Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 3 evaluate midostaurin across hematological indications, primarily acute myeloid leukemia, myelodysplastic syndromes, and FLT3-mutated leukemias. Sponsored by pharmaceutical companies such as Novartis Pharmaceuticals, academic institutions, and cooperative research groups, these studies reflect recruitment statuses ranging from active and recruiting to completed, terminated, and active not recruiting. Ongoing research continues to assess therapeutic combinations and resource utilization within these patient populations.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04982354 WITHDRAWN
Acute Myeloid Leukemia
Guenther Koehne
2022-07-05 PHASE1; PHASE2
NCT02115295 RECRUITING
Acute Biphenotypic Leukemia; Acute Myeloid Leukemia; Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Blasts 10 Percent or More of Bone Marrow Nucleated Cells; Blasts 10 Percent or More of Peripheral Blood White Cells; de Novo Myelodysplastic Syndrome; Myelodysplastic Syndrome; Previously Treated Myelodysplastic Syndrome; Recurrent Acute Myeloid Leukemia; Recurrent Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Refractory Acute Myeloid Leukemia; Refractory Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Secondary Acute Myeloid Leukemia; Untreated Adult Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2014-05-19 PHASE2
NCT03591510 ACTIVE_NOT_RECRUITING
FLT3-mutated Acute Myeloid Leukemia
Novartis Pharmaceuticals
2019-03-13 PHASE2
NCT07726576 NOT_YET_RECRUITING
Leukemia, Myeloid, Acute
University Hospital, Bordeaux
2026-09 PHASE1; PHASE2
NCT04385290 RECRUITING
Acute Myeloid Leukemia
Technische Universität Dresden
2020-09-04 PHASE1; PHASE2
NCT06313437 RECRUITING
Acute Myeloid Leukemia; AML, Adult; AML With Gene Mutations; AML; Leukemia
Richard Stone, MD
2024-12-06 PHASE1
NCT03258931 COMPLETED
Newly Diagnosed FLT3 Mutated AML
Arog Pharmaceuticals, Inc.
2018-08-15 PHASE3
NCT04027309 ACTIVE_NOT_RECRUITING
Acute Myeloid Leukemia; Myelodysplastic Syndrome With Excess Blasts-2
Stichting Hemato-Oncologie voor Volwassenen Nederland
2019-12-20 PHASE3
NCT03900949 COMPLETED
Acute Myeloid Leukemia
Uma Borate
2019-03-13 PHASE1
NCT03836209 COMPLETED
Acute Myeloid Leukemia
PrECOG, LLC.
2019-12-06 PHASE2
NCT03092674 COMPLETED
Acute Myeloid Leukemia; Myelodysplastic Syndrome; Myelodysplastic Syndrome/Acute Myeloid Leukemia
National Cancer Institute (NCI)
2018-02-02 PHASE2; PHASE3
NCT03686345 TERMINATED
Core Binding Factor Acute Myeloid Leukemia (CBF-AML)
Niguarda Hospital
2018-07-01 PHASE2
NCT04174612 UNKNOWN
Acute Myeloid Leukemia With FLT3/ITD Mutation
Gruppo Italiano Malattie EMatologiche dell'Adulto
2020-04-24 PHASE3
NCT03280030 COMPLETED
Acute Myeloid Leukemia
Novartis Pharmaceuticals
2018-04-06 PHASE2
NCT04496999 TERMINATED
AML, Adult
Insel Gruppe AG, University Hospital Bern
2020-07-13 PHASE1
NCT04075747 COMPLETED
Acute Myeloid Leukemia
Jazz Pharmaceuticals
2019-12-02 PHASE1
NCT04097470 ACTIVE_NOT_RECRUITING
AML/MDS
Stichting Hemato-Oncologie voor Volwassenen Nederland
2019-12-05 PHASE2
NCT03760445 WITHDRAWN
Leukemia, Myeloid, Acute
Novartis Pharmaceuticals
2019-11-15 PHASE1; PHASE2
NCT03379727 COMPLETED
Acute Myeloid Leukemia
Novartis Pharmaceuticals
2018-02-13 PHASE3
NCT03951961 TERMINATED
Acute Myeloid Leukemia, Adult
University of Jena
2020-03-20 PHASE2
NCT03512197 COMPLETED
Acute Myeloid Leukemia (AML)
Novartis Pharmaceuticals
2018-07-20 PHASE3
NCT03207334 WITHDRAWN
Acute Myeloid Leukemia
University of Florida
2018-11 PHASE2
NCT05488613 Completed
Acute Myeloid Leukemia (AML)
Novartis Pharmaceuticals|Novartis
2020-09-24 --
NCT01429337 COMPLETED
Hepatic Impairment
Novartis Pharmaceuticals
2011-03-07 PHASE1
NCT03951961 Terminated
Acute Myeloid Leukemia Adult
University of Jena|Ludwig-Maximilians - University of Munich
2020-03-20 Phase 2
NCT01477606 COMPLETED
Acute Myeloid Leukemia
University of Ulm
2012-05 PHASE2
NCT04097470 Active not recruiting
AML/MDS
Stichting Hemato-Oncologie voor Volwassenen Nederland|Swiss Group for Clinical Cancer Research
2019-12-05 Phase 2
NCT01830361 COMPLETED
Acute Myeloid Leukemia
Technische Universität Dresden
2013-03-13 PHASE2
NCT02078609 COMPLETED
AML and High Risk MDS
Novartis Pharmaceuticals
2014-03-20 PHASE1
NCT01883362 COMPLETED
Acute Myeloid Leukemia
Novartis Pharmaceuticals
2014-02-06 PHASE2
NCT02723435 WITHDRAWN
Acute Myeloid Leukemia With Gene Mutations; Adult Acute Myeloid Leukemia in Remission
Stanford University
PHASE2
NCT02634827 TERMINATED
Acute Myeloid Leukemia With FLT3/ITD Mutation; Acute Myeloid Leukemia With Gene Mutations; FLT3 Tyrosine Kinase Domain Point Mutation; Secondary Acute Myeloid Leukemia; Untreated Adult Acute Myeloid Leukemia
Mayo Clinic
2015-12-30 PHASE2
NCT01093573 COMPLETED
Untreated Adult Acute Myeloid Leukemia
Brenda Cooper, MD
2009-07 PHASE1; PHASE2
NCT01846624 TERMINATED
Acute Myeloid Leukemia (AML) With Multilineage Dysplasia Following Myelodysplastic Syndrome, in Adults; AML (Adult) With 11q23 (MLL) Abnormalities; AML (Adult) With Del (5q); AML (Adult) With Inv (16) (p13; q22); AML (Adult) With t (16;16) (p13; q22); AML (Adult) With t (8; 21) (q22; q22); Secondary AML (Adult); Untreated AML (Adult)
David Iberri
2013-06 PHASE2
NCT00651261 UNKNOWN
Leukemia
Alliance for Clinical Trials in Oncology
2008-04 PHASE3
NCT01920204 UNKNOWN
Indolent Systemic Mastocytosis
University Medical Center Groningen
2013-08 PHASE2
NCT01282502 COMPLETED
Adenocarcinoma of the Rectum
Massachusetts General Hospital
2011-08 PHASE1
NCT00782067 COMPLETED
Leukemia
Novartis Pharmaceuticals
2008-10-13 PHASE2
NCT00866281 TERMINATED
Acute Myeloid Leukemia; Acute Lymphoblastic Leukemia
Novartis Pharmaceuticals
2009-09 PHASE1; PHASE2
NCT01174888 COMPLETED
Acute Myeloid Leukemia; Acute Myeloid Leukemia With Multilineage Dysplasia Following; Myelodysplastic Syndrome; Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities; Adult Acute Myeloid Leukemia With Del(5q); Adult Acute Myeloid Leukemia With Inv(16)(p13;q22); Adult Acute Myeloid Leukemia With t(15;17)(q22;q12); Adult Acute Myeloid Leukemia With t(16;16)(p13;q22); Adult Acute Myeloid Leukemia With t(8;21)(q22;q22); Recurrent Adult Acute Myeloid Leukemia; Secondary Acute Myeloid Leukemia
Alison Walker
2010-08 PHASE1
NCT01130662 COMPLETED
Acute Myeloid Leukemia
University of Kansas
2010-03 PHASE1
NCT01161550 COMPLETED
Leukemia, Myeloid, Acute
Washington University School of Medicine
2010-11 PHASE1
NCT00093600 COMPLETED
Acute Myeloid Leukemia (AML)
Novartis Pharmaceuticals
2004-02 PHASE1
NCT00233454 COMPLETED
Systemic Mastocytosis, Aggressive (ASM); Leukemia, Mast Cell; Hematological Non-mast Cell Lineage Disease (AHNMD)
Jason Robert Gotlib
2005-03 PHASE2

(data from https://clinicaltrials.gov, updated on 2024-10-01)

Check the Midostaurin (PKC412) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Midostaurin acts as a potent multi-targeted receptor tyrosine kinase inhibitor that binds to and inhibits FLT3, PKC isoforms, c-Kit, and VEGFR1/2, thereby suppressing downstream oncogenic signaling pathways including Akt phosphorylation. This inhibition blocks proliferative signal transduction and induces apoptosis in leukemia cells, demonstrating significant therapeutic efficacy in clinical trials targeting acute myeloid leukemia and FLT3-mutated hematologic malignancies.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.