A Study to Assess Luspatercept in Lower-risk Myelodysplastic Syndrome Participants
MAXILUS
A Phase 3b, Open-label Study Evaluating the Efficacy and Safety of Luspatercept (BMS-986346/ACE-536) Initiated at Maximum Approved Dose in LR-MDS With IPSS-R Very Low-, Low-, or Intermediate-risk Who Require RBC Transfusions (MAXILUS)
1 other identifier
interventional
106
9 countries
52
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of Luspatercept when administered at the maximum approved dose in low-risk Myelodysplastic Syndrome participants who require red blood cell transfusions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Oct 2023
Typical duration for phase_3
52 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 13, 2023
CompletedFirst Posted
Study publicly available on registry
September 21, 2023
CompletedStudy Start
First participant enrolled
October 5, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2027
ExpectedNovember 10, 2025
November 1, 2025
2 years
September 13, 2023
November 7, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of participants who achieve red blood cell transfusion independence (RBC-TI) for 8 weeks with a simultaneous mean hemoglobin (Hb) increase of ≥ 1 g/dL from Week 1 to Week 24
Up to week 24
Secondary Outcomes (18)
Number of participants with a mean change in total RBC units transfused over a fixed 16-week period from Week 9 to Week 24 and from Week 33 to Week 48
Up to week 48
Number of participants who have a time from first dose to first onset of RBC-TI ≥ 8-, 12-, and 16-weeks from Week 1 to Week 24, from Week 1 to Week 48, and from Week 1 through EOT
Up to 2 years
Number of participants who achieve RBC-TI over any consecutive 8-week period from Week 1 to Week 24, from Week 1 to Week 48, and from Week 1 to EOT
Up to 2 years
Number of participants with a maximum duration of RBC-TI for participants who achieve RBC TI ≥ 8- and 16-week period from Week 1 to Week 24 and from Week 1 to EOT
Up to 2 years
Number of participants who achieve RBC-TI over any consecutive 12-, 16-, and 24-week periods from Week 1 to Week 24, from Week 1 to Week 48 and from Week 1 through EOT
Up to 2 years
- +13 more secondary outcomes
Study Arms (2)
Cohort 1: erythropoiesis-stimulating agents (ESA) naïve
EXPERIMENTALCohort 2: ESA relapsed or refractory
EXPERIMENTALInterventions
Specified dose on specified days.
Eligibility Criteria
You may qualify if:
- Participant had documented diagnosis of MDS according to World Health Organization (WHO) classification that met Revised International Prognostic Scoring System (IPSS-R) classification of very low-, low-, or intermediate-risk disease.
- Participant has an Eastern Cooperative Oncology Group (ECOG) score of 0, 1, or 2.
- Participant must have red blood cell transfusions according to study criteria.
You may not qualify if:
- Participant has known clinically significant anemia due to iron, vitamin B12, or folate deficiencies, or autoimmune or hereditary hemolytic anemia, or gastrointestinal bleeding.
- Participant has had a prior allogeneic or autologous stem cell transplant.
- Participant has known history or diagnosis of AML.
- Participant has uncontrolled hypertension.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (52)
Local Institution - 0051
Los Alamitos, California, 90720-3309, United States
Local Institution - 0033
New Haven, Connecticut, 06510, United States
Local Institution - 0055
St. Petersburg, Florida, 33705, United States
Local Institution - 0056
Wellington, Florida, 33414, United States
Local Institution - 0020
Kansas City, Kansas, 66160-8500, United States
Local Institution - 0025
Paducah, Kentucky, 42003-7915, United States
Local Institution - 0011
Detroit, Michigan, 48202, United States
Local Institution - 0059
St Louis, Missouri, 63110, United States
Local Institution - 0058
Morristown, New Jersey, 07960-6136, United States
Local Institution - 0032
New York, New York, 10029, United States
Local Institution - 0054
Eugene, Oregon, 97401-6043, United States
Local Institution - 0036
Pittsburgh, Pennsylvania, 15224, United States
Local Institution - 0043
Amarillo, Texas, 79106-1781, United States
Local Institution - 0022
Huntsville, Texas, 77340-4101, United States
Local Institution - 0031
Wheeling, West Virginia, 26003, United States
Local Institution - 0003
Milwaukee, Wisconsin, 53226, United States
Local Institution - 0016
Leuven, Vlaams Brabant, 3000, Belgium
Local Institution - 0008
Roeselare, West-Vlaanderen, 8800, Belgium
Local Institution - 0023
Prague, Praha, Hlavní Mesto, 128 20, Czechia
Local Institution - 0004
Prague, Praha, Hlavní Mesto, 128 21, Czechia
Local Institution - 0041
Nice, Alpes-Maritimes, 06202, France
Local Institution - 0001
Poitiers, Vienne, 86021, France
Local Institution - 0026
Angers, 49933, France
Local Institution - 0007
Grenoble, 38 38043, France
Local Institution - 0046
Paris, 75475, France
Local Institution - 0053
Pierre-Bénite, 69495, France
Local Institution - 0044
Tour Cedex01, 37044, France
Local Institution - 0013
München, Bavaria, 81675, Germany
Local Institution - 0040
Hanover, Lower Saxony, 30161, Germany
Local Institution - 0009
Leipzig, Saxony, 04103, Germany
Local Institution - 0021
Reggio Calabria, Calabria, 89124, Italy
Local Institution - 0062
Napoli, Campania, 80131, Italy
Local Institution - 0050
Rome, Lazio, 00133, Italy
Local Institution - 0015
Pavia, Lombardy, 27100, Italy
Local Institution - 0029
Rozzano (MI), Milano, 20089, Italy
Local Institution - 0014
Novara, Piedmont, 28100, Italy
Local Institution - 0045
Turin, Piedmont, 10128, Italy
Local Institution - 0024
Florence, Tuscany, 50139, Italy
Local Institution - 0049
Lódz, Lódzkie, 93-513, Poland
Local Institution - 0010
Warsaw, Masovian Voivodeship, 02-172, Poland
Local Institution - 0034
Katowice, 40-519, Poland
Local Institution - 0035
Wałbrzych, 58-309, Poland
Local Institution - 0047
San Juan, 00917, Puerto Rico
Local Institution - 0017
L'Hospitalet de Llobregat, Barcelona, 08908, Spain
Local Institution - 0005
Barcelona, 08035, Spain
Local Institution - 0052
Barcelona, 08916, Spain
Local Institution - 0039
Granada, 18014, Spain
Local Institution - 0038
Madrid, 28006, Spain
Local Institution - 0027
Ourense, 32005, Spain
Local Institution - 0028
Salamanca, 37007, Spain
Local Institution - 0018
Valencia, 46010, Spain
Local Institution - 0063
Valencia, 46026, Spain
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 13, 2023
First Posted
September 21, 2023
Study Start
October 5, 2023
Primary Completion
October 1, 2025
Study Completion (Estimated)
December 30, 2027
Last Updated
November 10, 2025
Record last verified: 2025-11