Ozmosi | Zilurgisertib Drug Profile
Drug Profile
Using advanced filters...
Advanced Search [+]

Zilurgisertib

Pronounced as: zye-lur-JIS-er-tib

Alternative Names: Zilurgisertib, incb-000928, incb000928, incb 000928
Clinical Status: Active
Latest Update: 2025-12-05
Latest Update Note: Clinical Trial Update

Product Description

An inhibitor of activin A receptor type 1 (activin receptor-like kinase 2; ALK2; ALK-2; ACVR1; ACTR-I), with potential anti-anemic and ossification suppressive activities. Upon administration, ALK2 inhibitor INCB000928 targets, binds to and inhibits the activity of ALK-2. This prevents ALK2-mediated signaling and ALK2-mediated excessive bone morphogenetic protein (BMP) signaling. This may suppress heterotopic ossification (HO). As ALK-2 enhances the secretion of hepcidin, a peptide liver hormone and a key modulator of iron homeostasis, INCB000928 is able to decrease hepcidin expression in the liver, thereby increasing and restoring plasma iron levels, enhancing erythropoiesis, and correcting anemia of chronic disease (ACD). ALK2, a serine/threonine receptor kinase and type I cell surface receptor for BMPs, is constitutively activated due to activating mutations in inflammatory conditions, various types of cancer, and in fibrodysplasia ossificans progressiva (FOP). Elevated serum hepcidin levels enhance storage of iron, reduce iron availability and causes iron deficiency anemia. (Sourced from: https://www.cancer.gov/publications/dictionaries/cancer-drug/def/alk2-inhibitor-incb000928)

Mechanisms of Action: ALK2 Inhibitor

Novel Mechanism: Yes

Modality: Small Molecule

Route of Administration: Oral

FDA Designation: *

Approval Status: Not Approved

Approved Countries: None

Approved Indications: None

Company: Incyte
Company Location: Eastern America
Company Founding Year: 1991
Additional Commercial Interests: None

Clinical Description

Map of Global Clinical Trials for Zilurgisertib

Countries in Clinic: Argentina, Australia, Brazil, Canada, Chile, China, France, Germany, Italy, Japan, Mexico, Netherlands, New Zealand, Portugal, South Africa, South Korea, Spain, United Kingdom, United States, Unknown Location

Active Clinical Trial Count: 6

Recent & Upcoming Milestones

  • Clinical Outcomes Reported - Incyte presented P2 Fibrodysplasia Ossificans Progressiva results on 2026-06-13 for Zilurgisertib
  • Clinical Outcomes Reported - Incyte presented P1 Myelofibrosis results on 2025-12-07 for Zilurgisertib
  • Clinical Outcomes Reported - Incyte presented P0 Myelofibrosis results on 2024-06-14 for Zilurgisertib

Highest Development Phases

Phase 2: Anemia|Fibrodysplasia Ossificans Progressiva|Myelodysplastic Syndrome|Myelofibrosis|Myeloproliferative Disorders|Myositis Ossificans|Polycythemia Vera|Thrombocythemia, Essential|Thrombocytosis

Trial ID

Trial

Phase

Trial Status

Disease

Primary Completion Date

Probability of Success

Latest Trial Update Date

Data Updated

NCT05090891

Progress

P2

Recruiting

Myositis Ossificans|Fibrodysplasia Ossificans Progressiva

2027-07-30

12%

2025-12-06

NCT04455841

INCB 00928-104

P2

Active, not recruiting

Thrombocytosis|Anemia|Thrombocythemia, Essential|Myeloproliferative Disorders|Myelofibrosis|Polycythemia Vera

2025-04-01

50%

2025-05-06

Primary Completion Date|Primary Endpoints|Study Completion Date|Treatments

2020-002771-35

2020-002771-35

P2

Completed

Myelodysplastic Syndrome|Anemia

2024-08-15

45%

2025-05-06

Primary Completion Date|Study Completion Date|Treatments|Trial Status

2023-504129-38-00

INCB 00928-201

P2

Recruiting

Fibrodysplasia Ossificans Progressiva

2028-01-21

12%

2025-05-02

Treatments

jRCT2031210445

jRCT2031210445

P2

Recruiting

Polycythemia Vera|Myelofibrosis|Thrombocythemia, Essential|Anemia

2024-04-30

CTR20230239

CTR20230239

P2

Recruiting

Fibrodysplasia Ossificans Progressiva

None

2025-09-14

Patient Enrollment|Start Date|Treatments|Trial Status