Revumenib (Revuforj) received FDA approval on November 15, 2024, for treating relapsed/refractory acute leukemia with KMT2A translocations, offering an oral, targeted therapy that induces durable remission and enables more patients to proceed to allogenic stem cell transplantation. The approval was supported by the AUGMENT-101 study, showing 21.2% of patients achieved complete remission (CR) or CR with partial hematologic recovery (CRh). Key toxicities include QTc prolongation and differentiation syndrome, managed with regular monitoring and supportive measures. Revumenib's potential future roles include integration into frontline treatment and combination strategies.