OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 16:13 UTC. Every row links to its source record.

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}.

None of the 2 drugs recorded against KMT2A is approved yet; 1 reached Phase 3

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.

1 small molecule drug at Phase 3: REVUMENIB1 small molecule drug at Phase 2: REVUMENIB SESQUIFUMARATESmall molecule 2Phase 3 1Phase 2 1

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.

In 15 of 15 cancers, the evidence for KMT2A comes mainly from mutations found in tumours

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.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751acute myeloid leukemiaacute myeloid leukemiaacute myeloid leukemia: somatic 0.46acute lymphoblastic leukemiaacute lymphoblastic leukemiaacute lymphoblastic leukemia: somatic 0.61urinary bladder cancerurinary bladder cancerurinary bladder cancer: somatic 0.64melanomamelanomamelanoma: somatic 0.61B-cell acute lymphoblastic leukemiaB-cell acute lymphoblastic leukemiaB-cell acute lymphoblastic leukemia: somatic 0.61skin basal cell carcinomaskin basal cell carcinomaskin basal cell carcinoma: somatic 0.61skin squamous cell carcinomaskin squamous cell carcinomaskin squamous cell carcinoma: somatic 0.61Transitional MeningiomaTransitional MeningiomaTransitional Meningioma: somatic 0.61cutaneous melanomacutaneous melanomacutaneous melanoma: somatic 0.61hemangioblastomahemangioblastomahemangioblastoma: somatic 0.61desmoplastic melanomadesmoplastic melanomadesmoplastic melanoma: somatic 0.61Atypical MeningiomaAtypical MeningiomaAtypical Meningioma: somatic 0.61bile duct carcinomabile duct carcinomabile duct carcinoma: somatic 0.61hepatocellular carcinomahepatocellular carcinomahepatocellular carcinoma: somatic 0.44myelodysplastic syndromemyelodysplastic syndromemyelodysplastic syndrome: somatic 0.46

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.

14 of 20 trials of drugs against KMT2A have sites only in United States

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.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 14 trials with sites only hereUnited States: 6 trials with sites here and elsewhere20EuropeEurope: 0 trials with sites only hereEurope: 4 trials with sites here and elsewhere4OtherOther: 0 trials with sites only hereOther: 6 trials with sites here and elsewhere6

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.
  • EU paediatric investigation plan: no · No EMA paediatric investigation plan decision names revumenib, revumenib sesquifumarate
    Rule: 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 sesquifumarate
    Rule: 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 sesquifumarate
    Rule: 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 link
    Rule: 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 older
    Rule: 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 active
    Rule: 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.

DrugTypeHighest stageIndicationsSource records
REVUMENIBSmall moleculephase 3acute myeloid leukemia, acute leukemia of ambiguous lineage, acute lymphoblastic leukemia, mixed phenotype acute leukemia, leukemia, acute leukemia, colorectal cancer, myeloid leukemia, +1 moreOpen Targets · ChEMBL
REVUMENIB SESQUIFUMARATESmall moleculephase 1 2myelodysplastic syndrome, acute myeloid leukemia, mixed phenotype acute leukemiaOpen Targets · ChEMBL