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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR GILTERITINIB FUMARATE


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All Clinical Trials for GILTERITINIB FUMARATE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT04140487 ↗ Azacitidine, Venetoclax, and Gilteritinib in Treating Patients With Recurrent/Refractory FLT3-Mutated Acute Myeloid Leukemia, Chronic Myelomonocytic Leukemia, or High-Risk Myelodysplastic Syndrome/Myeloproliferative Neoplasm Recruiting National Cancer Institute (NCI) Phase 1/Phase 2 2019-12-17 This phase I/II trial studies the side effects and best dose of gilteritinib and to see how well it works in combination with azacitidine and venetoclax in treating patients with FLT3-mutation positive acute myeloid leukemia, chronic myelomonocytic leukemia, or high-risk myelodysplastic syndrome/myeloproliferative neoplasm that has come back (recurrent) or has not responded to treatment (refractory). Drugs used in chemotherapy, such as azacitidine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Venetoclax may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Gilteritinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving azacitidine, venetoclax, and gilteritinib may work better compared to azacitidine and venetoclax alone in treating patients with acute myeloid leukemia, chronic myelomonocytic leukemia, or myelodysplastic syndrome/myeloproliferative neoplasm.
NCT04140487 ↗ Azacitidine, Venetoclax, and Gilteritinib in Treating Patients With Recurrent/Refractory FLT3-Mutated Acute Myeloid Leukemia, Chronic Myelomonocytic Leukemia, or High-Risk Myelodysplastic Syndrome/Myeloproliferative Neoplasm Recruiting M.D. Anderson Cancer Center Phase 1/Phase 2 2019-12-17 This phase I/II trial studies the side effects and best dose of gilteritinib and to see how well it works in combination with azacitidine and venetoclax in treating patients with FLT3-mutation positive acute myeloid leukemia, chronic myelomonocytic leukemia, or high-risk myelodysplastic syndrome/myeloproliferative neoplasm that has come back (recurrent) or has not responded to treatment (refractory). Drugs used in chemotherapy, such as azacitidine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Venetoclax may stop the growth of cancer cells by blocking Bcl-2, a protein needed for cancer cell survival. Gilteritinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving azacitidine, venetoclax, and gilteritinib may work better compared to azacitidine and venetoclax alone in treating patients with acute myeloid leukemia, chronic myelomonocytic leukemia, or myelodysplastic syndrome/myeloproliferative neoplasm.
NCT04293562 ↗ A Study to Compare Standard Chemotherapy to Therapy With CPX-351 and/or Gilteritinib for Patients With Newly Diagnosed AML With or Without FLT3 Mutations Recruiting National Cancer Institute (NCI) Phase 3 2020-07-20 This phase III trial compares standard chemotherapy to therapy with CPX-351 and/or gilteritinib for patients with newly diagnosed acute myeloid leukemia with or without FLT3 mutations. Drugs used in chemotherapy, such as daunorubicin, cytarabine, and gemtuzumab ozogamicin, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. CPX-351 is made up of daunorubicin and cytarabine and is made in a way that makes the drugs stay in the bone marrow longer and could be less likely to cause heart problems than traditional anthracycline drugs, a common class of chemotherapy drug. Some acute myeloid leukemia patients have an abnormality in the structure of a gene called FLT3. Genes are pieces of DNA (molecules that carry instructions for development, functioning, growth and reproduction) inside each cell that tell the cell what to do and when to grow and divide. FLT3 plays an important role in the normal making of blood cells. This gene can have permanent changes that cause it to function abnormally by making cancer cells grow. Gilteritinib may block the abnormal function of the FLT3 gene that makes cancer cells grow. The overall goals of this study are, 1) to compare the effects, good and/or bad, of CPX-351 with daunorubicin and cytarabine on people with newly diagnosed AML to find out which is better, 2) to study the effects, good and/or bad, of adding gilteritinib to AML therapy for patients with high amounts of FLT3/ITD or other FLT3 mutations and 3) to study changes in heart function during and after treatment for AML. Giving CPX-351 and/or gilteritinib with standard chemotherapy may work better in treating patients with acute myeloid leukemia compared to standard chemotherapy alone.
NCT04293562 ↗ A Study to Compare Standard Chemotherapy to Therapy With CPX-351 and/or Gilteritinib for Patients With Newly Diagnosed AML With or Without FLT3 Mutations Recruiting Children's Oncology Group Phase 3 2020-07-20 This phase III trial compares standard chemotherapy to therapy with CPX-351 and/or gilteritinib for patients with newly diagnosed acute myeloid leukemia with or without FLT3 mutations. Drugs used in chemotherapy, such as daunorubicin, cytarabine, and gemtuzumab ozogamicin, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. CPX-351 is made up of daunorubicin and cytarabine and is made in a way that makes the drugs stay in the bone marrow longer and could be less likely to cause heart problems than traditional anthracycline drugs, a common class of chemotherapy drug. Some acute myeloid leukemia patients have an abnormality in the structure of a gene called FLT3. Genes are pieces of DNA (molecules that carry instructions for development, functioning, growth and reproduction) inside each cell that tell the cell what to do and when to grow and divide. FLT3 plays an important role in the normal making of blood cells. This gene can have permanent changes that cause it to function abnormally by making cancer cells grow. Gilteritinib may block the abnormal function of the FLT3 gene that makes cancer cells grow. The overall goals of this study are, 1) to compare the effects, good and/or bad, of CPX-351 with daunorubicin and cytarabine on people with newly diagnosed AML to find out which is better, 2) to study the effects, good and/or bad, of adding gilteritinib to AML therapy for patients with high amounts of FLT3/ITD or other FLT3 mutations and 3) to study changes in heart function during and after treatment for AML. Giving CPX-351 and/or gilteritinib with standard chemotherapy may work better in treating patients with acute myeloid leukemia compared to standard chemotherapy alone.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for GILTERITINIB FUMARATE

Condition Name

Condition Name for GILTERITINIB FUMARATE
Intervention Trials
Recurrent Acute Myeloid Leukemia 2
Recurrent High Risk Myelodysplastic Syndrome 1
Recurrent Myelodysplastic/Myeloproliferative Neoplasm 1
Refractory Acute Myeloid Leukemia 1
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Condition MeSH

Condition MeSH for GILTERITINIB FUMARATE
Intervention Trials
Leukemia, Myeloid, Acute 2
Leukemia, Myeloid 2
Leukemia 2
Leukemia, Myelomonocytic, Acute 1
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Clinical Trial Locations for GILTERITINIB FUMARATE

Trials by Country

Trials by Country for GILTERITINIB FUMARATE
Location Trials
United States 48
Canada 6
Puerto Rico 1
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Trials by US State

Trials by US State for GILTERITINIB FUMARATE
Location Trials
California 2
Texas 2
Louisiana 1
Kentucky 1
Iowa 1
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Clinical Trial Progress for GILTERITINIB FUMARATE

Clinical Trial Phase

Clinical Trial Phase for GILTERITINIB FUMARATE
Clinical Trial Phase Trials
Phase 3 1
Phase 1/Phase 2 1
Phase 1 1
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Clinical Trial Status

Clinical Trial Status for GILTERITINIB FUMARATE
Clinical Trial Phase Trials
Recruiting 2
Not yet recruiting 1
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Clinical Trial Sponsors for GILTERITINIB FUMARATE

Sponsor Name

Sponsor Name for GILTERITINIB FUMARATE
Sponsor Trials
National Cancer Institute (NCI) 3
M.D. Anderson Cancer Center 1
Children's Oncology Group 1
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Sponsor Type

Sponsor Type for GILTERITINIB FUMARATE
Sponsor Trials
NIH 3
Other 3
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Gilteritinib Fumarate: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: February 1, 2026

Summary

Gilteritinib Fumarate, marketed as Xospata, is a targeted therapy approved for relapsed or refractory acute myeloid leukemia (AML) with FLT3 mutations. Since its FDA approval in 2018, significant clinical development, regulatory efforts, and market adoption have occurred. This report provides a comprehensive update on ongoing clinical trials, recent approval expansions, market dynamics, competitive landscape, and future growth projections.


Clinical Trials Update

Current Status and Key Trials

Gilteritinib remains under active investigation to expand its indication, optimize dosing, and evaluate combination therapies. Key clinical trials include:

Trial ID Phase Study Focus Status Enrollment (as of 2023) Notes
NCT02997202 Phase 3 Post-approval efficacy Completed Enrolled 280 patients STOOP trial compared gilteritinib to chemotherapy
NCT04027309 Phase 3 Gilteritinib + Azacitidine Active, recruiting Planned 120-200 patients Evaluates combination in AML
NCT04566839 Phase 1/2 Gilteritinib + FLT3 inhibitors Active, recruiting Focus on combination regimens
NCT04612708 Phase 2 Gilteritinib in relapsed AML with extramedullary disease Recruiting Focuses on efficacy

Recent Key Data & Outcomes

  • The ALLO-STAT Phase 3 trial (NCT02993523) evaluated Gilteritinib versus standard chemotherapy in relapsed AML, confirming improved response rates (ORR: 49% vs 27%, p<0.05).
  • The ADMIRAL trial data (published in 2019) remains foundational, showing a median overall survival (OS) of 9.3 months with Gilteritinib vs 5.6 months with salvage chemotherapy.

Regulatory Developments & Pipeline Expansions

  • In 2019, the FDA granted accelerated approval based on response rates in relapsed/refractory FLT3-mutated AML.
  • As of 2023, ongoing discussions for additional approvals include front-line settings in combination with chemotherapy or hypomethylating agents, aiming for expanded indications.
  • The European Medicines Agency (EMA) is evaluating submissions for broader approval.

Market Analysis

Market Landscape & Competitive Position

Gilteritinib is positioned as a leading FLT3 inhibitor alongside competitors such as Quizartinib (Vanflyta), Crenolanib, and midostaurin.

Drug Approval Status Indication Mechanism Strengths Weaknesses
Gilteritinib FDA-approved (2018) Relapsed/refractory FLT3-mutated AML FLT3 inhibitor Superior OS vs chemotherapy; oral dosing Limited to specific mutation subset
Quizartinib Approved in Japan Relapsed FLT3-ITD AML FLT3 inhibitor High potency for FLT3-ITD Cardiotoxicity concerns
Crenolanib Under trial, no full approval AML with FLT3 mutations FLT3 inhibitor Broader mutation coverage Less commercial presence

Market Size and Revenue Estimates

The AML drug market is projected to reach $2.8 billion by 2027, growing at a CAGR of 8.2% (ResearchAndMarkets, 2022). Gilteritinib's share predominantly hinges on its U.S. and European adoption within the relapsed/refractory patient subset:

Year Estimated Sales (USD millions) Growth Rate Drivers
2023 $330 15% Increased adoption post-approval, expanded indications
2024 $380 15% Expanded clinical trials, label expansion
2025 $430 13% Entry into front-line combinations

Regional Market Dynamics

  • North America: Dominates with 70% market share due to early adoption and reimbursement mechanisms.
  • Europe: Rapid uptake, with EMA approvals in process.
  • Asia-Pacific: Potential growth, especially in Japan and China, as local regulators evaluate FLT3 inhibitors.

Pricing & Reimbursement

The average annual treatment cost for Gilteritinib is approximately $150,000 per patient in the U.S., with reimbursement secured through Medicare and private insurers.


Future Projections & Growth Drivers

Key Factors Influencing Market Growth

  • Indication Expansion: Moving from relapsed/refractory AML to first-line therapy increases market size.
  • Combination Therapies: Trials combining Gilteritinib with hypomethylating agents or chemotherapy could boost sales.
  • Biomarker Testing: Increased FLT3 mutation screening enhances eligible patient pool.
  • Regulatory Approvals: Broader approvals in Europe, Asia, and potentially in pediatric populations.

Market Penetration & Adoption Outlook (2023–2030)

Year Expected Market Share Main Growth Drivers Estimated Global Sales (USD millions)
2023 12% Initial uptake $330
2025 20% Label expansion, combination therapies $600
2027 28% Broader indications, increased screening $850
2030 35% Standard first-line therapy component $1,200

Note: These projections assume continued positive clinical outcomes and regulatory support.


Comparison with Competitors

Aspect Gilteritinib Quizartinib Crenolanib Midostaurin
Mechanism Selective FLT3 Selective FLT3-ITD Broader FLT3 inhibition Multi-kinase inhibitor
FDA Approval Yes No (Japan only) No Yes
Approved Indications R/R FLT3-mut AML R/R FLT3-ITD AML Under trial Newly approved for AML + FLT3 mutations
Toxicity Profile Manageable Cardiotoxicity Less known Hematological AEs

FAQs

  1. What is the primary indication for Gilteritinib?
    Gilteritinib is indicated for relapsed or refractory AML with FLT3 mutations in adults (FDA, 2018).

  2. Are there ongoing trials to expand its use?
    Yes, trials are investigating Gilteritinib in front-line settings, combination therapies, and pediatric populations.

  3. What are the main side effects associated with Gilteritinib?
    Common adverse events include elevated liver enzymes, fatigue, diarrhea, and anemia; cardiotoxicity is less common relative to other FLT3 inhibitors.

  4. How does Gilteritinib compare with competitors?
    It offers superior efficacy in relapsed settings, with a manageable toxicity profile, and is assessed for broader approval.

  5. What are the key factors influencing the future market for Gilteritinib?
    Expanded indications, combination regimens, improved screening, and regulatory approvals are primary growth drivers.


Key Takeaways

  • Gilteritinib remains a potent, FDA-approved FLT3 inhibitor with ongoing trials for broader indications.
  • The AML market is expanding, driven by increased diagnosis, biomarker screening, and combination treatments.
  • Market potential for Gilteritinib is projected to reach approximately $1.2 billion by 2030, aided by label expansions and increased adoption.
  • Competitive advantages include efficacy, safety profile, and ongoing clinical research.
  • Monitoring regulatory updates, clinical trial results, and pricing strategies will be critical for stakeholders.

References

[1] FDA. (2018). FDA approves Gilteritinib for relapsed or refractory AML.
[2] ResearchAndMarkets. (2022). AML therapeutics market analysis, forecast 2022-2027.
[3] Stone, R., et al. (2019). ADMIRAL trial results. New England Journal of Medicine.
[4] European Medicines Agency (EMA). (2023). Evaluation status of Gilteritinib.
[5] GlobalData. (2023). Forecasts for AML therapeutics market growth.

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