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Drug Pipeline Review Therapy area: Chronic Myelomonocytic Leukemia40–50 pages · PDF + Excel tracker

Chronic Myelomonocytic Leukemia Drug Pipeline: 31 Assets by Phase

Chronic Myelomonocytic Leukemia pipeline: 31 drug candidates in clinical development, 2 in Phase III, from 23 sponsors. Data as of 3 Oct 2026.

Pipeline Terminal Chronic Myelomonocytic Leukemia Data as of 3 Oct 2026
Candidates in development 31assets Desk-reviewed How this number is madeEvery drug named in an interventional trial, merged across code, generic and brand names, with a live or recent industry trial. Placebo and comparator arms excluded.
Phase III 26.5% of pipeline Registry How this number is madeCandidates whose highest phase in a live or recent trial is Phase III (Phase II/III counts as Phase II).
Phase II 1032% of pipeline Registry
Phase I 1961% of pipeline Registry
Sponsors 23top 5 hold 42% Registry How this number is madeCompanies credited with at least one candidate: the lead sponsor on most of that candidate's industry trials.
Registered trials 21197 running Registry How this number is madeInterventional trials on ClinicalTrials.gov for the conditions in scope, updated since 3 Oct 2021.
Readouts in 12 months 4Phase II or later Sponsor dates How this number is madeCandidates with a registered primary completion date in the next 12 months. Dates are the sponsor's own and often move.
Trials with US sites 16880% · Europe 21% Registry How this number is madeTrials with at least one site in the United States; Europe is the EU/EEA, the UK and Switzerland. A trial counts in every region where it has a site.

Candidates by highest phase reached

Phase I19
Phase II10
Phase III2

Next registered primary completions, Phase II or later

CandidatePhasePrimary completion
AzacitidinePhase IIFeb 2027 (est.)
RuxolitinibPhase IIJun 2027 (est.)
Decitabine/cedazuridinePhase IIAug 2027 (est.)

Candidates in development by lead sponsor

Novartis Pharmaceuticals4
Astex Pharmaceuticals, Inc.3
Prelude Therapeutics Incorporated3
AbbVie2
Taiho Oncology, Inc.1

Phase II and III primary completions per quarter

Q4 20260
Q1 20271
Q2 20271
Q3 20272
Q4 20271
Q1 20283
Q2 20280
Q3 20281

Answers at a glance

  • 2 of 31 chronic myelomonocytic leukemia candidates (6.5%) are in Phase III.
  • Novartis Pharmaceuticals runs the largest chronic myelomonocytic leukemia pipeline, with 4 candidates.
  • 4 readouts are due in 12 months; the next is Azacitidine in Feb 2027.
  • 52 trials are recruiting patients now; 80% of all trials have a US site and 21% a European one.
31 candidates211 trials50 countriesData as of 3 Oct 2026Next refresh by 1 Jan 2027
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Edition: data as of 3 Oct 2026 Next refresh: by 1 Jan 2027 Change: Since 3 Oct 2026: assets +1, Phase III 0, trials 0

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Chronic Myelomonocytic Leukemia has 31 drug candidates in active clinical development, of which 2 are in Phase III, 10 in Phase II and 19 in Phase I, according to Douglas Insights' count of 211 interventional trials registered on ClinicalTrials.gov (data as of 3 Oct 2026).

The chronic myelomonocytic leukemia drug pipeline is the set of medicines that sponsors are still testing in people for this condition: each candidate is counted once, at the highest phase it has reached in a running or recently completed trial. Medicines already on the market and studied only in Phase IV trials are kept out of the count.

How many chronic myelomonocytic leukemia drugs are in each phase of development?

Douglas Insights counts 2 chronic myelomonocytic leukemia candidates in Phase III, 6.5% of the 31 assets in development; Phase II holds 10 and Phase I holds 19.

Phase I19Phase II10Phase III2
Candidates by highest phase reached. Source: Douglas Insights from ClinicalTrials.gov, data as of 3 Oct 2026.
Phase (highest reached)AssetsShare of pipeline
Phase III26.5%
Phase II1032%
Phase I1961%
Total31100%

Phase I/II candidates sit in the Phase I row and Phase II/III candidates in the Phase II row, so each chronic myelomonocytic leukemia asset appears in exactly one row. The 97 trials still recruiting or running carry 46% of the 211 registered trials in scope.

How many chronic myelomonocytic leukemia trials are recruiting patients now?

52 chronic myelomonocytic leukemia trials are recruiting patients and 5 more have not started recruiting yet, out of 211 interventional trials in scope; together they make up 27% of the trial base.

Registry statusTrialsShare
Completed6933%
Recruiting5225%
Active, not recruiting3918%
Terminated2813%
Withdrawn83.8%
Status not verified62.8%
Not yet recruiting52.4%
Suspended31.4%
Enrolling by invitation10.5%

Terminated, suspended and withdrawn chronic myelomonocytic leukemia trials stay in the trial base so that a stalled programme is visible, but a candidate whose only trials stopped is no longer counted as in development.

Which companies lead the chronic myelomonocytic leukemia pipeline?

Novartis Pharmaceuticals leads the chronic myelomonocytic leukemia pipeline with 4 candidates; the top 5 sponsors hold 42% of the 31 assets, and 23 sponsors run at least one.

SponsorAssets in developmentShare
Novartis Pharmaceuticals413%
Astex Pharmaceuticals, Inc.39.7%
Prelude Therapeutics Incorporated39.7%
AbbVie26.5%
Taiho Oncology, Inc.13.2%

Industry sponsors lead 67 of the 211 chronic myelomonocytic leukemia trials (32%); universities, hospitals and public funders lead the rest. A sponsor is credited with an asset when it is the lead sponsor on most of that asset's industry trials.

Which drug types and mechanisms dominate the chronic myelomonocytic leukemia pipeline?

Mechanism and drug-type classification for the 31 chronic myelomonocytic leukemia candidates is done by the research desk asset by asset, each with a cited source, and is published in the paid review together with the white-space map.

What chronic myelomonocytic leukemia trial readouts are coming next?

4 chronic myelomonocytic leukemia candidates in Phase II or later have a registered primary completion date in the next 12 months; the next three are below, each linked to its registry record.

CandidateSponsorPhasePrimary completionRegistry
AzacitidineNovartis PharmaceuticalsPhase IIFeb 2027 (estimated)NCT03383575
RuxolitinibAbbViePhase IIJun 2027 (estimated)NCT07249346
Decitabine/cedazuridineAstex Pharmaceuticals, Inc.Phase IIAug 2027 (estimated)NCT05600894

Primary completion is the date a sponsor expects the last patient to finish the main measurement, so data usually follow within months. Dates marked estimated are the sponsor's own forecast on the registry and often move.

How many chronic myelomonocytic leukemia readouts fall in each quarter?

9 chronic myelomonocytic leukemia candidates in Phase II or later reach registered primary completion over the next eight quarters, with the most, 3, due in Q1 2028.

QuarterPhase III readoutsPhase II readoutsTotal
Q4 2026000
Q1 2027011
Q2 2027011
Q3 2027022
Q4 2027011
Q1 2028033
Q2 2028000
Q3 2028011

Each candidate is counted once, at its next readout. The paid catalyst calendar names every readout with its trial, sponsor and design, adds filings and regulatory decisions, and runs 24 months ahead.

Which countries host the most chronic myelomonocytic leukemia trials?

United States hosts the most chronic myelomonocytic leukemia trials, with sites in 168 of the 211 studies (80%); trials in scope run in 50 countries in all.

CountryTrials with a siteShare of trials
United States16880%
France2813%
Germany2311%
Spain2311%
Canada2210%
United Kingdom2210%
Italy188.5%
Australia178.1%

A multinational chronic myelomonocytic leukemia trial is counted once in every country where it has a site, so the shares add up to more than 100%. Country spread shows where sponsors are building the evidence that regulators in each market will ask for.

Where are chronic myelomonocytic leukemia drugs being tested?

168 of the 211 chronic myelomonocytic leukemia trials (80%) have a site in the United States, 44 (21%) in Europe and 13 (6.2%) in China; 27 of the 31 candidates in development are tested in the US.

RegionTrials with a siteShare of trialsCandidates testedRegulator
United States16880%27FDA
Europe (EU/EEA, UK, Switzerland)4421%22EMA, MHRA, Swissmedic
China136.2%8NMPA
Japan73.3%10PMDA
Rest of world4019%21national regulators

Each region's trials are the evidence its regulator will review: the FDA in the United States, the EMA (with the MHRA and Swissmedic) in Europe, the NMPA in China and the PMDA in Japan. A multinational chronic myelomonocytic leukemia trial counts once in every region where it has a site, so the shares add up to more than 100%. A candidate tested only outside the US and Europe is often a licensing opportunity for sponsors in those markets.

What has changed in the chronic myelomonocytic leukemia pipeline since the last update?

Since 3 Oct 2026, the chronic myelomonocytic leukemia pipeline count moved by +1 assets to 31, Phase III moved by 0 and the trial base by 0.

How does Douglas Insights count the chronic myelomonocytic leukemia pipeline?

Douglas Insights read 211 interventional trials registered on ClinicalTrials.gov for the conditions "Leukemia, Myelomonocytic, Chronic", "CMML" and updated since 3 Oct 2021, then grouped every drug or biologic named in them into 31 unique candidates.

  1. Code names, generic names and brand names of the same molecule are merged into one candidate, and every merge is reviewed by the research desk.
  2. A candidate counts when it has a trial that is recruiting, running, or completed in the last 24 months, and at least one industry-sponsored trial.
  3. Its phase is the highest phase among those trials; placebo, standard-of-care and comparator arms are not candidates.
  4. Each figure on this page is drawn from one frozen dataset that passes ten checks before release, and the owner approves every edition.

Read the full approach on the research methodology page, or browse other Pharmaceuticals research.

What does the Chronic Myelomonocytic Leukemia Pipeline Review include?

The Chronic Myelomonocytic Leukemia Pipeline Review covers all 31 candidates in an Excel tracker and profiles the leading 25 in a 40–50 page report, ending with the research desk's ranked view of the candidates most likely to win.

11 chapters40–50 pages25 asset profilesExcel tracker of all 31 candidates
01Executive summary and our call2–3 pp

The pipeline on one page and the desk's verdict on where chronic myelomonocytic leukemia treatment is heading.

  • Pipeline size and phase mix
  • The three calls that matter
  • What changed since the last edition
02Disease and unmet need3 pp

Who is treated today, what current therapy leaves unmet, and how regulators judge new medicines.

  • Patient population and diagnosis
  • Treatment guidelines and gaps
  • Regulatory endpoints
03Approved therapies3 pp

The marketed medicines every chronic myelomonocytic leukemia candidate will be measured against.

  • Marketed medicines and their sponsors
  • Post-approval trials
  • The bar a new entrant must clear
04Pipeline at a glance4 pp

Every candidate counted by phase, drug type, sponsor and country.

  • Assets by phase and drug type
  • Sponsors by size of pipeline
  • Trial footprint: US, Europe, China, Japan
05Mechanism landscape and white space5 pp

Which mechanisms are crowded and which no sponsor has entered.

  • Mechanism classes and crowding
  • Classes with no candidate yet
  • Differentiation by route and dosing
06Key asset profiles12–15 pp

The leading 25 candidates, one profile each, every claim linked to a source document.

  • Design and endpoints of the pivotal trials
  • Data to date, with sources
  • Next readout and the risk to it
07Catalyst calendar3 pp

Readouts, filings and regulatory decisions 24 months ahead.

  • Readouts by quarter
  • Filings and regulatory decisions
  • Date confidence for each event
08Deals and partnering3 pp

Who is licensing, buying and partnering in chronic myelomonocytic leukemia, and on what terms.

  • Licensing and M&A in the area
  • Deal terms where disclosed
  • Sponsors open to partnering
09Sponsor landscape3 pp

Large pharma against biotech, and how concentrated the pipeline is.

  • Pipeline share by sponsor
  • Sponsor-by-phase matrix
  • New entrants since the last edition
10Our call: winners, risks, opportunities3–4 pp

The candidates most likely to win, ranked, with the reasoning and evidence.

  • Ranked candidates
  • Risks that could change the order
  • Openings for new entrants and investors
11Methodology and source log2 pp

How the count is built and every document behind it.

  • How candidates are counted and merged
  • Every source document listed
  • The ten quality checks

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Frequently asked questions about the chronic myelomonocytic leukemia pipeline

How many drugs are in the chronic myelomonocytic leukemia pipeline?

31 drug candidates are in active clinical development for chronic myelomonocytic leukemia, with 2 in Phase III, per Douglas Insights (data as of 3 Oct 2026).

Which company has the most chronic myelomonocytic leukemia drugs in development?

4 candidates make Novartis Pharmaceuticals the largest chronic myelomonocytic leukemia pipeline sponsor, out of 23 sponsors counted by Douglas Insights.

When is the next chronic myelomonocytic leukemia trial readout?

Feb 2027 is the registered primary completion of the Phase II trial of Azacitidine (NCT03383575), the next chronic myelomonocytic leukemia catalyst in Douglas Insights' calendar.

How many chronic myelomonocytic leukemia trials run in the United States and Europe?

168 chronic myelomonocytic leukemia trials have a US site and 44 a European site, out of 211 registered trials counted by Douglas Insights (data as of 3 Oct 2026).

How often is the chronic myelomonocytic leukemia pipeline count updated?

90 days is the refresh cycle; this edition uses registry data as of 3 Oct 2026 and the next is due by 1 Jan 2027.

Research & citation

This review was researched, written and reviewed by the Douglas Insights Research Desk under the Douglas Insights editorial standards. Material errors are logged in the corrections log. No section is sponsored.

Cite this page Douglas Insights (2026). Chronic Myelomonocytic Leukemia Drug Pipeline, data as of 3 Oct 2026. https://www.douglasinsights.com/pipeline/chronic-myelomonocytic-leukemia/