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JNJ-74856665

Phase 1

Acute Myeloid Leukemia | Small molecule | Oncology |Johnson & Johnson|Last Updated: Oct 1, 2025

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment153

FDA Designations

No designations recorded

Clinical trial landscape

JNJ-74856665 · 1 trial · 3 indications

Phase 1 1
NCT04609826A Study of JNJ-74856665 in Participants With Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS)Acute Myeloid Leukemia
COMPLETED153 Analytics
PHASE1COMPLETED
A Study of JNJ-74856665 in Participants With Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS)
Acute Myeloid LeukemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Arms A and D: Number of Participants with Dose-Limiting Toxicity (DLT)
Up to 21 Days

Number of participants with DLT will be assessed. The DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity, or hematologic toxicity.

Arms B and C: Number of Participants with DLT
Up to 28 Days

Number of participants with DLT will be assessed. The DLTs are specific adverse events and are defined as any of the following: high grade non-hematologic toxicity, or hematologic toxicity.

Arms A, B, C and D: Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
After last dose of study treatment (up to 6 months)

An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.

Arms A, B, C and D: Number of Participants with AEs by Severity
After last dose of study treatment (up to 6 months)

Number of participants with AEs by severity will be reported as defined by National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.

Secondary Endpoints

Plasma Concentration of JNJ-74856665
Up to 2 years and 10 months
Biomarker Levels of Intermediates Including Dihydroorotate (DHO), Orotate, and Uridine of JNJ-74856665
Up to 2 years and 10 months
Arm A, Arm B and Arm C: Clinical Response of all Participants with a Primary Disease of Acute Myeloid Leukemia (AML)
Up to 2 years and 10 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: JNJ-74856665EXPERIMENTALParticipants will receive JNJ-74856665 orally in a 21-day cycle. The dose levels will be escalated based on the decisions of the Study Evaluation Team (SET) until a recommended Phase 2 dose (RP2D) has been identified.
Arm B: JNJ-74856665 + Azacitidine (AZA)EXPERIMENTALParticipants will receive JNJ-74856665 orally in combination with AZA administered intravenously (IV) or subcutaneously (SC) in a 28-day cycle.
Arm C: JNJ-74856665 + Venetoclax (VEN)EXPERIMENTALParticipants will receive JNJ-74856665 orally in combination with VEN in a 28-day cycle.
Arm D: JNJ-74856665EXPERIMENTALParticipants will receive JNJ-74856665 orally in a 21-day cycle. Participants with transfusion dependent relapsed/refractory Myelodysplastic Syndrome (MDS) will be included.

Interventions

NameTypeDescription
JNJ-74856665DRUGJNJ-74856665 will be administered orally.
AZADRUGAZA will be administered IV infusion or SC injection.
VENDRUGVEN tablet will be administered orally.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * A diagnosis of: Arms A and C: Acute Myeloid Leukemia (AML) according to the World Health Organization (WHO) 2016 criteria with relapsed or refractory disease and have exhausted or are ineligible for standard therapeutic options; or newly transformed secondary AML according to ...

Countries:FranceSouth KoreaSpainUnited Kingdom
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Frequently asked questions about JNJ-74856665

What is JNJ-74856665 used for?

JNJ-74856665 is an investigational small molecule being studied for the treatment of Acute Myeloid Leukemia (AML). It is also being evaluated in patients with Myelodysplastic Syndromes (MDS) and Chronic Myelomonocytic Leukemia (CMML), as part of a Phase 1 clinical trial.

Who makes JNJ-74856665?

JNJ-74856665 is being developed by Johnson & Johnson, a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol JNJ.

What phase is JNJ-74856665 in?

JNJ-74856665 is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The Phase 1 trial has been completed.

What clinical trials is JNJ-74856665 in?

JNJ-74856665 has been studied in a Phase 1 clinical trial with the identifier NCT04609826. This trial enrolled 153 participants with Acute Myeloid Leukemia, Myelodysplastic Syndromes, or Chronic Myelomonocytic Leukemia, and was conducted in France, South Korea, Spain, and the United Kingdom.

Is JNJ-74856665 the same as any other drug?

No alternative names for JNJ-74856665 have been disclosed. It is identified solely by its investigational code name in clinical trial records.