Phytochemical investigation on the leaves of Leucosceptrum canum led to the discovery of leucosceptrone A (1), a rearranged pentanor-leucosceptrane sesterterpenoid (C20) with an unprecedented 6/9/5 tricyclic framework, and leucosceptrones B-E (2-5), three decanor-leucosesterterpane sesterterpenoids (C15) and a C25 biosynthetic precursor with two different unusual 10/5 bicyclic systems. Their structures were elucidated by extensive NMR spectroscopic analysis, quantum-chemical calculations, and X-ray diffraction analysis. A plausible biosynthetic route for these macrocyclic sesterterpenoids was proposed. Compounds 1 and 5 exhibited immunosuppressive activity by inhibiting the proliferation of T cells and the production of cytokine IFN-γ, and 5 was more active, with IC50 values of 5.00 and 3.06 μM, respectively.