Drugs / Fostamatinib
last change Aug 2026 re-read 9 days ago

Fostamatinib

also known as Fostamatinib Disodium · R935788 · R788 · FOS · FosD

Small molecule targets SYK via inhibition

Developed for
rheumatoid arthritis · autoimmune thrombocytopenic purpura · autoimmune hemolytic anemia, warm type · chronic graft versus host disease · autoimmune hemolytic anemia · COVID-19 · thrombocytopenia due to immune destruction · adult acute respiratory distress syndrome
+24 more · chronic myelomonocytic leukemia · colorectal cancer · diffuse large B-cell lymphoma · head and neck neoplasm · hematopoietic and lymphoid cell neoplasm · hidradenitis suppurativa · IgA glomerulonephritis · lymphoma · myelodysplastic syndrome · myelofibrosis · non-small cell lung carcinoma · ovarian cancer · pancreatic ductal adenocarcinoma · pheochromocytoma · renal cell carcinoma · sickle cell disease · systemic lupus erythematosus · T-cell non-Hodgkin lymphoma · thrombocytopenia · thrombocytopenic purpura · transplant rejection · pneumonia · severe acute respiratory syndrome · viral pneumonia
Investigated by
AstraZeneca · Rigel Pharmaceuticals · National Heart, Lung, and Blood Institute (NHLBI) · National Cancer Institute (NCI) · National Institutes of Health (NIH) · Stefanie Sarantopoulos, MD, PhD.
+13 more · Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute) · Biomedical Advanced Research and Development Authority · Holdsworth House Medical Practice · Imperial College London · Incyte Corporation · Inova Health Care Services · Kissei Pharmaceutical Co., Ltd. · M.D. Anderson Cancer Center · NEAT ID Foundation · Sean Collins · Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins · University of California, San Diego · Washington University School of Medicine

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed primary thrombocytopenia 4 milestones
Filed Japan (PMDA) — primary thrombocytopenia 2022-04-27

“an NDA was submitted to Japan's Pharmaceuticals and Medical Devices Agency for fostamatinib in chronic ITP.” rigel.com ↗

“慢性特発性血小板減少性紫斑病(以下、慢性ITP)を適応症として、日本国内における製造販売承認申請を行いました” kissei.co.jp ↗

Filed EU (EMA) — primary thrombocytopenia 2018-10-04

“the European Medicines Agency (EMA) has validated the Marketing Authorization Application (MAA) for fostamatinib in adult chronic immune thrombocytopenia.” rigel.com ↗

“On October 4, 2018, the EMA validated the marketing authorization application for fostamatinib in adult chronic ITP, which was submitted by Rigel.” rigel.com ↗

Filed US (FDA) TAVALISSE primary thrombocytopenia 2017-06-19

“FDA has filed its New Drug Application (NDA) for the use of TAVALISSE™ (fostamatinib disodium) in patients with chronic or persistent immune thrombocytopenia (ITP)” rigel.com ↗

Filed US (FDA) — primary thrombocytopenia 2017-04-17

“has submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for fostamatinib in patients with chronic and persistent immune thrombocytopenia (ITP)” rigel.com ↗

Approved Indication not stated 2 milestones
Approved EU (EMA) Tavlesse — 2020-01-09 europa.eu ↗
Approved US (FDA) TAVALISSE — 2018-04-17 fda.gov ↗

Trials 55

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 119 trials
Phase 1 NCT06948097 Oct 2026 → Jul 2028 expected — National Heart, Lung, and Blood Institute (NHLBI) Recruiting No outcome recorded
Phase 1 NCT06233110 Oct 2025 → Jan 2029 expected chronic graft versus host disease Stefanie Sarantopoulos, MD, PhD. Recruiting No outcome recorded
Phase 1 NCT05904093 Dec 2024 → May 2027 expected sickle cell disease National Heart, Lung, and Blood Institute (NHLBI) Recruiting No outcome recorded
Phase 1 NCT06639724 Dec 2024 → Dec 2027 expected pancreatic ductal adenocarcinoma University of California, San Diego Recruiting No outcome recorded
Phase 1 NCT05030675 Aug 2021 → Aug 2024 chronic myelomonocytic leukemia, myelodysplastic syndrome M.D. Anderson Cancer Center Completed No outcome recorded
Phase 1 NCT03246074 Apr 2018 → Aug 2022 ovarian cancer Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Completed No outcome recorded
Phase 1 NCT02611063 Jan 2016 → Feb 2021 hematopoietic and lymphoid cell neoplasm Stefanie Sarantopoulos, MD, PhD. Completed No outcome recorded
Phase 1 NCT01608542 Jun → Aug 2012 — AstraZeneca Completed No outcome recorded
Phase 1 NCT01598571 May → Aug 2012 — AstraZeneca Completed No outcome recorded
Phase 1 NCT01387308 Aug → Oct 2011 — AstraZeneca Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT03991780 May 2019 → Apr 2023 overdue transplant rejection Imperial College London Active not recruiting No outcome recorded
Phase 1/2 NCT00446095 Apr 2007 → Apr 2010 lymphoma Rigel Pharmaceuticals Completed No outcome recorded
Phase 221 trials · 3 met primary · 1 missed
Phase 2 NCT06564207 Aug 2026 → May 2027 expected adult acute respiratory distress syndrome Inova Health Care Services Not yet recruiting No outcome recorded
Phase 2 NCT05509582 Nov 2025 autoimmune hemolytic anemia, chronic graft versus host disease, thrombocytopenia due to immune destruction National Heart, Lung, and Blood Institute (NHLBI) Withdrawn No outcome recorded
Phase 2 NCT05502783 Mar → Jun 2023 autoimmune hemolytic anemia, chronic graft versus host disease, thrombocytopenia due to immune destruction National Heart, Lung, and Blood Institute (NHLBI) Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT05040698 Oct 2021 → Jan 2023 hidradenitis suppurativa Holdsworth House Medical Practice Completed No outcome recorded
Phase 2 NCT04543279 May 2021 → Jul 2022 myelofibrosis, thrombocytopenia Washington University School of Medicine Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT02612558 Jul 2016 → Dec 2019 autoimmune hemolytic anemia, warm type Rigel Pharmaceuticals Completed No outcome recorded
Phase 2 NCT02433236 Sep 2015 IgA glomerulonephritis Rigel Pharmaceuticals Withdrawn No outcome recorded Stop: Enrollment
Phase 2 NCT01640054 Jul 2012 → Jul 2013 rheumatoid arthritis AstraZeneca Terminated No outcome recorded
Phase 2 NCT01563978 Apr 2012 → Jan 2013 rheumatoid arthritis AstraZeneca Completed Met primary
Phase 2 NCT01569074 Apr 2012 → Jul 2013 rheumatoid arthritis AstraZeneca Terminated Missed primary
Phase 2/32 trials · 1 missed
Phase 2/3 NCT05593770 Oct 2022 → Dec 2023 COVID-19 NEAT ID Foundation Terminated No outcome recorded
Phase 2/3 NCT04924660 Jul 2021 → Oct 2023 COVID-19 Sean Collins Completed Missed primary
Phase 310 trials · 3 met primary · 2 missed
Phase 3 NCT04132050 Dec 2019 → Dec 2021 thrombocytopenic purpura Kissei Pharmaceutical Co., Ltd. Completed Met primary
Phase 3 NCT04138927 Oct 2019 → Apr 2024 overdue autoimmune hemolytic anemia, warm type Rigel Pharmaceuticals Enrolling by invitation No outcome recorded
Phase 3 NCT03764618 Apr 2019 → Apr 2022 autoimmune hemolytic anemia, warm type Rigel Pharmaceuticals Completed Missed primary
Phase 3 NCT02076412 Jan 2015 → Aug 2016 autoimmune thrombocytopenic purpura Rigel Pharmaceuticals Completed Missed primary
Phase 3 NCT02077192 Oct 2014 → Jun 2020 autoimmune thrombocytopenic purpura Rigel Pharmaceuticals Completed No outcome recorded
Phase 3 NCT02076399 Jul 2014 → Apr 2016 autoimmune thrombocytopenic purpura Rigel Pharmaceuticals Completed Met primary
Phase 3 NCT01242514 Jan 2011 → Jan 2015 rheumatoid arthritis AstraZeneca Terminated No outcome recorded
Phase 3 NCT01197534 Sep 2010 → Mar 2013 rheumatoid arthritis AstraZeneca Completed Met primary
Phase 3 NCT01197521 Sep 2010 → Nov 2012 rheumatoid arthritis AstraZeneca Completed Mixed
Phase 3 NCT01197755 Sep 2010 → Feb 2013 rheumatoid arthritis AstraZeneca Completed No outcome recorded
Phase not stated1 trial
— NCT03363334 — autoimmune thrombocytopenic purpura Rigel Pharmaceuticals No longer available No outcome recorded
Comparator or background therapy6 trials
Phase 1 NCT01725230 Background Nov 2012 → Jan 2013 rheumatoid arthritis AstraZeneca Completed No outcome recorded
Phase 1 NCT01682408 Comparator Sep → Dec 2012 — AstraZeneca Completed No outcome recorded
Phase 1/2 NCT04581954 Comparator Oct 2020 → Nov 2022 COVID-19, pneumonia Imperial College London Completed No outcome recorded
Phase 2 NCT04579393 Comparator Oct 2020 → Mar 2021 COVID-19 National Heart, Lung, and Blood Institute (NHLBI) Completed No outcome recorded
Phase 2 NCT02112838 Comparator Oct 2014 → Mar 2018 IgA glomerulonephritis Rigel Pharmaceuticals Completed No outcome recorded

News releases announcing trial results or a regulatory action · 40

DateIssuerRelease
2025-01-21 Kissei Pharmaceutical Co., Ltd. Regulatory 脾臓チロシンキナーゼ阻害剤「ホスタマチニブ」の韓国における販売承認取得のお知らせ kissei.co.jp ↗
キッセイ薬品工業株式会社(本社:長野県松本市、代表取締役会長兼最高経営責任者:神澤陸雄、以下「当社」)は、脾臓チロシンキナーゼ阻害剤「ホスタマチニブ」(一般名、以下「本剤」)について、技術導出先であるJWファーマシューティカル社(JW Pharmaceutical CORPORATION、本社:韓国、CEO:YS Shin、以下「JWファーマ社」)が、2025年1月20日付で韓国食品医薬品安全処(MFDS)より、慢性特発性血小板減少性紫斑病(以下「慢性ITP」)の適応で販売承認を取得したことをお知らせいたします。
2024-11-05 Rigel Pharmaceuticals Results Rigel Announces Six Poster Presentations at the 66th American Society of Hematology Annual Meeting and Exposition rigel.com ↗
demonstrated that the combination led to a clinically meaningful response in a majority of patients with ITP.
2022-12-23 Kissei Pharmaceutical Co., Ltd. Regulatory 経口血小板破壊抑制薬「タバリス®錠100mg、同150mg」の国内における製造販売承認取得のお知らせ kissei.co.jp ↗
本日、経口血小板破壊抑制薬「タバリス®錠100mg、同150mg」(一般名:ホスタマチニブナトリウム水和物、開発番号:R788、以下「本剤」)について、慢性特発性血小板減少性紫斑病(以下、慢性ITP)を適応症として、厚生労働省より製造販売承認を取得しましたので、お知らせします。
2022-12-19 Kissei Pharmaceutical Co., Ltd. Results 脾臓チロシンキナーゼ阻害剤「ホスタマチニブ」の国内第Ⅲ相臨床試験結果が「British Journal of Haematology」に掲載 kissei.co.jp ↗
二重盲検期において、本剤またはプラセボを24週間経口投与し、本剤の有効性と安全性を検討した結果、主要評価項目であるStable platelet responseの達成割合 ※2 は、プラセボ投与群に比較して本剤投与群で有意に高い結果が示されました(本剤投与群 36%、プラセボ投与群 0%、p=0.030)。
2022-11-01 Rigel Pharmaceuticals Results Rigel Announces Top-line Results from FOCUS Phase 3 Clinical Trial of Fostamatinib in High Risk Hospitalized COVID-19 Patients rigel.com ↗
Rigel Pharmaceuticals, Inc. (Nasdaq: RIGL), today announced top-line efficacy and safety results from the FOCUS Phase 3 clinical trial of fostamatinib in hospitalized COVID-19 patients without respiratory failure who have certain high-risk prognostic factors.
2022-06-08 Rigel Pharmaceuticals Results Rigel Announces Top-line Results from FORWARD Phase 3 Clinical Trial of Fostamatinib in Patients with Warm Autoimmune Hemolytic Anemia rigel.com ↗
The trial did not demonstrate statistical significance in the primary efficacy endpoint of durable hemoglobin response in the overall study population.
2022-04-27 Kissei Pharmaceutical Co., Ltd. Regulatory チロシンキナーゼ阻害剤「ホスタマチニブ」の国内製造販売承認申請のお知らせ kissei.co.jp ↗
このたび、チロシンキナーゼ阻害剤「ホスタマチニブ」(一般名、開発番号:R788)について、慢性特発性血小板減少性紫斑病(以下、慢性ITP)を適応症として、日本国内における製造販売承認申請を行いましたので、お知らせいたします。
2022-03-08 Rigel Pharmaceuticals Results Rigel Announces Publication of Data from Phase 2 Clinical Study of Fostamatinib for the Treatment of Warm Antibody Autoimmune Hemolytic Anemia in the American Journal of Hematology rigel.com ↗
The results observed in our Phase 2 study in warm autoimmune hemolytic anemia reinforce the potential of fostamatinib to help patients with this rare, serious blood disorder for whom no disease-targeted therapies are currently approved
2021-12-21 Rigel Pharmaceuticals Results Fostamatinib Meets Primary Endpoint in Phase 3 Trial in Japan for Treatment of Chronic Immune Thrombocytopenia rigel.com ↗
The Phase 3 clinical study (n=34) showed that patients receiving fostamatinib (R788) achieved a stable platelet response significantly higher than patients receiving a placebo control.
2021-12-21 Kissei Pharmaceutical Co., Ltd. Results チロシンキナーゼ阻害剤「ホスタマチニブ」の 慢性特発性血小板減少性紫斑病を対象とした国内第Ⅲ相臨床試験の 第Ⅰ期解析結果について ―主要評価項目を達成― kissei.co.jp ↗
今般、第Ⅰ期を対象とする解析を行い、主要評価項目である「Stable platelet response の達成割合」は、ホスタマチニブ群ではプラセボ群と比べ統計学的に有意に高い結果が得られました。
2021-09-01 Rigel Pharmaceuticals Results Data from NIH/NHLBI-Sponsored Phase 2 Trial of Fostamatinib in Hospitalized COVID-19 Patients Published in Clinical Infectious Diseases rigel.com ↗
Patients treated with fostamatinib not only had less severe adverse events, but were observed to have improved clinical outcomes compared to those receiving placebo and standard of care.
2021-08-13 Rigel Pharmaceuticals Regulatory Rigel Pharmaceuticals Provides Update on COVID-19 Program rigel.com ↗
Rigel Pharmaceuticals, Inc. (Nasdaq: RIGL), today announced that the U.S. Food and Drug Administration (FDA) has informed the Company that clinical data submitted in late-May from a 59-patient NIH/NHLBI-sponsored Phase 2 trial of fostamatinib to treat hospitalized patients suffering from COVID-19 are insufficient for an emergency use authorization (EUA) at this time.

All press releases naming this drug 75 releases

DateIssuerRelease

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 64 sources stand behind the page.

FieldValueCited text
Known as Fostamatinib ClinicalTrials.gov intervention name — accepted as the source's own label NCT01608542 ↗
56

NCT02076412 ↗

NCT01387308 ↗

NCT03246074 ↗

NCT05502783 ↗

NCT01276262 ↗

NCT04543279 ↗

NCT01245790 ↗

NCT02612558 ↗

NCT03363334 ↗

NCT01309854 ↗

Show 46 more sources

Known as FOS “To determine the safety and efficacy of ruxolitinib (RUX) and fostamatinib (FOS) compared with standard of care (SOC) in patients requiring hospital admission for the treatment...” PMID 41644167 ↗ Feb 2026
Known as FosD ClinicalTrials.gov intervention name — accepted as the source's own label NCT01167868 ↗
Known as Fostamatinib Disodium “(OSKIRA-1): A Phase III, Multi-centre, Randomised, Double-Blind, Placebo-Controlled, Parallel Group Study of Two Dosing Regimens of Fostamatinib Disodium in Rheumatoid...” NCT01197521 ↗
9

“A Study to Assess the Safety, Tolerability, and Blood and Urine Drug Levels of Fostamatinib Disodium (FosD) in Healthy Japanese and White Subjects” NCT01167868 ↗

“Inhibition of Syk with fostamatinib disodium has significant clinical activity in non-Hodgkin lymphoma and chronic lymphocytic leukemia.” PMID 19965662 ↗ Nov 2009

“Fostamatinib Disodium tablet 100 mg or 150 mg PO bid (morning and evening) over the course of 24 weeks.” NCT02076412 ↗

“Drug: Fostamatinib Disodium (R935788)” NCT00805467 ↗

“Fostamatinib Disodium (R935788)” NCT00752999 ↗

“Fostamatinib Disodium / R935788” NCT00706342 ↗

“Fostamatinib disodium (R935788)” NCT00665626 ↗

“Fostamatinib disodium (R935788)” NCT00665925 ↗

NCT00798096 ↗

Known as R788 ClinicalTrials.gov intervention name — accepted as the source's own label NCT00326339 ↗
1

NCT04132050 ↗

Known as R935788 “R935788 (fostamatanib disodium) is a kinase inhibitor” NCT00923481 ↗
3

“Fostamatinib Disodium / R935788” NCT00706342 ↗

“Fostamatinib Disodium (R935788)” NCT00752999 ↗

“Fostamatinib disodium (R935788)” NCT00665626 ↗

Action Inhibit “Spleen Tyrosine Kinase (Syk) Inhibitor” NCT00665626 ↗
Modality Small molecule “a small molecule inhibitor of Syk” PMID 29669391 ↗ Jul 2018
Route Oral “R788 50 mg PO bid” NCT00326339 ↗
Target SYK “a small molecule inhibitor of Syk” PMID 29669391 ↗ Jul 2018