Clinical Trials

Sepantronium bromide (YM155) has been evaluated in several clinical trials across Phase I and Phase II for conditions such as high-grade B-cell lymphoma, unresectable melanoma, non-small cell lung cancer, and hormone-refractory prostate cancer. Funded by industry sponsors including Astellas Pharma and Cothera Bioscience, as well as government organizations like the National Cancer Institute, these studies range in status from actively recruiting and completed to terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05263583 ACTIVE_NOT_RECRUITING
High-grade B-cell Lymphoma; Burkitt Lymphoma; Lymphoma, B-Cell; Lymphoma, Large B-Cell, Diffuse; Lymphatic Diseases; Lymphoma, High-Grade; C-MYC/BCL2 Double-Hit High-Grade B-Cell Lymphoma; C-MYC/BCL6 Double-Hit High-Grade B-Cell Lymphoma; C-Myc Gene Rearrangement
Cothera Bioscience, Inc
2022-12-09 PHASE2
NCT05263583 Recruiting
High-grade B-cell Lymphoma|Burkitt Lymphoma|Lymphoma B-Cell|Lymphoma Large B-Cell Diffuse|Lymphatic Diseases|Lymphoma High-Grade|C-MYC/BCL2 Double-Hit High-Grade B-Cell Lymphoma|C-MYC/BCL6 Double-Hit High-Grade B-Cell Lymphoma|C-Myc Gene Rearrangement
Cothera Bioscience Inc
2022-12-09 Phase 2
NCT01007292 COMPLETED
Non-Hodgkin's Lymphoma
Astellas Pharma Inc
2009-11 PHASE2
NCT01100931 COMPLETED
NSCLC; Solid Tumors
National Cancer Institute (NCI)
2010-02 PHASE1; PHASE2
NCT01038804 COMPLETED
Breast Cancer
Astellas Pharma Inc
2009-12 PHASE2
NCT01009775 COMPLETED
Melanoma
Astellas Pharma Inc
2009-11 PHASE2
NCT00818480 COMPLETED
Prostate Cancer; Melanoma; Non-Hodgkin's Lymphoma
Astellas Pharma Inc
2006-02 PHASE2
NCT00514267 COMPLETED
Prostate Cancer; Tumors
Astellas Pharma Inc
2007-05 PHASE1; PHASE2
NCT01023386 COMPLETED
Cancer
Astellas Pharma Inc
2009-11 PHASE1
NCT01023386 Completed
Cancer
Astellas Pharma Inc
2009-11 Phase 1
NCT00498914 TERMINATED
Lymphoma, Large-Cell, Diffuse; Lymphoma, B-Cell Refractory
Astellas Pharma Inc
2007-06 PHASE2
NCT00328588 COMPLETED
Lung Cancer; Cancer of Lung; Cancer of the Lung; Non-Small Cell Lung Carcinoma; Carcinoma, Non-Small Cell Lung
Astellas Pharma Inc
2006-12 PHASE2
NCT00281541 COMPLETED
Melanoma
Astellas Pharma Inc
2005-11 PHASE2
NCT00257478 COMPLETED
Prostate Cancer; Cancer of Prostate; Prostatic Cancer; Cancer of the Prostate
Astellas Pharma Inc
PHASE2

(data from https://clinicaltrials.gov, updated on 2025-01-14)

Check the Sepantronium Bromide (YM155) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Sepantronium bromide selectively suppresses survivin promoter activity to downregulate expression of the anti-apoptotic protein survivin, thereby triggering cell apoptosis, modulating autophagy, and inducing DNA damage in tumor cells. By neutralizing survivin-dependent survival pathways, the compound inhibits tumor growth and provides therapeutic relevance across conditions evaluated in clinical trials, including high-grade B-cell lymphoma, non-small cell lung cancer, and prostate cancer.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.