Drugs / Gilteritinib
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Gilteritinib

Small molecule targets ALK, AXL, FLT3, ROS1 via inhibition

Developed for
acute myeloid leukemia · acute myeloid leukemia, FLT3 internal tandem duplication · non-small cell lung carcinoma · myelodysplastic syndrome · acute myeloid leukemia with multilineage dysplasia · acute myeloid leukemia with mutated NPM1 · acute myeloid leukemia, FLT3 tyrosine kinase domain point mutation · acute myeloid leukemia, MLL gene rearrangement
+6 more · childhood acute myeloid leukemia · chronic myelomonocytic leukemia · hematopoietic and lymphoid cell neoplasm · myelodysplastic syndrome with excess blasts-2 · myeloid leukemia · refractory hematologic cancer
Investigated by
Astellas Pharma Global Development, Inc. · Astellas Pharma Inc · M.D. Anderson Cancer Center · National Cancer Institute (NCI) · Institute of Hematology & Blood Diseases Hospital, China · AbbVie
+54 more · Acute Leukemia French Association · GIMEMA Foundation · HOVON Foundation · AVEO Pharmaceuticals, Inc. · Astellas Pharma US, Inc. · Ayman H Qasrawi · Beat AML, LLC · Blood and Marrow Transplant Clinical Trials Network · Celgene Corporation · Centre Antoine Lacassagne · Centre Hospitalier Universitaire de Nice · Charite University, Berlin, Germany · Children's Hospital of Soochow University · Children's Oncology Group · City of Hope Medical Center · Cyprus Institute of Neurology and Genetics · Czech Lymphoma Study Group · Deutsch-Österreichische Studiengruppe Akute Myeloische Leukämie (AMLSG) · Etan Orgel · European LeukemiaNet · European Organisation for Research and Treatment of Cancer - EORTC · First Affiliated Hospital of Zhejiang University · Florian Kuchenbauer · Fondazione GIMEMA · French Innovative Leukemia Organisation · Fundacion Para La Investigacion Hospital La Fe · Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León · Genentech, Inc. · German Society for Pediatric Oncology and Hematology GPOH gGmbH · GlaxoSmithKline · H. Lee Moffitt Cancer Center and Research Institute · Hannover Medical School · Hospital Vall d'Hebron · Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS · Jazz Pharmaceuticals · Kronos Bio · Lithuanian University of Health Sciences · Memorial Sloan Kettering Cancer Center · National Heart, Lung, and Blood Institute (NHLBI) · Oryzon Genomics S.A. · Ospedale Pediatrico Bambin Gesù · Ostdeutsche Studiengruppe Haematologie Und Onkologie e.V. · Pfizer · PrECOG, LLC. · Rigel Pharmaceuticals · Ruijin Hospital · Syndax Pharmaceuticals · TIMELEX · Technical University Dresden · The First Affiliated Hospital of Soochow University · Toscana Life Sciences Sviluppo s.r.l. · Uma Borate · University of Bologna · University of Michigan Rogel Cancer Center

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed acute megakaryoblastic leukemia in adult 1 milestone
Filed China (NMPA) XOSPATA acute megakaryoblastic leukemia in adult 2020-04-10

“Astellas Announces Acceptance of XOSPATA ® (gilteritinib) for Regulatory Review in China by the National Medical Products Administration” astellas.com ↗

Approved Indication not stated 6 milestones
Approved EU (EMA) Xospata — 2019-10-24 europa.eu ↗
Label expansion US (FDA) XOSPATA — 2019-05-29 fda.gov ↗
Filed EU (EMA) XOSPATA FLT3 mutation-positive relapsed or refractory acute myeloid leukemia 2019-02-28

“submission for a marketing authorisation application (MAA) for the oral once-daily therapy XOSPATA (gilteritinib) for the treatment of adult patients who have relapsed or...” astellas.com ↗

Approved US (FDA) XOSPATA — 2018-11-28 fda.gov ↗
Filed US (FDA) — FLT3 mutation-positive relapsed or refractory acute myeloid leukemia 2018-03-29

“submitted a NDA for approval of gilteritinib in the same patient population to the U.S. Food and Drug Administration (FDA) on March 29, 2018” astellas.com ↗

Filed Japan (PMDA) — FLT3 mutation-positive relapsed or refractory acute myeloid leukemia 2018-03-23

“submitted on March 23, 2018, a new drug application (NDA) for marketing approval of gilteritinib (generic name) in Japan” astellas.com ↗

Trials 58

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 116 trials
Phase 1 NCT07140016 Sep 2025 → Dec 2029 expected non-small cell lung carcinoma Astellas Pharma Global Development, Inc. Recruiting No outcome recorded
Phase 1 NCT06225427 Jul 2024 → May 2027 expected non-small cell lung carcinoma University of Michigan Rogel Cancer Center Recruiting No outcome recorded
Phase 1 NCT06222580 Feb 2024 → Jan 2027 expected acute myeloid leukemia with mutated NPM1, acute myeloid leukemia, FLT3 internal tandem duplication, acute myeloid leukemia, MLL gene rearrangement Uma Borate Recruiting No outcome recorded
Phase 1 NCT05756777 Oct 2023 → Apr 2027 expected acute myeloid leukemia Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 1 NCT05330377 Mar 2023 → May 2027 acute myeloid leukemia Ayman H Qasrawi Withdrawn No outcome recorded Stop: Business
Phase 1 NCT05546580 Nov 2022 → Nov 2025 overdue acute myeloid leukemia Oryzon Genomics S.A. Recruiting No outcome recorded
Phase 1 NCT04655391 Jun 2022 → Dec 2023 acute myeloid leukemia City of Hope Medical Center Withdrawn No outcome recorded
Phase 1 NCT05024552 Feb 2022 → Feb 2027 expected acute myeloid leukemia, FLT3 internal tandem duplication H. Lee Moffitt Cancer Center and Research Institute Recruiting No outcome recorded
Phase 1 NCT05010772 Oct 2021 → Dec 2026 expected acute myeloid leukemia M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1 NCT04699877 Jan 2021 → Jul 2022 impaired renal function disease, medulloadrenal hyperfunction Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 1/212 trials
Phase 1/2 NCT06561880 Oct 2024 → Sep 2026 overdue acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase 1/2 NCT06235801 May 2024 → Oct 2027 expected myeloid leukemia M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT05520567 Jan 2023 → Jul 2028 expected acute myeloid leukemia Astellas Pharma Global Development, Inc. Active not recruiting No outcome recorded
Phase 1/2 NCT05028751 Aug 2022 → Apr 2024 acute myeloid leukemia Kronos Bio Terminated No outcome recorded Stop: Business
Phase 1/2 NCT05010122 Jul 2021 → Jan 2028 expected acute myeloid leukemia, myelodysplastic syndrome M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT04240002 Sep 2020 → Mar 2025 acute myeloid leukemia, FLT3 internal tandem duplication Astellas Pharma Global Development, Inc. Terminated No outcome recorded Stop: Enrollment
Phase 1/2 NCT04140487 Dec 2019 → Sep 2028 expected acute myeloid leukemia, chronic myelomonocytic leukemia M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT03730012 Jun 2019 → May 2021 acute myeloid leukemia Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 1/2 NCT02561455 May 2016 → Jul 2020 acute myeloid leukemia Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 1/2 NCT02495233 Sep 2015 → Sep 2016 non-small cell lung carcinoma Astellas Pharma Global Development, Inc. Terminated No outcome recorded
Phase 213 trials · 2 missed
Phase 2 NCT07755202 Sep 2026 → Oct 2029 expected acute myeloid leukemia Florian Kuchenbauer Not yet recruiting No outcome recorded
Phase 2 NCT07548710 May 2026 → May 2027 expected acute myeloid leukemia Ruijin Hospital Recruiting No outcome recorded
Phase 2 NCT07259707 Jan 2026 → Dec 2028 expected acute myeloid leukemia, FLT3 internal tandem duplication First Affiliated Hospital of Zhejiang University Recruiting No outcome recorded
Phase 2 NCT07032727 Sep 2025 → Jun 2027 expected — M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 2 NCT06667973 Jun 2025 → Aug 2028 expected acute myeloid leukemia GIMEMA Foundation Not yet recruiting No outcome recorded
Phase 2 NCT06696183 Apr 2025 → Apr 2029 expected acute myeloid leukemia Technical University Dresden Recruiting No outcome recorded
Phase 2 NCT06317649 Sep 2024 → May 2029 expected acute myeloid leukemia National Cancer Institute (NCI) Recruiting No outcome recorded
Phase 2 NCT05564390 Jun 2024 → May 2029 expected acute myeloid leukemia with multilineage dysplasia, myelodysplastic syndrome National Cancer Institute (NCI) Recruiting No outcome recorded
Phase 2 NCT06022003 Jan 2024 → Oct 2026 expected acute myeloid leukemia, FLT3 internal tandem duplication, acute myeloid leukemia, FLT3 tyrosine kinase domain point mutation French Innovative Leukemia Organisation Recruiting No outcome recorded
Phase 2 NCT06221683 Jan 2024 → Dec 2028 expected childhood acute myeloid leukemia Children's Hospital of Soochow University Recruiting 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 NCT03013998 Nov 2016 → Dec 2032 expected acute myeloid leukemia Beat AML, LLC Recruiting No outcome recorded
Phase 39 trials · 2 met primary · 2 missed
Phase 3 NCT07463651 May 2026 → May 2028 expected acute myeloid leukemia, FLT3 internal tandem duplication, disease related to hematopoietic stem cell transplant The First Affiliated Hospital of Soochow University Recruiting No outcome recorded
Phase 3 NCT07407140 Apr 2026 → Feb 2029 expected acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Not yet recruiting No outcome recorded
Phase 3 NCT06713837 Feb 2025 → Jan 2028 expected acute myeloid leukemia Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS Recruiting No outcome recorded
Phase 3 NCT04293562 Jul 2020 → Jun 2029 expected acute myeloid leukemia Children's Oncology Group Recruiting No outcome recorded
Phase 3 NCT04027309 Dec 2019 → Oct 2025 overdue acute myeloid leukemia, myelodysplastic syndrome with excess blasts-2 HOVON Foundation Active not recruiting No outcome recorded
Phase 3 NCT03182244 Oct 2017 → Dec 2023 acute myeloid leukemia Astellas Pharma Inc Completed Met primary
Phase 3 NCT02997202 Aug 2017 → Jan 2023 acute myeloid leukemia Astellas Pharma Global Development, Inc. Completed Missed primary
Phase 3 NCT02752035 Aug 2016 → Mar 2023 acute myeloid leukemia Astellas Pharma Global Development, Inc. Completed Missed primary
Phase 3 NCT02421939 Oct 2015 → Sep 2018 acute myeloid leukemia Astellas Pharma Global Development, Inc. Completed Met primary
Phase not applicable3 trials
— NCT06992934 Sep 2026 → Aug 2028 expected hematopoietic and lymphoid cell neoplasm Centre Hospitalier Universitaire de Nice Not yet recruiting No outcome recorded
— NCT07131059 May 2024 → May 2026 overdue acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
— NCT06265545 Feb 2024 → Jan 2026 overdue acute myeloid leukemia, refractory hematologic cancer Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase not stated3 trials
— NCT03409081 — acute myeloid leukemia Astellas Pharma Global Development, Inc. No longer available No outcome recorded
— NCT03070093 — acute myeloid leukemia Astellas Pharma Global Development, Inc. Approved for marketing No outcome recorded
— NCT03315299 — acute myeloid leukemia Etan Orgel No longer available No outcome recorded
Comparator or background therapy8 trials
Phase 1 NCT06001788 Background Feb 2024 → Aug 2026 overdue acute myeloid leukemia with mutated NPM1, acute myeloid leukemia, MLL gene rearrangement Kura Oncology, Inc. Recruiting No outcome recorded
Phase 1 NCT03964038 Comparator May → Jul 2019 — Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 1/2 NCT05279859 Background Mar 2022 → Mar 2025 acute myeloid leukemia Erasca, Inc. Withdrawn No outcome recorded Stop: Business
Phase 1/2 NCT04988555 Background Feb 2022 → Jun 2027 expected acute lymphoblastic leukemia, acute myeloid leukemia, myelodysplastic syndrome, plasma cell myeloma Sumitomo Pharma America, Inc. Recruiting No outcome recorded
Phase 2 NCT05955261 Background Jul 2023 → Dec 2026 expected acute myeloid leukemia St. Jude Children's Research Hospital Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 31

DateIssuerRelease
2026-06-11 Oryzon Genomics S.A. Results ORYZON Presents Updated Positive Clinical Data for Iadademstat in Acute Myeloid Leukemia (AML) at European Hematology Association (EHA) 2026 Annual Congress oryzon.com ↗
In FLT3-mutated refractory-relapsed patients (FRIDA trial), iadademstat with gilteritinib continued to show a favorable safety profile and a high CRc rate of 67%
2026-06-02 Oryzon Genomics S.A. Results ORYZON initiates patient enrollment in IDEAL Phase II trial of iadademstat in essential thrombocythemia oryzon.com ↗
In addition, updated data from the FRIDA study evaluating iadademstat in combination with gilteritinib in relapsed/refractory FLT3-mutated AML demonstrated a favorable safety profile and a CRc rate of 67% in a heavily pre-treated patient population.
2026-05-14 Oryzon Genomics S.A. Results ORYZON reports financial results and corporate update for quarter ended March 31st, 2026 oryzon.com ↗
Updated data from the expansion cohort showed a favorable safety profile and a CRc rate of 67% (12/18 patients evaluable for response harboring canonical FLT3 mutations) in a heavily pre-treated patient population.
2026-05-13 Oryzon Genomics S.A. Results ORYZON to Present Updated Positive Clinical Data for Iadademstat in Acute Myeloid Leukemia at EHA 2026 oryzon.com ↗
In FLT3‑mutated refractory-relapsed setting, iadademstat with gilteritinib has shown favorable safety profile and a high CRc rate (67%)
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.
2025-12-09 Oryzon Genomics S.A. Results ORYZON presents data for iadademstat combinations in AML at the American Society of Hematology (ASH) 67th Annual Meeting oryzon.com ↗
67% CCR at the expansion dose in study evaluating iadademstat plus gilterinib in FLT3-mutated relapsed/refractory AML patients; 47% CR+CRh
2025-11-04 Oryzon Genomics S.A. Results ORYZON announces positive clinical data of iadademstat at ASH-2025 oryzon.com ↗
Updated preliminary data from the ongoing Phase Ib FRIDA trial evaluating iadademstat in combination with gilteritinib in FLT3-mutated relapsed/refractory AML showed a 67% response rate in the expanded dose, superior to both historical and real-world gilteritinib monotherapy
2024-06-14 Oryzon Genomics S.A. Results ORYZON presents preliminary data from ongoing Phase Ib FRIDA trial with iadademstat plus gilteritinib in relapsed/refractory FLT3-mut AML patients at EHA-2024 oryzon.com ↗
Data from the first two cohorts demonstrated that combination of iadademstat plus gilteritinib was safe and showed strong antileukemic activity
2023-06-09 Astellas Pharma Inc Results Gilteritinib as Maintenance Therapy Demonstrated Benefit in Subgroups of FLT3-ITD Acute Myeloid Leukemia Patients astellas.com ↗
In exploratory analysis, gilteritinib showed favorable RFS for the approximate 50% of patients with detectable MRD pre- or post-HSCT, compared to those without detectable MRD.
2023-03-09 Astellas Pharma Inc Results Astellas and BMT CTN Announce Topline Results from Phase 3 MORPHO Trial of Gilteritinib astellas.com ↗
Based on the data, the study did not meet its pre-defined primary endpoint of relapse-free survival (RFS) for patients treated with gilteritinib compared to placebo.
2022-11-22 AbbVie Results AbbVie Highlights Blood Cancer Data From Its Growing Oncology Pipeline at the 64th ASH Annual Meeting abbvie.com ↗
Multi-Omic Single-Cell Sequencing Reveals Genetic and Immunophenotypic Clonal Selection in Patients With FLT3-mutated AML Treated With Gilteritinib/Venetoclax
2021-03-30 Astellas Pharma Inc Results Astellas’ XOSPATA® (gilteritinib) Meets Overall Survival Endpoint in COMMODORE Trial of Patients with Relapsed or Refractory Acute Myeloid Leukemia with a FLT3 Mutation astellas.com ↗
“In COMMODORE, patients receiving gilteritinib lived longer than those receiving salvage chemotherapy, confirming the overall survival benefit seen in the Phase 3 ADMIRAL trial,” said Andrew Krivoshik, M.D., Ph.D., Senior Vice President and Global Therapeutic Area Head, Oncology Development.

All press releases naming this drug 40 releases

DateIssuerRelease

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 69 sources stand behind the page.

FieldValueCited text
Known as Gilteritinib “Gilteritinib alone or in combination with low dose hypomethylating agent or low dose cytarabine” NCT06713837 ↗
63

“Gilteritinib 120 mg/day, PO by 28 days-cycle” NCT06022003 ↗

“Sorafenib or Gilteritinib, Day 8-14” NCT07117422 ↗

NCT03182244 ↗

NCT06001788 ↗

NCT04140487 ↗

NCT04699877 ↗

NCT02927262 ↗

NCT02115295 ↗

NCT02495233 ↗

NCT05024552 ↗

Show 53 more sources

Known as ASP-2215 HEMIFUMARATE ChEMBL registry synonym — accepted as the source's own label CHEMBL3301622 ↗
Known as ASP2215 “A Study of ASP2215 (Gilteritinib), Administered as Maintenance Therapy Following Induction/Consolidation Therapy for Subjects With FMS-like Tyrosine Kinase 3 (FLT3/ITD) Acute...” NCT02927262 ↗
3

“ASP2215” NCT03070093 ↗

NCT02571816 ↗

NCT03315299 ↗

Known as GILT “Gilteritinib (GILT)” NCT06696183 ↗
Known as Gilteritinib fumarate “Gilteritinib fumarate is an oral, selective FLT3 and AXL inhibitor.” NCT06667973 ↗
Known as Gilteritinib hemifumarate ChEMBL registry synonym — accepted as the source's own label CHEMBL3301622 ↗
Known as XOSPATA “The United States Food and Drug Administration (FDA), the Japanese Ministry of Health, Labour and Welfare (MHLW) and Health Canada have approved ASP2215/Gilteritinib (XOSPATA®)...” NCT03070093 ↗
1

“Gilteritinib (XOSPATA®, Astellas) is a type I oral FLT3 inhibitor, a tyrosine kinase AXL inhibitor, involved in both c-Kit and FMS-like tyrosine kinase 3 (FLT3) resistance.” PMID 37180209 ↗ May 2023

Action Inhibit “Selective inhibition of FLT3 by gilteritinib” PMID 28645776 ↗ Jun 2017
Modality Small molecule “In this line, crenolanib and Gilteritinib are two potent and more specific TKI” NCT06992934 ↗
Route Oral “Participants received gilteritinib oral tablets (10 mg, 40 mg or 100 mg, depending on the dose) once daily without food allowed for at least 2 hours before and 1 hour after...” NCT02014558 ↗
Target FLT3 “Selective inhibition of FLT3 by gilteritinib” PMID 28645776 ↗ Jun 2017