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DRUG CLASS:

FLT3 inhibitor

Related drugs:
1d
A Post-Marketing Surveillance Study to Assess the Safety of Fedratinib in Korean Patients With Myelofibrosis (clinicaltrials.gov)
P=N/A, N=137, Recruiting, Bristol-Myers Squibb | Trial completion date: Sep 2029 --> Dec 2027
Trial completion date
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Inrebic (fedratinib)
1d
Enrollment closed • Stroma • Metastases
|
Qinlock (ripretinib)
5d
PLX3397: A Study of the Efficacy and Safety of Pexidartinib in Adult Subjects With TGCT (clinicaltrials.gov)
P3, N=40, Active, not recruiting, Daiichi Sankyo Co., Ltd. | Trial completion date: Mar 2024 --> Feb 2026
Trial completion date
|
Turalio (pexidartinib)
8d
Glycolysis‑related lncRNA may be associated with prognosis and immune activity in grade II‑III glioma. (PubMed, Oncol Lett)
The present study finally identified seven glycolysis-related lncRNAs (CRNDE, AC022034.1, RHOQ-AS1, AL159169.2, AL133215.2, AC007098.1 and LINC02587) to construct a prognosis prediction model...The experimental results demonstrated that CRNDE could increase the proliferation of SHG-44 cells. In conclusion, a large sample of human grade II-III glioma in The Cancer Genome Atlas database was used to construct a risk model using glycolysis-related lncRNAs to predict the prognosis of patients with grade II-III glioma.
Journal • IO biomarker
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CRNDE (Colorectal Neoplasia Differentially Expressed)
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Vanflyta (quizartinib)
10d
A Study of PLX3397 in Patients With Unresectable or Metastatic KIT-mutated Melanoma (clinicaltrials.gov)
P=N/A, N=6, Active, not recruiting, Daiichi Sankyo Co., Ltd. | Phase classification: P1/2 --> P=N/A | Trial completion date: Mar 2024 --> Mar 2025
Phase classification • Trial completion date • Metastases
|
KIT (KIT proto-oncogene, receptor tyrosine kinase)
|
KIT mutation
|
Turalio (pexidartinib)
14d
The relationships of platelet-derived growth factor, microvascular proliferation, and tumor cell proliferation in canine high-grade oligodendrogliomas: Immunohistochemistry of 45 tumors and an AFOB-01 xenograft mouse model. (PubMed, Vet Pathol)
Crenolanib (a PDGFR inhibitor) inhibited AOFB-01 cell proliferation...Therefore, PDGF-A produced by microvascular proliferations and tumor cells may promote the proliferation of PDGFR-α-expressing tumor cells in canine HGOG. PDGFR-α signaling has potential as a therapeutic target.
Preclinical • Journal • Tumor cell
|
PDGFRA (Platelet Derived Growth Factor Receptor Alpha)
|
crenolanib (ARO-002)
17d
Recent Discovery and Development of Inhibitors that Target CDK9 and Their Therapeutic Indications. (PubMed, J Med Chem)
Several potent small molecule inhibitors, exemplified by TG02 (4), have progressed to clinical trials...Our focus extends to various types of inhibitors, including pan-inhibitors, selective inhibitors, dual-target inhibitors, degraders, PPI inhibitors, and natural products. The discussion encompasses chemical structures, structure-activity relationships (SARs), biological activities, selectivity, and therapeutic potential, providing detailed insight into the diverse landscape of CDK9 inhibitors.
Review • Journal
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CDK9 (Cyclin Dependent Kinase 9)
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zotiraciclib (TG02)
18d
Targeting the receptor tyrosine kinase MerTK shows therapeutic value in gastric adenocarcinoma. (PubMed, Cancer Med)
Our findings demonstrate the potential value of MerTK as a prognostic biomarker for gastric adenocarcinoma. Targeting MerTK may become a new treatment option, especially for patients with advanced tumors, and may overcome resistance to established chemotherapies.
Journal
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MERTK (MER Proto-Oncogene, Tyrosine Kinase)
|
MERTK expression
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5-fluorouracil • UNC2025
18d
Host-functionalization of macrin nanoparticles to enable drug loading and control tumor-associated macrophage phenotype. (PubMed, Front Immunol)
Furthermore, transcriptional profiles of macrophages indicated robust pro-inflammatory reprogramming (elevated Nos2 and Il12; suppressed Arg1 and Mrc1 expression levels) for a subset of these immuno-stimulatory agents (UNC2025 and R848)...Finally, in an intradermal MC38 tumor model, cyclodextrin-modified macrin NPs loaded with immunostimulatory drugs significantly reduced tumor growth. Therefore, efficient and effective repolarization of tumor-associated macrophages to an M1-like phenotype-via drug-loaded macrins-inhibits tumor growth and may be useful as an adjuvant to existing immune checkpoint therapies.
Journal
|
MRC1 (Mannose Receptor C-Type 1) • NOS2 (Nitric Oxide Synthase 2)
|
IL2 elevation • MRC1 expression
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UNC2025
22d
Oxygen-Glucose Deprivation Increases NR4A1 Expression and Promotes Its Extranuclear Translocation in Mouse Astrocytes. (PubMed, Brain Sci)
Oxygen-glucose deprivation causes an increase in NR4A1 mRNA in astrocytes as well as its nuclear to cytoplasmic transfer. Furthermore, reoxygenation enhances NR4A1 transcription and promotes its nuclear translocation.
Preclinical • Journal
|
HIF1A (Hypoxia inducible factor 1, alpha subunit) • NR4A3 (Nuclear receptor subfamily 4 group A member 3) • NR4A1 (Nuclear Receptor Subfamily 4 Group A Member 1)
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HIF1A expression
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Turalio (pexidartinib)
27d
A phase Ib study evaluating the recommended phase II dose, safety, tolerability, and efficacy of mivavotinib in combination with nivolumab in advanced solid tumors. (PubMed, Cancer Med)
Low response rates highlight the challenges of treating unresponsive tumor types, such as TNBC, with this combination and immunotherapies in general. TRIAL REGISTRATION ID: NCT02834247.
P1 data • P2 data • Clinical Trial,Phase I • Clinical Trial,Phase II • Journal • Combination therapy • Metastases
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FLT3 (Fms-related tyrosine kinase 3) • SYK (Spleen tyrosine kinase)
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Opdivo (nivolumab) • mivavotinib (CB-659)
28d
New P1 trial • Metastases
29d
Decitabine With Ruxolitinib, Fedratinib or Pacritinib for the Treatment of Accelerated/Blast Phase Myeloproliferative Neoplasms (clinicaltrials.gov)
P2, N=25, Recruiting, University of Washington | Trial completion date: Nov 2024 --> Nov 2026 | Trial primary completion date: Nov 2024 --> Nov 2026
Trial completion date • Trial primary completion date • Combination therapy
|
azacitidine • Jakafi (ruxolitinib) • decitabine • Vonjo (pacritinib) • Inrebic (fedratinib)
1m
A phase 1 study of the irreversible FLT3 inhibitor FF-10101 in relapsed or refractory acute myeloid leukemia. (PubMed, Blood Adv)
Among 40 response-evaluable participants, the composite complete response rate was 10%, and the overall response rate (including partial responses) was 12.5%, including patients who had progressed on gilteritinib. The recommended phase 2 dose (RP2D) was 75 mg BID. FF-10101 potentially represents a next-generation advance in the management of FLT3-mutated AML.
P1 data • Journal
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FLT3 (Fms-related tyrosine kinase 3)
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FLT3 mutation
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Xospata (gilteritinib) • FF-10101
1m
PLX3397 Plus Sirolimus in Unresectable Sarcoma and Malignant Peripheral Nerve Sheath Tumors (clinicaltrials.gov)
P1/2, N=43, Active, not recruiting, Gulam Manji | Recruiting --> Active, not recruiting | Phase classification: P2 --> P1/2 | Trial completion date: Mar 2024 --> Jun 2024
Enrollment closed • Phase classification • Trial completion date • Combination therapy
|
Turalio (pexidartinib)
1m
Enrollment closed • Combination therapy
|
Jakafi (ruxolitinib) • Inrebic (fedratinib) • BMS-986158
1m
In vivo ablation of NFκB cascade effectors alleviates disease burden in myeloproliferative neoplasms. (PubMed, Blood)
Finally, pharmacological targeting of interleukin-1 receptor-associated kinase 4 (IRAK4) with inhibitor CA-4948 suppressed disease burden and inflammatory cytokines specifically in MPN without inducing toxicity in non-diseased models. These findings highlight vulnerabilities in MPN that are exploitable with emerging therapeutic approaches.
Preclinical • Journal
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MYD88 (MYD88 Innate Immune Signal Transduction Adaptor) • IRAK4 (Interleukin 1 Receptor Associated Kinase 4) • RELA (RELA Proto-Oncogene)
|
MPL W515L
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emavusertib (CA-4948)
1m
ZIF-8-Encapsulated Pexidartinib Delivery via Targeted Peptide-Modified M1 Macrophages Attenuates MDSC-Mediated Immunosuppression in Osteosarcoma. (PubMed, Small)
RNA-seq further confirms the enhanced immune cell function. Consequently, P@ZIF/M1-KTP has great potential as a novel adoptive cellular therapeutic strategy for tumors.
Journal
|
CD4 (CD4 Molecule)
|
Turalio (pexidartinib)
1m
A Study of KC1036 Versus Investigator's Choice of Chemotherapy in Patients With Advanced Esophageal Cancer (clinicaltrials.gov)
P3, N=490, Recruiting, Beijing Konruns Pharmaceutical Co., Ltd. | Not yet recruiting --> Recruiting
Enrollment open • Metastases
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docetaxel • irinotecan • Teysuno (gimeracil/oteracil/tegafur) • KC1036
2ms
Lysyl Oxidase Promotes the Formation of Vasculogenic Mimicry in Gastric Cancer through PDGF-PDGFR Pathway. (PubMed, J Cancer)
With inhibition of PDGFRα and PDGFRβ using AG1295 or AG1296, VM formation in gastric cancer cells decreased (P <0.05), but the number of VM structures increased while LOX was added (P < 0.05). LOX partially promotes the formation of VM in gastric cancer through the PDGF-PDGFR signaling pathway.
Journal
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PDGFRA (Platelet Derived Growth Factor Receptor Alpha) • PDGFRB (Platelet Derived Growth Factor Receptor Beta) • CD34 (CD34 molecule) • LOX (Lysyl Oxidase)
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PDGFRA expression
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AG-1296
2ms
CSF1R inhibition reprograms tumor-associated macrophages to potentiate anti-PD-1 therapy efficacy against colorectal cancer. (PubMed, Pharmacol Res)
In vivo, PXB17 significantly halted CRC growth, with a stronger effect than PLX3397. In particular, PXB17 potently enhanced therapeutic activity of PD-1 mAb in CT-26 (MSS) model and prevented tumor recurrence in MC-38 (MSI-H) model by promoting formation of long-term memory immunity. Our study opens a new avenue for CSF1R in tumor innate and adaptive anti-tumor immunomodulatory activity and suggests that PXB17 is a promising immunotherapy molecule for enhancing the efficacy of PD-1 mAb or reducing tumor recurrence of CRC.
Journal • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker
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MSI (Microsatellite instability) • CD8 (cluster of differentiation 8)
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MSI-H/dMMR
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Turalio (pexidartinib)
2ms
Enrollment change
|
FLT3 (Fms-related tyrosine kinase 3)
|
FLT3 mutation
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cytarabine • azacitidine • Vanflyta (quizartinib) • Starasid (cytarabine ocfosfate)
2ms
Pacritinib inhibits proliferation of primary effusion lymphoma cells and production of viral interleukin-6 induced cytokines. (PubMed, Sci Rep)
Finally, pacritinib suppressed KSHV viral IL-6-induced human IL-6 and IL-10 production in peripheral blood mononuclear cells, which may model an important step in KSHV-MCD pathogenesis. These results suggest that pacritinib warrants testing for the treatment of KSHV-MCD and PEL.
Journal
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FLT3 (Fms-related tyrosine kinase 3) • ROS1 (Proto-Oncogene Tyrosine-Protein Kinase ROS) • IL6 (Interleukin 6) • IL10 (Interleukin 10) • IRAK1 (Interleukin 1 Receptor Associated Kinase 1)
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Vonjo (pacritinib)
2ms
Enrollment closed • Metastases
|
SKI-G-801
2ms
Trial completion • Enrollment change
|
SKI-G-801
2ms
Study of NMS-03592088 in Patients With Relapsed or Refractory AML or CMML (clinicaltrials.gov)
P1/2, N=200, Recruiting, Nerviano Medical Sciences | N=140 --> 200 | Trial completion date: Sep 2023 --> Feb 2026 | Trial primary completion date: Sep 2023 --> Dec 2025
Enrollment change • Trial completion date • Trial primary completion date
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FLT3 (Fms-related tyrosine kinase 3)
|
FLT3-ITD mutation
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NMS-088
2ms
Updated overall survival and safety with ripretinib vs sunitinib in patients with advanced gastrointestinal stromal tumor previously treated with imatinib and harboring KIT exon 11 + 17/18 mutations: ctDNA analysis from INTRIGUE (Sarcoma-RC 2024)
In this updated exploratory analysis from INTRIGUE, OS was longer for ripretinib vs sunitinib for pts with KIT exon 11 + 17/18 mutations identified by baseline ctDNA. The safety profile was consistent and more favorable for ripretinib vs sunitinib in these pts.
Clinical • Circulating tumor DNA • Stroma • Metastases
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KIT (KIT proto-oncogene, receptor tyrosine kinase)
|
KIT mutation • KIT exon 11 mutation • KIT exon 17 mutation
|
Guardant360® CDx
|
imatinib • Sutent (sunitinib) • Qinlock (ripretinib)
2ms
New P2 trial
|
cytarabine • etoposide IV • Vanflyta (quizartinib) • daunorubicin • mitoxantrone • fludarabine IV • dexrazoxane
2ms
Enrollment change
|
FLT3 (Fms-related tyrosine kinase 3)
|
FLT3-ITD mutation
|
crenolanib (ARO-002)
2ms
Enrollment open
|
TP53 (Tumor protein P53) • FLT3 (Fms-related tyrosine kinase 3)
|
TP53 mutation • FLT3-ITD mutation • FLT3 mutation • TP53 deletion
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Venclexta (venetoclax) • Vanflyta (quizartinib) • decitabine
2ms
Crenolanib and Intensive Chemotherapy in Adults With Newly Diagnosed FLT3-Mutated AML. (PubMed, J Clin Oncol)
Crenolanib plus intensive chemotherapy in adults with newly diagnosed FLT3-mutant AML results in high rate of deep responses and long-term survival with acceptable toxicity. A randomized trial of crenolanib versus midostaurin plus chemotherapy in younger patients is ongoing.
Journal
|
FLT3 (Fms-related tyrosine kinase 3)
|
FLT3-ITD mutation • FLT3 mutation • FLT3-TKD mutation
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cytarabine • Rydapt (midostaurin) • crenolanib (ARO-002) • daunorubicin • idarubicin hydrochloride
2ms
ADCT-602, a novel PBD dimer-containing antibody-drug conjugate for treating CD22-positive hematological malignancies. (PubMed, Mol Cancer Ther)
Combining ADCT-602 + pacritinib was beneficial in ADCT-602-resistant cells. Chidamide increased CD22 expression on B-cell tumor surfaces, increasing ADCT-602 activity. These data support clinical testing of ADCT-602 in R/R B-ALL (NCT03698552) and CD22-positive hematological cancers.
Journal
|
CD22 (CD22 Molecule) • IRAK1 (Interleukin 1 Receptor Associated Kinase 1)
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CD22 positive • CD22 expression
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Epidaza (chidamide) • Vonjo (pacritinib) • epratuzumab-cys-tesirine (ADCT-602)
2ms
Trial completion
|
Vonjo (pacritinib)
2ms
BLAST: Pacritinib for Biochemical Relapse After Definitive Treatment for Prostate Cancer (clinicaltrials.gov)
P2, N=6, Active, not recruiting, Medical College of Wisconsin | Recruiting --> Active, not recruiting
Enrollment closed
|
Vonjo (pacritinib)
3ms
BRCC36 associates with FLT3-ITD to regulate its protein stability and intracellular signaling in acute myeloid leukemia. (PubMed, Cancer Sci)
Thiolutin efficiently affected leukemia cell lines expressing FLT3-ITD cell viability and exhibited mutual synergies with quizartinib, a standard clinical medicine for AML. Furthermore, mutation of the lysine at 609 of ITD led to significant suppression of K63 polyubiquitination and decreased its stability, suggesting that K609 is a critical site for K63 ubiquitination specifically recognized by BRCC36. These data indicate that BRCC36 is a specific regulator for FLT3-ITD, which may shed light on developing a novel therapeutic approach for AML.
Journal • BRCA Biomarker
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FLT3 (Fms-related tyrosine kinase 3) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset)
|
FLT3-ITD mutation • FLT3 mutation • FLT3 wild-type • FLT3 expression • FLT3-ITD expression
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Vanflyta (quizartinib)
3ms
The CSF-1R inhibitor pexidartinib affects FLT3-dependent DC differentiation and may antagonize durvalumab effect in patients with advanced cancers. (PubMed, Sci Transl Med)
Our results demonstrate that pexidartinib, through the inhibition of FLT3 signaling, has a deleterious effect on DC differentiation, which may explain the limited antitumor clinical activity observed in this study. This work suggests that inhibition of FLT3 should be considered when combining TKIs with immune checkpoint inhibitors.
Journal • Metastases
|
FLT3 (Fms-related tyrosine kinase 3) • MSI (Microsatellite instability) • KIT (KIT proto-oncogene, receptor tyrosine kinase) • CSF1R (Colony stimulating factor 1 receptor) • TLR3 (Toll Like Receptor 3) • IFNL1 (Interferon Lambda 1)
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MSI-H/dMMR
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Imfinzi (durvalumab) • Turalio (pexidartinib)
3ms
Study on tissue distribution, metabolite profiling, and excretion of [C]-labeled flonoltinib maleate in rats. (PubMed, J Pharm Biomed Anal)
A minor fraction of FM (<10 %) was excreted through renal excretion in the form of urine. Integration of the current results with previous pharmacokinetic investigations of FM in rats and dogs enables a comprehensive elucidation of the in vivo ADME processes and characteristics of FM, thereby establishing a solid foundation for subsequent clinical investigations of FM.
Preclinical • Journal
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FLT3 (Fms-related tyrosine kinase 3) • JAK2 (Janus kinase 2)
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flonoltinib
3ms
New P1 trial • Combination therapy
|
Talzenna (talazoparib) • Vonjo (pacritinib)
3ms
Foretinib is effective in acute myeloid leukemia by inhibiting FLT3 and overcoming secondary mutations that drive resistance to quizartinib and gilteritinib. (PubMed, Cancer Res)
Moreover, foretinib showed potent activity against secondary mutations of FLT3-ITD that confer resistance to quizartinib and gilteritinib. These findings support the potential of foretinib for treating AML patients with FLT3-ITD mutations, especially for those carrying secondary mutations after treatment failure with other FLT3 inhibitors.
Journal
|
FLT3 (Fms-related tyrosine kinase 3)
|
FLT3-ITD mutation • FLT3 mutation
|
Xospata (gilteritinib) • Vanflyta (quizartinib) • foretinib (GSK1363089)
3ms
A ten long noncoding RNA-based prognostic risk model construction and mechanism study in the basal-like immune-suppressed subtype of triple-negative breast cancer. (PubMed, Transl Cancer Res)
In addition, drug sensitivity analysis identified 3 compounds, including BMS-754807, cytochalasin b, and linifanib, that could have a potential therapeutic effect on patients with the BLIS subtype. The risk prognosis model showed good prognostic value for the BLIS subtype patients, and the ten lncRNAs may be potential therapeutic targets.
Journal
|
AR (Androgen receptor) • FZD10 (Frizzled Class Receptor 10) • DIO3OS (DIO3 Opposite Strand Upstream RNA)
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BMS-754807 • linifanib (ABT-869)
3ms
Overexpression of ABCB1 confers resistance to FLT3 inhibitor FN-1501 in cancer cells: in vitro and in vivo characterization. (PubMed, Am J Cancer Res)
In sum, we demonstrate that FN-1501 is a substrate of ABCB1 transporter from both in vivo and in vitro studies. Therefore, our findings provide new insight on the mechanism of chemoresistance due to ABCB1 overexpression.
Preclinical • Journal
|
FLT3 (Fms-related tyrosine kinase 3) • ABCB1 (ATP Binding Cassette Subfamily B Member 1)
|
ABCB1 overexpression • ABCB1 expression
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FN-1501