ClinicalTrials.gg
CompletedNCT05673057Updated Sep 25, 2026

Study of MP0533 in Patients Acute Myeloid Leukemia or Myelodysplastic Syndrome

A Phase 1 interventional study of MP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) monotherapy, Part 1 and MP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) monotherapy, Part 2-Arm A in Leukemia, Myeloid and Acute, sponsored by Molecular Partners AG. Completed at 9 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Molecular Partners AG · Phase 1, Interventional, and Treatment

Updated Sep 25, 2026Now CompletedStudy completion moved+2 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
80
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 39 studies testing azacitidine in Leukemia — 5 open to participants now, 7 under way, 2 of them phase 3. Azacitidine · Leukemia.

Enrollment
13th of 37
80 · median 34
Started
2022
the only one that year
Phase 1
8 of 39
1 open now
Registered
35th of 39
by date

Among the 39 studies testing azacitidine in Leukemia, this one is the 13th largest by enrollment of the 37 interventional ones that give a count, is the only one that started in 2022, is one of 8 in phase 1, and was the 35th registered.

Leukemia

2,381 studies on the registry are indexed under Leukemia; 253 are open to participants now.

Browse Leukemia studies →

Open to participants now

5 of the 39 studies testing azacitidine in Leukemia are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

About azacitidine

Azacitidine: first FDA approval 2004 (VIDAZA), first EMA approval 2008. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 208 Leukemia studies recruiting now, 112 (54%) set no upper age limit and 74 (36%) stop at 75 or younger; 86 take children under 18; 24 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 39 studies testing azacitidine in Leukemia, or all of them as a file.
02

Study summary

The purpose of this study is to evaluate the safety, tolerability, and preliminary activity of MP0533 in patients with acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS)

03

Conditions studied

  • Leukemia
  • Myeloid
  • Acute
  • Newly Diagnosed

Browse trials for

Keywords

  • DARPin
  • CD33
  • CD123
  • CD70
  • T-cell/CD3 engager
  • multispecific
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Has signed and dated written prior to performing any study procedure, including screening
  • Diagnosis of AML or relapsed/refractory MDS/AML according to the ELN recommendation 2022.
  • Age ≥18 years old on the day of signing informed consent
  • (ECOG) performance status (PS) 0 to 2
  • Anticipated ≥ 12 weeks by investigator judgement
  • White blood count (WBC) ≤ 15G/L at day of trial drug infusion
  • Adequate renal and hepatic function
  • Is using highly effective , for females of and for men

Exclusion Criteria:

  • Mixed phenotype acute leukemia
  • Patients with favorable AML mutations according to ELN recommendation 2022 and 2024
  • HCT within the last 3 months and/or eligibility for standard of targeted therapy, like gilteritinib for FLT3 mutated AML, unless this therapeutic option has already been given and proven ineffective (patient relapsed or resistant to), or , or confounding mutations exist, or there is a lack of access to this recommended therapy.
  • More than 2 prior lines of anti-leukemic therapy
  • Active GvHD requiring immune-suppressive therapy
  • Use of drugs
  • Clinical signs of AML in the central nervous system
  • Major surgery within 28 days prior to start of study medication
  • Other requiring active therapy, but endocrine therapy is allowed
  • Any uncontrolled active infection
  • Treatment with agents or agents targeting CD33, CD123 or CD70 within 4 weeks or five times the half-life of the agent, whichever is longer, prior to start of trial medication
  • of \< 50% on echocardiographic exam at screening
  • History or evidence of cardiovascular disease
  • Pulmonary disease with clinically relevant hypoxia
  • Active hepatitis
  • Concurrent enrolment in another clinical trial, unless it is an observational (non-interventional) study or it is the follow-up period of an interventional study
  • Known to any of the of the investigational medicinal product (IMP), i.e. finished MP0533 drug

Dose Expansion Group (Arm B in treatment-naïve patients only):

Inclusion

  • Treatment-naïve patients who are eligible to AZA+VEN as standard of care

Dose Escalation and Expansion Groups (Arm B only):

Exclusion

  1. received VEN in prior treatment lines
  2. received strong and/or moderate inducers within 7 days before the initiation of AZA/VEN regimen;
  3. Has consumed grapefruit, grapefruit products, Seville oranges or Starfruit within 3 days before the initiation of AZA/VEN regimen;
  4. Has a malabsorption syndrome or other condition that precludes the enteral route of administration of VEN.
Terms in these criteria, in plain language(18)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Dose escalation (Part 1)

    • MP0533 is administered by intravenous infusion

    Drug: MP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) monotherapy, Part 1

  • Experimental
    Dose escalation (Part 2 - Arm A)

    * MP0533 is administered by intravenous infusion * Obinutuzumab pretreatment administered

    Drug: MP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) monotherapy, Part 2-Arm A

  • Experimental
    Dose escalation (Part 2 - Arm B)

    * MP0533 is administered by intravenous infusion * Azacitidine is administered by subcutaneous injection for 7 days per cycle * Venetoclax is administered orally for 14 days per cycle * Optional Obinutuzumab pretreatment administered

    Drug: MP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) + azacitidine + venetoclax

  • Experimental
    Dose expansion (Arm A)

    * MP0533 is administered by intravenous infusion at densified dosing schedule * Obinutuzumab pretreatment administered

    Drug: MP0533 with Obinutuzumab pretreatment

  • Experimental
    Dose expansion (Arm B relapsed/refractory AML)

    * MP0533 is administered by intravenous infusion * Azacitidine is administered by subcutaneous injection for 7 days per cycle * Venetoclax is administered orally for 14 days per cycle * Optional Obinutuzumab pretreatment administered

    Drug: MP0533 + azacitidine + venetoclax with optional Obinutuzumab pretreatment, Arm B in treatment naïve patients

  • Experimental
    Dose expansion (Arm B in treatment naïve patients)

    * MP0533 is administered by intravenous infusion * Azacitidine is administered by subcutaneous injection for 7 days per cycle * Venetoclax is administered orally for 14 days per cycle * Optional obinutuzumab pretreatment administered

    Drug: MP0533 + azacitidine + venetoclax with optional Obinutuzumab pretreatment, Arm B relapsed/refractory AML

Interventions

  • DrugMP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) monotherapy, Part 1

    MP0533 is administered by intravenous infusion

    Also known as: Part 1

  • DrugMP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) monotherapy, Part 2-Arm A

    * MP0533 is administered by intravenous infusion * Obinutuzumab pretreatment administered

    Also known as: Part 2 - Arm A

  • DrugMP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70) + azacitidine + venetoclax

    Drug pages: Azacitidine · Venetoclax

    * MP0533 is administered by intravenous infusion * Azacitidine is administered by subcutaneous injection for 7 days per cycle * Venetoclax is administered orally for 14 days per cycle * Optional obinutuzumab pretreatment administered

    Also known as: Part 2 - Arm B

  • DrugMP0533 with Obinutuzumab pretreatment

    * MP0533 is administered by intravenous infusion at densified dosing schedule * Obinutuzumab pretreatment administered

    Also known as: Arm A

  • DrugMP0533 + azacitidine + venetoclax with optional Obinutuzumab pretreatment, Arm B relapsed/refractory AML

    * MP0533 is administered by intravenous infusion * Azacitidine is administered by subcutaneous injection for 7 days per cycle * Venetoclax is administered orally for 14 days per cycle * Optional obinutuzumab pretreatment administered

    Also known as: Arm B relapsed/refractory AML

  • DrugMP0533 + azacitidine + venetoclax with optional Obinutuzumab pretreatment, Arm B in treatment naïve patients

    * MP0533 is administered by intravenous infusion * Azacitidine is administered by subcutaneous injection for 7 days per cycle * Venetoclax is administered orally for 14 days per cycle * Optional obinutuzumab pretreatment administered

    Also known as: Arm B in treatment naïve patients

06

What researchers measure

Primary outcomes

  1. Phase 1 dose escalation: Recommended Phase 2 Dose Regimen and/or Maximum Tolerated Dose Regimen

    Incidence of dose limiting toxicities, assessment of toxicity/safety, pharmacokinetic and efficacy parameters

    Time frame: from start of treatment to end of first cycle (day 1 - 28)

  2. Phase 2 dose extension: Overall Response Rate

    Best overall response of complete remission (CR), complete remission with partial hematological recovery (CRh), complete remission with incomplete hematological recovery (CRi), morphologic leukemia-free state (MLFS) and partial remission (PR) according to the European LeukemiaNet (ELN) response criteria 2022

    Time frame: throughout the study (on average 3 months)

Secondary outcomes

  1. Serum Concentration-time profiles (max. serum)

    Determination of PK parameters including (but not limited to) maximum serum concentration (Cmax)

    Time frame: throughout the study (on average 1 year)

  2. Serum Concentration-time profiles (at Cmax (Tmax))

    Determination of PK parameters including (but not limited to) time at Cmax (Tmax)

    Time frame: throughout the study (on average 1 year)

  3. Serum Concentration-time profiles (min. serum concentration)

    Determination of PK parameters including (but not limited to) minimal serum concentration (Cmin)

    Time frame: throughout the study (on average 1 year)

  4. Area under the concentration-time curve (AUC)

    Pharmacokinetic (PK) analysis of MP0533

    Time frame: throughout the study (on average 1 year)

  5. Total Clearance (CL)

    PK analysis of MP0533

    Time frame: throughout the study (on average 1 year)

  6. Volume of distribution (Vd)

    PK analysis of MP0533

    Time frame: throughout the study (on average 1 year)

  7. Half-life (t1/2)

    PK analysis of MP0533

    Time frame: throughout the study (on average 1 year)

  8. Incidence of adverse events (AEs) as a measure of safety

    Type, incidence and severity of AEs according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0

    Time frame: throughout the study (on average 1 year)

  9. Event free survival (EFS)

    time from the date of first study treatment administration to the date of treatment failure, hematologic relapse from CR/CRh/CRi or death from any cause

    Time frame: throughout the study (on average 1 year)

  10. Duration of response (DoR)

    time from the start date of CR, CRh, CRi, MLFS or PR to relapse or death

    Time frame: throughout the study (on average 1 year)

  11. Overall survival (OS)

    time from the date of first study treatment administration to the date of death

    Time frame: throughout the study (up to 3 years)

  12. Transfusion-Independence (TI)

    portion of subjects who achieved RBC/platelet transfusion independence post baseline

    Time frame: throughout the study (on average 1 year)

  13. Number of patients proceeding to a stem cell transplantation

    Number of patients proceeding to a stem cell transplantation

    Time frame: throughout the study (on average 1 year)

07

Study locations

9 sites
  • CHU Bordeaux
    Bordeaux, France
  • AP-HP Hôpital Saint-Louis
    Paris, 75010, France
  • IUCT Oncopole
    Toulouse, France
  • Vilnius University Hospital Santaros Klinikos
    Vilnius, Lithuania
  • Groningen UMC
    Groningen, Provincie Groningen, Netherlands
  • Amsterdam UMC - Locatie VUmc
    Amsterdam, Netherlands
  • Erasmus MC
    Rotterdam, Netherlands
  • Inselspital, Universitaetsspital Bern
    Bern, Canton of Bern 3010, Switzerland
  • Universitaetsspital Zuerich
    Zurich, Canton of Zurich 8006, Switzerland
08

References and documents

Publications

  • Bianchi M, Reichen C, Croset A, Fischer S, Eggenschwiler A, Grubler Y, Marpakwar R, Looser T, Spitzli P, Herzog C, Villemagne D, Schiegg D, Abduli L, Iss C, Neculcea A, Franchini M, Lekishvili T, Ragusa S, Zitt C, Kaufmann Y, Auge A, Hanggi M, Ali W, Frasconi TM, Wullschleger S, Schlegel I, Matzner M, Luthi U, Schlereth B, Dawson KM, Kirkin V, Ochsenbein AF, Grimm S, Reschke N, Riether C, Steiner D, Leupin N, Goubier A. The CD33xCD123xCD70 Multispecific CD3-Engaging DARPin MP0533 Induces Selective T Cell-Mediated Killing of AML Leukemic Stem Cells. Cancer Immunol Res. 2024 Jul 2;12(7):921-943. doi: 10.1158/2326-6066.CIR-23-0692. PubMed 38683145 ↗
09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2022 to primary completion in May 2026, 41 months.

Of 51 industry-sponsored phase 1 interventional studies under Leukemia, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 57. This study's 41 months is close to that.

Counting every sponsor, half of 164 studies reached it within 53 months; a quarter within 34 and three quarters within 83.

Completion moved once since we started tracking on Sep 25, 2026: May 2027 → Sep 2026, on Sep 25, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Dec 14, 2022
First posted
Jan 6, 2023
StartActual
Dec 29, 2022
Primary completionActual
May 29, 2026
CompletionActual
Sep 14, 2026was May 2027
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Active, not recruiting→Completed
changed Sep 25, 2026
Study completion
May 2027→Sep 14, 2026 (actual)
Sep 25, 2026
Enrollment
249 (estimated)→80 (actual)
Sep 25, 2026
Design
Removed Phase 2
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Active, not recruiting→Completed
    Study completion May 2027→Sep 14, 2026 (now actual)
    Enrollment 249 (estimated)→80 (actual)
    Design Removed Phase 2
    + 2 other changes: identifiers and verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05673057
Lead sponsor
Molecular Partners AG
Responsible party
Sponsor
First posted
Jan 6, 2023
Start date
Dec 29, 2022
Primary completion
May 29, 2026
Completion
Sep 14, 2026
Last update
Sep 25, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Azacitidine · Venetoclax

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