Drugs / Mitapivat

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed beta-thalassemia and related diseases 1 milestone
Filed EU (EMA) PYRUKYND beta-thalassemia and related diseases —

“A marketing application for mitapivat in thalassemia is currently under review by the European Commission .” agios.com ↗

“A marketing application for PYRUKYND in thalassemia is currently under review by the European Commission .” agios.com ↗

Filed pyruvate kinase deficiency of red cells 2 milestones
Filed EU (EMA) — pyruvate kinase deficiency of red cells 2021-06-28

“submitted a Marketing Authorisation Application (MAA) for mitapivat to the European Medicines Agency (EMA)” agios.com ↗

Filed US (FDA) — pyruvate kinase deficiency of red cells 2021-06-21

“submitted a New Drug Application (NDA) for mitapivat to the U.S. Food and Drug Administration (FDA)” agios.com ↗

Filed sickle cell S-Lepore disease 1 milestone
Filed Other — sickle cell S-Lepore disease 2026-07-30

“Agios also filed for regulatory approval of mitapivat for sickle cell disease in Saudi Arabia .” agios.com ↗

Approved Indication not stated 3 milestones
Label expansion US (FDA) PYRUKYND — 2025-12-23 fda.gov ↗
Approved EU (EMA) Pyrukynd — 2022-11-09 europa.eu ↗
Approved US (FDA) PYRUKYND — 2022-02-17 fda.gov ↗

Trials 29

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT04000165 Jul 2019 → Jun 2021 sickle cell disease National Institutes of Health Clinical Center (CC) Completed No outcome recorded
Phase 110 trials
Phase 1 NCT06648824 Oct → Dec 2024 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT05610657 Jan → Jul 2023 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT04696393 Jan → Mar 2021 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT04565678 Sep → Dec 2020 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT04472832 Jun → Nov 2020 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT03991312 Jun → Aug 2019 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT03703505 May → Jun 2018 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT03250598 Aug → Oct 2017 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT02149966 May → Nov 2014 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1 NCT02108106 Mar → Aug 2014 — Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT04610866 Dec 2020 → Feb 2028 expected hemolytic anemia, sickle cell disease National Heart, Lung, and Blood Institute (NHLBI) Active not recruiting No outcome recorded
Phase 25 trials · 1 met primary
Phase 2 NCT06286046 Mar 2026 → May 2027 sickle cell disease Agios Pharmaceuticals, Inc. Withdrawn No outcome recorded Stop: Enrollment
Phase 2 NCT07055243 Jun 2025 → Jun 2026 overdue anemia University Health Network, Toronto Recruiting No outcome recorded
Phase 2 NCT05935202 Dec 2023 → Jul 2025 overdue erythrocyte disorder EuroBloodNet Association Not yet recruiting No outcome recorded
Phase 2 NCT03692052 Mar 2019 → Aug 2020 overdue thalassemia Agios Pharmaceuticals, Inc. Active not recruiting Met primary
Phase 2 NCT02476916 Jun 2015 → May 2017 pyruvate kinase deficiency of red cells Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT05031780 Feb 2022 → Oct 2025 overdue sickle cell disease Agios Pharmaceuticals, Inc. Active not recruiting No outcome recorded
Phase 310 trials · 5 met primary · 1 missed
Phase 3 NCT07517133 Sep 2026 → Mar 2029 expected alpha thalassemia spectrum, beta thalassemia Agios Pharmaceuticals, Inc. Not yet recruiting No outcome recorded
Phase 3 NCT07506863 Sep 2026 → Jun 2029 expected alpha thalassemia spectrum, beta thalassemia Agios Pharmaceuticals, Inc. Not yet recruiting No outcome recorded
Phase 3 NCT07656415 Aug 2026 → Aug 2029 expected sickle cell disease Agios Pharmaceuticals, Inc. Not yet recruiting No outcome recorded
Phase 3 NCT05144256 Jun 2022 → May 2024 overdue pyruvate kinase deficiency of red cells Agios Pharmaceuticals, Inc. Active not recruiting Missed primary
Phase 3 NCT05175105 Jun 2022 → Dec 2024 overdue pyruvate kinase deficiency of red cells Agios Pharmaceuticals, Inc. Active not recruiting Met primary
Phase 3 NCT04770753 Dec 2021 → Nov 2023 overdue alpha thalassemia spectrum, beta-thalassemia intermedia Agios Pharmaceuticals, Inc. Active not recruiting Met primary
Phase 3 NCT04770779 Nov 2021 → Apr 2024 overdue alpha thalassemia spectrum, beta thalassemia Agios Pharmaceuticals, Inc. Active not recruiting Met primary
Phase 3 NCT03853798 Mar 2019 → Jul 2024 pyruvate kinase deficiency of red cells Agios Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT03548220 Aug 2018 → Oct 2020 pyruvate kinase deficiency of red cells Agios Pharmaceuticals, Inc. Completed Met primary
Phase 3 NCT03559699 Jun 2018 → Nov 2020 pyruvate kinase deficiency of red cells Agios Pharmaceuticals, Inc. Completed Met primary
Phase 41 trial
Phase 4 NCT05777993 Jul 2023 → Aug 2029 expected pyruvate kinase deficiency of red cells Agios Pharmaceuticals, Inc. Enrolling by invitation No outcome recorded
Comparator or background therapy1 trial
Phase 1 NCT03397329 Comparator Oct → Nov 2017 — Agios Pharmaceuticals, Inc. Completed No outcome recorded

News releases announcing trial results or a regulatory action · 67

DateIssuerRelease
2026-07-07 Agios Pharmaceuticals, Inc. Regulatory U.S. FDA Grants Priority Review to Agios’ sNDA for Mitapivat in Sickle Cell Disease agios.com ↗
2026-06-13 Agios Pharmaceuticals, Inc. Results Agios Showcases RISE UP Phase 3 Results at EHA 2026 Plenary Session Reinforcing Strong Anti-Hemolytic Profile of Mitapivat in Sickle Cell Disease agios.com ↗
2026-05-22 Agios Pharmaceuticals, Inc. Regulatory Agios’ PYRUKYND® (mitapivat) Approved in the European Union for Adults with Thalassemia agios.com ↗
With this decision, PYRUKYND becomes the only medicine approved in all European Union (EU) member states for this broad patient population.
2026-05-12 Agios Pharmaceuticals, Inc. Regulatory Agios Submits sNDA to FDA for U.S. Accelerated Approval of Mitapivat in Sickle Cell Disease agios.com ↗
Agios Pharmaceuticals, Inc. (Nasdaq: AGIO), a commercial-stage biopharmaceutical company focused on delivering innovative medicines for patients with rare diseases, today announced the submission of its supplemental New Drug Application (sNDA) to the U.S. Food and Drug Administration (FDA) for the U.S. accelerated approval of mitapivat, an oral pyruvate kinase (PK) activator, in sickle cell disease.
2026-03-02 Agios Pharmaceuticals, Inc. Regulatory Agios’ PYRUKYND® (mitapivat) Approved for Adults with Thalassemia in the United Arab Emirates agios.com ↗
With this approval, PYRUKYND becomes the only medicine approved in the UAE for this patient population.
2025-12-23 Agios Pharmaceuticals, Inc. Regulatory U.S. FDA Approves Agios’ AQVESME™ (mitapivat) for the Treatment of Anemia in Adults with Alpha- or Beta-Thalassemia agios.com ↗
With this approved indication, AQVESME becomes the only FDA-approved medicine for anemia in both non-transfusion-dependent and transfusion-dependent alpha- or beta-thalassemia.
2025-11-19 Agios Pharmaceuticals, Inc. Results Agios Announces Topline Results from RISE UP Phase 3 Trial of Mitapivat in Sickle Cell Disease agios.com ↗
Trial met primary endpoint of hemoglobin response and key secondary endpoints of change from baseline in hemoglobin concentration and indirect bilirubin
2025-11-03 Agios Pharmaceuticals, Inc. Results Agios to Present New Mitapivat Data in Rare Blood Disorders at 67th ASH Annual Meeting and Exposition agios.com ↗
2025-10-17 Agios Pharmaceuticals, Inc. Regulatory Agios’ PYRUKYND® (mitapivat) Receives Positive CHMP Opinion for Adults with Thalassemia agios.com ↗
2025-09-04 Agios Pharmaceuticals, Inc. Regulatory Agios Provides Update on U.S. PDUFA Goal Date for PYRUKYND® (mitapivat) in Thalassemia agios.com ↗
2025-08-04 Agios Pharmaceuticals, Inc. Regulatory Agios’ PYRUKYND® (mitapivat) Approved for Adults with Thalassemia in Saudi Arabia agios.com ↗
Agios Pharmaceuticals, Inc. (Nasdaq: AGIO), a commercial-stage biopharmaceutical company focused on delivering innovative medicines for patients with rare diseases, today announced that the Saudi Food and Drug Authority (SFDA) has approved PYRUKYND ® (mitapivat) for the treatment of adult patients with non-transfusion-dependent and transfusion-dependent alpha- or beta-thalassemia.
2025-05-14 Agios Pharmaceuticals, Inc. Results Agios to Highlight Pyruvate Kinase Activation Portfolio with New Data in Rare Blood Disorders at 30th EHA Congress agios.com ↗
The study showed a clinically meaningful reduction in transfusion burden with mitapivat, with a higher proportion of patients achieving the primary endpoint of transfusion reduction response compared to placebo, though the prespecified statistical criterion was not met.

All press releases naming this drug 78 releases

DateIssuerRelease

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 33 sources stand behind the page.

FieldValueCited text
Known as Mitapivat “AG-348 (Mitapivat), an allosteric activator of red blood cell pyruvate kinase, increases enzymatic activity, protein stability, and ATP levels over a broad range of PKLR genotypes.” PMID 31974203 ↗ Jan 2021
19

NCT03853798 ↗

NCT07055243 ↗

NCT05144256 ↗

NCT04472832 ↗

NCT07656415 ↗

NCT04610866 ↗

NCT04565678 ↗

NCT05610657 ↗

NCT05031780 ↗

NCT04696393 ↗

Show 9 more sources

Known as AG-348 “Investigational drug mitapivat (also known as AG-348, AGI-1480 and AGX-0841) is an orally bioavailable, broad-spectrum allosteric activator of alleles of the RBC-specific form...” NCT04610866 ↗
10

NCT03692052 ↗

NCT02108106 ↗

NCT03559699 ↗

NCT03548220 ↗

NCT02476916 ↗

NCT03250598 ↗

NCT03703505 ↗

NCT03397329 ↗

NCT04000165 ↗

NCT02149966 ↗

Known as AG-348 HEMISULFATE SESQUIHYDRATE ChEMBL registry synonym — accepted as the source's own label CHEMBL4299940 ↗
Known as AG-348 sulfate hydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL4299940 ↗
Known as AGI-1480 “Investigational drug mitapivat (also known as AG-348, AGI-1480 and AGX-0841) is an orally bioavailable, broad-spectrum allosteric activator of alleles of the RBC-specific form...” NCT04610866 ↗
Known as AGX-0841 “Investigational drug mitapivat (also known as AG-348, AGI-1480 and AGX-0841) is an orally bioavailable, broad-spectrum allosteric activator of alleles of the RBC-specific form...” NCT04610866 ↗
Known as Mitapivat hemisulfate sesquihydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL4299940 ↗
Known as mitapivat sulfate ClinicalTrials.gov intervention name — accepted as the source's own label NCT03991312 ↗
Known as Pkr-in-1 ChEMBL registry synonym — accepted as the source's own label CHEMBL4299940 ↗
Known as Pyrukynd ChEMBL registry synonym — accepted as the source's own label CHEMBL4299940 ↗
Action Activate “AG-348, a first-in-class allosteric PK-R activator” PMID 30091852 ↗ Aug 2018
1

“Pyruvate kinase isozymes R/L activator” CHEMBL4299940 ↗

Modality Small molecule “AG-348 / mitapivat is a novel, orally bioavailable, small molecule allosteric activator of PK-R” NCT04000165 ↗
Route Oral “AG-348 will be administered as a single oral dose on Day 1.” NCT02108106 ↗
Target PKLR “Pyruvate kinase isozymes R/L activator” CHEMBL4299940 ↗