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Revumenib receives FDA approval for adult and pediatric patients with R/R NPM1-mutated AML

By Sari Cumming

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Oct 27, 2025

Learning objective: After reading this article, learners will be able to cite a new clinical development in acute myeloid leukemia.


On October 24, 2025, the U.S. Food and Drug Administration (FDA) approved the menin inhibitor revumenib for the treatment of adult and pediatric patients aged ≥1 year with relapsed/refractory (R/R) NPM1-mutated (NPM1m) acute myeloid leukemia (AML).1 

Revumenib was previously approved by the FDA for the treatment of adult and pediatric patients aged ≥1 year with R/R acute leukemia and a KMT2A translocation.1 The expanded approval is based on phase II results from the AUGMENT-101 trial (NCT04065399).1 

  • The complete remission (CR) plus CR with partial hematologic recovery (CRh) rate in 65 patients with R/R NPM1m AML was 23% (95% confidence interval [CI], 14–35%). 

  • The median time to CR or CRh was 2.8 months, and the median duration of CR or CRh was 4.5 months. 

On September 18, 2025, the National Comprehensive Cancer Network® (NCCN®) Clinical Practice Guidelines in Oncology (NCCN Guidelines®)2 were updated to include revumenib as a Category 2A recommended treatment for R/R NPM1m AML, based on the positive AUGMENT-101 data.1 

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