Table 2.

Comparison of FLT3 inhibitors in clinical development

DrugType I or II inhibitorActive as monotherapyCellular potencySelectivityHalf-lifeProtein binding (%)Clinical resistance mechanismsFDA-approvedFDA approved for AML indication
Midostaurin No ++ 19 h >99.8 One reported case of an acquired FLT KD mutation (N676K41 Yes, in combination with induction chemotherapy only Yes 
Sorafenib II Yes ++ ++ 25-48 h 99.5 FLT3 KD mutations (D835, F691L13,25 Yes No 
Quizartinib II Yes +++ +++ ∼1.5 d >99 FLT3 KD mutations (D835, F691L)16  No Development ongoing 
Crenolanib Yes ++ ++ 6-8 h 95.9 F691L, Ras pathway mutations30  No Development ongoing 
Gilteritinib Yes ++ ++ 113 h ∼94 F691L, Ras pathway mutations31  Yes Yes 
DrugType I or II inhibitorActive as monotherapyCellular potencySelectivityHalf-lifeProtein binding (%)Clinical resistance mechanismsFDA-approvedFDA approved for AML indication
Midostaurin No ++ 19 h >99.8 One reported case of an acquired FLT KD mutation (N676K41 Yes, in combination with induction chemotherapy only Yes 
Sorafenib II Yes ++ ++ 25-48 h 99.5 FLT3 KD mutations (D835, F691L13,25 Yes No 
Quizartinib II Yes +++ +++ ∼1.5 d >99 FLT3 KD mutations (D835, F691L)16  No Development ongoing 
Crenolanib Yes ++ ++ 6-8 h 95.9 F691L, Ras pathway mutations30  No Development ongoing 
Gilteritinib Yes ++ ++ 113 h ∼94 F691L, Ras pathway mutations31  Yes Yes 
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