Drugs / Tuspetinib
last change Jun 2026 re-read 3 minutes ago

Tuspetinib

also known as HM43239

Small molecule targets FLT3, MCL1, SYK via inhibition

Developed for
acute myeloid leukemia · chronic myelomonocytic leukemia · myelodysplastic syndrome with excess blasts-2
Investigated by
Aptose Biosciences Inc.

Trials 1

201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 1/2 NCT03850574 Mar 2019 → Nov 2026 expected acute myeloid leukemia, chronic myelomonocytic leukemia, myelodysplastic syndrome with excess blasts-2 Aptose Biosciences Inc. Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 31

DateIssuerRelease
2026-06-15 Aptose Biosciences Inc. Results Aptose Presents Safety, Response, and MRD Clinical Data from TUSCANY Phase 1/2 Clinical Trial of Tuspetinib Triplet Therapy in Newly Diagnosed AML at the 2026 EHA Congress in Oral Presentation aptose.com ↗
Composite complete response (CRc) rate in evaluable patients across all dosing groups was 86.2%
2025-12-06 Aptose Biosciences Inc. Results Aptose’s Tuspetinib Triple Drug Therapy Featured at the 2025 ASH Annual Meeting; High Rate of Frontline Clinical Responses Continues Across AML Populations aptose.com ↗
In newly diagnosed AML patients, TUS+VEN+AZA shows promising safety, tolerability and resilient efficacy, including MRD-negative remissions across a broad mutational spectrum
2025-10-16 Aptose Biosciences Inc. Results Aptose’s Tuspetinib Exceeds Expectations When Combined with Standard of Care Treatment Across Diverse Populations of Newly Diagnosed AML aptose.com ↗
Addition of TUS to VEN+AZA achieves CR/CRh responses in all (6/6, 100%) patients treated at the higher dose levels of 80 mg and 120 mg TUS, exceeding the 66% rate expected from VEN+AZA alone
2025-08-18 Aptose Biosciences Inc. Results Aptose Reports Early Data Demonstrating Tuspetinib Improves Standard of Care Treatment Across Diverse Populations of Newly Diagnosed AML in Phase 1/2 TUSCANY Trial aptose.com ↗
Addition of TUS to VEN+AZA improves response rates; 100% CR/CRh at 80 mg and 120 mg
2025-08-06 Aptose Biosciences Inc. Results Aptose Enrollment is Open for 160 mg Dosing Cohort of Tuspetinib in Phase 1/2 TUSCANY Trial of Frontline Triple Drug Therapy aptose.com ↗
TUS+VEN+AZA triplet continues to achieve CRs and minimal residual disease (MRD)-negativity with favorable safety in newly diagnosed AML patients
2025-06-12 Aptose Biosciences Inc. Results Aptose Presents Safety, Response, and MRD Clinical Data from TUSCANY Phase 1/2 Clinical Trial of Tuspetinib Triplet Therapy in Newly Diagnosed AML at the 2025 EHA Congress aptose.com ↗
The oral presentation at EHA included updated safety, complete remission, minimal residual disease (MRD) assessments, and longer duration of follow-up:
2025-05-20 Aptose Biosciences Inc. Results Aptose Announces Dosing of First Patient with 120 mg of Tuspetinib in Phase 1/2 Tuscany Trial of Frontline Triple Drug Therapy after Dose Escalation Decision by Safety Review Committee aptose.com ↗
No significant safety concerns or dose limiting toxicities (DLTs) have been reported in the TUSCANY trial, including no prolonged myelosuppression of subjects in remission.
2025-05-05 Aptose Biosciences Inc. Results Aptose Provides Clinical Update for the Tuspetinib-based Triple Drug Frontline Therapy in Newly Diagnosed AML Patients from the Phase 1/2 TUSCANY Trial aptose.com ↗
Data from the first two cohorts, with a 40 mg or 80 mg dose of tuspetinib in the TUS+VEN+AZA combination, reveal promising clinical safety and antileukemic activity.
2025-02-20 Aptose Biosciences Inc. Results Aptose Announces Positive Clinical Safety Review Committee (CSRC) Approval to Dose Escalate in Phase 1/2 Tuscany Trial of Frontline Triple Drug Therapy with Tuspetinib Amid Complete Responses and Favorable Safety in First Cohort aptose.com ↗
No significant safety concerns or dose limiting toxicities (DLTs) have been reported, including no prolonged myelosuppression of subjects in remission.
2025-02-12 Aptose Biosciences Inc. Results Aptose’s Frontline Triple Drug Therapy with Tuspetinib Achieves Notable Responses in Newly Diagnosed AML Patients in the Phase 1/2 TUSCANY Trial aptose.com ↗
Two FLT3-WT patients achieved complete remissions (CR and CRh) by the end of Cycle 1.
2024-12-12 Aptose Biosciences Inc. Results Aptose Announces Publication of Preclinical Data in AACR Journal Demonstrating Tuspetinib’s Unique Mechanism of Action and Synthetic Lethality on AML Cells When Combined with Venetoclax aptose.com ↗
The publication defines TUS activities on select oncogenic signaling targets, demonstrates enhanced activity and safety of TUS when combined with other agents, and illustrates synthetic lethality when combined with venetoclax (VEN).
2024-12-09 Aptose Biosciences Inc. Results Aptose Clinical Data Featured in Poster Presentation at the 2024 ASH Annual Meeting Support Tuspetinib Triple Drug Therapy for Newly Diagnosed AML aptose.com ↗
TUS+VEN retains activity in the difficult-to-treat prior-VEN AML population

All press releases naming this drug 45 releases

DateIssuerRelease

Evidence & citations 8 cited values

Every value below carries the sentence it was read from. 2 sources stand behind the page.

FieldValueCited text
Known as Tuspetinib ClinicalTrials.gov intervention name — accepted as the source's own label NCT03850574 ↗
Known as HM43239 “Tuspetinib (HM43239)” NCT03850574 ↗
Action Inhibit “indirectly suppresses expression of MCL1” PMID 39665627 ↗ Jan 2025
Modality Small molecule “Tuspetinib (TUS) is a well-tolerated, once daily, oral kinase inhibitor” PMID 39665627 ↗ Jan 2025
Route Oral “Tuspetinib (TUS) is a well-tolerated, once daily, oral kinase inhibitor” PMID 39665627 ↗ Jan 2025
Target FLT3 “TUS targets key prosurvival kinases with IC50 values in the low nmol/L range, including SYK, wild-type (WT) and mutant forms of FLT3” PMID 39665627 ↗ Jan 2025
Target MCL1 “and indirectly suppresses expression of MCL1” PMID 39665627 ↗ Jan 2025
Target SYK “TUS targets key prosurvival kinases with IC50 values in the low nmol/L range, including SYK” PMID 39665627 ↗ Jan 2025