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Tuspetinib is a potent oral small molecule myeloid kinase inhibitor (MKI) in clinical development for the treatment of acute myeloid leukemia (AML). It is designed to simultaneously inhibit a select set of kinases that drive prosurvival and drug resistance pathways in myeloid malignancies. Tuspetinib targets key kinases including Spleen tyrosine kinase (SYK), wild-type and mutant forms of FMS-like tyrosine kinase 3 (FLT3), mutant Mast/stem cell growth factor receptor Kit (but not wild-type), Janus kinase 1/2, Ribosomal S6 kinase alpha-1/2 (RSK1/2), Mitogen activated protein kinase kinase kinase TAK1–TAB1 complex kinases, and indirectly suppresses MCL1 expression. This multikinase inhibition leads to suppression of multiple oncogenic signaling pathways such as STAT5, MEK/ERK, AKT/mTOR. Preclinical studies have shown that tuspetinib prolongs survival in AML models and demonstrates enhanced activity when combined with venetoclax or azacitidine. Clinical trials are ongoing for relapsed/refractory AML as monotherapy or in combination regimens[1][2][3][4][5][6][7][8].
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