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

Venetoclax + Decitabine vs. "7+3" Induction Chemotherapy in Young AML

Phase 3
Active, not recruiting
Conditions
AML, Adult
Chemotherapy Effect
Interventions
First Posted Date
2022-01-05
Last Posted Date
2024-10-03
Lead Sponsor
Chen Suning
Target Recruit Count
188
Registration Number
NCT05177731
Locations
🇨🇳

The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, Suzhou, Jiangsu, China

A Study to Evaluate Lanraplenib (LANRA) in Combination With Gilteritinib in Participants With FLT3-mutated Relapsed or Refractory Acute Myeloid Leukemia (AML)

Phase 1
Terminated
Conditions
Acute Myeloid Leukemia
Relapsed Acute Myeloid Leukemia
Refractory Acute Myeloid Leukemia
Interventions
First Posted Date
2021-08-31
Last Posted Date
2024-08-07
Lead Sponsor
Kronos Bio
Target Recruit Count
24
Registration Number
NCT05028751
Locations
🇪🇸

Institut Català d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet), Barcelona, Spain

🇺🇸

The Blood and Marrow Transplant Group of Georgia, Atlanta, Georgia, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

and more 14 locations

Vyxeos Plus Gilteritinib in Relapsed or Refractory, FLT3-Mutated AML

Phase 1
Recruiting
Conditions
Acute Myeloid Leukemia With FLT3/ITD Mutation
Interventions
First Posted Date
2021-08-27
Last Posted Date
2025-05-21
Lead Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Target Recruit Count
22
Registration Number
NCT05024552
Locations
🇺🇸

Moffitt Cancer Center, Tampa, Florida, United States

Decitabine Alone or in Combination With Venetoclax, Gilteritinib, Enasidenib, or Ivosidenib as Maintenance Therapy for the Treatment of Acute Myeloid Leukemia in Remission

First Posted Date
2021-08-18
Last Posted Date
2025-01-08
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
125
Registration Number
NCT05010772
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

ASTX727, Venetoclax, and Gilteritinib for the Treatment of Newly Diagnosed, Relapsed or Refractory FLT3-Mutated Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndrome

Phase 1
Recruiting
Conditions
Acute Myeloid Leukemia
Recurrent Acute Myeloid Leukemia
Refractory Acute Myeloid Leukemia
Myelodysplastic Syndrome
Interventions
First Posted Date
2021-08-18
Last Posted Date
2025-03-25
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
42
Registration Number
NCT05010122
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

A Study of DSP-5336 in Relapsed/Refractory AML/ ALL With or Without MLL Rearrangement or NPM1 Mutation

Phase 1
Recruiting
Conditions
Leukemia, Myeloid, Acute
Leukemia, Lymphocytic, Acute
Interventions
First Posted Date
2021-08-03
Last Posted Date
2025-04-02
Lead Sponsor
Sumitomo Pharma America, Inc.
Target Recruit Count
362
Registration Number
NCT04988555
Locations
🇺🇸

Hoag Family Cancer Center, Newport Beach, California, United States

🇺🇸

Colorado Blood Cancer Institute, Denver, Colorado, United States

🇺🇸

University of Miami, Miami, Florida, United States

and more 89 locations

A Study to Investigate the Effect of Severe Renal Impairment on Gilteritinib Compared to Healthy Participants With Normal Renal Function

Phase 1
Completed
Conditions
Pharmacokinetics of ASP2215
Normal Renal Function
Renal Impaired
Gilteritinib
Interventions
First Posted Date
2021-01-07
Last Posted Date
2024-11-05
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
17
Registration Number
NCT04699877
Locations
🇺🇸

Orange County Research Institute, Tustin, California, United States

🇺🇸

National Institute of Clinical Research, Garden Grove, California, United States

🇺🇸

Orlando Clinical Research Center, Orlando, Florida, United States

and more 1 locations

A Study to Assess the Safety of Xospata in Patients With Relapsed or Refractory Acute Myeloid Leukemia (AML) With FMS-Like Tyrosine Kinase 3 (FLT3) Mutation

Active, not recruiting
Conditions
Acute Myeloid Leukemia With FMS-like Tyrosine Kinase (FLT3) Mutation
Interventions
First Posted Date
2020-12-31
Last Posted Date
2025-04-24
Lead Sponsor
Astellas Pharma Korea, Inc.
Target Recruit Count
33
Registration Number
NCT04691648
Locations
🇰🇷

Site KR82013, Wonju-si, Gangwon-do, Korea, Republic of

🇰🇷

Site KR82006, Goyang-si, Gyeonggi-do, Korea, Republic of

🇰🇷

Site KR82003, Jeollanam-do, Hwasun-gun, Korea, Republic of

and more 7 locations

Glasdegib-Based Treatment Combinations for the Treatment of Patients With Relapsed Acute Myeloid Leukemia Who Have Undergone Hematopoietic Cell Transplantation

First Posted Date
2020-12-07
Last Posted Date
2022-06-09
Lead Sponsor
City of Hope Medical Center
Registration Number
NCT04655391
Locations
🇺🇸

City of Hope Meidcal Center, Duarte, California, United States

A Safety and Efficacy Study of CC-90009 Combinations in Subjects With Acute Myeloid Leukemia

Phase 1
Terminated
Conditions
Leukemia, Myeloid, Acute
Interventions
First Posted Date
2020-04-07
Last Posted Date
2024-05-31
Lead Sponsor
Celgene
Target Recruit Count
22
Registration Number
NCT04336982
Locations
🇺🇸

Local Institution - 104, San Francisco, California, United States

🇺🇸

Local Institution - 103, Boston, Massachusetts, United States

🇨🇦

Local Institution - 201, Toronto, Ontario, Canada

and more 11 locations
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