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Kelifutinib (HEC88477) is a potent and selective small-molecule inhibitor of FMS-like tyrosine kinase 3 (FLT3), developed by Guangdong Dongyangguang Pharmaceutical (HEC Pharm). It is specifically designed to target FLT3 mutations, such as internal tandem duplications (FLT3-ITD) and tyrosine kinase domain (FLT3-TKD) mutations, which are prevalent in approximately 30% of acute myeloid leukemia (AML) cases and are associated with a high risk of relapse and poor overall survival. By competitively binding to the ATP-binding site of the FLT3 receptor, kelifutinib inhibits downstream signaling pathways (including PI3K/Akt, MAPK/ERK, and STAT5), thereby inducing cell cycle arrest and apoptosis in leukemic cells. The drug is currently being evaluated in clinical trials for patients with relapsed or refractory AML.
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