TheraRadar
Data updated: May 26, 2026

REVUFORJ (revumenib citrate)

First-in-Class Orphan Drug Breakthrough Therapy Priority Review Fast Track
Oncology Approved 2024-11-15

REVUFORJ is a medication used for adults and children at least one year old who have certain types of acute leukemia that have returned or did not respond to previous therapies. It helps patients with a specific genetic change called a KMT2A translocation or those with acute myeloid leukemia (AML) featuring a susceptible NPM1 mutation. This drug is typically prescribed for the NPM1-mutated form of the disease when other treatment options are no longer suitable.

Source: FDA Label • SYNDAX

How REVUFORJ Works

This drug works by blocking the interaction between a protein called menin and KMT2A proteins, which are involved in driving the growth of leukemia cells. By stopping these proteins from binding, the medication alters the activity of genes involved in cancer progression and encourages cell differentiation. This process helps stop the spread of leukemia cells and reduces tumor activity in the body.

2
Indications
--
Phase 3 Trials
2
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2024-11-15
Patent Cliff
2042

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: REVUMENIB CITRATE

REVUFORJ Approval History

2025
2026
Original
New Indication
New Form
Label Update
6 FDA actions from 2024 to 2025 · 1 indication expansions
Oct 2025 SUPPL Priority
Efficacy
Nov 2024 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What REVUFORJ Treats

2 indications

REVUFORJ is approved for 2 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Acute Leukemia
  • Acute Myeloid Leukemia
Source: FDA Label

REVUFORJ Boxed Warning

DIFFERENTIATION SYNDROME, QTc PROLONGATION and TORSADES DE POINTES Differentiation syndrome, which can be fatal, has occurred with REVUFORJ. Signs and symptoms may include fever, dyspnea, hypoxia, pulmonary infiltrates, pleural or pericardial effusions, rapid weight gain or peripheral edema, hypotension, and renal dysfunction. If differentiation syndrome is suspected, immediately initiate corticosteroid therapy and hemodynamic monitoring until symptom resolution. [see Dosage and Administration (...

REVUFORJ Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

What's emerging in REVUFORJ's indications

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications REVUFORJ treats. First-in-class if their pivotal trials read out positive.

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

REVUFORJ FDA Label Details

Indications & Usage

FDA Label (PDF)

REVUFORJ is indicated for the treatment of Acute Leukemia; Acute Myeloid Leukemia.

⚠️ BOXED WARNING

WARNING: DIFFERENTIATION SYNDROME, QTc PROLONGATION and TORSADES DE POINTES Differentiation syndrome, which can be fatal, has occurred with REVUFORJ. Signs and symptoms may include fever, dyspnea, hypoxia, pulmonary infiltrates, pleural or pericardial effusions, rapid weight gain or peripheral edema...

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2 OB patents · 1 families · 59 international docs across 23 countries

REVUFORJ Patents & Exclusivity

Latest Patent: Dec 2042
Exclusivity: Nov 2031

Patents (3 active)

US12564590 Expires Dec 18, 2042
US11479557 Expires Jun 8, 2037
US10683302 Expires Jun 8, 2037

Exclusivity

NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
NCE Until Nov 2029
ODE-502 Until Nov 2031
ODE-504 Until Nov 2031
ODE-505 Until Nov 2031
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2042
  • 45 active patents

Trial Analysis

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  • Development stage analysis

Competitive Landscape

  • 19 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.