MedPath

Gilteritinib

Generic Name
Gilteritinib
Brand Names
Xospata
Drug Type
Small Molecule
Chemical Formula
C29H44N8O3
CAS Number
1254053-43-4
Unique Ingredient Identifier
66D92MGC8M
Background

Gilteritinib, also known as ASP2215, is a small molecule part of the FLT3 tyrosine kinase inhibitors that presented a greater selectivity and potency when compared with other agents from this group. It is a pyrazinecarboxamide derivative that showed high selectivity to FLT3 preventing the c-Kit -driven myelosuppression observed in other therapies. Gilteritinib was developed by Astellas Pharma and FDA approved on November 28, 2018. This drug was approved after being designed as an orphan drug with a fast track and priority review status.

Indication

Gilteritinib is indicated for the treatment of adult patients who have relapsed or refractory acute myeloid leukemia with an FLT3 mutation detected by an FDA-approved test. This indication was expanded for a companion diagnostic to include use with gilteritinib such as the LeukoStrat CDx FLT3 Mutation Assay.

Acute myeloid leukemia is cancer that impacts the blood and bone marrow with a rapid progression. This condition produces low numbers of normal blood cells and the requirement of continuous need for transfusions.

Associated Conditions
Relapsed or Refractory Acute Myeloid Leukemia With FLT3 Activating Mutations

Using Gilteritinib to Keep People With Acute Myeloid Leukemia Cancer-free After a Stem Cell Transplant

Recruiting
Conditions
Acute Myeloid Leukemia
Interventions
First Posted Date
2024-12-16
Last Posted Date
2025-02-04
Lead Sponsor
Astellas Pharma Singapore Pte. Ltd.
Target Recruit Count
200
Registration Number
NCT06734585
Locations
🇭🇰

HK852001, Hong Kong, Hong Kong

Gilteritinib in Combination With Venetoclax and Azacitidine for AML Patients With FLT3 Mutations Ineligible for Intensive Treatment

Phase 2
Not yet recruiting
Conditions
AML - Acute Myeloid Leukemia
Interventions
First Posted Date
2024-11-20
Last Posted Date
2025-02-26
Lead Sponsor
Technische Universität Dresden
Target Recruit Count
60
Registration Number
NCT06696183

Efficacy of Gilteritinib in Combination With FLAI as Induction Therapy of FLT3-positive Acute Myeloid Leukemia

Phase 2
Not yet recruiting
Conditions
Acute Myeloid Leukemia
FLT3 Gene Mutation
Adult AML
Diagnosis
Interventions
First Posted Date
2024-10-31
Last Posted Date
2025-03-12
Lead Sponsor
Gruppo Italiano Malattie EMatologiche dell'Adulto
Target Recruit Count
80
Registration Number
NCT06667973

The Efficacy of Triple Regimen in Newly Diagnosed AML Patients With FLT3 Mutation

Phase 1
Not yet recruiting
Conditions
FLT3 Gene Mutation
AML
Interventions
First Posted Date
2024-08-20
Last Posted Date
2024-08-20
Lead Sponsor
Institute of Hematology & Blood Diseases Hospital, China
Target Recruit Count
36
Registration Number
NCT06561880

Venetoclax and HMA Treatment of Older and Unfit Adults With FLT3 Mutated Acute Myeloid Leukemia (AML) (A MyeloMATCH Treatment Trial)

Phase 2
Recruiting
Conditions
Acute Myeloid Leukemia
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration
Procedure: Bone Marrow Biopsy
First Posted Date
2024-03-19
Last Posted Date
2025-05-18
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
147
Registration Number
NCT06317649
Locations
🇺🇸

Banner University Medical Center - Tucson, Tucson, Arizona, United States

🇺🇸

University of Arizona Cancer Center-North Campus, Tucson, Arizona, United States

🇺🇸

Kaiser Permanente Dublin, Dublin, California, United States

and more 170 locations

A Phase I/II Study of Gilteritinib and Momelotinib for Patients With Relapsed or Refractory FLT3-Mutated Acute Myeloid Leukemia

Phase 1
Recruiting
Conditions
Myeloid Leukemia
Interventions
First Posted Date
2024-02-01
Last Posted Date
2025-02-10
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
20
Registration Number
NCT06235801
Locations
🇺🇸

MD Anderson Cancer Center, Houston, Texas, United States

Gilteritinib for the Treatment of ALK NSCLC

Phase 1
Recruiting
Conditions
Lung Non-Small Cell Carcinoma
Stage IV Lung Cancer AJCC v8
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Echocardiography
Procedure: Magnetic Resonance Imaging
Other: Questionnaire Administration
First Posted Date
2024-01-26
Last Posted Date
2025-02-25
Lead Sponsor
University of Michigan Rogel Cancer Center
Target Recruit Count
30
Registration Number
NCT06225427
Locations
🇺🇸

University of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan, United States

SNDX-5613 and Gilteritinib for the Treatment of Relapsed or Refractory FLT3-Mutated Acute Myeloid Leukemia and Concurrent MLL-Rearrangement or NPM1 Mutation

Phase 1
Recruiting
Conditions
Acute Myeloid Leukemia With FLT3/ITD Mutation
Acute Myeloid Leukemia With KMT2A Rearrangement
Acute Myeloid Leukemia With NPM1 Mutation
Recurrent Acute Myeloid Leukemia
Refractory Acute Myeloid Leukemia
Interventions
Procedure: Biospecimen Collection
Procedure: Bone Marrow Aspiration and Biopsy
First Posted Date
2024-01-24
Last Posted Date
2025-04-02
Lead Sponsor
Uma Borate
Target Recruit Count
30
Registration Number
NCT06222580
Locations
🇺🇸

UNC Hospitals, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States

🇺🇸

Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States

🇺🇸

University of Pennsylvania, Philadelphia, Pennsylvania, United States

Clinical Study of Induction Therapy Options Based on Molecular Subtyping and MRD in Children and Adolescents With AML

Phase 2
Recruiting
Conditions
AML, Childhood
Acute Myeloid Leukemia
Interventions
First Posted Date
2024-01-24
Last Posted Date
2024-08-22
Lead Sponsor
Children's Hospital of Soochow University
Target Recruit Count
500
Registration Number
NCT06221683
Locations
🇨🇳

The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China

🇨🇳

XiangYa Hospital Central South University, Changsha, Hunan, China

🇨🇳

Children's Hospital of Soochow University, Suzhou, Jiangsu, China

and more 10 locations

Study Investigating the Efficacy and Safety of the Addition of Oral-azacitidine to Salvage Treatment by Gilteritinib in Subjects ≥18 Years of Age With Relapsed/Refractory FLT3-mutated Acute Myeloid Leukemia

Phase 2
Recruiting
Conditions
AML, Adult
Refractory AML
Relapsed Adult AML
FLT3-TKD Mutation
FLT3-ITD
Interventions
First Posted Date
2023-09-01
Last Posted Date
2025-03-24
Lead Sponsor
French Innovative Leukemia Organisation
Target Recruit Count
33
Registration Number
NCT06022003
Locations
🇫🇷

Paris Saint Louis, Paris, France

🇫🇷

Créteil CHU HENRI MONDOR, Créteil, France

🇫🇷

Angers CHU, Angers, France

and more 17 locations
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