Clinical Trials

Ziftomenib is currently being evaluated across numerous clinical trials spanning Phase 1 through Phase 3 for acute myeloid leukemia—particularly NPM1-mutated and KMT2A-rearranged subtypes—and gastrointestinal stromal tumors. Encompassing actively recruiting, not yet recruiting, and active non-recruiting protocols, these studies evaluate ziftomenib as both monotherapy and combination therapy in frontline and relapsed/refractory settings. Sponsored by pharmaceutical developers such as Kura Oncology and Kyowa Kirin alongside academic institutions like M.D. Anderson Cancer Center and Massachusetts General Hospital, these trials investigate the drug's safety, pharmacokinetics, and therapeutic efficacy.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07007312 RECRUITING
Acute Myeloid Leukemia (AML)
Kura Oncology, Inc.
2025-09-26 PHASE3
NCT05735184 RECRUITING
Acute Myeloid Leukemia; Mixed Lineage Leukemia Gene Mutation; Refractory AML; AML With Mutated NPM1; Acute Myeloid Leukemia Recurrent; Acute Myeloid Leukemia, in Relapse; NPM1 Mutation; KMT2Ar; Myeloid Sarcoma; Nucleophosmin 1-mutated Acute Myeloid Leukemia
Kura Oncology, Inc.
2023-07-18 PHASE1
NCT06448013 RECRUITING
Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2025-03-07 PHASE1
NCT06397027 RECRUITING
Refractory Acute Leukemia; Pediatric Relapsed
M.D. Anderson Cancer Center
2024-12-27 PHASE1
NCT05848687 RECRUITING
Lymphoblastic Leukemia
Tanja Andrea Gruber
2023-11-03 PHASE1; PHASE2
NCT04067336 ACTIVE_NOT_RECRUITING
Advanced Malignant Neoplasm; Acute Myeloid Leukemia; Mixed Lineage Leukemia; Mixed Lineage Acute Leukemia; Acute Leukemia of Ambiguous Lineage; Mixed Phenotype Acute Leukemia; Acute Lymphoblastic Leukemia
Kura Oncology, Inc.
2019-09-12 PHASE1; PHASE2
NCT06769490 RECRUITING
Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2025-07-10 PHASE1
NCT06930352 RECRUITING
Acute Myeloid Leukemia
Uma Borate
2026-10-01 PHASE2
NCT06655246 RECRUITING
Gastrointestinal Stromal Tumor (GIST); Gastrointestinal Stromal Cancer; Gastrointestinal Stromal Neoplasm; Gastrointestinal Stromal Tumor, Malignant; Gastrointestinal Stromal Cell Tumors
Kura Oncology, Inc.
2025-03-27 PHASE1
NCT07355335 NOT_YET_RECRUITING
KMT2A-rearranged; NPM1-mutant Refractory or Relapsed AML
Massachusetts General Hospital
2026-07-09 PHASE1
NCT07623616 RECRUITING
Acute Myeloid Leukemia (AML)
Kyowa Kirin Co., Ltd.
2026-04-23 PHASE2
NCT07411586 ACTIVE_NOT_RECRUITING
Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2026-05-28 PHASE1
NCT06376162 RECRUITING
Relapsed/Refractory KMT2A-r Acute Leukemia; Relapsed/Refractory NUP98-r Acute Leukemia; Relapsed/Refractory NPM1-m Acute Leukemia
PedAL BCU, LLC
2025-03-18 PHASE1
NCT06001788 RECRUITING
AML; AML With Mutated NPM1; Hematologic Malignancy; KMT2Ar; NPM1 Mutation; MLL Rearrangement; Leukemia; Acute Myeloid Leukemia; Leukemia, Myeloid; Leukemia, Myeloid, Acute; Acute Leukemia; Neoplasms by Histologic Type
Kura Oncology, Inc.
2024-02-22 PHASE1
NCT06440135 RECRUITING
Acute Myeloid Leukemia; Acute Myeloid Leukemia in Remission; NPM1 Mutation; KMT2A Rearrangement
Massachusetts General Hospital
2024-06-11 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-20)

Check the Ziftomenib (KO-539) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ziftomenib selectively binds to menin to potently disrupt its oncogenic protein-protein interaction with KMT2A, thereby suppressing downstream leukemogenic gene transcription and inducing apoptotic cell death. This target blockade inhibits leukemic stem cell proliferation, providing a direct therapeutic rationale for treating patients with NPM1-mutated or KMT2A-rearranged acute myeloid leukemia.

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.