OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 15:30 UTC. Every row links to its source record.

MEN1 menin 1

ENSG00000133895 · protein coding · Open Targets profile

Essential component of a MLL/SET1 histone methyltransferase (HMT) complex, a complex that specifically methylates 'Lys-4' of histone H3 (H3K4). Functions as a transcriptional regulator. Binds to the TERT promoter and represses telomerase expression. Plays a role in TGFB1-mediated inhibition of cell-proliferation, possibly regulating SMAD3 transcriptional activity. Represses JUND-mediated transcriptional activation on AP1 sites, as well as that mediated by NFKB subunit RELA. Positively regulates HOXC8 and HOXC6 gene expression. May be involved in normal hematopoiesis through the activation of HOXA9 expression (By similarity). May be involved in DNA repair. {ECO:0000250|UniProtKB:O88559, ECO:0000269|PubMed:11274402, ECO:0000269|PubMed:11526476, ECO:0000269|PubMed:12837246, ECO:0000269|PubMed:12874027, ECO:0000269|PubMed:14992727, ECO:0000269|PubMed:22327296}.

1 of the 3 drugs recorded against MEN1 is approved, and 1 more 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 Approved: REVUMENIB CITRATE1 small molecule drug at Phase 3: REVUMENIB1 small molecule drug at Phase 2: REVUMENIB SESQUIFUMARATESmall molecule 3Approved 1Phase 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 Withdrawn means the drug was pulled from the market or from development.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 9 of 15 cancers, the evidence for MEN1 comes mainly from inherited variants

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)
00.250.50.751multiple endocrine neoplasia type 1multiple endocrine neoplasia type 1multiple endocrine neoplasia type 1: germline 0.95parathyroid gland adenomaparathyroid gland adenomaparathyroid gland adenoma: somatic 0.60parathyroid gland adenoma: germline 0.70endocrine gland neoplasmendocrine gland neoplasmendocrine gland neoplasm: germline 0.88multiple endocrine neoplasiamultiple endocrine neoplasiamultiple endocrine neoplasia: germline 0.01AngiofibromaAngiofibromaAngiofibroma: somatic 0.64lung carcinoid tumorlung carcinoid tumorlung carcinoid tumor: somatic 0.46lung carcinoid tumor: germline 0.55hereditary neoplastic syndromehereditary neoplastic syndromehereditary neoplastic syndrome: germline 0.94familial isolated hyperparathyroidismfamilial isolated hyperparathyroidismfamilial isolated hyperparathyroidism: germline 0.61pituitary tumorpituitary tumorpituitary tumor: germline 0.20pancreatic neuroendocrine tumorpancreatic neuroendocrine tumorpancreatic neuroendocrine tumor: somatic 0.61malignant endocrine neoplasmmalignant endocrine neoplasmadrenal cortex carcinomaadrenal cortex carcinomaadrenal cortex carcinoma: somatic 0.58acute myeloid leukemiaacute myeloid leukemiaacute myeloid leukemia: somatic 0.46neuroendocrine carcinomaneuroendocrine carcinomaneuroendocrine carcinoma: germline 0.37leukemialeukemia

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
PROTAC
Database Ubiquitination, Half-life Data, Small Molecule Binder

gnomAD loss of function constraint: o/e 0.10347999632358551 (upper bound 0.20424999296665192). 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 MEN1 (revumenib), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

14 of 20 trials of drugs against MEN1 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 MEN1 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 MEN1'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 · MEN1 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 3 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
REVUMENIB CITRATESmall moleculeapprovalleukemia, neoplasmOpen Targets · ChEMBL
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