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Xospata
Xospata (gilteritinib (as fumarate)) was approved for the following therapeutic use:
Xospata is indicated for the treatment of adult patients who have relapsed or refractory acute myeloid leukaemia (AML) with a FLT3 mutation.
Gilteritinib fumarate is a FMS-like tyrosine kinase 3 (FLT3) and AXL (as well as other kinases) inhibitor. Gilteritinib inhibits FLT3 receptor signalling and proliferation in cells expressing FLT3 including FLT3-internal tandem duplication (ITD), FLT3-D835Y, and FLT3-ITD-D835Y, and it induced apoptosis in leukaemic cells expressing FLT3-ITD.
The decision was based on quality (chemistry and manufacturing), nonclinical (pharmacology and toxicology), clinical (pharmacology, safety and efficacy) and risk management plan information submitted by the sponsor. The benefit-risk profile of Xospata was considered favourable for the therapeutic use approved.