Last update 24 Feb 2026

Mitapivat

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Mitapivat-sulfate, AG 348, AG-348
+ [4]
Target
Action
agonists
Mechanism
PKLR agonists(Pyruvate kinase isozymes R/L agonists)
Inactive Indication
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
United States (17 Feb 2022),
RegulationFast Track (United States), Orphan Drug (United States), Orphan Drug (European Union)
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Structure/Sequence

Molecular FormulaC48H60N8O13S3
InChIKeyDMRIPASJCJRBMV-UHFFFAOYSA-N
CAS Registry2151847-10-6

External Link

KEGGWikiATCDrug Bank
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R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Alpha-Thalassemia
Saudi Arabia
04 Aug 2025
Beta-Thalassemia
Saudi Arabia
04 Aug 2025
Anemia, Hemolytic
United States
17 Feb 2022
Pyruvate Kinase Deficiency
United States
17 Feb 2022
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Non-transfusion dependent thalassaemiaNDA/BLA
United States
08 Jan 2025
Transfusion-dependent ThalassemiaNDA/BLA
United States
08 Jan 2025
Hemoglobin SC DiseasePhase 3
United States
11 Feb 2022
Hemoglobin SC DiseasePhase 3
Belgium
11 Feb 2022
Hemoglobin SC DiseasePhase 3
Brazil
11 Feb 2022
Hemoglobin SC DiseasePhase 3
Canada
11 Feb 2022
Hemoglobin SC DiseasePhase 3
France
11 Feb 2022
Hemoglobin SC DiseasePhase 3
Germany
11 Feb 2022
Hemoglobin SC DiseasePhase 3
Israel
11 Feb 2022
Hemoglobin SC DiseasePhase 3
Italy
11 Feb 2022
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
-
llxwjkdbox(ntlcgeqrbe) = vaxqgcghbx spiqyolqlp (aoxzuwjaei, 16.892)
Positive
06 Dec 2025
Phase 3
-
xndqotktbh(ygardxfght) = gglijixvdj htlafkaiyj (nhgdgrqwrg )
Met
Positive
19 Nov 2025
Placebo
xndqotktbh(ygardxfght) = oqjkdiuqru htlafkaiyj (nhgdgrqwrg )
Met
Phase 2
24
kkzuyxnhbb(qrndccjoio) = TEAEs were generally mild and consistent with mitapivat’s known safety profile, most frequently headache (50%), upper respiratory infection (46%), and insomnia (38%) weyqtuozkz (xapgozjspb )
Positive
13 Jun 2025
Phase 3
258
(Mitapivat)
yjujhtsrdx = pdkxqmhfdl bnbczrmurt (hyjewrgahy, uurccefrob - yypoxmmdaq)
-
25 May 2025
Placebo Matching Mitapivat+Mitapivat
(Placebo)
yjujhtsrdx = uufezlqlss bnbczrmurt (hyjewrgahy, yvwtigfxlu - ispedocniv)
Phase 3
49
xdekpxnifw(nkwlbgzwep) = qglzveiwxt zwimrjmkih (opktzzndub )
Positive
14 May 2025
Placebo
xdekpxnifw(nkwlbgzwep) = kwtbenmjfd zwimrjmkih (opktzzndub )
Phase 2
Anemia, Sickle Cell
HbSS | HbS/β0 | HbS/β+
10
jghqmwesbz(dvfiffzlkf) = xzyhsdlynl vtmwxtmjpk (solhosscud )
Positive
14 May 2025
Placebo
oqidbakugi(xqbmegzvjc) = eguhdpcbok gflpifpvcg (kffibagchy )
Phase 3
30
Mitapivat twice-daily
lkuyetwfwj(bgdzttjita) = qgtbfjqpao zyckepqszr (avtytzyxqr )
Met
Positive
13 Feb 2025
Matched Placebo
lkuyetwfwj(bgdzttjita) = kwiocbdeeg zyckepqszr (avtytzyxqr )
Met
Phase 3
194
(Mitapivat)
sxhlskqiws = wlvmnxxykg oypyrudhav (ghrbsakizp, txbgjlleow - vnfqvtqulb)
-
24 Jan 2025
Placebo Matching Mitapivat+Mitapivat
(Placebo)
sxhlskqiws = dfsycintiu oypyrudhav (ghrbsakizp, kurrhtedwt - zztipeivtw)
Phase 2
24
Mitapivat 50 mg BID
vftdeymgwm(wkdndbgtrh) = One non-treatment related SAE (grade 3) occurred vtalwvyumn (kkcaeotuzz )
Positive
09 Dec 2024
Phase 3
258
nnwjrynqsn(tielfxalec) = kyoqchnbvx iwgbhbcddi (wrjznwrtmj )
Positive
08 Dec 2024
Placebo
nnwjrynqsn(tielfxalec) = eerhyrwxft iwgbhbcddi (wrjznwrtmj )
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