Drugs / Luspatercept
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Luspatercept

also known as ACE-536 · Reblozyl · BMS-986346 · Luspatercept aamt

Protein / enzyme biologic targets GDF11, SMAD2, SMAD3 via inhibition

Developed for
myelodysplastic syndrome · anemia · beta thalassemia · myelofibrosis · aplastic anemia · primary myelofibrosis · acute leukemia · aregenerative anemia
+13 more · beta-thalassemia major · bone marrow failure syndrome · clonal hematopoiesis · engraftment syndrome · erythrocyte disorder · hematopoietic and lymphoid cell neoplasm · myelodysplastic syndrome associated with isolated del(5q) · myelodysplastic/myeloproliferative neoplasm · myeloproliferative neoplasm · neutropenia · ovarian granulosa cell tumor · thalassemia · thrombocytopenia
Investigated by
Celgene Corporation · Acceleron Pharma, Inc. · Bristol-Myers Squibb · Nanfang Hospital, Southern Medical University · Peking Union Medical College Hospital · Institute of Hematology & Blood Diseases Hospital, China
+26 more · National Cancer Institute (NCI) · Affiliated Hospital of Guangdong Medical University · Associazione Qol-one · Beijing Health Alliance Charitable Foundation · Bing Han · EuroBloodNet Association · First Affiliated Hospital of Guangxi Medical University · GWT-TUD GmbH · GlaxoSmithKline · Groupe Francophone des Myelodysplasies · Guangdong Second Provincial General Hospital · Guangzhou 8th People's Hospital · Guangzhou First People's Hospital · H. Lee Moffitt Cancer Center and Research Institute · Hematology department of the 920th hospital · M.D. Anderson Cancer Center · Mayo Clinic · Mikkael Sekeres MD · Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University · Sun Yat-sen University · The First Affiliated Hospital of Zhejiang Chinese Medical University · University Health Network, Toronto · University of Leipzig · Weill Medical College of Cornell University · Yale University · Zhujiang Hospital

Regulatory milestones approvals, filings & regulatory actions · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) REBLOZYL 2023-08-28 fda.gov
Approved EU (EMA) Reblozyl 2020-06-25 europa.eu
Approved US (FDA) REBLOZYL 2019-11-08 fda.gov

Trials 48 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT01432717 Sep 2011 → Sep 2012 anemia Acceleron Pharma, Inc. Completed No outcome recorded
Phase 1/24 trials
Phase 1/2 NCT07663864 Jun → Dec 2026 expected aregenerative anemia Guangdong Second Provincial General Hospital Recruiting No outcome recorded
Phase 1/2 NCT07362095 Oct 2025 → Dec 2027 expected acute leukemia Zhujiang Hospital Recruiting No outcome recorded
Phase 1/2 NCT05181735 May 2022 → Dec 2028 expected myelodysplastic syndrome Groupe Francophone des Myelodysplasies Recruiting No outcome recorded
Phase 1/2 NCT04539236 Nov 2021 → Aug 2029 myelodysplastic syndrome Mikkael Sekeres MD Suspended No outcome recorded
Phase 225 trials
Phase 2 NCT07463820 Jun 2026 → Dec 2027 expected myelodysplastic syndrome National Cancer Institute (NCI) Not yet recruiting No outcome recorded
Phase 2 NCT07450313 Mar 2026 → Jun 2027 expected disease related to hematopoietic stem cell transplant Institute of Hematology & Blood Diseases Hospital, China Not yet recruiting No outcome recorded
Phase 2 NCT07331818 Jan 2026 → Sep 2028 expected erythrocyte disorder EuroBloodNet Association Not yet recruiting No outcome recorded
Phase 2 NCT07096297 Dec 2025 → Aug 2030 expected myelodysplastic syndrome Yale University Recruiting No outcome recorded
Phase 2 NCT06788691 Mar 2025 → Feb 2027 expected anemia, clonal hematopoiesis, neutropenia, thrombocytopenia Weill Medical College of Cornell University Recruiting No outcome recorded
Phase 2 NCT06517875 Feb 2025 → Mar 2027 expected myelofibrosis, primary myelofibrosis GlaxoSmithKline Recruiting No outcome recorded
Phase 2 NCT05564390 Jun 2024 → May 2029 expected acute myeloid leukemia with multilineage dysplasia, myelodysplastic syndrome, therapy related acute myeloid leukemia and myelodysplastic syndrome National Cancer Institute (NCI) Recruiting No outcome recorded
Phase 2 NCT06113302 Mar 2024 → Jun 2028 expected myelodysplastic syndrome M.D. Anderson Cancer Center Active not recruiting No outcome recorded
Phase 2 NCT05925504 Jul 2023 → Jun 2026 overdue myelodysplastic syndrome Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase 2 NCT05732961 Feb 2023 → Mar 2026 overdue anemia, myelodysplastic syndrome, myeloproliferative neoplasm H. Lee Moffitt Cancer Center and Research Institute Active not recruiting No outcome recorded
Phase 2/32 trials
Phase 2/3 NCT07636486 Jun 2026 → Jun 2028 expected engraftment syndrome, hematopoietic and lymphoid cell neoplasm Nanfang Hospital, Southern Medical University Not yet recruiting No outcome recorded
Phase 2/3 NCT07539779 May 2026 → Jan 2030 expected bone marrow failure syndrome, myelofibrosis Nanfang Hospital, Southern Medical University Not yet recruiting No outcome recorded
Phase 39 trials
Phase 3 NCT06927232 Apr 2025 → Jan 2026 overdue myelodysplastic syndrome Peking Union Medical College Hospital Not yet recruiting No outcome recorded
Phase 3 NCT05949684 Oct 2023 → Mar 2028 expected myelodysplastic syndrome Bristol-Myers Squibb Active not recruiting No outcome recorded
Phase 3 NCT06045689 Oct 2023 → Oct 2025 overdue myelodysplastic syndrome Bristol-Myers Squibb Active not recruiting No outcome recorded
Phase 3 NCT05181592 Oct 2021 → Oct 2026 expected myelodysplastic syndrome GWT-TUD GmbH Active not recruiting No outcome recorded
Phase 3 NCT04717414 Feb 2021 → May 2025 overdue myelofibrosis, primary myelofibrosis Celgene Corporation Active not recruiting No outcome recorded
Phase 3 NCT04064060 Aug 2019 → May 2028 expected beta thalassemia, myelodysplastic syndrome, myelofibrosis Celgene Corporation Recruiting No outcome recorded
Phase 3 NCT03682536 Jan 2019 → Mar 2023 overdue myelodysplastic syndrome Celgene Corporation Active not recruiting No outcome recorded
Phase 3 NCT02604433 May 2016 → Jan 2021 beta thalassemia Celgene Corporation Completed No outcome recorded
Phase 3 NCT02631070 Feb 2016 → Jun 2019 myelodysplastic syndrome Celgene Corporation Completed No outcome recorded
Phase 44 trials
Phase 4 NCT06424639 May 2024 → May 2025 aplastic anemia Peking Union Medical College Hospital Withdrawn No outcome recorded
Phase 4 NCT06006949 Aug 2023 → Aug 2024 myelodysplastic syndrome Peking Union Medical College Hospital Unknown No outcome recorded
Phase 4 NCT05891249 Jun 2023 → Dec 2028 expected anemia Bristol-Myers Squibb Active not recruiting No outcome recorded
Phase 4 NCT05462548 Jul 2022 → Feb 2023 beta-thalassemia major Sun Yat-sen University Unknown No outcome recorded
Phase not applicable3 trials
NCT06964971 May 2025 → May 2027 expected aplastic anemia The First Affiliated Hospital of Zhejiang Chinese Medical University Not yet recruiting No outcome recorded
NCT06164821 Jan 2024 Hematology department of the 920th hospital Unknown No outcome recorded
NCT06254781 May → Aug 2022 ovarian granulosa cell tumor University Health Network, Toronto Completed No outcome recorded
Also used as a comparator or background therapy in 1 trial
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 2 NCT07338344 Comparator Feb 2026 → Dec 2027 expected beta-thalassemia major Rongrong Liu Recruiting No outcome recorded

Press releases naming this drug 1 release

DateIssuerRelease
2022-03-25 Bristol-Myers Squibb Bristol Myers Squibb Announces New Prescription Drug User Fee Act Goal Date for Reblozyl® (luspatercept-aamt) Supplemental Biologics License Application bms.com

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 55 sources stand behind the page.

FieldValueCited text
Known as Luspatercept Luspatercept (ACE-536)” NCT04717414
45

NCT03682536

NCT02268409

NCT04064060

NCT07463820

NCT05925504

NCT05564390

NCT02604433

NCT03194542

NCT06788691

NCT03342404

NCT07338344

NCT05732961

NCT01749540

NCT01749514

NCT06424639

NCT04477850

NCT07663864

NCT06113302

NCT05181592

NCT07539779

NCT06006949

NCT02268383

NCT02631070

NCT07362095

NCT05891249

NCT05462548

NCT06254781

NCT05384691

NCT04539236

NCT05181735

NCT05399732

NCT05005182

NCT06927232

NCT06164821

NCT06517875

NCT05664737

NCT06964971

NCT06045689

NCT05567458

NCT03900715

NCT05949684

NCT05924100

NCT07636486

NCT07450313

NCT07096297

Known as ACE-536 “Luspatercept (ACE-536), an erythroid maturation agent, is a recombinant fusion protein consisting of a modified form of the extracellular domain (ECD) of the human activin...” NCT04064060
6

“An Efficacy and Safety Study of Luspatercept (ACE-536) for the Treatment of Anemia Due to IPSS-R Very Low, Low or Intermediate Risk Myelodysplastic Syndromes (MDS) in Japanese...” NCT03900715

“Luspatercept (ACE-536) is a novel fusion protein that blocks transforming growth factor beta (TGF β) superfamily inhibitors of erythropoiesis, giving rise to a promising new...” PMID 28870615 Sep 2017

“Eligible subjects will receive luspatercept (ACE-536): starting dose of 1.0 mg/kg subcutaneous injection every 3 weeks (21 days; Q3W).” NCT05924100

“Luspatercept (ACE-536)” NCT04717414

NCT01432717

NCT04143724

Known as BMS-986346 “luspatercept (BMS-986346)” NCT03342404
Known as Luspatercept aamt ChEMBL registry synonym — accepted as the source's own label CHEMBL3039545
Known as Reblozyl “Luspatercept (Reblozyl®) is an agent that stimulates the production of red blood cells and is used to treat anemia caused by β-thalassemia.” PMID 36505885 Dec 2022
4

“Luspatercept(Reblozyl) combined with low-dose thalidomide” NCT07338344

“Drug: Luspatercept Injection [Reblozyl]” NCT05181735

“Luspatercept Injection [Reblozyl]” NCT05924100

NCT07331818

Action Inhibit “binding to transforming growth factor-β superfamily ligands and inhibiting signaling through transcription factors Smad 2/3” PMID 24715706 Apr 2014
Modality Protein / enzyme biologic “ACE-536, a recombinant protein containing a modified activin receptor type IIB” PMID 24715706 Apr 2014
Route Subcutaneous “given subcutaneously every 2 weeks” PMID 24715706 Apr 2014
Target GDF11 “Luspatercept (and sotatercept), ligand traps that particularly inhibit GDF11, lead to RBC transfusion independence in 10% to 50% of lower-risk MDSs resistant to available...” PMID 30602619 Jan 2019
Target SMAD2 “Luspatercept, a recombinant fusion protein that binds transforming growth factor β superfamily ligands to reduce SMAD2 and SMAD3 signaling, showed promising results in a phase 2 study.” PMID 31914241 Jan 2020
Target SMAD3 “Luspatercept, a recombinant fusion protein that binds transforming growth factor β superfamily ligands to reduce SMAD2 and SMAD3 signaling, showed promising results in a phase 2 study.” PMID 31914241 Jan 2020