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Elenestinib

Phase 2

Indolent Systemic Mastocytosis | Small molecule | Immunology |Blueprint Medicines Corporation|Trials Updated: Oct 7, 2026

Elenestinib development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Jun 2021

Elenestinib target and mechanism

Molecular targetKIT
Target class-Tinib (Kinase)
ModalitySmall molecule

Also known as BLU-263

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment534

FDA Designations

No designations recorded

Elenestinib clinical trials

Elenestinib · 1 trial · 2 indications

Phase 2 1
NCT04910685(HARBOR) Study to Evaluate Efficacy and Safety of BLU-263 Versus Placebo in Patients With Indolent Systemic MastocytosisIndolent Systemic Mastocytosis
RECRUITING534 Analytics
PHASE2RECRUITING
(HARBOR) Study to Evaluate Efficacy and Safety of BLU-263 Versus Placebo in Patients With Indolent Systemic Mastocytosis
Indolent Systemic MastocytosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1: Number of participants with Treatment-emergent Adverse Events (TEAEs)
Up to 12 weeks
Part 1: Mean change from baseline in ISM-Symptom in Assessment Form (ISM-SAF) Total Symptom Score (TSS)
Baseline, Week 13
Part 2: Mean change from baseline in ISM-SAF TSS
Baseline, Week 49
Part 3: Number of participants with Adverse Events (AEs)
Up to 5 years
Part 3: Change from baseline in ISM-SAF TSS
Baseline up to 5 years

Secondary Endpoints

Part 1: Change from baseline in serum tryptase
Baseline, Week 13
Part 1: Change from baseline in KIT D816V allele fraction in blood
Baseline, Week 13
Part 1: Change from baseline in Bone Marrow (BM) mast cells
Baseline, Week 13
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
(Part 1) Elenestinib Dose 1 + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily until completion of Part 1.
(Part 1) Elenestinib Dose 2 + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily until completion of Part 1.
(Part 1) Elenestinib Dose 3 + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily until completion of Part 1.
(Part 1) Placebo + SDTPLACEBO_COMPARATORParticipants will receive SDT and matching placebo. SDT will be determined on a per participant basis. Placebo will be administered orally, once daily until completion of Part 1.
(Part 2) Elenestinib Dose 1 + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily for approximately 48 weeks.
(Part 2) Placebo + SDTPLACEBO_COMPARATORParticipants will receive SDT and matching placebo. SDT will be determined on a per participant basis. Placebo will be administered orally, once daily for approximately 48 weeks.
(Part 3) Elenestinib + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily for up to approximately 5 years.
(Part S) Elenestinib Dose 1 + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily for up to approximately 5 years.
(Part K) Elenestinib Dose 1 + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily for up to approximately 5 years.
(PK groups) Elenestinib + SDTEXPERIMENTALParticipants will receive SDT and elenestinib. SDT will be determined on a per participant basis. Elenestinib will be administered orally, once daily for up to approximately 5 years.

Interventions

NameTypeDescription
ElenestinibDRUGElenestinib oral tablet
PlaceboDRUGPlacebo oral tablet
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites88

Key Inclusion Criteria: All Participants: -Participant must have an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 to 2. Part 1 and PK groups: * Participant has confirmed diagnosis of ISM, confirmed by Central Pathology Review * Participant must have failed to achieve adequ...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilChileColombiaCzechiaDenmarkFranceGermanyGreeceIrelandItalyNetherlandsNorwayPolandPortugalRomaniaSpainSwedenSwitzerlandTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)

LOWOct 7, 2026NCT04910685lastUpdatePostDate: changed
LOWOct 7, 2026NCT04910685lastUpdatePostDate: changed
LOWSep 23, 2026NCT04910685lastUpdatePostDate: changed
LOWSep 23, 2026NCT04910685lastUpdatePostDate: changed
LOWSep 23, 2026NCT04910685lastUpdatePostDate: changed
LOWAug 4, 2026NCT04910685lastUpdatePostDate: changed
LOWAug 4, 2026NCT04910685lastUpdatePostDate: changed

Frequently asked questions about Elenestinib

What is Elenestinib used for?

Elenestinib is an investigational small molecule being studied for the treatment of indolent systemic mastocytosis, a form of mast cell disease. It is also being evaluated in smoldering systemic mastocytosis. It is not yet approved for any indication and remains in clinical development.

What does Elenestinib target?

Elenestinib targets KIT, a receptor kinase. It belongs to the -tinib kinase inhibitor class. By inhibiting KIT, the drug is designed to act on the signaling that drives mast cell activity in indolent systemic mastocytosis.

Who is developing Elenestinib?

Elenestinib is being developed by Blueprint Medicines Corporation, which trades on the Nasdaq under the ticker BPMC. The company is the sponsor of the clinical program evaluating the drug in systemic mastocytosis.

What phase is Elenestinib in?

Elenestinib is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. The ongoing Phase 2 study is evaluating its efficacy and safety in patients with indolent and smoldering systemic mastocytosis.

What clinical trials is Elenestinib in?

Elenestinib is being studied in the HARBOR trial, registered as NCT04910685. This Phase 2 study compares the drug with placebo in patients with indolent systemic mastocytosis and smoldering systemic mastocytosis. It is currently recruiting and plans to enroll 534 participants across multiple countries.

Who can enroll in the Elenestinib HARBOR trial?

The HARBOR trial enrolls adults aged 18 years and older of any sex. It is a randomized, double-blind, placebo-controlled Phase 2 study in patients with indolent or smoldering systemic mastocytosis. Healthy volunteers are not eligible. Enrollment is taking place across sites in the United States, Europe, and other regions.