Drugs / Midostaurin
last change Jul 2026 re-read 9 days ago

Midostaurin

Small molecule targets FLT3, KDR, KIT via inhibition

Developed for
acute myeloid leukemia · leukemia · myelodysplastic syndrome · acute myeloid leukemia with 11q23 abnormalities · acute myeloid leukemia with multilineage dysplasia · acute myeloid leukemia with t(8;21)(q22;q22) translocation · acute myeloid leukemia, del(5q31-q32) · acute myeloid leukemia, inv(16)(p13.1;q22)
+12 more · acute myeloid leukemia, t(16;16)(p13.1;q22) · aggressive systemic mastocytosis · mast cell leukemia · systemic mastocytosis with an associated clonal hematologic non-mast cell lineage disease · acute lymphoblastic leukemia · acute myeloid leukemia, FLT3 internal tandem duplication · acute myeloid leukemia, FLT3 tyrosine kinase domain point mutation · acute promyelocytic leukemia · core binding factor acute myeloid leukemia · indolent systemic mastocytosis · rectum adenocarcinoma · myelodysplastic syndrome with excess blasts-2
Investigated by
Novartis Pharmaceuticals · National Cancer Institute (NCI) · Novartis · Jazz Pharmaceuticals · Technical University Dresden · Alison Walker
+26 more · Alliance for Clinical Trials in Oncology · Astellas Pharma Inc · Brenda Cooper, MD · Celgene Corporation · David Iberri · European Organisation for Research and Treatment of Cancer - EORTC · Fondazione GIMEMA · Guenther Koehne · HOVON Foundation · Insel Gruppe AG, University Hospital Bern · Jason Robert Gotlib · Ludwig-Maximilians - University of Munich · M.D. Anderson Cancer Center · Massachusetts General Hospital · Mayo Clinic · Millennium Pharmaceuticals, Inc. · Niguarda Hospital · Pfizer · Stanford University · Swiss Cancer Institute · University Medical Center Groningen · University of Florida · University of Jena · University of Kansas · University of Ulm · Washington University School of Medicine

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed acute megakaryoblastic leukemia in adult 2 milestones
Filed Other — acute megakaryoblastic leukemia in adult 2016-10-25

“PKC412 (midostaurin) was filed with the EMA and Swissmedic for the treatment of newly diagnosed FLT3 mutation-positive acute myeloid leukemia and advanced systemic mastocytosis.” novartis.com ↗

Filed EU (EMA) — acute megakaryoblastic leukemia in adult 2016-10-25

“PKC412 (midostaurin) was filed with the EMA and Swissmedic for the treatment of newly diagnosed FLT3 mutation-positive acute myeloid leukemia and advanced systemic mastocytosis.” novartis.com ↗

Filed systemic mastocytosis 2 milestones
Filed Other — systemic mastocytosis 2016-10-25

“PKC412 (midostaurin) was filed with the EMA and Swissmedic for the treatment of newly diagnosed FLT3 mutation-positive acute myeloid leukemia and advanced systemic mastocytosis.” novartis.com ↗

Filed EU (EMA) — systemic mastocytosis 2016-10-25

“PKC412 (midostaurin) was filed with the EMA and Swissmedic for the treatment of newly diagnosed FLT3 mutation-positive acute myeloid leukemia and advanced systemic mastocytosis.” novartis.com ↗

Approved Indication not stated 3 milestones
Label expansion US (FDA) RYDAPT — 2020-11-24 fda.gov ↗
Approved EU (EMA) Rydapt — 2017-09-18 europa.eu ↗
Approved US (FDA) RYDAPT — 2017-04-28 fda.gov ↗

Trials 37

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 18 trials
Phase 1 NCT04496999 Jul 2020 → Sep 2022 acute myeloid leukemia Insel Gruppe AG, University Hospital Bern Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT04075747 Dec 2019 → Feb 2022 acute myeloid leukemia Jazz Pharmaceuticals Completed No outcome recorded
Phase 1 NCT01282502 Aug 2011 → Mar 2015 rectum adenocarcinoma Massachusetts General Hospital Completed No outcome recorded
Phase 1 NCT01429337 Mar 2011 → Apr 2020 — Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT01161550 Nov 2010 → Aug 2011 acute myeloid leukemia Washington University School of Medicine Completed No outcome recorded
Phase 1 NCT01174888 Aug 2010 → Apr 2014 acute myeloid leukemia with 11q23 abnormalities, acute myeloid leukemia with multilineage dysplasia, acute myeloid leukemia with t(8;21)(q22;q22) translocation, acute myeloid leukemia, del(5q31-q32) +4 Alison Walker Completed No outcome recorded
Phase 1 NCT01130662 Mar 2010 → Oct 2011 acute myeloid leukemia University of Kansas Completed No outcome recorded
Phase 1 NCT00093600 Feb 2004 → Jun 2011 acute myeloid leukemia Novartis Pharmaceuticals Completed No outcome recorded
Phase 1/26 trials
Phase 1/2 NCT04982354 Jul 2022 → Aug 2031 acute myeloid leukemia Guenther Koehne Withdrawn No outcome recorded Stop: Enrollment
Phase 1/2 NCT04385290 Sep 2020 → Apr 2027 expected acute myeloid leukemia Technical University Dresden Recruiting No outcome recorded
Phase 1/2 NCT01202877 Mar 2011 → Jul 2015 leukemia M.D. Anderson Cancer Center Completed No outcome recorded
Phase 1/2 NCT00866281 Sep 2009 → Sep 2014 acute lymphoblastic leukemia, acute myeloid leukemia Novartis Pharmaceuticals Terminated No outcome recorded Stop: Enrollment
Phase 1/2 NCT01093573 Jul 2009 → Sep 2016 acute myeloid leukemia Brenda Cooper, MD Completed No outcome recorded
Phase 1/2 NCT00045942 Jan 2002 → Mar 2008 acute myeloid leukemia, myelodysplastic syndrome Novartis Pharmaceuticals Completed No outcome recorded
Phase 215 trials · 2 met primary · 2 missed
Phase 2 NCT03951961 Mar 2020 → Feb 2021 acute myeloid leukemia University of Jena Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT04097470 Dec 2019 → Nov 2021 overdue acute myeloid leukemia HOVON Foundation Active not recruiting No outcome recorded
Phase 2 NCT03591510 Mar 2019 → May 2029 expected acute myeloid leukemia Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 2 NCT03207334 Nov 2018 → Jan 2021 acute myeloid leukemia University of Florida Withdrawn No outcome recorded Stop: Business
Phase 2 NCT03686345 Jul 2018 → Jun 2023 core binding factor acute myeloid leukemia Niguarda Hospital Terminated No outcome recorded
Phase 2 NCT03280030 Apr 2018 → Nov 2022 acute myeloid leukemia Novartis Pharmaceuticals Completed Missed primary
Phase 2 NCT02634827 Dec 2015 → Mar 2017 acute myeloid leukemia, FLT3 internal tandem duplication, acute myeloid leukemia, FLT3 tyrosine kinase domain point mutation Mayo Clinic Terminated No outcome recorded
Phase 2 NCT01883362 Feb 2014 → Apr 2018 acute myeloid leukemia Novartis Pharmaceuticals Completed Missed primary
Phase 2 NCT01920204 Aug 2013 → Mar 2015 indolent systemic mastocytosis University Medical Center Groningen Unknown No outcome recorded
Phase 2 NCT01846624 Jun 2013 → Jul 2016 acute myeloid leukemia with 11q23 abnormalities, acute myeloid leukemia with multilineage dysplasia, acute myeloid leukemia with t(8;21)(q22;q22) translocation, acute myeloid leukemia, del(5q31-q32) +2 David Iberri Terminated No outcome recorded Stop: Enrollment
Phase 2/32 trials
Phase 2/3 NCT07425808 Dec 2026 → Oct 2028 expected acute myeloid leukemia European Organisation for Research and Treatment of Cancer - EORTC Not yet recruiting No outcome recorded
Phase 2/3 NCT03092674 Feb 2018 → Aug 2023 acute myeloid leukemia, myelodysplastic syndrome National Cancer Institute (NCI) Completed No outcome recorded
Phase 33 trials · 1 met primary · 1 missed
Phase 3 NCT03512197 Jul 2018 → Feb 2021 acute myeloid leukemia Novartis Pharmaceuticals Completed Missed primary
Phase 3 NCT03379727 Feb 2018 → Jul 2021 acute myeloid leukemia Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00651261 Apr 2008 → Jul 2016 leukemia Alliance for Clinical Trials in Oncology Unknown Met primary
Phase not stated3 trials
— NCT05219266 — acute myeloid leukemia, aggressive systemic mastocytosis, mast cell leukemia, systemic mastocytosis with an associated clonal hematologic non-mast cell lineage disease Novartis Pharmaceuticals No longer available No outcome recorded
— NCT03114228 — acute myeloid leukemia Novartis Pharmaceuticals No longer available No outcome recorded
— NCT02624570 — acute myeloid leukemia Novartis Pharmaceuticals No longer available No outcome recorded
Comparator or background therapy12 trials
Phase 1 NCT06313437 Background Dec 2024 → Mar 2027 expected acute myeloid leukemia Dana-Farber Cancer Institute Recruiting No outcome recorded
Phase 1 NCT03900949 Background Mar 2019 → Aug 2024 acute myeloid leukemia Uma Borate Completed No outcome recorded
Phase 1 NCT02078609 Background Mar 2014 → Apr 2019 acute myeloid leukemia Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT00819546 Background Jan 2009 → Dec 2026 expected acute myeloid leukemia, myelodysplastic syndrome Dana-Farber Cancer Institute Active not recruiting No outcome recorded
Phase 1/2 NCT03760445 Background Nov 2019 → Jul 2021 acute myeloid leukemia Novartis Pharmaceuticals Withdrawn No outcome recorded

News releases announcing trial results or a regulatory action · 11

DateIssuerRelease
2026-03-09 Astellas Pharma Inc Results Astellas and Hovon Confirm Phase 3 Study Did not Meet its Primary Endpoint of Overall Survival in Patients with Newly Diagnosed FLT3 m+ AML astellas.com ↗
While the study did not meet its primary endpoint of OS, gilteritinib showed a comparable OS benefit to midostaurin-based treatment in newly diagnosed FLT3 m+ AML.
2022-11-03 Jazz Pharmaceuticals Results Jazz Pharmaceuticals to Present Data at 2022 ASH Meeting Showcasing Commitment to Advancing Oncology Research jazzpharma.com ↗
Preliminary results suggest the combination of Vyxeos + MID is feasible with a manageable safety profile and promising remission rates in adults with newly diagnosed, FLT3 -mutated AML.
2017-09-20 Novartis Pharmaceuticals Regulatory Novartis drug Rydapt® (midostaurin) receives EU approval for newly diagnosed FLT3-mutated acute myeloid leukemia (AML) and three types of advanced systemic mastocytosis (SM) novartis.com ↗
Novartis today announced that the European Commission (EC) approved Rydapt ® (midostaurin) for two indications in rare, hard-to-treat cancers.
2017-07-21 Novartis Pharmaceuticals Regulatory Novartis receives positive CHMP opinion for Rydapt® (midostaurin) for newly diagnosed FLT3-mutated acute myeloid leukemia (AML) and three types of advanced systemic mastocytosis (SM) novartis.com ↗
We are pleased with the positive recommendation from the CHMP and excited to move a step closer to bringing this much-needed treatment to these patients across Europe.
2017-06-23 Novartis Pharmaceuticals Results NEJM publishes full analysis of Rydapt® (midostaurin) Phase III RATIFY trial in newly diagnosed FLT3-mutated acute myeloid leukemia (AML) novartis.com ↗
Novartis today announced that full results from the Rydapt [®] (midostaurin) Phase III RATIFY (CALGB 10603 [Alliance]) clinical trial were published in The New England Journal of Medicine (NEJM) [1].
2017-04-28 Novartis Pharmaceuticals Regulatory Novartis receives FDA approval for Rydapt® in newly diagnosed FLT3-mutated acute myeloid leukemia (AML) and three types of systemic mastocytosis (SM) novartis.com ↗
Novartis announced today the US Food and Drug Administration (FDA) has approved Rydapt ® (midostaurin, formerly PKC412) for two indications.
2016-11-14 Novartis Pharmaceuticals Regulatory Novartis drug PKC412 (midostaurin) granted FDA Priority Review for newly-diagnosed FLT3-mutated AML and advanced systemic mastocytosis novartis.com ↗
2016-06-29 Novartis Pharmaceuticals Results Novartis PKC412 (midostaurin) pivotal data published in NEJM show 60% response rate in advanced systemic mastocytosis (SM) novartis.com ↗
In the largest and longest-running prospective trial in advanced SM, 60% of patients achieved complete or partial resolution of organ damage[1]
2016-02-19 Novartis Pharmaceuticals Regulatory Novartis drug PKC412 (midostaurin) receives Breakthrough Therapy designation from the FDA for newly-diagnosed FLT3-mutated acute myeloid leukemia (AML) novartis.com ↗
Novartis announced today that the United States Food and Drug Administration (FDA) has granted Breakthrough Therapy designation to PKC412 (midostaurin).
2015-12-06 Novartis Pharmaceuticals Results Novartis drug PKC412 (midostaurin) improves overall survival by 23% in global Phase III study of AML patients with FLT3 mutations novartis.com ↗
Novartis today announced positive results from the global Phase III RATIFY (CALGB 10603) clinical trial.
2015-11-30 Novartis Pharmaceuticals Results Novartis highlights clinical advances at ASH 2015, underscoring leadership in hematology research novartis.com ↗
The Multi-Kinase Inhibitor Midostaurin (M) Prolongs Survival Compared with Placebo (P)

All press releases naming this drug 14 releases

DateIssuerRelease

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 52 sources stand behind the page.

FieldValueCited text
Known as Midostaurin “Usually daunorubicin/ cytarabine or idarubicin/Cytarabine plus FLT3 inhibitor (usually midostaurin)” NCT04676243 ↗
45

“Midostaurin (for FLT3 mutant or FLT3-ITD subjects only, not allowed as single agent)” NCT02665065 ↗

“Local SOC is "7+3" + Midostaurin (100 mg) or Quizartinib (35.4 mg)” NCT07425808 ↗

NCT02723435 ↗

NCT04982354 ↗

NCT00782067 ↗

NCT03591510 ↗

NCT01920204 ↗

NCT00866281 ↗

NCT03207334 ↗

NCT04174612 ↗

Show 35 more sources

Known as CGP 41251 ChEMBL registry synonym — accepted as the source's own label CHEMBL608533 ↗
Known as Midostaurina ChEMBL registry synonym — accepted as the source's own label CHEMBL608533 ↗
Known as Midostaurine ChEMBL registry synonym — accepted as the source's own label CHEMBL608533 ↗
Known as N-benzoylstaurosporine ChEMBL registry synonym — accepted as the source's own label CHEMBL608533 ↗
Known as NSC-656576 ChEMBL registry synonym — accepted as the source's own label CHEMBL608533 ↗
Known as NVP-PKC412 ChEMBL registry synonym — accepted as the source's own label CHEMBL608533 ↗
Known as PKC412 “An Expanded Treatment Protocol (ETP) of Midostaurin (PKC412) in Patients 18 Years of Age or Older With Newly-diagnosed FLT3-mutated Acute Myeloid Leukemia (AML)” NCT03114228 ↗
7

“This study combines midostaurin (PKC412) with radiation and a standard chemotherapy drug call 5-Fluorouracil (5-FU) for subjects with advanced rectal cancer.” NCT01282502 ↗

“PKC412 (midostaurin) is known to inhibit the c-KIT RTK activity as well as the FLT3 kinase, both in patients with ITD and TKD mutations.” NCT01830361 ↗

“midostaurin (also known as PKC412)” NCT00651261 ↗

“Midostaurin (PKC412)” NCT00782067 ↗

NCT00045942 ↗

NCT00819546 ↗

NCT01202877 ↗

Known as Rydapt ChEMBL registry synonym — accepted as the source's own label CHEMBL608533 ↗
Action Inhibit “Vascular endothelial growth factor receptor 2 inhibitor” CHEMBL608533 ↗
1

“FLT3 kinase inhibitor midostaurin” PMID 22627678 ↗ Apr 2012

Modality Small molecule “midostaurin - an oral multitargeted kinase inhibitor that is active in patients with a FLT3 mutation” PMID 28644114 ↗ Jun 2017
Route Oral “Participants received 75 mg PKC412 three time daily (tid) orally” NCT00045942 ↗
Target FLT3 “FLT3 kinase inhibitor midostaurin” PMID 22627678 ↗ Apr 2012
Target KDR “Vascular endothelial growth factor receptor 2 inhibitor” CHEMBL608533 ↗