Drugs / Midostaurin
last change Jul 2026 re-read 2 minutes 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 · 3 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
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 · a red edge is where a trial was stopped

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
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
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
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
Phase 2 NCT03951961 Mar 2020 → Feb 2021 acute myeloid leukemia University of Jena Terminated No outcome recorded
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
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 No outcome recorded
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 No outcome recorded
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
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
Phase 3 NCT03512197 Jul 2018 → Feb 2021 acute myeloid leukemia Novartis Pharmaceuticals Completed No outcome recorded
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 No outcome recorded
Phase not stated3 trials
NCT02624570 acute myeloid leukemia Novartis Pharmaceuticals No longer available No outcome recorded
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
Also used as a comparator or background therapy in 12 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 14 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 1/21 trial
Phase 1/2 NCT03760445 Background Nov 2019 → Jul 2021 acute myeloid leukemia Novartis Pharmaceuticals Withdrawn No outcome recorded
Phase 22 trials
Phase 2 NCT03836209 Comparator Dec 2019 → Oct 2023 overdue acute myeloid leukemia PrECOG, LLC. Active not recruiting No outcome recorded
Phase 2 NCT02115295 Background May 2014 → May 2030 expected acute biphenotypic leukemia, blast phase chronic myelogenous leukemia, BCR-ABL1 positive, myelodysplastic syndrome M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 35 trials
Phase 3 NCT04676243 Comparator May 2022 → May 2025 acute myeloid leukemia University Hospital Heidelberg Withdrawn No outcome recorded
Phase 3 NCT04174612 Background Apr 2020 → Dec 2022 acute myeloid leukemia, FLT3 internal tandem duplication GIMEMA Foundation Unknown No outcome recorded
Phase 3 NCT04027309 Comparator Dec 2019 → Oct 2025 overdue acute myeloid leukemia, myelodysplastic syndrome with excess blasts-2 HOVON Foundation Active not recruiting No outcome recorded
Phase 3 NCT03258931 Comparator Aug 2018 → Apr 2026 acute myeloid leukemia Arog Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT02665065 Comparator Jun 2016 → Jun 2022 overdue acute myeloid leukemia Actinium Pharmaceuticals Active not recruiting No outcome recorded

Press releases naming this drug 8 releases

DateIssuerRelease
2017-09-20 Novartis Pharmaceuticals 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
2017-07-21 Novartis Pharmaceuticals 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
2017-06-23 Novartis Pharmaceuticals NEJM publishes full analysis of Rydapt® (midostaurin) Phase III RATIFY trial in newly diagnosed FLT3-mutated acute myeloid leukemia (AML) novartis.com
2017-04-28 Novartis Pharmaceuticals Novartis receives FDA approval for Rydapt® in newly diagnosed FLT3-mutated acute myeloid leukemia (AML) and three types of systemic mastocytosis (SM) novartis.com
2016-11-14 Novartis Pharmaceuticals 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 Novartis PKC412 (midostaurin) pivotal data published in NEJM show 60% response rate in advanced systemic mastocytosis (SM) novartis.com
2016-02-19 Novartis Pharmaceuticals Novartis drug PKC412 (midostaurin) receives Breakthrough Therapy designation from the FDA for newly-diagnosed FLT3-mutated acute myeloid leukemia (AML) novartis.com
2015-12-06 Novartis Pharmaceuticals Novartis drug PKC412 (midostaurin) improves overall survival by 23% in global Phase III study of AML patients with FLT3 mutations novartis.com

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

NCT01161550

NCT01477606

NCT03686345

NCT05219266

NCT01920204

NCT01429337

NCT03591510

NCT00651261

NCT03760445

NCT03512197

NCT01282502

NCT00233454

NCT04075747

NCT01174888

NCT03207334

NCT03836209

NCT03280030

NCT02624570

NCT04982354

NCT01846624

NCT04174612

NCT06313437

NCT03379727

NCT03258931

NCT01883362

NCT00782067

NCT02634827

NCT04027309

NCT01093573

NCT00093600

NCT01830361

NCT02115295

NCT03114228

NCT04496999

NCT03951961

NCT03092674

NCT04385290

NCT03900949

NCT02078609

NCT01130662

NCT00866281

NCT04097470

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