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NCT05168202

A Study to Assess the Effect of CC-95251 in Participants With Acute Myeloid Leukemia and Myelodysplastic Syndromes

Terminated Phase 1 Results posted Last updated 25 September 2025
What this trial tests

Phase 1 trial testing CC-95251 in Leukemia, Myeloid, Acute in 56 participants. Terminated before completion.

Timeline
19 January 2022
Primary endpoint
30 July 2024
30 July 2024

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment56
Start date19 January 2022
Primary completion30 July 2024
Estimated completion30 July 2024
Sites32 locations across France, Italy, Sweden, United Kingdom, Norway, Canada, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

18 and older, any sex, with Leukemia, Myeloid, Acute or Myelodysplastic Syndromes. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With DLTs Primary · From Cycle 1 Day 1 to Cycle 1 Day 28 up to 42 post first dose of cycle 1 (upto 42 days)

A dose-limiting toxicity (DLT) is any treatment-related toxicity during Cycle 1 (Days 1-28, up to 42) not clearly due to illness or external causes. DLTs include: * Any Grade ≥3 non-hematologic toxicity, except specific reversible or manageable cases (e.g., IRR, nausea, diarrhea, fatigue, infection with leukemia, TLS, electrolyte imbalance, liver enzyme elevations, or rash). * Any confirmed Hy's law case (ALT/AST ≥3× ULN + bilirubin \>2× ULN without cholestasis). * Hematologic toxicities: Grade 4 neutropenia/thrombocytopenia persisting at Day 28 without active AML/MDS; febrile neutropenia or

GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 21
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 50
Part A: Treatment 62
Part A: Treatment 74
Number of Participants With Treatment Emergent Adverse Events Primary · From signing informed consent to 56 days post last dose (Approximately 30 months)

An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a participant during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the subject's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a pre-existing condition) should be considered an AE.

GroupValue95% CI
Part A: Treatment 16
Part A: Treatment 28
Part A: Treatment 38
Part A: Treatment 49
Part A: Treatment 58
Part A: Treatment 610
Part A: Treatment 75
Number of Participants With With Grade 3 or Higher Laboratory Abnormalities Primary · From signing informed consent to 56 days post last dose (Approximately 30 months)

Clinical laboratory values from laboratories will be graded according to CTCAE Version 5 for applicable tests programmatically. For laboratory values that fall outside of the grade criteria of CTCAE Version 5, a Grade of 0 will be assigned. In addition, normal ranges will be used to determine the categories of High, Low, and Normal for laboratory tests that have no severity grade.

hemoglobin
GroupValue95% CI
Part A: Treatment 14
Part A: Treatment 26
Part A: Treatment 37
Part A: Treatment 48
Part A: Treatment 57
Part A: Treatment 610
Part A: Treatment 75
platelet count
GroupValue95% CI
Part A: Treatment 15
Part A: Treatment 28
Part A: Treatment 39
Part A: Treatment 410
Part A: Treatment 58
Part A: Treatment 610
Part A: Treatment 75
leukocytes
GroupValue95% CI
Part A: Treatment 15
Part A: Treatment 25
Part A: Treatment 36
Part A: Treatment 49
Part A: Treatment 57
Part A: Treatment 69
Part A: Treatment 74
lymphocytes
GroupValue95% CI
Part A: Treatment 14
Part A: Treatment 25
Part A: Treatment 34
Part A: Treatment 47
Part A: Treatment 57
Part A: Treatment 69
Part A: Treatment 72
neutrophils
GroupValue95% CI
Part A: Treatment 13
Part A: Treatment 26
Part A: Treatment 38
Part A: Treatment 48
Part A: Treatment 58
Part A: Treatment 68
Part A: Treatment 74
Alanine aminotransferase
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 21
Part A: Treatment 31
Part A: Treatment 40
Part A: Treatment 50
Part A: Treatment 63
Part A: Treatment 71
alkaline phosphatase
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 21
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 50
Part A: Treatment 60
Part A: Treatment 71
asparatate aminotransferase
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 21
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 50
Part A: Treatment 61
Part A: Treatment 71
Number of Participants With Clinically Significant ECG Abnormalities Presented as Adverse Events Primary · From screening to 56 days post last dose (Approximately 29 months)

A single ECG will be performed in Screening, Cycle 1 Day 1 and 15, and Day 1 of Cycles ≥ 2. Investigators will make immediate clinical decisions based on their interpretation of the ECG results and provide their overall assessment.

Sinus Tachycardia
GroupValue95% CI
Part A: Treatment 11
Part A: Treatment 20
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 50
Part A: Treatment 62
Part A: Treatment 70
Tachycardia
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 20
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 50
Part A: Treatment 62
Part A: Treatment 70
Atrial Fibrillation
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 21
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 51
Part A: Treatment 60
Part A: Treatment 70
Sinus Bradycardia
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 20
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 51
Part A: Treatment 60
Part A: Treatment 70
Number of ECOG Evaluations With Shift of ECOG Score of 3 or Greater. Primary · From screening to 56 days post last dose (Approximately 29 months)

ECOG Scale was used to assess performance status. Grades: 0: Fully active, able to carry on all pre-disease performance without estriction. 1: Restricted in physically strenuous activity but ambulatory, able to carry out work of light nature. 2: Ambulatory, capable of self-care, unable to carry out work activities. Up and about more than 50% waking hours. 3: Capable of limited self-care, confined to bed/chair more than 50% waking hours. 4: Completely disabled. Cannot carry on any self-care. Totally confined to bed/chair. 5: Dead. Baseline value was defined as the last non-missing value on or b

GroupValue95% CI
Part A: Treatment 13
Part A: Treatment 21
Part A: Treatment 30
Part A: Treatment 41
Part A: Treatment 50
Part A: Treatment 61
Part A: Treatment 71
Number of Participants With Clinically Significant Changes in Vital Signs Presented as AEs Primary · From signing informed consent to 56 days post last dose (Approximately 30 months)

Vital sign measurements include: Weight (kg), Temperature (°C), Systolic Blood Pressure (mmHg), Diastolic Blood Pressure (mmHg), Pulse (beats/min), Respiration Rate (breaths/min).

Pyrexia
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 21
Part A: Treatment 31
Part A: Treatment 42
Part A: Treatment 53
Part A: Treatment 64
Part A: Treatment 71
hypothermia
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 20
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 51
Part A: Treatment 60
Part A: Treatment 70
hypertension
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 20
Part A: Treatment 31
Part A: Treatment 40
Part A: Treatment 51
Part A: Treatment 62
Part A: Treatment 70
hypotension
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 21
Part A: Treatment 33
Part A: Treatment 40
Part A: Treatment 52
Part A: Treatment 60
Part A: Treatment 70
weight decreased
GroupValue95% CI
Part A: Treatment 10
Part A: Treatment 20
Part A: Treatment 30
Part A: Treatment 40
Part A: Treatment 51
Part A: Treatment 60
Part A: Treatment 70
Cmax Secondary · On Cycle 1 Day 1, C1D22 and C2D22.

Maximum plasma concentration of drug

Cycle 1 Day 1
GroupValue95% CI
Part A: Treatment 1371.59± 25.14
Part A: Treatment 2510.58± 33.39
Part A: Treatment 3209.40± 14.13
Part A: Treatment 4428.72± 22.78
Part A: Treatment 5636.93± 7.80
Part A: Treatment 6418.39± 42.61
Part A: Treatment 7653.88± 10.36
Cycle 1 Day 22
GroupValue95% CI
Part A: Treatment 1514.05± 25.01
Part A: Treatment 2773.08± 30.58
Part A: Treatment 3314.49± 16.76
Part A: Treatment 4641.78± 21.60
Part A: Treatment 51055.99± 18.62
Part A: Treatment 6592.41± 50.25
Part A: Treatment 71036.14± 28.08
Cycle 2 Day 22
GroupValue95% CI
Part A: Treatment 1568.25± 32.29
Part A: Treatment 21217.78± 19.11
Part A: Treatment 3318.09± 21.12
Part A: Treatment 4637.76± 21.01
Part A: Treatment 51468.00± 18.85
Part A: Treatment 6833.06± 38.61
Part A: Treatment 71470.00± NA
Tmax Secondary · On Cycle 1 Day 1, C1D22 and C2D22.

Time to maximum plasma concentration (Tmax)

Cycle 1 Day 1
GroupValue95% CI
Part A: Treatment 12.331.6 – 3.9
Part A: Treatment 24.872.1 – 7.2
Part A: Treatment 31.801.6 – 5.6
Part A: Treatment 44.022.5 – 6.0
Part A: Treatment 55.473.2 – 8.3
Part A: Treatment 64.612.1 – 22.3
Part A: Treatment 74.783.5 – 5.8
Cycle 1 Day 22
GroupValue95% CI
Part A: Treatment 11.931.5 – 2.1
Part A: Treatment 26.802.1 – 7.6
Part A: Treatment 33.171.2 – 3.6
Part A: Treatment 43.872.0 – 22.6
Part A: Treatment 55.882.5 – 23.8
Part A: Treatment 63.421.6 – 23.9
Part A: Treatment 76.753.0 – 26.1
Cycle 2 Day 22
GroupValue95% CI
Part A: Treatment 13.782.2 – 4.0
Part A: Treatment 25.022.3 – 7.1
Part A: Treatment 33.511.5 – 5.3
Part A: Treatment 412.271.9 – 69.6
Part A: Treatment 53.282.8 – 5.7
Part A: Treatment 62.141.8 – 3.8
Part A: Treatment 73.373.37 – 3.37
AUC(0-T) Secondary · On Cycle 1 Day 1, C1D22 and C2D22.

Area under the plasma concentration time-curve up to the last measurable concentration (AUC0-t)

Cycle 1 Day 1
GroupValue95% CI
Part A: Treatment 127915.38± 25.74
Part A: Treatment 237242.17± 41.18
Part A: Treatment 313125.85± 48.00
Part A: Treatment 423850.09± 50.97
Part A: Treatment 549377.47± 10.90
Part A: Treatment 628557.98± 61.21
Part A: Treatment 742273.81± 28.09
Cycle 1 Day 22
GroupValue95% CI
Part A: Treatment 125766.21± 366.57
Part A: Treatment 253952.86± 105.79
Part A: Treatment 338363.45± 34.52
Part A: Treatment 446250.05± 55.29
Part A: Treatment 584673.85± 80.82
Part A: Treatment 663857.81± 83.67
Part A: Treatment 7186843.83± 120.44
Cycle 2 Day 22
GroupValue95% CI
Part A: Treatment 142891.42± 38.09
Part A: Treatment 254797.36± 205.65
Part A: Treatment 337672.97± 30.69
Part A: Treatment 454425.19± 131.05
Part A: Treatment 5116229.58± 23.27
Part A: Treatment 674865.57± 104.46
Part A: Treatment 7137581.5± NA
AUC(TAU) Secondary · On Cycle 1 Day 1, C1D22 and C2D22.

Area under the plasma concentration time-curve during a dosing interval (AUCtau)

Cycle 1 Day 1
GroupValue95% CI
Part A: Treatment 127915.38± 25.74
Part A: Treatment 239145.67± 33.39
Part A: Treatment 315987.61± 16.16
Part A: Treatment 428817.51± 27.62
Part A: Treatment 549377.47± 10.90
Part A: Treatment 629931.17± 64.80
Part A: Treatment 746778.93± 18.30
Cycle 1 Day 22
GroupValue95% CI
Part A: Treatment 148306.42± 48.94
Part A: Treatment 287419.67± 68.23
Part A: Treatment 334295.76± 16.51
Part A: Treatment 464776.31± 16.33
Part A: Treatment 5120818.65± 32.18
Part A: Treatment 657119.56± 67.28
Part A: Treatment 7109428.93± 41.91
Cycle 2 Day 22
GroupValue95% CI
Part A: Treatment 148436.92± 44.72
Part A: Treatment 2128864.45± 8.24
Part A: Treatment 337672.97± 30.69
Part A: Treatment 489459.57± 19.99
Part A: Treatment 5119737.08± 25.79
Part A: Treatment 6114221.87± 19.11
Part A: Treatment 7137581.85± NA
Cmin Secondary · On Cycle 1 Day 1, C1D22 and C2D22.

Minimum serum concentration

Cycle 1 Day 1
GroupValue95% CI
Part A: Treatment 1NA± NA
Part A: Treatment 21.96± NA
Part A: Treatment 3NA± NA
Part A: Treatment 4140.00± NA
Part A: Treatment 5NA± NA
Part A: Treatment 6NA± NA
Part A: Treatment 70.47± NA
Cycle 1 Day 22
GroupValue95% CI
Part A: Treatment 1149.97± 50.58
Part A: Treatment 2213.59± 104.90
Part A: Treatment 3109.90± 40.52
Part A: Treatment 4153.17± 97.33
Part A: Treatment 5342.42± 39.35
Part A: Treatment 6167.12± 89.50
Part A: Treatment 7336.79± 54.07
Cycle 2 Day 22
GroupValue95% CI
Part A: Treatment 1171.28± 48.96
Part A: Treatment 2588.04± 36.19
Part A: Treatment 3135.10± 44.61
Part A: Treatment 4225.45± 37.09
Part A: Treatment 5573.75± 46.78
Part A: Treatment 6291.15± 94.88
Part A: Treatment 7545.00± NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events and Serious Adverse Events and All Cause Mortality: (Approximately 30 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A: Treatment 1
Serious: 6/6 (100%)
Deaths: 6/6
Part A: Treatment 2
Serious: 7/8 (88%)
Deaths: 7/8
Part A: Treatment 3
Serious: 8/9 (89%)
Deaths: 6/9
Part A: Treatment 4
Serious: 7/10 (70%)
Deaths: 9/10
Part A: Treatment 5
Serious: 7/8 (88%)
Deaths: 6/8
Part A: Treatment 6
Serious: 10/10 (100%)
Deaths: 8/10
Part A: Treatment 7
Serious: 5/5 (100%)
Deaths: 3/5

Serious adverse events (68 terms)

ReactionSystemPart A: Treatment 1Part A: Treatment 2Part A: Treatment 3Part A: Treatment 4Part A: Treatment 5Part A: Treatment 6Part A: Treatment 7
Febrile neutropeniaBlood and lymphatic system disorders
Acute myeloid leukaemiaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Disease progressionGeneral disorders
PyrexiaGeneral disorders
PneumoniaInfections and infestations
Septic shockInfections and infestations
Disseminated intravascular coagulationBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
ColitisGastrointestinal disorders
Ileus paralyticGastrointestinal disorders
General physical health deteriorationGeneral disorders
Generalised oedemaGeneral disorders
Multiple organ dysfunction syndromeGeneral disorders
Haemophagocytic lymphohistiocytosisImmune system disorders
Anal abscessInfections and infestations
COVID-19Infections and infestations
COVID-19 pneumoniaInfections and infestations
CellulitisInfections and infestations
Clostridium difficile colitisInfections and infestations
Clostridium difficile infectionInfections and infestations
Device related infectionInfections and infestations
DiverticulitisInfections and infestations
Escherichia sepsisInfections and infestations
Fungal infectionInfections and infestations
Other adverse events (193 terms — click to expand)

ReactionSystemPart A: Treatment 1Part A: Treatment 2Part A: Treatment 3Part A: Treatment 4Part A: Treatment 5Part A: Treatment 6Part A: Treatment 7
ThrombocytopeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
AstheniaGeneral disorders
Neutrophil count decreasedInvestigations
NeutropeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
PyrexiaGeneral disorders
Aspartate aminotransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
LeukocytosisBlood and lymphatic system disorders
Sinus tachycardiaCardiac disorders
TachycardiaCardiac disorders
Mouth ulcerationGastrointestinal disorders
Adverse drug reactionGeneral disorders
FatigueGeneral disorders
Injection site reactionGeneral disorders
Oedema peripheralGeneral disorders
COVID-19Infections and infestations
Device related infectionInfections and infestations
Blood alkaline phosphatase increasedInvestigations
Blood bilirubin increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
AnxietyPsychiatric disorders
Confusional statePsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders

Most-reported serious reactions: Febrile neutropenia, Acute myeloid leukaemia, Disease progression, Pyrexia, Pneumonia, Septic shock, Disseminated intravascular coagulation, Thrombocytopenia.

Data from ClinicalTrials.gov NCT05168202 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety, tolerability, and preliminary clinical activity of CC-95251 alone and in combination with antineoplastic agents in participants with relapsed or refractory acute myeloid leukemia and relapsed or refractory and treatment-naive higher risk melodysplastic syndromes.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting macrophages in hematological malignancies: recent advances and future directions.
    Li W, Wang F, Guo R, Bian Z, et al · · 2022 · cited 126× · PMID 35978372 · DOI 10.1186/s13045-022-01328-x
  2. Targeting CD47/SIRPα as a therapeutic strategy, where we are and where we are headed.
    Qu T, Li B, Wang Y. · · 2022 · cited 66× · PMID 35418166 · DOI 10.1186/s40364-022-00373-5
  3. Immune Checkpoint Inhibition in Acute Myeloid Leukemia and Myelodysplastic Syndromes.
    Abaza Y, Zeidan AM. · · 2022 · cited 61× · PMID 35883692 · DOI 10.3390/cells11142249
  4. Targeting the CD47-SIRPα Innate Immune Checkpoint to Potentiate Antibody Therapy in Cancer by Neutrophils.
    Behrens LM, van den Berg TK, van Egmond M. · · 2022 · cited 28× · PMID 35884427 · DOI 10.3390/cancers14143366
  5. Targeting Myeloid Checkpoint Molecules in Combination With Antibody Therapy: A Novel Anti-Cancer Strategy With IgA Antibodies?
    Chan C, Lustig M, Baumann N, Valerius T, et al · · 2022 · cited 15× · PMID 35865547 · DOI 10.3389/fimmu.2022.932155
  6. BYON4228 is a pan-allelic antagonistic SIRPα antibody that potentiates destruction of antibody-opsonized tumor cells and lacks binding to SIRPγ on T cells.
    van Helden MJ, Zwarthoff SA, Arends RJ, Reinieren-Beeren IMJ, et al · · 2023 · cited 14× · PMID 37068796 · DOI 10.1136/jitc-2022-006567
  7. Antibody therapies for the treatment of acute myeloid leukemia: exploring current and emerging therapeutic targets.
    Morse JW, Rios M, Ye J, Rios A, et al · · 2023 · cited 10× · PMID 36762937 · DOI 10.1080/13543784.2023.2179482
  8. Research progress on the role of tumor‑associated macrophages in tumor development and their use as molecular targets (Review).
    Lu C, Liu Y, Miao L, Kong X, et al · · 2024 · cited 6× · PMID 38063203 · DOI 10.3892/ijo.2023.5599

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05168202.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing