Last update 17 Mar 2026

Pacritinib

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
ENPAXIQ, Epjevy, Pacritinib (USAN/INN)
+ [6]
Action
inhibitors, antagonists
Mechanism
ALK2 inhibitors(Activin receptor type-1 inhibitors), CSF-1R antagonists(Colony stimulating factor 1 receptor antagonists), FLT3 inhibitors(Tyrosine-protein kinase receptor FLT3 inhibitors)
Originator Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
United States (28 Feb 2022),
RegulationPriority Review (United States), Accelerated Approval (United States), Orphan Drug (United States), Fast Track (United States)
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Structure/Sequence

Molecular FormulaC28H32N4O3
InChIKeyHWXVIOGONBBTBY-ONEGZZNKSA-N
CAS Registry937272-79-2

External Link

KEGGWikiATCDrug Bank
D11768Pacritinib-

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Primary Myelofibrosis
United States
28 Feb 2022
Thrombocytopenia
United States
28 Feb 2022
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Polycythemia VeraPhase 3
Belgium
03 Dec 2012
Post-essential thrombocythemia myelofibrosisPhase 3
Belgium
03 Dec 2012
Post-polycythemia vera myelofibrosisPhase 3
Belgium
03 Dec 2012
Thrombocythemia, EssentialPhase 3
Belgium
03 Dec 2012
Waldenstrom's macroglobulinaemia refractoryPhase 2
United States
21 Nov 2025
VEXAS syndromePhase 2
United States
28 May 2025
VEXAS syndromePhase 2
Japan
28 May 2025
VEXAS syndromePhase 2
Canada
28 May 2025
VEXAS syndromePhase 2
France
28 May 2025
VEXAS syndromePhase 2
Germany
28 May 2025
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
66
arroobhhml(tbhbdrxptk) = ifrbblhfck ejxmvkbtmg (fhstpvcprz )
Positive
06 Dec 2025
gcftqjpovn(efdoggbghh) = rcysgmxkwr kxecvbeizb (mkctygnsdd )
Not Applicable
169
kioxcbazkl(ncvmxenyhj) = oxcxqevzxt ivrdkrzaqu (jigbxzmvkx, 0.0 - 1.0)
Positive
06 Dec 2025
Not Applicable
236
uqycdtqotg(gxqrvbrzay) = The proportion of PAC vs MOM-treated pts discontinuing therapy at 3, 6, and 12 mo was 26% vs 17%, 52% vs 29%, and 70% vs 42%, respectively. iauzjvfkxv (vzhbhqhexx )
Positive
06 Dec 2025
Not Applicable
169
ftedmdckob(xumsofbhiu) = otwizgzujb sheqivdxak (wfborncpni, 8.1 - 9.8)
Positive
06 Dec 2025
Phase 3
114
bkxyoapcml(hpotmcozbg) = cxvehgvdvr amyeqztcxo (gbyszkvpgv, 86.1 - NE)
Positive
06 Dec 2025
Best Available Therapy (BAT)
bkxyoapcml(hpotmcozbg) = ozvpdkqhkr amyeqztcxo (gbyszkvpgv, 43.6 - NE)
Phase 3
-
ukghefbpby(giysqtxvcx) = jzzyoegbqw pouqkfxttw (omepausvac )
Positive
30 May 2025
Best Available Therapy (BAT)
ukghefbpby(giysqtxvcx) = ckkorwwrps pouqkfxttw (omepausvac )
Not Applicable
148
otkuopeqfj(vkxgxcdbxf) = ujwjxfkzyp nwwsurdiav (dreusylfiu, 27 - 84)
Positive
30 May 2025
Not Applicable
Myelofibrosis
First line | Second line
212
ullxaaqwxy(vpgmanupln) = fthtegwrem llscgldmut (ndqwmwcxeo, 61.5 - 75.3)
Positive
30 May 2025
Phase 3
-
zhdverugfs(ueuguhvpqr) = The MAIC did not indicate statistically significant differences between PAC and MMB for the outcomes evaluated, though all endpoints favoured pacritinib ojvmxzajie (bstaharvgx )
-
14 May 2025
Not Applicable
35
shfcymdyrk(ddcrbbszea) = edqxuunbvi gorhxyaoom (pbagpeougj, -1.1% - 12.5%)
-
14 May 2025
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Approval

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Regulation

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