sargramostim
Trade name: leukine
Approved
Feb 20, 1991
Colony-stimulating factors (CSFs) are secreted glycoproteins that bind to receptor proteins on the surfaces of committed progenitors in the bone marrow, thereby activating intracellular signaling pathways that can cause the cells to proliferate and differentiate into a specific kind of blood cell. — Wikipedia
Clinical trial activity
1,637 trials · 672 clinical orgs · 5 marketing orgs
Earliest trial started Nov 1, 1986 (NCT01324063)
Timeline
1990s
- May 3, 1990
Orphan Drug Designation
- Jan 1, 1991
Earliest Phase 1 Sponsor(trial)
- Feb 20, 1991
Earliest FDA Approval
- Feb 20, 1991
Amgen — Marketing Organization
- Feb 20, 1991
Amgen — NDA Secondary Org
- Mar 5, 1991
Schering AG — First NDA Organization
- Mar 5, 1991
Schering AG — Marketing Organization
- Mar 5, 1991
Schering AG — NDA Organization
- Mar 5, 1991
Partner Therapeutics, Inc. — NDA Secondary Org
Indications
Studied for
- Abortion, Habitual · Phase 4
- Acne Vulgaris · Phase 2
- Acute-On-Chronic Liver Failure · Phase 3
- Adenocarcinoma · Phase 1
- Adenocarcinoma of Lung · Phase 1
- Adrenal Gland Neoplasms · Phase 3
- Adrenocortical Carcinoma · Phase 3
- Agammaglobulinemia · Phase 3
- Allergy and Immunology · Phase 1/Phase 2
- Allogeneic Cells · Phase 2
- Allografts · Phase 2
- Alzheimer Disease · Phase 2
- Amyloidosis · Phase 3
- Amyotrophic Lateral Sclerosis · Phase 2/Phase 3
- Anemia · Phase 4
- Anemia, Aplastic · Phase 3
- Anemia, Diamond-Blackfan · Phase 2/Phase 3
- Anemia, Hemolytic, Autoimmune · Phase 2
- Anemia, Refractory · Phase 3
- Anemia, Sickle Cell · Phase 2/Phase 3
- Anterior Wall Myocardial Infarction · Phase 3
- Antigens, CD19 · Phase 1/Phase 2
- Appendicitis · Phase 2
- Arthritis, Rheumatoid · Phase 1
- Astrocytoma · Phase 1
- Autografts · Early Phase 1
- Autoimmune Diseases · Phase 2/Phase 3
- Basal Cell Carcinoma · Phase 1
- Bile Duct Neoplasms · Phase 2
- Biliary Tract Neoplasms · Phase 2
- Blood · Phase 1
- Bone Marrow Cells · Phase 2
- Bone Marrow Diseases · Phase 1
- Bone Marrow Failure Disorders · Phase 2
- Bone Marrow Transplantation · Phase 2
- Bortezomib · Phase 2
- Brain Neoplasms · Phase 3
- Breast Neoplasms · Phase 4
- Breast Neoplasms, Male · Phase 2
- Brenner Tumor · Phase 2
- Burkitt Lymphoma · Phase 4
- Burns · Phase 4
- Carcinoma · Phase 2
- Carcinoma, Adenoid Cystic · Phase 1
- Carcinoma, Hepatocellular · Phase 2
- Carcinoma, Islet Cell · Phase 2
- Carcinoma, Merkel Cell · Phase 1
- Carcinoma, Mucoepidermoid · Phase 1
- Carcinoma, Non-Small-Cell Lung · Phase 3
- Carcinoma, Renal Cell · Phase 3
- Carcinoma, Squamous Cell · Phase 2
- Carcinoma, Transitional Cell · Phase 1
- Carcinoma, Verrucous · Phase 1
- Cardiomyopathy, Dilated · Phase 2
- Cardiotoxicity · Phase 3
- Central Nervous System Neoplasms · Phase 3
- Cerebral Palsy · Phase 2
- Cerebrospinal Fluid · Phase 1
- Chagas Cardiomyopathy · Phase 3
- Chordoma · Phase 1
- Choriocarcinoma · Phase 3
- Choroid Plexus Neoplasms · Phase 3
- Chronic Limb-Threatening Ischemia · Phase 4
- Colonic Neoplasms · Phase 2
- Colorectal Neoplasms · Phase 2
- Conjunctival Neoplasms · Phase 1
- COVID-19 · Phase 4
- Craniopharyngioma · Phase 1
- Critical Illness · Phase 2/Phase 3
- Crohn Disease · Phase 3
- Cyclophosphamide · Phase 3
- Cytokines · Phase 2
- Cytomegalovirus Retinitis · Phase 3
- Deficiency Diseases · Phase 1
- Dexamethasone · Phase 2
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 1 · Phase 2
- Diabetic Foot · Phase 1/Phase 2
- Diarrhea · Phase 2
- Diffuse Intrinsic Pontine Glioma · Phase 1
- Digestive System Neoplasms · Phase 1
- DNA Mismatch Repair · Phase 1
- Down Syndrome · Phase 2
- Doxorubicin · Phase 3
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Drugs, Investigational · Phase 2
- Drug Therapy · Phase 2/Phase 3
- Dyskeratosis Congenita · Phase 2
- Electroconvulsive Therapy · Phase 2
- Embryo Implantation · Phase 3
- Endodermal Sinus Tumor · Phase 3
- Endometrial Neoplasms · Phase 3
- End Stage Liver Disease · Phase 1
- Enterocolitis, Necrotizing · Phase 1/Phase 2
- Ependymoma · Phase 1
- Epidermolysis Bullosa Dystrophica · Phase 2
- Esophageal Diseases · Phase 2
- Esophageal Neoplasms · Phase 2
- Fallopian Tube Neoplasms · Phase 2
- Fanconi Anemia · Phase 2
- Febrile Neutropenia · Phase 3
- Feeding and Eating Disorders · Phase 1/Phase 2
- Felty Syndrome · Phase 2
- Fertilization in Vitro · Phase 3
- Fever · Phase 3
- Fibrosis · Phase 3
- Frailty · Phase 1/Phase 2
- Gallbladder Neoplasms · Phase 2
- Ganglioneuroblastoma · Phase 2
- Gastrointestinal Stromal Tumors · Phase 1
- Geriatrics · Phase 3
- Germinoma · Phase 3
- Gestational Trophoblastic Disease · Phase 2
- Glioblastoma · Phase 3
- Glioma · Phase 2
- Gliosarcoma · Phase 3
- Graft vs Host Disease · Phase 4
- Granulocyte Colony-Stimulating Factor · Phase 2/Phase 3
- Granulocyte-Macrophage Colony-Stimulating Factor · Phase 2
- Granuloma · Phase 2
- Hamartoma · Phase 2
- Head and Neck Neoplasms · Phase 3
- Healthy Volunteers · Phase 3
- Heart Failure · Phase 2/Phase 3
- Hematologic Diseases · Phase 3
- Hematologic Neoplasms · Phase 4
- Hematology · Phase 2
- Hematopoietic Stem Cells · Phase 2
- Hematopoietic Stem Cell Transplantation · Phase 2/Phase 3
- Hemoglobinopathies · Phase 2
- Hemoglobinuria, Paroxysmal · Phase 2
- Hemorrhagic Stroke · Phase 1/Phase 2
- Hepacivirus · Phase 4
- Hepatitis, Alcoholic · Phase 4
- Hepatitis B · Phase 4
- Hepatitis B, Chronic · Phase 4
- Hepatoblastoma · Phase 4
- Herpesvirus 8, Human · Phase 2
- Histiocytosis, Langerhans-Cell · Phase 2
- HIV · Phase 4
- HIV Infections · Phase 4
- Hodgkin Disease · Phase 3
- Hypertension, Pulmonary · Phase 2
- Hypertrophy, Left Ventricular · Phase 3
- Immune System Diseases · Early Phase 1
- Immunoglobulin Light-chain Amyloidosis · Phase 3
- Infant, Premature · Phase 3
- Infections · Phase 3
- Infertility · Phase 4
- Infertility, Female · Phase 1/Phase 2
- Inflammatory Breast Neoplasms · Phase 2
- Intestinal Neoplasms · Phase 2
- Intraocular Lymphoma · Phase 2
- Ischemic Stroke · Phase 2
- Kidney Diseases · Phase 2
- Kidney Neoplasms · Phase 3
- Kidney Transplantation · Phase 2
- Leg Ulcer · Phase 2
- Leiomyosarcoma · Phase 3
- Leishmaniasis, Cutaneous · Phase 3
- Leukemia · Phase 4
- Leukemia, Biphenotypic, Acute · Phase 2
- Leukemia, Eosinophilic, Acute · Phase 3
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 4
- Leukemia, Lymphoid · Phase 2
- Leukemia-Lymphoma, Adult T-Cell · Phase 3
- Leukemia, Megakaryoblastic, Acute · Phase 1/Phase 2
- Leukemia, Monocytic, Acute · Phase 3
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 3
- Leukemia, Myeloid · Phase 2
- Leukemia, Myeloid, Acute · Phase 4
- Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative · Phase 2
- Leukemia, Myeloid, Chronic-Phase · Phase 3
- Leukemia, Myelomonocytic, Acute · Phase 3
- Leukemia, Myelomonocytic, Chronic · Phase 3
- Leukemia, Myelomonocytic, Juvenile · Phase 3
- Leukemia, Plasma Cell · Phase 1/Phase 2
- Leukemia, Prolymphocytic · Phase 1/Phase 2
- Leukocytes, Mononuclear · Phase 1/Phase 2
- Leukoencephalopathy, Progressive Multifocal · Phase 2
- Liver Cirrhosis · Phase 1
- Liver Diseases, Alcoholic · Phase 4
- Liver Failure · Phase 4
- Liver Neoplasms · Phase 2
- Living Donors · Phase 1
- Lung Diseases · Phase 3
- Lung Diseases, Interstitial · Phase 2
- Lung Neoplasms · Phase 3
- Lupus Erythematosus, Systemic · Phase 2
- Lymph Nodes · Phase 3
- Lymphocytosis · Phase 1
- Lymphoma · Phase 4
- Lymphoma, AIDS-Related · Phase 2
- Lymphoma, B-Cell · Phase 2/Phase 3
- Lymphoma, B-Cell, Marginal Zone · Phase 2
- Lymphoma, Follicular · Phase 3
- Lymphoma, Large B-Cell, Diffuse · Phase 3
- Lymphoma, Large-Cell, Anaplastic · Phase 4
- Lymphoma, Large-Cell, Immunoblastic · Phase 3
- Lymphoma, Mantle-Cell · Phase 3
- Lymphoma, Non-Hodgkin · Phase 4
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Early Phase 1
- Lymphoma, T-Cell · Phase 2
- Lymphoma, T-Cell, Peripheral · Phase 3
- Lymphomatoid Granulomatosis · Phase 2
- Lymphoproliferative Disorders · Phase 2
- Mediastinal Neoplasms · Phase 4
- Medulloblastoma · Phase 3
- Melanoma · Phase 4
- Meningioma · Phase 1
- Mesothelioma · Phase 2
- Mesothelioma, Malignant · Phase 2
- Multiple Myeloma · Phase 4
- Multiple Sclerosis · Phase 1
- Multiple Sclerosis, Relapsing-Remitting · Phase 2
- Muscular Dystrophies · Phase 1
- Myasthenia Gravis · Early Phase 1
- Mycobacterium avium-intracellulare Infection · Phase 1
- Mycoses · Phase 4
- Myelodysplastic-Myeloproliferative Diseases · Phase 2
- Myelodysplastic Syndromes · Phase 4
- Myeloproliferative Disorders · Phase 3
- Myocardial Infarction · Phase 4
- Nasopharyngeal Carcinoma · Phase 2
- Nasopharyngeal Neoplasms · Phase 2
- Neonatal Sepsis · Phase 4
- Neoplasm Metastasis · Phase 3
- Neoplasm, Residual · Phase 2/Phase 3
- Neoplasms · Phase 4
- Neoplasms, Germ Cell and Embryonal · Phase 3
- Neoplasms, Plasma Cell · Phase 2
- Neuroblastoma · Phase 4
- Neurodegenerative Diseases · Phase 1/Phase 2
- Neuroectodermal Tumors · Phase 3
- Neuroendocrine Tumors · Phase 2
- Neurofibromatosis 1 · Phase 2
- Neurofibrosarcoma · Phase 1
- Neutropenia · Phase 4
- Oligodendroglioma · Phase 1
- Organ Transplantation · Phase 1
- Oropharyngeal Neoplasms · Phase 1
- Osteosarcoma · Phase 3
- Ovarian Neoplasms · Phase 3
- Pain · Phase 2
- Pancreatic Neoplasms · Phase 3
- Papilloma, Inverted · Phase 1
- Parkinson Disease · Phase 2
- Pediatrics · Phase 1
- Pemphigus · Phase 2
- Periodontitis · Phase 1
- Peripheral Arterial Disease · Phase 2
- Peripheral Vascular Diseases · Early Phase 1
- Pharmacokinetics · Phase 1
- Pheochromocytoma · Phase 3
- Physiological Effects of Drugs · Phase 1
- Pneumonia · Phase 1
- Pouchitis · Phase 1/Phase 2
- Precancerous Conditions · Phase 1/Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 3
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 4
- Primary Myelofibrosis · Phase 3
- Primary Ovarian Insufficiency · Phase 4
- Prognosis · Phase 2
- Prostatic Neoplasms · Phase 4
- Prostatic Neoplasms, Castration-Resistant · Phase 2/Phase 3
- Prostheses and Implants · Phase 3
- Pulmonary Alveolar Proteinosis · Phase 2/Phase 3
- Purpura, Thrombocytopenic · Phase 2
- Radiation Oncology · Phase 2
- Rectal Neoplasms · Phase 2
- Recurrence · Phase 1/Phase 2
- Respiratory Distress Syndrome · Phase 2
- Respiratory Tract Infections · Phase 1
- Retinal Neoplasms · Phase 3
- Retinoblastoma · Phase 4
- Rhabdoid Tumor · Phase 3
- Rhabdomyosarcoma · Phase 3
- Salivary Gland Neoplasms · Phase 1
- Sarcoma · Phase 3
- Sarcoma, Ewing · Phase 2
- Sarcoma, Kaposi · Phase 2
- Sarcoma, Myeloid · Phase 2
- Sarcoma, Synovial · Phase 1
- SARS-CoV-2 · Phase 2
- Scleroderma, Diffuse · Phase 2
- Scleroderma, Systemic · Phase 2/Phase 3
- Sclerosis · Phase 2/Phase 3
- Seminoma · Phase 3
- Sepsis · Phase 4
- Severe Acute Respiratory Syndrome · Phase 2
- Severe Combined Immunodeficiency · Phase 2
- Sezary Syndrome · Phase 2
- Shock, Septic · Phase 3
- Shwachman-Diamond Syndrome · Phase 2/Phase 3
- Sickle Cell Trait · Phase 3
- Skin Neoplasms · Phase 1/Phase 2
- Small Cell Lung Carcinoma · Phase 2
- Smoldering Multiple Myeloma · Phase 1/Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 2
- Stem Cell Transplantation · Phase 2
- Stevens-Johnson Syndrome · Phase 4
- Stomach Neoplasms · Phase 2
- Stroke · Phase 2
- Teratoma · Phase 3
- Testicular Neoplasms · Phase 3
- Thalassemia · Phase 2/Phase 3
- Therapeutics · Phase 2
- Thrombocytopenia · Phase 2
- Thymoma · Phase 2
- Thyroid Neoplasms · Phase 1
- Translocation, Genetic · Phase 2
- Transplantation · Phase 1
- Transplantation, Autologous · Phase 2
- Transplantation, Homologous · Phase 2
- Traumatology · Phase 4
- Triple Negative Breast Neoplasms · Phase 1
- Urethral Neoplasms · Phase 2
- Urinary Bladder Neoplasms · Phase 3
- Urological Manifestations · Phase 1/Phase 2
- Uterine Cervical Neoplasms · Phase 4
- Uterine Neoplasms · Phase 3
- Waldenstrom Macroglobulinemia · Phase 2
- Warts · Phase 3
- Wilms Tumor · Phase 3
- Wiskott-Aldrich Syndrome · Phase 2
Mechanism of action
Approval history
- approvedFeb 20, 1991
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
- Multi-specific
- No
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaColony-stimulating factor ↗
- NCATS5TAA004E22 ↗
- ChEMBLCHEMBL1201670 ↗
- ChEMBLCHEMBL2109128 ↗
- WikipediaSargramostim ↗
- ChEMBLCHEMBL1201567 ↗
- ChEMBLCHEMBL2107881 ↗
Also known as
- accofil
- apvac1 vaccine
- b1 61.012
- bi 61.012
- bm-csf
- colony-stimulating factor
- colony-stimulating factor 2 (human clone phg25 protein moiety), 23-l-leucine-
- combination of fosfomycin, metronidazole and rhgm-csf (administered together intraperitoneally) and three days of antibiotics p.o.
- filgrastim
- filgrastim
- filgrastim
- filgrastim
- filgrastim
- filgrastim
- filgrastim
- filgrastim
- filgrastim
- filgrastim-sndz
- filgrastim-sndz
- filgrastim-sndz
- filgrastim-sndz
- filgrastim-sndz
- g-csf
- g-csf
- g-csf)
- gmc-89-107
- gmcsf
- gm-csf
- gm-csf
- gm-csf
- granulocyte colony stimulating factor
- granulocyte colony stimulating factor
- leukine
- leukine
- leukine
- leukine
- leukine
- neupogen
- neupogen
- neupogen
- neupogen
- neupogen 30
- neupogen 48
- nivestim
- nivestim
- nivestim
- nivestim
- nivestim
- prokine
- regramostim
- rg-csf
- rg-csf
- rhg-csf
- rhgm-csf
- rhgm-csf
- rhu gm-csf
- r-methug-csf
- r-methug-csf
- r-methug-csf
- sargramostim
- sargramostim
- sargramostim
- sargramostim
- sargramostim
- sargramostim
- sargramostim
- sargramostim
- sargramostim
- sargramostim (genetical recombination)
- tbo-filgrastim
- uv1 synthetic peptide vaccine
- zarxio
- zarzio
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07169617 | Phase 2 | Feb 25, 2026 | National Cancer Institute (NCI), Northwestern University |
| NCT07078604 | Phase 2 | Dec 1, 2025 | Kuni Foundation, University of Washington |
| NCT07085338 | Phase 2 | Nov 10, 2025 | St. Jude Children's Hospital |
| NCT06989333 | Phase 2 | Jul 1, 2025 | Huazhong University of Science and Technology |
| NCT07027748 | Phase 1 | Jun 27, 2025 | Harvard University, Y-Mabs, Inc |
| NCT06799026 | Phase 1 | Jan 31, 2025 | Harvard University, Pfizer |
| NCT07305675 | N/A | Jan 1, 2025 | Jiao Tong University |
| NCT06514898 | Phase 1 | Dec 31, 2024 | Georgetown University, University of Florida |
| NCT06202066 | Phase 2 | Dec 15, 2024 | State University of New York, Buffalo |
| NCT06450041 | Phase 2 | Nov 30, 2024 | National Cancer Institute (NCI), Ohio State University, United Therapeutics |
| NCT06626516 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2024 | Thomas Jefferson University |
| NCT06651853 | Phase 2 | Oct 21, 2024 | Xiamen University |
| NCT06254326 | Phase 1 | Sep 19, 2024 | University of Florida |
| NCT06528496 | Phase 2 | Jul 22, 2024 | Memorial Sloan-Kettering Cancer Center |
| NCT06345599 | Phase 1/Phase 2 (Phase 2) | May 1, 2024 | Soochow University |
| NCT05284214 | Phase 2 | Jan 31, 2024 | Partner Therapeutics, Inc. |
| NCT05717140 | Phase 1 | Dec 31, 2023 | Mayo Clinic |
| NCT05794659 | Phase 2 | Nov 15, 2023 | Aston Sci. Co., Ltd. |
| NCT06472739 | Phase 2 | Sep 15, 2023 | Sun Yat-Sen University |
| NCT05771584 | Phase 2 | Jul 4, 2023 | Aston Sci. Co., Ltd. |
Organizations
Research & Development (672)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| National Cancer Institute (NCI) | Government | 678 | 227 | 4 | 1988 |
| University of Texas at Houston | Academic/Hospital | 107 | 89 | 4 | 1993 |
| Cornell University | Academic/Hospital | 91 | 77 | 5 | 1991 |
| University of Washington | Academic/Hospital | 70 | 57 | 4 | 1994 |
| Johns Hopkins University | Academic/Hospital | 45 | 32 | 4 | 1994 |
| Mayo Clinic | Academic/Hospital | 40 | 18 | 5 | 1993 |
| National Institutes of Health (NIH) | Government | 38 | 10 | 5 | 1998 |
| Genzyme | For profit | 37 | 23 | 5 | 2003 |
| University of California, San Francisco | Academic/Hospital | 37 | 19 | 4 | 1994 |
| University of Minnesota | Academic/Hospital | 36 | 33 | 4 | 1998 |
| Eastern Cooperative Oncology Group | Academic/Hospital | 34 | 23 | 3 | 1993 |
| Harvard University | Academic/Hospital | 33 | 23 | 3 | 1996 |
| Amgen | For profit | 31 | 12 | 4 | 1999 |
| Southwest Oncology Group | Academic/Hospital | 30 | 20 | 4 | 1994 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 26 | 25 | 4 | 1999 |
| St. Jude Children's Hospital | Academic/Hospital | 26 | 22 | 3 | 1996 |
| Bayer | For profit | 24 | 0 | 3 | 2002 |
| City of Hope National Medical Center | Academic/Hospital | 24 | 20 | 4 | 1994 |
| Case Western Reserve University | Academic/Hospital | 23 | 20 | 4 | 1996 |
| State University of New York, Buffalo | Academic/Hospital | 22 | 17 | 4 | 1995 |
Marketing (7)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Amgen | For profit | MKTG | Feb 20, 1991 |
| Amgen | For profit | NDA2 | Feb 20, 1991 |
| Novartis | For profit | NDA2 | Mar 6, 2015 |
| Partner Therapeutics, Inc. | For profit | NDA2 | Mar 5, 1991 |
| Sandoz | For profit | MKTG | Mar 6, 2015 |
| Schering AG | For profit | MKTG | Mar 5, 1991 |
| Schering AG | For profit | NDA | Mar 5, 1991 |