Asciminib

Generic Name
Asciminib
Brand Names
Scemblix
Drug Type
Small Molecule
Chemical Formula
C20H18ClF2N5O3
CAS Number
1492952-76-7
Unique Ingredient Identifier
L1F3R18W77
Background

Asciminib is a tyrosine kinase inhibitor (TKI) used in the treatment of chronic-phase Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). More specifically, it is an inhibitor of the ABL1 kinase activity of the BCR-ABL1 fusion protein which serves as a driver of CML proliferation in most patients with the disease. It has also shown benefit i...

Indication

Asciminib is indicated for the treatment of adult patients with Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) in chronic phase who have been previously treated with ≥2 tyrosine kinase inhibitors. It is also indicated in the treatment of Ph+ CML in adult patients with the T315I mutation.

Associated Conditions
Chronic Phase Chronic Myeloid Leukemia
Associated Therapies
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ASC4FIRST Trial Supports Asciminib With Secondary End Points in CML

Asciminib (Scemblix) demonstrated superior efficacy and safety compared to investigator-selected tyrosine kinase inhibitors (IS-TKIs) in chronic myeloid leukemia (CML), with a 96-week major molecular response (MMR) rate of 74.1% vs 52.0% for IS-TKIs, meeting key secondary end points of the phase 3 ASC4FIRST trial. The FDA accelerated approval of asciminib was based on 48-week MMR data showing a 68% rate with asciminib vs 49% with IS-TKIs. Asciminib's safety profile continued to outperform imatinib and second-generation TKIs, with a 54% lower risk of treatment discontinuation due to adverse effects.
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