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Leukemia, Myeloid, AcutePhase 1NCT05168202

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

A Phase 1 study testing CC-95251, Azacitidine and Venetoclax in people with Leukemia, Myeloid, Acute and Myelodysplastic Syndromes, run by Bristol-Myers Squibb at 32 sites in 9 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
CC-95251, Azacitidine and Venetoclax
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
32 sitesin 9 countries
Study dates
19 Jan 2022to 30 Jul 2024
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

  • Eastern Cooperative Oncology Group Performance Status of 0 to 2
  • For Parts A \& B:
  • Relapsed or refractory (R/R) acute myeloid leukemia (AML) as defined by the 2016 WHO Classification
  • R/R myelodysplastic syndromes (MDS) as defined by the 2016 WHO Classification with intermediate, high or very high risk by Revised International Prognostic Scoring System (IPSS-R)
  • For Part C:
  • Treatment-naïve (TN) (ie, previously untreated) MDS as defined by the 2016 WHO Classification with intermediate, high or very high risk by IPSS-R
  • For Part D:
  • TN AML as defined by the 2016 WHO Classification, including secondary AML and therapy-related AML in participants who are ineligible (IE) for intensive chemotherapy (IC) and allogeneic hematopoietic stem cell transplant (HSCT)

Who cannot join

  • Acute promyelocytic leukemia
  • Immediately life-threatening, severe complications of leukemia such as disseminated/uncontrolled infection, uncontrolled bleeding, and/or uncontrolled disseminated intravascular coagulation
  • Participants who have received prior treatment with a CD47 or SIRPα targeting agent
  • Participant is on chronic systemic immunosuppressive therapy or corticosteroids
  • Prior systemic cancer-directed treatments or investigational modalities ≤ 5 half-lives or 4 weeks prior to starting study treatment, whichever is shorter (relapsed or refractory participants only).
  • Any condition including, active or uncontrolled infection, or the presence of laboratory abnormalities, which places the participant at unacceptable risk if he/she were to participate in the study
  • Pregnant or nursing participants.
  • Other protocol-defined inclusion/exclusion criteria apply

Trial locations and contacts

32 sites in 9 countries.

32 sites in 9 countries

France5 sites
  • Local Institution - 0040

    Marseille, 13009

  • Local Institution - 0029

    Nantes, 44000

  • Local Institution - 0020

    Pessac, 33600

  • Local Institution - 0023

    Toulouse, 31059

  • Local Institution - 0041

    Villejuif, 94805

Other trials in France

Spain5 sites
  • Local Institution - 0032

    Badalona, Barcelona [Barcelona], 08916

  • Local Institution - 0039

    Barcelona, 08041

  • Local Institution - 0036

    Madrid, 28007

  • Local Institution - 0035

    Salamanca, 37007

  • Local Institution - 0028

    Santander, 39008

Other trials in Spain

United States4 sites
  • Local Institution - 0001

    Houston, Texas, 77030

  • Local Institution - 0030

    Los Angeles, California, 90095

  • Local Institution - 0047

    Miami, Florida, 33136

  • Local Institution - 0031

    Palo Alto, California, 94304

Other trials in United States

Australia4 sites
  • Local Institution - 0006

    Clayton, Victoria, 3168

  • Local Institution - 0005

    Heidelberg, Victoria, 3084

  • Local Institution - 0037

    Melbourne, Victoria, 3065

  • Local Institution - 0027

    Wollongong, New South Wales, 2500

Other trials in Australia

Canada4 sites
  • Local Institution - 0019

    Edmonton, Alberta, T6G 2B7

  • Local Institution - 0038

    Montreal, Quebec, H3T 1E2

  • Local Institution - 0010

    Toronto, Ontario, M5G 2M9

  • Local Institution - 0011

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

Italy3 sites
  • Local Institution - 0018

    Meldola, Emilia-Romagna, 47014

  • Local Institution - 0026

    Milan, 20162

  • Local Institution - 0017

    Rozzano, 20089

Other trials in Italy

Sweden3 sites
  • Local Institution - 0021

    Gothenburg, 413 45

  • Local Institution - 0015

    Lund, 22185

  • Local Institution - 0014

    Stockholm, 141 86

Other trials in Sweden

Norway2 sites
  • Local Institution - 0025

    Bergen, 5021

  • Local Institution - 0013

    Oslo, N-0027

Other trials in Norway

United Kingdom2 sites
  • Local Institution - 0044

    Edinburgh, Midlothian, EH4 2XU

  • Local Institution - 0050

    Oxford, Oxfordshire, OX3 7LE

Other trials in United Kingdom

About this study

Official title: A Phase 1, Open-label, Dose Finding Study of CC-95251 Alone and in Combination With Antineoplastic Agents in Subjects With Acute Myeloid Leukemia and Myelodysplastic Syndromes

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.

Being tested
CC-95251, Azacitidine, Venetoclax
Keywords
Myelodysplastic Syndromes, Acute Myeloid Leukemia, AML, MDS, Hematologic Cancers, Leukemia, Anti-SIRPa antibody, CC-95251
Medical subject headings
Leukemia, Myeloid, Acute, Myelodysplastic Syndromes, Leukemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CC-95251Drug

    Also called BMS-986351

    Specified dose on specified days

  • AzacitidineDrug

    Specified dose on specified days

  • VenetoclaxDrug

    Specified dose on specified days

Study groups in NCT05168202
Study groupRoleWhat they receive
CC-95251 monotherapyExperimentalNot described
Receives: Drug: CC-95251
CC-95251 + azacitidineExperimentalNot described
Receives: Drug: CC-95251; Drug: Azacitidine
CC-95251 + azacitidine + venetoclaxExperimentalNot described
Receives: Drug: Venetoclax

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With DLTs

    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 Grade ≥3 thrombocytopenia with severe bleeding and prolonged myelosuppression (>42 days) without active leukemia.
    • Any adverse event requiring dose reduction in Cycle 1 unless clearly unrelated to the drug.

    Measured: From Cycle 1 Day 1 to Cycle 1 Day 28 up to 42 post first dose of cycle 1 (upto 42 days)

  2. Number of Participants With Treatment Emergent Adverse Events

    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.

    Measured: From signing informed consent to 56 days post last dose (Approximately 30 months)

  3. Number of Participants With With Grade 3 or Higher Laboratory Abnormalities

    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.

    Measured: From signing informed consent to 56 days post last dose (Approximately 30 months)

  4. Number of Participants With Clinically Significant ECG Abnormalities Presented as Adverse Events

    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.

    Measured: From screening to 56 days post last dose (Approximately 29 months)

  5. Number of ECOG Evaluations With Shift of ECOG Score of 3 or Greater.

    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 before the day that first dose of study drug is administered; if multiple values are present for the same date, the average of these values will be used as the baseline.

    Measured: From screening to 56 days post last dose (Approximately 29 months)

  6. Number of Participants With Clinically Significant Changes in Vital Signs Presented as AEs

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

    Measured: From signing informed consent to 56 days post last dose (Approximately 30 months)

Secondary outcomes (5)
  1. Cmax

    Maximum plasma concentration of drug

    Measured: On Cycle 1 Day 1, C1D22 and C2D22.

  2. Tmax

    Time to maximum plasma concentration (Tmax)

    Measured: On Cycle 1 Day 1, C1D22 and C2D22.

  3. AUC(0-T)

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

    Measured: On Cycle 1 Day 1, C1D22 and C2D22.

  4. AUC(TAU)

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

    Measured: On Cycle 1 Day 1, C1D22 and C2D22.

  5. Cmin

    Minimum serum concentration

    Measured: On Cycle 1 Day 1, C1D22 and C2D22.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Dec 2021
  2. Study start19 Jan 2022
  3. Primary completion30 Jul 2024
  4. Study completion30 Jul 2024

Why it stopped: Business objectives have changed

Resources

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
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05168202
Sponsor's protocol ID
CA059-001
Other IDs
2021-002799-38
Status last verified
Sep 2025
First submitted
8 Dec 2021
Last updated
25 Sep 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CC-95251, Azacitidine and Venetoclax in people with Leukemia, Myeloid, Acute and Myelodysplastic Syndromes, run by Bristol-Myers Squibb at 32 sites in 9 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 8 inclusion and 8 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: stopped early, as of the sponsor's last update on 25 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in France, Spain, United States, Australia, Canada and 4 more countries. 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?

Yes. Results are posted in the registry (first posted 25 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Participants With DLTs (time frame: From Cycle 1 Day 1 to Cycle 1 Day 28 up to 42 post first dose of cycle 1 (upto 42 days)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Sep 2025.

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