Recent Updates
Recently added Catalysts

CC-486

Phase 2

Leukemia, Myeloid, Acute | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Apr 28, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment71
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05413018An Efficacy and Safety Study of Oral Azacitidine (CC-486) as Maintenance Therapy in Chinese Participants With Acute Myeloid Leukemia in Complete RemissionPHASE2 ACTIVE NOT_RECRUITING 34Aug 19, 2022Oct 31, 2026Apr 28, 202634 China
NCT04887857A Study to Assess Safety and Tolerability of CC-486 (ONUREG®, Oral Azacitidine) in Combination Therapy in Participants With Acute Myeloid Leukemia (AML)PHASE1 COMPLETED 6Dec 1, 2021Jan 8, 2024Feb 12, 202410 United States, Australia
NCT01835587Safety Study of Oral Azacitidine (CC-486) as Maintenance Therapy After Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) in Participants With Acute Myeloid Leukemia (AML) or Myelodysplastic Syndromes (MDS).PHASE1 COMPLETED 31Oct 25, 2013May 26, 2017Nov 20, 20185 United States, United Kingdom
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Relapse-free survival (RFS)
Up to 30 months
Maximum Tolerated Dose (MTD)
Up to 42 days after first dose
Incidence of type of adverse events (AEs)
From informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of frequency of AEs
From informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of severity of AEs
From informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of relationship of AEs to study treatment
From informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of clinically significant changes in clinical laboratory results: Hematology tests
From informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of clinically significant changes in clinical laboratory results: Clinical Chemistry tests
From informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of clinically significant changes in clinical laboratory results: Urinalysis tests
From informed consent form (ICF) signature to 28 days after last dose of study drug
The Number of Participants With Dose Limiting Toxicities (DLT)
2 months (Cycles 1 and 2)

A DLT included events that started within 28 days of the first dose of CC-486 in a 28-day cycle, constituted a change from baseline irrespective of outcome, as decided by the investigator to be related to CC-486 including: * ≥ Grade (GR) 3 nausea, diarrhea, or vomiting despite the use of medical support * Other significant nonhematologic toxicity of ≥ GR 3 considered not related to the disease or intercurrent illness • Absolute neutrophil count (ANC) \< 0.5 x 10\^9/L for \> 1 week despite growth factor support * Platelets \< 25 x 10\^9/L for \> 1 week despite transfusion support * Failure of recovery to an ANC ≥ 1.0 x 10\^9/L and/or platelets ≥ 50 x 10\^9/L with a hypocellular marrow by 56 days after the start of a cycle of CC-486 not due to relapse or progressive disease. The maximum tolerated dose is defined as the cohort delivering the highest dose in which no more than 33% of the evaluable subjects had a DLT The safety population included subjects who received ≥ 1 dose of CC-486

Number of Participants With Treatment Emergent Adverse Events (TEAE)
From the first dose of investigational product (IP) up to 28 days after the last dose of IP. The median duration of exposure was 252.5 days overall; up to the final data cut off date of 14 July 2017

A TEAE was defined as any AE with an onset date on or after the first dose of IP or any event already present that worsened in severity or increased in frequency after exposure to IP up to 28 days after the last dose. In addition, an AE that occurred beyond the timeframe and was assessed by the doctor as possibly related to IP was considered to be treatment-emergent. Severity was assessed using National Cancer Institute Common Toxicity Terminology Criteria for AEs (NCI CTCAE) version 4.0, where 1= Mild; 2= Moderate; 3= Severe; 4= Life-threatening; 5= Death related to AE. Serious AEs resulted in death, were life-threatening, required or prolonged inpatient hospitalization, resulted in persistent or significant disability/incapacity, congenital anomaly, or resulted in a medical event that may have jeopardized the patient or required medical or surgical intervention to prevent one of the outcomes above.

Secondary Endpoints
Overall Survival (OS)
Up to approximately 42 months
Time to relapse
Up to approximately 30 months
Time to discontinuation of treatment
Up to approximately 42 months
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
CC-486/Oral Azacitidine AdministrationEXPERIMENTAL -
Placebo AdministrationPLACEBO_COMPARATOR -
CC-486 in combination with VenetoclaxEXPERIMENTAL -
CC-486EXPERIMENTALDose of 150 mg, 200 mg, or 300 mg once daily (QD) for the first 7, 10, or 14 days of each 28-day cycle, starting 42-84 days after transplantation.
Interventions
NameTypeDescription
CC-486DRUGSpecified dose on specified days
PlaceboOTHERSpecified dose on specified days
VenetoclaxDRUGSpecified dose on specified days
Unlock Study Design Details
Eligibility Criteria
Age Range55 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites34

Inclusion Criteria: * Newly diagnosed, histologically confirmed de novo acute myeloid leukemia (AML) or AML secondary to prior myelodysplastic disease or chronic myelomonocytic leukemia (CMML) * Eastern cooperative oncology group performance status of 0, 1, or 2 * Has undergone induction therapy wi...

Countries:ChinaUnited StatesAustraliaUnited Kingdom
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT05413018primaryCompletionDate: changed
LOWMay 24, 2026NCT05413018studyFirstPostDate: changed