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.
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
- Conditions the study is for
- Leukemia, Myeloid, Acute, Myelodysplastic Syndromes
- 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
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
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
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
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
Italy3 sites
Local Institution - 0018
Meldola, Emilia-Romagna, 47014
Local Institution - 0026
Milan, 20162
Local Institution - 0017
Rozzano, 20089
Sweden3 sites
Local Institution - 0021
Gothenburg, 413 45
Local Institution - 0015
Lund, 22185
Local Institution - 0014
Stockholm, 141 86
Norway2 sites
Local Institution - 0025
Bergen, 5021
Local Institution - 0013
Oslo, N-0027
United Kingdom2 sites
Local Institution - 0044
Edinburgh, Midlothian, EH4 2XU
Local Institution - 0050
Oxford, Oxfordshire, OX3 7LE
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 group | Role | What they receive |
|---|---|---|
| CC-95251 monotherapy | Experimental | Not described Receives: Drug: CC-95251 |
| CC-95251 + azacitidine | Experimental | Not described Receives: Drug: CC-95251; Drug: Azacitidine |
| CC-95251 + azacitidine + venetoclax | Experimental | Not described Receives: Drug: Venetoclax |
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
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)
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)
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)
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)
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)
Cmax
Maximum plasma concentration of drug
Measured: On Cycle 1 Day 1, C1D22 and C2D22.
Tmax
Time to maximum plasma concentration (Tmax)
Measured: On Cycle 1 Day 1, C1D22 and C2D22.
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.
AUC(TAU)
Area under the plasma concentration time-curve during a dosing interval (AUCtau)
Measured: On Cycle 1 Day 1, C1D22 and C2D22.
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.
- First posted23 Dec 2021
- Study start19 Jan 2022
- Primary completion30 Jul 2024
- Study completion30 Jul 2024
Why it stopped: Business objectives have changed
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Leukemia, Myeloid, AcuteStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT05168202
- Acronym / sponsor ID
- CA059-001
- Keywords
- Myelodysplastic Syndromes, Acute Myeloid Leukemia, AML, MDS, Hematologic Cancers, Leukemia, Anti-SIRPa antibody, CC-95251
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Business objectives have changed
- Enrolment
- 56 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 19 Jan 2022 (actual)
- Primary completion
- 30 Jul 2024 (actual)
- Study completion
- 30 Jul 2024 (actual)
- First posted
- 23 Dec 2021 (actual)
- Results
- Posted 25 Sep 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| CC-95251 monotherapy | Experimental | Drug: CC-95251 |
| CC-95251 + azacitidine | Experimental | Drug: CC-95251, Drug: Azacitidine |
| CC-95251 + azacitidine + venetoclax | Experimental | Drug: Venetoclax |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Eastern Cooperative Oncology Group Performance Status of 0 to 2
- 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)
- Treatment-naïve (TN) (ie, previously untreated) MDS as defined by the 2016 WHO Classification with intermediate, high or very high risk by IPSS-R
- 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)
Key exclusion criteria (8 listed)
- 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).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CC-95251Also: BMS-986351Specified dose on specified days | Drug | CC-95251 + azacitidine, CC-95251 monotherapy |
| AzacitidineSpecified dose on specified days | Drug | CC-95251 + azacitidine |
| VenetoclaxSpecified dose on specified days | Drug | CC-95251 + azacitidine + venetoclax |
Primary outcome
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)
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.
Number of Participants With Treatment Emergent Adverse Events
Time frame: 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.
Number of Participants With With Grade 3 or Higher Laboratory Abnormalities
Time frame: 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.
Number of Participants With Clinically Significant ECG Abnormalities Presented as Adverse Events
Time frame: 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.
Number of ECOG Evaluations With Shift of ECOG Score of 3 or Greater.
Time frame: 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 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.
Number of Participants With Clinically Significant Changes in Vital Signs Presented as AEs
Time frame: 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).
5 secondary outcomes
Cmax
Time frame: On Cycle 1 Day 1, C1D22 and C2D22.
Tmax
Time frame: On Cycle 1 Day 1, C1D22 and C2D22.
AUC(0-T)
Time frame: On Cycle 1 Day 1, C1D22 and C2D22.
AUC(TAU)
Time frame: On Cycle 1 Day 1, C1D22 and C2D22.
Cmin
Time frame: On Cycle 1 Day 1, C1D22 and C2D22.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- BMS Clinical Trial InformationLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
32 sites in 9 countries: see every site and its status.
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.