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Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

ICLUSIG

PONATINIB HYDROCHLORIDE
Oncology Approved 2012-12-14
7
Indications
--
Phase 3 Trials
3
Priority Reviews
13
Years on Market

Details

Status
Prescription
First Approved
2012-12-14
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: PONATINIB HYDROCHLORIDE

ICLUSIG Approval History

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What ICLUSIG Treats

2 indications

ICLUSIG is approved for 2 conditions since its original approval in 2012. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia
  • Chronic Myeloid Leukemia
Source: FDA Label

ICLUSIG Boxed Warning

ARTERIAL OCCLUSIVE EVENTS, VENOUS THROMBOEMBOLIC EVENTS, HEART FAILURE, and HEPATOTOXICITY WARNING: ARTERIAL OCCLUSIVE EVENTS, VENOUS THROMBOEMBOLIC EVENTS, HEART FAILURE, and HEPATOTOXICITY See full prescribing information for complete boxed warning. Arterial occlusive events (AOEs), including fatalities, have occurred in ICLUSIG-treated patients. AOEs included fatal myocardial infarction, stroke, stenosis of large arterial vessels of the brain, severe peripheral vascular disease, and the need ...

ICLUSIG Target & Pathway

Pro

Target

VEGFR (Vascular Endothelial Growth Factor Receptor) Growth Factor Receptor

Receptors on blood vessel cells that respond to VEGF signals to form new blood vessels. Cancer cells exploit this pathway to ensure blood supply for tumor growth. Blocking VEGFRs prevents tumor angiogenesis and limits cancer progression.

Pathway Context

VEGFR on blood vessels is activated by VEGF to promote angiogenesis

VEGF (Vascular Endothelial Growth Factor) ligand

A signaling protein that stimulates the formation of new blood vessels (angiogenesis). Tumors need blood supply to grow, so they secrete VEGF to create new vessels. Blocking VEGF starves tumors of oxygen and nutrients, inhibiting their growth.

ICLUSIG Competitors

Pro

1 other drug also targets VEGFR. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (VEGFR). Earlier expiry dates signal biosimilar/generic opportunities.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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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.

ICLUSIG FDA Label Details

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Indications & Usage

FDA Label (PDF)

ICLUSIG ® is indicated for the treatment of adult patients with: Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia (Ph+ ALL) Newly diagnosed Ph+ ALL in combination with chemotherapy. This indication is approved under accelerated approval based on minimal residual disease (MRD)-negative complete remission (CR) at the end of induction [see Clinical Studies ] . Continued approval for this indication may be contingent upon verification of clinical benefit in a confirmatory trial(s). As monotherapy in Ph+ ALL for whom no other kinase inhibitors are indicated or T315I-positive Ph+ ALL. C...

⚠️ BOXED WARNING

WARNING: ARTERIAL OCCLUSIVE EVENTS, VENOUS THROMBOEMBOLIC EVENTS, HEART FAILURE, and HEPATOTOXICITY WARNING: ARTERIAL OCCLUSIVE EVENTS, VENOUS THROMBOEMBOLIC EVENTS, HEART FAILURE, and HEPATOTOXICITY See full prescribing information for complete boxed warning. Arterial occlusive events (AOEs), inclu...

ICLUSIG Patents & Exclusivity

Latest Patent: Dec 2033
Exclusivity: Mar 2031

Patents (272 active)

US9493470 Expires Dec 12, 2033
US11384086 Expires Dec 12, 2033
US11192897 Expires Dec 12, 2033
US11192895 Expires Dec 12, 2033
US8114874 Expires Jan 24, 2027
US9029533 Expires Dec 22, 2026
+ 262 more patents

Exclusivity

I-934 Until Mar 2027
ODE-472 Until Mar 2031
I-934 Until Mar 2027
ODE-472 Until Mar 2031
I-934 Until Mar 2027
Source: FDA Orange Book

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Data Sources

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