myeloid leukemia (AML) and high-risk myelodysplastic syndromes (MDS) will receive cusatuzumab intravenously (IV) at the recommended Phase 2 dose (RP2D) determined in Part 1 in combination with azacitidine subcutaneously (SC) or IV.
Experimental: Cohort 2: Cusatuzumab + VenetoclaxEXPERIMENTALParticipants 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)EXPERIMENTALParticipants 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).

Interventions

NameTypeDescription
AzacitidineDRUGAzacitidine SC or IV will be administered at a standard dose of 75 mg/m\^2 on days 1-7 of each cycle.
CusatuzumabDRUGCusatuzumab IV will be administered as 10 mg/kg or 20 mg/kg on days 3 and 17 of each cycle.
VenetoclaxDRUGVenetoclax will be administered orally and the dose will ramp-up to 400 mg.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites56

Inclusion Criteria: * Acute myeloid leukemia (AML) according to World Health Organisation (WHO) 2016 criteria and fulfilling all of the following criteria that defines those who are "not candidates for intensive chemotherapy": 1. greater than or equal to (\>=)75 years of age or 2. less than (\...

Countries:AustraliaBrazilFranceIsraelItalyRussiaSpainSwitzerlandTurkey (Türkiye)JapanUnited StatesCanadaGermanyPoland
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Frequently asked questions about Cusatuzumab

What is Cusatuzumab used for in acute myeloid leukemia?

Cusatuzumab is an investigational antibody being studied for the treatment of acute myeloid leukemia (AML). It is being evaluated in combination with azacitidine in patients with newly diagnosed AML who are not candidates for intensive chemotherapy, as well as in combination with background therapy for other AML treatment settings.

What does Cusatuzumab target?

Cusatuzumab is a monoclonal antibody (mab) that targets CD70, a protein expressed on leukemia cells. By binding to CD70, it is designed to enhance the immune system's ability to attack cancer cells. This mechanism is being studied in clinical trials for acute myeloid leukemia.

Who is developing Cusatuzumab?

Cusatuzumab is being developed by argenx SE, a biopharmaceutical company traded under the ticker ARGX. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with acute myeloid leukemia.

What phase is Cusatuzumab in?

Cusatuzumab is in Phase 2 clinical development for acute myeloid leukemia. It is also being studied in Phase 1 trials. The drug is investigational and has not been approved by regulatory authorities for any indication.

What clinical trials is Cusatuzumab in?

Cusatuzumab is being studied in three clinical trials. NCT04023526 is a Phase 2 trial of cusatuzumab plus azacitidine in newly diagnosed AML patients not eligible for intensive chemotherapy. NCT04150887 is a Phase 1 trial combining cusatuzumab with background therapy. NCT04241549 is a completed Phase 1 trial in Japanese patients.

Is Cusatuzumab the same as any other drug?

Cusatuzumab is also known by its code name ARGX-110. It is a monoclonal antibody being developed by argenx SE for the treatment of acute myeloid leukemia. No other alternative names have been reported for this investigational drug.