Table 10.

Novel therapies in clinical development in AML

Novel therapies in clinical development
Protein kinase inhibitors • FLT3 inhibitors (midostaurin, quizartinib, gilteritinib, crenolanib) 
• KIT inhibitors 
• PI3K/AKT/mTOR inhibitors 
• Aurora and polo-like kinase inhibitors, CDK4/6 inhibitors, CHK1, WEE1, and MPS1 inhibitors 
• SRC and HCK inhibitors 
Epigenetic modulators • New DNA methyltransferase inhibitors (SGI-110) 
• HDAC inhibitors 
• IDH1 and IDH2 inhibitors 
• DOT1L inhibitors 
• BET-bromodomain inhibitors 
Chemotherapeutic agents • CPX-351 
• Vosaroxin 
• Nucleoside analogs 
Mitochondrial inhibitors • Bcl-2, Bcl-xL, and Mcl-1 inhibitors 
• Caseinolytic protease inhibitors 
Therapies targeting oncogenic proteins • Fusion transcripts targeting 
• EVI1 targeting 
• NPM1 targeting 
• Hedgehog inhibitors 
Antibodies and immunotherapies • Monoclonal antibodies against CD33, CD44, CD47, CD123, CLEC12A 
• Immunoconjugates (eg, GO, SGN33A) 
• BiTEs and DARTs 
• CAR T cells or genetically engineered TCR T cells 
• Immune checkpoint inhibitors (PD-1/PD-L1, CTLA-4) 
• Anti-KIR antibody 
• Vaccines (eg, WT1) 
Therapies targeting AML environment • CXCR4 and CXCL12 antagonists 
• Antiangiogenic therapies 
Novel therapies in clinical development
Protein kinase inhibitors • FLT3 inhibitors (midostaurin, quizartinib, gilteritinib, crenolanib) 
• KIT inhibitors 
• PI3K/AKT/mTOR inhibitors 
• Aurora and polo-like kinase inhibitors, CDK4/6 inhibitors, CHK1, WEE1, and MPS1 inhibitors 
• SRC and HCK inhibitors 
Epigenetic modulators • New DNA methyltransferase inhibitors (SGI-110) 
• HDAC inhibitors 
• IDH1 and IDH2 inhibitors 
• DOT1L inhibitors 
• BET-bromodomain inhibitors 
Chemotherapeutic agents • CPX-351 
• Vosaroxin 
• Nucleoside analogs 
Mitochondrial inhibitors • Bcl-2, Bcl-xL, and Mcl-1 inhibitors 
• Caseinolytic protease inhibitors 
Therapies targeting oncogenic proteins • Fusion transcripts targeting 
• EVI1 targeting 
• NPM1 targeting 
• Hedgehog inhibitors 
Antibodies and immunotherapies • Monoclonal antibodies against CD33, CD44, CD47, CD123, CLEC12A 
• Immunoconjugates (eg, GO, SGN33A) 
• BiTEs and DARTs 
• CAR T cells or genetically engineered TCR T cells 
• Immune checkpoint inhibitors (PD-1/PD-L1, CTLA-4) 
• Anti-KIR antibody 
• Vaccines (eg, WT1) 
Therapies targeting AML environment • CXCR4 and CXCL12 antagonists 
• Antiangiogenic therapies 

BiTE, bispecific T-cell engager; CAR, chimeric antigen receptor; DART, dual-affinity retargeting molecule; HDAC, histone deacetylase; KIR, killer-cell immunoglobulin-like receptor; mTOR, mechanistic target of rapamycin; PD-1, programmed cell death protein 1; PD-L1, programmed death ligand 1; PI3K, phosphatidylinositol 3-kinase; TCR, T-cell receptor.

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