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Table 3 Investigational agents in clinical development for AML and/or MDS

From: Recent advances in targeted therapies in acute myeloid leukemia

Class/Pathway

Investigational agent

Alternative names

Proposed MOA/Target

AML/MDS trials

FLT3 inhibitor

Quizartinib

 

Type I FLT3 inhibitor

NCT04107727, NCT03135054, NCT04493138, NCT04128748, NCT03735875, NCT02668653, NCT01892371, NCT03661307, NCT03793478, NCT04047641, NCT04687761, NCT04112589, NCT02984995, NCT03723681, NCT02039726, NCT02834390, NCT01565668, NCT02675478, NCT00462761, NCT01468467, NCT01390337, NCT00989261, NCT01411267

Crenolanib

 

Type I FLT3 inhibitor

NCT03258931, NCT02400255, NCT03250338, NCT01657682, NCT01522469, NCT02400281, NCT02626338, NCT02283177, NCT02270788

Ponatinib

 

Type I FLT3 inhibitor

NCT02428543, NCT03690115

Luxeptinib

CG-806

Type I FLT3 inhibitor

NCT04477291

HM43239

 

Type I FLT3 inhibitor

NCT03850574

FF-10101

 

Type I FLT3 inhibitor

NCT03194685, NCT02193958

IDH inhibitor

LY3410738

 

IDH1/2 inhibitor

NCT04603001

BCL2/MCL1

S65487

VOB560

BCL2 inhibitor

NCT04742101, NCT03755154, NCT04702425

S55746

BCL201

BCL2 inhibitor

NCT02920541

AMG 176

 

MCL1 inhibitor

NCT05209152, NCT02675452

AZD5991

 

MCL1 inhibitor

NCT03013998

S64315

MIK665

MCL1 inhibitor

NCT04629443, NCT03672695, NCT02979366, NCT02992483, NCT04702425

Mutant P53

Eprenetapopt

APR-246

Mutant p53 reactivation, cellular redox modification, ferroptosis

NCT03931291, NCT04214860, NCT03745716, NCT03072043,

Epigenetic pathways

Ziftomenib

KO-539

Menin-MLL inhibitor

NCT04067336

Revumenib

SNDX-5613, VTP50469

Menin inhibitor

NCT05406817, NCT05326516, NCT04065399, NCT05360160, NCT03013998

Pinometostat

EPZ5676

DOT1L inhibitor

NCT03701295

Iadademstat

ORY-1001

KDM1A inhibitor

NCT05546580

Entinostat

SYNDX-275, MS-275

HDAC1/3 inhibitor

NCT00101179, NCT00313586, NCT00462605, NCT00015925, NCT02936752

Other oncogenic pathways

Pevonedistat

TAK-924, MLN4924

NEDD8 activator

NCT03459859, NCT03772925, NCT04266795, NCT03813147, NCT03268954

Entospletinib

GS-9973

Syk inhibitor

NCT05020665, NCT03013998

Olaparib

 

PARP inhibitor

NCT03953898

Milademetan

DS-3032, RAIN-32

MDM2/HDM2 inhibitor

NCT03671564, NCT03634228

Siremadlin

HDM201

MDM2/HDM2 inhibitor

NCT05447663, NCT05155709

Uproleselan

GMI-1271

E-selectin antagonist

NCT04964505, NCT05569512, NCT05054543, NCT04839341, NCT04848974, NCT03616470, NCT02306291

Tamibarotene

SY-1425

Retinoic acid receptor alpha agonist

NCT04797780, NCT04905407, NCT02807558

JNJ-74856665

 

Dihydroorotate dehydrogenase inhibitor

NCT04609826

PRT543

 

PRMT5 inhibitor

NCT03886831

H3B-8800

RVT-2001

Splicing modulator

NCT0281540

Emavusertib

CA-4948

IRAK4 inhibitor

NCT04278768, NCT05178342

Targeted Immune inhibitors

Magrolimab

Hu5F9-G4, ONO-7913

Anti-CD47

NCT04313881, NCT05367401, NCT05079230, NCT04435691, NCT03248479, NCT04778397, NCT04778410, NCT02678338

Lemzoparlimab

TJ011133, TJC4

Anti-CD47

NCT04202003, NCT04912063

Ipilimumab

 

Anti-CTLA4

NCT01757639, NCT02890329, NCT03600155, NCT02397720, NCT03912064, NCT02846376, NCT00060372, NCT01822509, NCT02530463

Nivolumab

 

Anti-PD-1

NCT03417154, NCT02530463, NCT02464657, NCT03600155, NCT03358719, NCT03092674, NCT02846376, NCT02532231, NCT02397720, NCT01822509, NCT04913922, NCT03825367, NCT02275533, NCT04277442

Pembrolizumab

 

Anti-PD-1

NCT02996474, NCT02845297, NCT02708641, NCT03769532, NCT02768792, NCT02771197, NCT04284787, NCT04214249, NCT03969446, NCT04372706, NCT03761914, NCT03144245, NCT02981914, NCT03094637, NCT02936752, NCT01953692

Spartalizumab

PDR001

Anti-PD-1

NCT03066648

Relatlimab

 

Anti-LAG3

NCT04913922

Sabatolimab

MBG453

Anti-TIM3

NCT04812548, NCT04623216, NCT04878432, NCT05367401, NCT05201066, NCT04150029, NCT03946670, NCT04266301

Decoy receptor

Evorpacept

ALX148

Anti-CD47

NCT04755244, NCT04417517

ADC

IMGN632

 

Anti-CD123

NCT03386513, NCT04086264, NCT05320380

Cusatuzumab

ARGX-110

Anti-CD70

NCT04023526, NCT04241549, NCT04150887, NCT03030612

Vadastuximab

SGN-CD33A

Anti-CD33

NCT02326584, NCT01902329

BITE/DART

AMV564

 

CD33 x CD3

NCT03144245, NCT03516591

AMG 427

 

FLT3 x CD3

NCT03541369

Flotetuzumab

MGD006

CD123 x CD3

NCT05506956, NCT04158739, NCT04582864, NCT04681105

Vibecotamab

XmAB14045

CD123 x CD3

NCT02730312, NCT05285813

APVO436

 

CD123 x CD3

NCT03647800

  1. A summary of agents without FDA approval or NCCN recommendation for the treatment of AML/MDS but under investigation for the treatment of AML and/or MDS is shown along with proposed mechanisms of action and clinical trials that are not yet recruiting, recruiting, enrolling, active but not recruiting, or completed. Terminated or suspended studies have been omitted. Cellular therapies (i.e., CAR T cells) are not shown. MOA Mechanism of action, AML Acute myeloid leukemia, MDS Myelodysplastic syndrome, ADC Antibody–drug conjugate, BITE Bispecific T-cell engager, DART Dual affinity retargeting protein