Drugs / Melphalan flufenamide

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved EU (EMA) Pepaxti — 2022-08-17 europa.eu ↗
Clinical hold US (FDA) — — 2021-07-08

“In July 2021, the US Food and Drug Administration (FDA) requested a partial clinical hold of all studies with melflufen.” oncopeptides.com ↗

“the FDA has requested a partial clinical hold of all clinical studies with melflufen, pending further investigation.” oncopeptides.com ↗

Trials 9

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT04115956 Aug 2020 → Jan 2022 AL amyloidosis Oncopeptides AB Terminated No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT03481556 Apr 2018 → Feb 2022 plasma cell myeloma Oncopeptides AB Terminated No outcome recorded
Phase 1/2 NCT01897714 Jul 2013 → Dec 2017 indolent plasma cell myeloma Oncopeptides AB Terminated No outcome recorded
Phase 23 trials
Phase 2 NCT06682637 Mar 2025 — Fondazione EMN Italy Onlus Withdrawn No outcome recorded
Phase 2 NCT03639610 Aug 2018 → Dec 2021 impaired renal function disease, plasma cell myeloma Oncopeptides AB Terminated No outcome recorded
Phase 2 NCT02963493 Dec 2016 → Oct 2020 plasma cell myeloma Oncopeptides AB Completed No outcome recorded
Phase 32 trials · 2 met primary
Phase 3 NCT04649060 Dec 2020 → Feb 2022 plasma cell myeloma, refractory plasma cell neoplasm Oncopeptides AB Terminated Met primary Stop: Business
Phase 3 NCT03151811 Jun 2017 → Feb 2021 plasma cell myeloma Oncopeptides AB Terminated Met primary
Phase not stated1 trial
— NCT04534322 — refractory plasma cell neoplasm Oncopeptides AB Approved for marketing No outcome recorded

News releases announcing trial results or a regulatory action · 65

DateIssuerRelease
2026-10-09 Oncopeptides AB Results Oncopeptides confirms blood-brain-barrier penetration based on data from first patients in glioblastoma Window-of-Opportunity study oncopeptides.com ↗
Analysis of resected tumor tissue from three evaluated patients showed clear and consistent presence of active compound (the primary endpoint in this part of the study), indicating efficient penetration across the human blood-brain barrier.
2026-09-22 Oncopeptides AB Results Preclinical and translational glioblastoma data to be presented at EANO 2026, Oncopeptides nominated for prestigious EANO 2026 Poster award oncopeptides.com ↗
Studies in animal models confirmed that the drugs successfully reach high concentrations in the brain relative to the bloodstream.
2026-09-17 Oncopeptides AB Regulatory CHMP issues positive opinion of label expansion of Pepaxti to third-line treatment oncopeptides.com ↗
Oncopeptides AB (publ) (Nasdaq Stockholm: ONCO), a biotech company focused on difficult-to-treat cancers, today announces that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has adopted a positive opinion recommending an extension of the therapeutic indication for Pepaxti (melflufen) to earlier lines of therapy.
2026-08-17 Oncopeptides AB Regulatory Oncopeptides receives list price for Pepaxti in Slovenia, marking first expansion milestone in Central and Eastern Europe oncopeptides.com ↗
Oncopeptides AB (publ) (Nasdaq Stockholm: ONCO), a biotech company focused on difficult-to-treat cancers, today announces that the Public Agency of the Republic of Slovenia for Medicinal Products and Medical Devices (JAZMP) has formally endorsed the Maximum Allowed Price (MAP) for Pepaxti (melflufen) in Slovenia.
2026-06-12 Oncopeptides AB Regulatory Oncopeptides submits Type II variation application to EMA for Pepaxti label expansion into third line treatment oncopeptides.com ↗
STOCKHOLM — June 12, 2026 — Oncopeptides AB (publ) (Nasdaq Stockholm: ONCO), a biotech company focused on difficult-to-treat cancers, today announces that it has formally submitted its Type II variation application to the European Medicines Agency (EMA).
2026-05-27 Oncopeptides AB Results Oncopeptides to present clinical and translational data on Pepaxti at EHA 2026 in Stockholm oncopeptides.com ↗
New translational data demonstrates that melflufen induces damage to both nuclear and mitochondrial DNA.
2026-05-20 Oncopeptides AB Results Study confirms use of Pepaxti in a broader population, with strong data in the 50% of RRMM patients that suffer from reduced kidney function oncopeptides.com ↗
Study confirms use of Pepaxti in a broader population, with strong data in the 50% of RRMM patients that suffer from reduced kidney function
2026-05-13 Oncopeptides AB Results COMy: New clinical and real-world evidence for Pepaxti demonstrating strong data and expanded positioning oncopeptides.com ↗
Three e-poster presentations of data related to Pepaxti will be held during the conference.
2026-03-13 Oncopeptides AB Results European Journal of Haematology: Real-World Data reinforces Pepaxti’s role in treatment sequencing for multiple myeloma oncopeptides.com ↗
Despite a highly refractory population—where 88% were triple-class refractory and 41% were penta-drug refractory—Pepaxti demonstrated a clinically meaningful overall response rate (ORR) of 41%.
2025-12-29 Oncopeptides AB Results Research shows that Pepaxti is effective in high-risk myeloma oncopeptides.com ↗
Oncopeptides AB (publ) (Nasdaq Stockholm: ONCO), a biotech company focused on difficult-to-treat cancers, today announces new research demonstrating that Pepaxti (melflufen) maintains its anti-myeloma activity in patients with high-risk genetic features, including deletion 17p (del(17p)) and TP53 mutations.
2025-10-16 Oncopeptides AB Results Journal of Cancer Research and Clinical Oncology: Exceptional long-term responses to Pepaxti oncopeptides.com ↗
2025-04-16 Oncopeptides AB Results New Real-World Data support effectiveness and tolerability of Pepaxti in heavily pretreated Multiple Myeloma patients oncopeptides.com ↗
Despite this, treatment with Pepaxti in combination with dexamethasone showed an overall response rate (ORR) of 37.5%, with partial responses seen even among patients with advanced disease manifestations.

All press releases naming this drug 106 releases

DateIssuerRelease
Show all 106 releases opens the full record — a long page

Evidence & citations 13 cited values

Every value below carries the sentence it was read from. 11 sources stand behind the page.

FieldValueCited text
Known as Melphalan-flufenamide “An Open-Label Phase I/IIa Study of the Safety and Efficacy of Melphalan-flufenamide (Melflufen) and Dexamethasone Combination for Patients With Relapsed and/or...” NCT01897714 ↗
4

NCT04534322 ↗

NCT04115956 ↗

NCT03481556 ↗

NCT02963493 ↗

Known as CK 1535 ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as J 1 (PRODRUG) ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as J-1 HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as Melfalan flufenamida ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as Melflufen “Melphalan flufenamide (melflufen) is a peptide-drug conjugate that rapidly delivers an alkylating payload into tumor cells.” NCT02963493 ↗
7

“Melphalan flufenamide (Melflufen)” NCT03481556 ↗

“Melphalan-Flufenamide (Melflufen)” NCT04115956 ↗

NCT01897714 ↗

NCT03639610 ↗

NCT06682637 ↗

NCT04649060 ↗

NCT03151811 ↗

Known as Melflufen hydrochloride ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as MELPHALAN FLUFENAMIDE HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as Pepaxti ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as Pepaxto ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Known as PRODRUG J 1 ChEMBL registry synonym — accepted as the source's own label CHEMBL4303060 ↗
Modality Peptide “Melphalan flufenamide (melflufen) is a peptide-drug conjugate” NCT02963493 ↗
Route Intravenous “patients received an intravenous infusion of melflufen at 15 mg, 25 mg, 40 mg, or 55 mg” PMID 32213344 ↗ Mar 2020