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Phase 1/2 study of S227928 alone and in combination with Benetoclax in patients with R/R AML, MDS/AML or CMML

Phase 1/2 Clinical Trial of S227928, an Anti-CD74 Antibody Drug Conjugate Targeting MCL-1, as a Single Agent and in Combination with Venetoclax in Patients with Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML), Myelodysplastic Syndrome (MDS)/AML, or Chronic Myelomonocytic Leukemia (CMML) - Phase 1/2 Clinical Trial of S227928 as a Single Agent and in Combination with Venetoclax in Patients with R/R AML, MDS/AML, or CMML

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT2031250133
Enrollment
15
Registered
2025-05-27
Start date
2025-05-30
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

R/R AML, MDS/AML, or CMML Myelodysplastic syndrome, acute myelogenous leukemia, chronic myelomonocytic leukemia

Interventions

In the dose-escalation portion of the study, Group A will receive S227928 intravenously at a starting dose of 3 mg/kg and six doses (3, 6, 9, 12, 16, and 20 mg/kg) at 2-week intervals, while Group B w
Oral and intravenous administration

Sponsors

Keagle Kristen
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.Adult participant (must be over 18 years of age or according to local requirements). 3. Patients who are able to comply with the study procedures 4. Women of childbearing potential (WOCBP) must use highly effective contraception during and for at least 6 months after the last dose of study drug. If oral contraceptives are used, they must be on a stable dose of the same contraceptive (same active ingredient) for at least 3 months prior to the first dose of study drug. Egg donation is not permitted during the study and for at least 6 months after the last dose of study drug. 5. Male subjects with WOCBP partners must use condoms during and for at least 3 months after the last dose of study drug. In addition, contraception for the female partner should be considered. Contraception is not required if the subject is infertile, post-vasectomy, or sexually abstinent. Sperm donation is not permitted during the study and for at least 6 months after the last dose of study drug. 6. Written informed consent must be obtained prior to any study-specific procedures.

Exclusion criteria

Exclusion criteria: 1.Pregnant or lactating women. 2.WOCBP tested positive in a serum pregnancy test within 7 days prior to the first day of IMP administration. 3.Legally incapacitated person under guardianship or trusteeship.

Design outcomes

Primary

MeasureTime frame
Frequency of occurrence and severity of DLT of S227928 alone in the first treatment cycle Incidence frequency and severity of DLTs for S227928 in combination with Benetoclax in the first treatment cycle Frequency of adverse events (AEs) and serious adverse events (SAEs), vital signs, physical examination, laboratory tests (including cardiac markers), electrocardiogram (ECG), echocardiography (ECHO) (with or without global longitudinal strain [GLS] measurements) or multigate acquisition method (MUGA) scan, and Cardiac nuclear magnetic resonance imaging (MRI) changes Dose reduction/interruption/delay or discontinuation of the study due to adverse events

Secondary

MeasureTime frame
PK Parameters ADA detection and titer Complete response (CR)

Countries

Australia, Finland, France, Germany, Japan, United States of America

Contacts

Public ContactICTR-

Nihon Servier Company Limited

clinicaltraials.jpn@servier.com+81-3-8844-6127

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026