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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

A Study of ASP2215 Versus Salvage Chemotherapy in Patients With Relapsed or Refractory Acute Myeloid Leukemia (AML) With FMS-like Tyrosine Kinase (FLT3) Mutation

Phase 3
Completed
Conditions
Leukemia, Acute Myeloid (AML)
Interventions
Drug: LoDAC (Low Dose Cytarabine)
Drug: MEC (Mitoxantrone, Etoposide, Cytarabine)
Drug: FLAG-IDA (Granulocyte-Colony Stimulating Factor (G-CSF), Fludarabine, Cytarabine, Idarubicin)
First Posted Date
2015-04-21
Last Posted Date
2025-03-28
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
371
Registration Number
NCT02421939
Locations
🇵🇱

Site PL48004, Wroclaw, Poland

🇺🇸

Site US10044, Cleveland, Ohio, United States

🇺🇸

Site US10034, Boston, Massachusetts, United States

and more 123 locations

A Study of ASP2215 in Combination With Induction and Consolidation Chemotherapy in Patients With Newly Diagnosed Acute Myeloid Leukemia.

Phase 1
Completed
Conditions
Acute Myeloid Leukemia
FLT3-mutated Acute Myeloid Leukemia
Interventions
First Posted Date
2014-12-08
Last Posted Date
2024-11-28
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
97
Registration Number
NCT02310321
Locations
🇯🇵

Site JP81037, Anjo, Aichi, Japan

🇯🇵

Site JP00003, Nagoya, Aichi, Japan

🇯🇵

Site JP81003, Nagoya, Aichi, Japan

and more 52 locations

A Study of ASP2215 in Combination With Induction and Consolidation Chemotherapy in Patients With Newly Diagnosed Acute Myeloid Leukemia

Phase 1
Completed
Conditions
Acute Myeloid Leukemia
Interventions
First Posted Date
2014-09-10
Last Posted Date
2024-11-05
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
80
Registration Number
NCT02236013
Locations
🇺🇸

Site US10003, Los Angeles, California, United States

🇺🇸

Site US10013, New Haven, Connecticut, United States

🇺🇸

Site US10004, Chicago, Illinois, United States

and more 7 locations

Dose Escalation Study to Investigate the Safety, Tolerability and Pharmacokinetics of ASP2215 in Japanese Patients With Relapsed or Refractory Acute Myeloid Leukemia

Phase 1
Completed
Conditions
Acute Myeloid Leukemia (AML)
Interventions
First Posted Date
2014-07-04
Last Posted Date
2024-11-06
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
24
Registration Number
NCT02181660
Locations
🇯🇵

Site JP00001, Gunma, Japan

🇯🇵

Site JP00004, Tokyo, Japan

🇯🇵

Site JP00005, Tokyo, Japan

and more 2 locations

Cladribine, Idarubicin, Cytarabine, and Venetoclax in Treating Patients With Acute Myeloid Leukemia, High-Risk Myelodysplastic Syndrome, or Blastic Phase Chronic Myeloid Leukemia

Phase 2
Recruiting
Conditions
Acute Biphenotypic Leukemia
Acute Myeloid Leukemia
Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Blasts 10 Percent or More of Bone Marrow Nucleated Cells
Blasts 10 Percent or More of Peripheral Blood White Cells
de Novo Myelodysplastic Syndrome
Myelodysplastic Syndrome
Previously Treated Myelodysplastic Syndrome
Recurrent Acute Myeloid Leukemia
Recurrent Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Interventions
First Posted Date
2014-04-16
Last Posted Date
2025-05-11
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
508
Registration Number
NCT02115295
Locations
🇺🇸

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

Dose Escalation Study Investigating the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics of ASP2215 in Patients With Relapsed or Refractory Acute Myeloid Leukemia

Phase 1
Completed
Conditions
Acute Myeloid Leukemia
Interventions
First Posted Date
2013-12-18
Last Posted Date
2024-12-03
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
265
Registration Number
NCT02014558
Locations
🇺🇸

Site US10018, Hershey, Pennsylvania, United States

🇺🇸

Site US10015, Chicago, Illinois, United States

🇺🇸

Site US10020, Hackensack, New Jersey, United States

and more 23 locations
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