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Two Drugs Approved for NPM1-Mutated Leukemia

Ziftomenib offers a new oral treatment option with a 21.4% complete remission rate in adults with relapsed/refractory NPM1-mutated AML lacking alternatives, FDA said.

  • On Thursday, the U.S. Food and Drug Administration approved ziftomenib for adults with relapsed or refractory NPM1‑mutated AML, joining revumenib cleared late last month.
  • NPM1 mutations, present in roughly 30% of acute myeloid leukemia cases, create an actionable target as many patients with relapsed/refractory NPM1‑mutated AML relapse early, with 70% relapsing within three years.
  • KOMET‑001 showed a CR+CRh rate of 21.4% with median duration 5.0 months and median time to response 2.7 months in 112 adults treated with ziftomenib .
  • Kura Oncology said it is fully prepared to launch KOMZIFTI today and deliver the medicine to patients in need, equipping physicians with a new once-daily oral therapy for this vulnerable population.
  • With safety concerns prominent, KOMZIFTI includes a Boxed Warning for differentiation syndrome, reported in 26%, and requires ECG monitoring and interruption if QTc exceeds 500 ms or changes by over 60 ms.
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cancernetwork.com broke the news in on Thursday, November 13, 2025.
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