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‹ Mon · 5 Oct 2026
Standard addition

Phase 1 dose escalation and expansion trial of the bispecific CD47 inhibitor and CD40 agonist Fc-fusion protein SL-172154 (SIRPα-Fc-CD40L) in patients with higher-risk myelodysplastic syndrome or acute myeloid leukemia.

Combining a new immune-targeting drug with standard leukemia treatment shows promise in early testing, though survival gains need further investigation.

This clinical trial sought to determine whether SL-172154 could be combined safely and improve the efficacy of azacitidine (AZA) in patients with higher-risk myelodysplastic syndrome (HR-MDS) or acute myeloid leukemia (AML). SL-172154 plus AZA was generally well tolerated with favorable CR rates in pts with TP53m HR-MDS or AML, although without substantial improvement in OS when compared to historical benchmarks for AZA or AZA/VEN, respectively.

What the study was

Study design
Phase 1 clinical trial
Population
Patients with AML or higher-risk MDS
Sample size
33
Category
Treatment Innovation
Maturity
Exploratory
Journal
Cancer

Why it surfaced

Matched Hematologic malignancies; Phase 1 clinical trial; human evidence; conservative score 9/10.

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