KMT2A lysine methyltransferase 2A
ENSG00000118058 · protein coding · Open Targets profile
Histone methyltransferase that plays an essential role in early development and hematopoiesis (PubMed:12453419, PubMed:15960975, PubMed:19187761, PubMed:19556245, PubMed:20677832, PubMed:21220120, PubMed:26886794). Catalytic subunit of the MLL1/MLL complex, a multiprotein complex that mediates both methylation of 'Lys-4' of histone H3 (H3K4me) complex and acetylation of 'Lys-16' of histone H4 (H4K16ac) (PubMed:12453419, PubMed:15960975, PubMed:19187761, PubMed:19556245, PubMed:20677832, PubMed:21220120, PubMed:24235145, PubMed:26886794). Catalyzes methyl group transfer from S-adenosyl-L- methionine to the epsilon-amino group of 'Lys-4' of histone H3 (H3K4) via a non-processive mechanism. Part of chromatin remodeling machinery predominantly forms H3K4me1 and H3K4me2 methylation marks at active chromatin sites where transcription and DNA repair take place (PubMed:12453419, PubMed:15960975, PubMed:19187761, PubMed:19556245, PubMed:20677832, PubMed:21220120, PubMed:25561738, PubMed:26886794). Has weak methyltransferase activity by itself, and requires other component of the MLL1/MLL complex to obtain full methyltransferase activity (PubMed:19187761, PubMed:26886794). Has no activity toward histone H3 phosphorylated on 'Thr-3', less activity toward H3 dimethylated on 'Arg-8' or 'Lys-9', while it has higher activity toward H3 acetylated on 'Lys-9' (PubMed:19187761). Binds to unmethylated CpG elements in the promoter of target genes and helps maintain them in the nonmethylated state (PubMed:20010842). Required for transcriptional activation of HOXA9 (PubMed:12453419, PubMed:20010842, PubMed:20677832). Promotes PPP1R15A-induced apoptosis (PubMed:10490642). Plays a critical role in the control of circadian gene expression and is essential for the transcriptional activation mediated by the CLOCK-BMAL1 heterodimer (By similarity). Establishes a permissive chromatin state for circadian transcription by mediating a rhythmic methylation of 'Lys-4' of histone H3 (H3K4me) and this histone modification directs the circadian acetylation at H3K9 and H3K14 allowing the recruitment of CLOCK-BMAL1 to chromatin (By similarity). Also has auto-methylation activity on Cys-3882 in absence of histone H3 substrate (PubMed:24235145). {ECO:0000250|UniProtKB:P55200, ECO:0000269|PubMed:10490642, ECO:0000269|PubMed:12453419, ECO:0000269|PubMed:15960975, ECO:0000269|PubMed:19187761, ECO:0000269|PubMed:19556245, ECO:0000269|PubMed:20010842, ECO:0000269|PubMed:21220120, ECO:0000269|PubMed:24235145, ECO:0000269|PubMed:26886794, ECO:0000305|PubMed:20677832}.
Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.
Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.
Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.
Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.
Tractability
- Small molecule
- Phase 1 Clinical, Structure with Ligand, High-Quality Ligand, Druggable Family
- PROTAC
- UniProt Ubiquitination, Database Ubiquitination, Half-life Data, Small Molecule Binder
gnomAD loss of function constraint: o/e 0.046339001506567 (upper bound 0.07038000226020813). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.
Who runs trials of these drugs
Principal investigators and study chairs on 26 registry trials, updated in the last three years, of the most advanced drugs against KMT2A (revumenib), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.
- Ghayas IssaM.D. Anderson Cancer Center · 2 of 2 trials Phase 2+
- Alice MimsBeat AML · 1 of 1 trials Phase 2+
- Angela R SmithSyndax Pharmaceuticals · 1 of 1 trials Phase 2+
- Anthony M HunterEmory University · 1 of 1 trials Phase 2+
- Gerwin HulsUMCG/ HOVON · 1 of 1 trials Phase 2+
- Ibrahim AldossSWOG Cancer Research Network · 1 of 1 trials Phase 2+
- Joshua ZeidnerUNC Lineberger Comprehensive Cancer Center · 1 of 1 trials Phase 2+
- Kelly E FaulkChildren's Oncology Group · 1 of 1 trials Phase 2+
- Kuo-Kai ChinMemorial Sloan Kettering Cancer Center · 1 of 1 trials Phase 2+
- Steven DevineNMDP · 1 of 1 trials Phase 2+
- Nicole McNeerSyndax Pharmaceuticals · 0 of 2 trials Phase 2+
- Alice S MimsOhio State University Comprehensive Cancer Center LAO · 0 of 1 trials Phase 2+
- Ben K WatkinsPediatric Early Phase Clinical Trial Network · 0 of 1 trials Phase 2+
- Branko CuglievanM.D. Anderson Cancer Center · 0 of 1 trials Phase 2+
- Brian BallCity of Hope Medical Center · 0 of 1 trials Phase 2+
Registry trials of revumenib updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 14 of 20 have all sites in one country.
Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. 6 trials list no sites and are left out. Source: ClinicalTrials.gov, fetched live.
3 trials of drugs against KMT2A were stopped early
Terminated, withdrawn and suspended interventional trials of revumenib, revumenib sesquifumarate, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 3 most recent of 3.
- withdrawn · 2026-09-23 · M.D. Anderson Cancer Center · Revumenib“PI requested”
- terminated · 2026-07-06 · Syndax Pharmaceuticals · Revumenib“Study was terminated by sponsor after Phase 1b as pre-defined signals of efficacy were not met in the Phase 1b dose expansion cohort.”
- withdrawn · 2026-05-05 · Children's Oncology Group · Revumenib“Other - Protocol moved to Withdrawn”
Paediatric incentives and obligations for KMT2A's drugs
For revumenib, revumenib sesquifumarate: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.
- FDA pediatric target list: yes · KMT2A is on the list. Membership alone neither requires nor waives a pediatric study.Rule: Target is on FDA's Pediatric Molecular Target List (relevant targets). Source: FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01)), 2026-11-11
- EU paediatric investigation plan: no · No EMA paediatric investigation plan decision names revumenib, revumenib sesquifumarateRule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
- EU orphan designation: no · No EU orphan designation names revumenib, revumenib sesquifumarateRule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
- Authorised in the EU: no · EMA lists no centrally authorised medicine of revumenib, revumenib sesquifumarateRule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA data download (dated snapshot), 2026-11-11
- FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the linkRule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
- FDA pediatric oncology approval: yes · Revumenib [Revuforj], 24 Oct 2025: Treatment of relapsed or refractory acute myeloid leukemia (AML) with a susceptible nucleophosmin 1 (NPM1) mutation in adult and pediatric patients 1 year and older who have no satisfactory alternative treatment options; Revumenib [Revuforj], 15 Nov 2024: Treatment of relapsed or refractory acute leukemia with a lysine methyltransferase 2A gene (KMT2A) translocation in adult and pediatric patients 1 year and olderRule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-11
- Registered studies open to children: yes · 13 interventional studies of revumenib, revumenib sesquifumarate include patients under 18; 10 are recruiting, not yet recruiting or activeRule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-11
Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs
All 2 drugs and clinical candidates as a table
Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.
| Drug | Type | Highest stage | Indications | Source records |
|---|---|---|---|---|
| REVUMENIB | Small molecule | phase 3 | acute myeloid leukemia, acute leukemia of ambiguous lineage, acute lymphoblastic leukemia, mixed phenotype acute leukemia, leukemia, acute leukemia, colorectal cancer, myeloid leukemia, +1 more | Open Targets · ChEMBL |
| REVUMENIB SESQUIFUMARATE | Small molecule | phase 1 2 | myelodysplastic syndrome, acute myeloid leukemia, mixed phenotype acute leukemia | Open Targets · ChEMBL |