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Clifutinib

Phase 3

Leukemia, Acute Myeloid (AML) | Small molecule | Oncology |Sunshine Biopharma Inc.|Last Updated: May 15, 2026

Target and mechanism

Target class-Tinib (Kinase)
ModalitySmall molecule

Also known as Clifutinib Besylate

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment324

FDA Designations

No designations recorded

Clinical trial landscape

Clifutinib · 5 trials · 5 indications

Phase 3 1Phase 1 4
NCT05586074HEC73543 Versus Salvage Chemotherapy in R/R FLT3-ITD AMLLeukemia, Acute Myeloid (AML)
RECRUITING324 Analytics
PHASE3RECRUITING
HEC73543 Versus Salvage Chemotherapy in R/R FLT3-ITD AML
Leukemia, Acute Myeloid (AML)Unlock trial analytics

Study Endpoints

Primary Endpoints

OS
From the date of randomization until the date of death from any cause, assessed up to 5 years

Overall survival was defined as the time from the date of randomization until the date of death from any cause

CR/CRh rate
From randomization until the data cut-off date of April 2025, all subjects included in the primary analysis of CR/CRh rate were followed up at least 4 months

The CR/CRh rate was defined as the number of subjects who achieved either CR or CRh at any of the postbaseline visits divided by the number of subjects in the analysis population

Cmax
From Day1 to Day50

Evaluate the pharmacokinetic effects of itraconazole, fluconazole, or efavirenz on a single - dose of Clifutinib in healthy participants.

AUC0-t
From Day1 to Day50

Evaluate the pharmacokinetic effects of itraconazole, fluconazole, or efavirenz on a single - dose of Clifutinib in healthy participants.

AUC0-∞
From Day1 to Day50

Evaluate the pharmacokinetic effects of itraconazole, fluconazole, or efavirenz on a single - dose of Clifutinib in healthy participants.

%AUCex
From Day1 to Day50

Evaluate the pharmacokinetic effects of itraconazole, fluconazole, or efavirenz on a single - dose of Clifutinib in healthy participants.

Tmax
From Day1 to Day50

Evaluate the pharmacokinetic effects of itraconazole, fluconazole, or efavirenz on a single - dose of Clifutinib in healthy participants.

t1/2
From Day1 to Day50

Evaluate the pharmacokinetic effects of itraconazole, fluconazole, or efavirenz on a single - dose of Clifutinib in healthy participants.

Percentage of metabolites in plasma relative to total exposure AUC (% AUC)
From Day 1 of dosing to the Day 85 after dosing

Investigate the distribution of total radioactivity in plasma of male healthy subjects after a single oral administration of \[14C\] Clifutinib.

The total radioactivity
From Day 1 of dosing to the Day 85 after dosing

Quantitative analysis was conducted on the total radioactivity in the feces and urine of male health subjects after oral administration of \[14C\] Clifutinib, to obtain the data on human recovery rate and determine the main excretion pathway.

Identification of major metabolites in plasma, urine, and fecal samples
From Day 1 of dosing to the Day 85 after dosing

Obtain the radioactive metabolite profiles in plasma, urine and feces of male healthy subjects after oral administration of \[14C\]Clifutinib, identify the main metabolites, and determine the metabolic and elimination pathways.

Maximum tolerated dose(MTD)
day 1-28

Safety and Tolerability assessed through adverse events to determine maximum tolerated dose

Composite CR rate
Up to 12 months

CR + CRi +CRMRD-

Maximum tolerated dose (MTD)
day 1-28

Safety and Tolerability assessed through adverse events to determine maximum tolerated dose

Secondary Endpoints

EFS
From randomization until the data cut-off date of June 2026, median time of follow-up for OS was 15 months
CR rate
From randomization until the data cut-off date of June 2026, all subjects included in the analysis of CR rate were followed up at least 4 months
CRc Rate
From randomization until the data cut-off date of June 2026, all subjects included in the analysis of CRc rate were followed up at least 4 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ClifutinibEXPERIMENTALSubjects received 40 mg dose orally once a day in continuous 28-day cycles, at least 2 hours before and after food. Clifutinib treatment continued until sujects met one of the treatment discontinuation criteria.
Salvage ChemotherapyACTIVE_COMPARATORSubjects received chemotherapy in 28-day cycles. Subjects on Low-Dose Cytarabine (LoDAC) received 10 mg of cytarabine twice daily by subcutaneous (SC) or intravenous (IV) injection for 10\~14 days. Subjects on azacitidine received 75 mg/m\^2 daily by SC for 7 days. Subjects on decitabine received 20 mg/m\^2 daily by IV injection for 5 days. Subjects on LoDAC or azacitidine or decitabine treatment continued until they met discontinuation criteria. Subjects on Ara-C±IDA chemotherapy received cytarabine 1\~3 g/m\^2 daily by IV for 3 days and idarubicin 10 mg/m\^2 daily by IV for 3 days. Participants on FLAG-IDA chemotherapy received G-CSF 300 μg/m\^2 daily by SC for 6 days (days 1-6), fludarabine 30 mg/m\^2 daily by IV for 5 days (days 2-6), cytarabine 1\~2 g/m\^2 daily by IV for 5 days (days 2-6) and idarubicin 10 mg/m\^2 daily by IV for 3 days (days 2-4). Subjects receiving Ara-C±IDA or FLAG-IDA received 1 cycle of therapy and were assessed for response on day 28+/-2 days.
Clifutinib and ItraconazoleACTIVE_COMPARATORFrom Day 1 to Day 49, subjects will receive Itraconazole 200mg bid, and receive single dose of 40mg Clifutinib on Day 8
Clifutinib and FluconazoleACTIVE_COMPARATORFrom Day 1 to Day 49, subjects will receive Fluconazole 400mg qd, and receive single dose of 40mg Clifutinib on Day 8
Clifutinib and EfavirenzACTIVE_COMPARATORFrom Day 1 to Day 49, subjects will receive Efavirenz 600mg qd, and receive single dose of 40mg Clifutinib on Day 8
[14C]ClifutinibEXPERIMENTALOn Day 1, subjects will receive a single oral dose of 40 mg/100 µCi \[14C\]Clifutinib
Arm 1EXPERIMENTALQueue 1:Clifutinib Besylate:30mg qd d8-21;Daunorubicin 60 mg/m2 qd d1-3;Cytarabine 100 mg/m2 qd d1-7 Queue 1:Clifutinib Besylate:30mg qd d1-28 ;Azacitidine 75 mg/m2 qd d1-7
Arm 2EXPERIMENTALQueue 1:Clifutinib Besylate:40mg qd d8-21;Daunorubicin 60 mg/m2 qd d1-3;Cytarabine 100 mg/m2 qd d1-7 Queue 1:Clifutinib Besylate:40mg qd d1-28 ;Azacitidine 75 mg/m2 qd d1-7
Arm 3EXPERIMENTALQueue 1:Clifutinib Besylate:60mg qd d8-21;Daunorubicin 60 mg/m2 qd d1-3;Cytarabine 100 mg/m2 qd d1-7 Queue 1:Clifutinib Besylate:60mg qd d1-28 ;Azacitidine 75 mg/m2 qd d1-7
Arm 4EXPERIMENTALClifutinib Besylate:55 mg
Arm 5EXPERIMENTALClifutinib Besylate:70 mg
Arm 6EXPERIMENTALClifutinib Besylate:100 mg

Interventions

NameTypeDescription
ClifutinibDRUGtablet, oral
LoDACDRUGsubcutaneous (SC) or intravenous (IV) injection
AzacitidineDRUGSC or IV
DecitabineDRUGIV
Ara-C±IDADRUGSC and IV
FLAG-IDADRUGSC and IV
ItraconazoleDRUGItraconazole is taken orally approximately 30 minutes after the start of breakfast and lunch.
fluconazoleDRUGTake fluconazole on an empty stomach
efavirenzDRUGTake efavirenz on an empty stomach
[14C]ClifutinibDRUGThe subjects are required to take the test drug on an empty stomach for at least 10 hours and without drinking water for 1 hour. After taking the drug, they should fast for 4 hours and refrain from drinking water for 1 hour.
Clifutinib BesylateDRUGThe queue 1 is divided into Induction therapy and Consolidation therapy and Maintenance treatment The queue 2 will receive oral Clifutinib Besylate once daily until disease progression or unacceptable toxicity occurs
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Subject is ≥ 18 years of age at the time of obtaining informed consent. * Subject has a diagnosis of primary acute myeloid leukemia (AML) or AML secondary to myelodysplastic syndrome (MDS) according to WHO classification; * Subject is refractory to or relapsed after first-line...

Countries:China
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Recent Changes (Last 90 Days)

MEDIUMJul 5, 2026NCT05133882primaryCompletionDate: changed
LOWJul 5, 2026NCT05586074primaryCompletionDate: changed
LOWJul 5, 2026NCT07341672primaryCompletionDate: changed
MEDIUMJul 5, 2026NCT05133882primaryCompletionDate: changed
LOWJul 5, 2026NCT05586074primaryCompletionDate: changed
LOWJul 5, 2026NCT07341672primaryCompletionDate: changed
MEDIUMJul 5, 2026NCT05133882primaryCompletionDate: changed
LOWJul 5, 2026NCT05586074primaryCompletionDate: changed
LOWJul 5, 2026NCT07341672primaryCompletionDate: changed

Frequently asked questions about Clifutinib

What is Clifutinib used for?

Clifutinib is an investigational small molecule being developed for acute myeloid leukemia (AML), including relapsed or refractory AML in adults and newly diagnosed AML in adults. It is also being studied in healthy subjects for food effect and mass balance trials. Clifutinib is in Phase 1 clinical development.

What does Clifutinib target?

Clifutinib is a kinase inhibitor, as indicated by its '-tinib' suffix, which typically denotes tyrosine kinase inhibitors. The specific molecular target is not disclosed in the available data. It is being evaluated for its activity in acute myeloid leukemia.

Who makes Clifutinib?

Clifutinib is being developed by Sunshine Biopharma Inc., a company listed on the stock exchange under the ticker SBFM. The drug is currently in Phase 1 clinical trials for acute myeloid leukemia.

What phase is Clifutinib in?

Clifutinib is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Clinical trials are ongoing to evaluate its safety and efficacy in acute myeloid leukemia.

What clinical trials is Clifutinib in?

Clifutinib has been studied in several Phase 1 trials, including NCT04827069 in relapsed or refractory AML, NCT05133882 in newly diagnosed AML combined with chemotherapy, NCT05454098 a food effect study in healthy subjects, and NCT07211165 a mass balance study in healthy males.

Is Clifutinib the same as Clifutinib Besylate?

Yes, Clifutinib is also known as Clifutinib Besylate. The besylate form refers to the salt formulation of the drug used in clinical studies. Both names refer to the same investigational compound being developed for acute myeloid leukemia.