Blueprint Medicines

Blueprint Medicines works on 8 rare diseases tracked on Trial Friend, including Cholangiocarcinoma, Familial Medullary Thyroid Carcinoma, Gastrointestinal Stromal Tumor and 5 more, with 7 active clinical trials (6 recruiting).

Blueprint Medicines is a precision therapy company focused on genomically defined cancers and blood disorders. Sanofi completed its $9.1 billion acquisition of Blueprint on July 18, 2025 (announced June 2025). The lead product is avapritinib (Ayvakit/Ayvakyt), approved for advanced systemic mastocytosis, indolent systemic mastocytosis (ISM, approved 2023), and PDGFRA D842V-mutant gastrointestinal stromal tumors. Blueprint also discovered pralsetinib (Gavreto) for RET-altered cancers and regained global commercialization rights from Roche in 2024. The pipeline includes elenestinib (BLU-263), a next-generation KIT D816V inhibitor in Phase 2/3 for indolent systemic mastocytosis.

Type
Rare Disease Specialist
Ticker
BPMC
Parent
Sanofi
Headquarters
Cambridge, United States
Founded
2011
7
Active Rare Disease Trials
8
Rare Diseases in Portfolio
15
Years Active

Blueprint Medicines Drug Pipeline

Blueprint Medicines has 7 active clinical trials across 5 development stages, with 6 currently recruiting participants. Clinical trials advance through phases: Phase 1 tests safety in a small group, Phase 2 evaluates effectiveness and side effects, Phase 3 confirms benefit in a larger population, and Phase 4 monitors long-term safety after FDA approval.

Note: This pipeline counts the active and recruiting trials listed on this page, from ClinicalTrials.gov. For companies that work outside rare disease, we list only trials for rare diseases we track, so the company's full pipeline may be larger.

Understand Blueprint Medicines's pipeline
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1
Early Phase / Phase 11 trial
1
Phase 21 trial
Active Not Recruiting
1
Phase 31 trial
1
Phase 4 / Post-Market1 trial
3
Other3 trials

Blueprint Medicines Clinical Trials (7)

Active and recruiting clinical trials sponsored by Blueprint Medicines, sourced live from ClinicalTrials.gov. Each trial card shows the study phase, current recruitment status, conditions under investigation, study locations, eligibility criteria, and a direct link to the full ClinicalTrials.gov record. You can also download a one-page PDF summary to share with your doctor.

Note: Recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator.

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RECRUITINGPHASE2, PHASE3Recently updatedNCT04910685

(HARBOR) Study to Evaluate Efficacy and Safety of BLU-263 Versus Placebo in Patients With Indolent Systemic Mastocytosis

Intervention: Elenestinib, Placebo

This is a randomized, double-blind, placebo-controlled, Phase 2/3 study comparing the efficacy and safety of elenestinib (BLU-263) + symptom directed therapy (SDT) with placebo + SDT in participants with indolent systemic mastocytosis (ISM) whose symptoms are not adequately controlled by SDT. Parts 1 and 2 will enroll participants with ISM. Participants enrolled in Part 2 will roll over onto Part 3 to receive treatment with elenestinib in an open-label fashion following completion of the earlier Part. Part K will enroll participants with ISM who have previously received an approved selective KIT inhibitor. The study also includes pharmacokinetic (PK) groups that will enroll participants with ISM.

Ages 18 Years+76 locations
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RECRUITINGRecently updatedNCT07264959

An Observational Study in Participants With Indolent Systemic Mastocytosis (ISM)

This is a Phase 4, non-interventional, observational study to collect detailed data on the clinical characteristics, clinical outcomes and medical management of ISM in real-world settings. The study will describe the demographic and clinical characteristics of ISM participants, including anaphylaxis and bone manifestations in ISM. Quality of life and disease control will be assessed through participant questionnaires. The study will also evaluate real world ISM treatment management, including use of avapritinib.

Ages 18 Years+7 locations
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RECRUITINGRecently updatedNCT07143669

Screening Study for KIT D816V Mutated Mast Cell Disease in Select Populations

Intervention: Screening

This is a multicenter screening study to characterize the prevalence of the KIT D816V mutation in participants with suspected clonal mast cell disease.

Ages 18 Years+22 locations
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RECRUITINGUpdated a few months agoNCT07255638

A Non-Interventional Study in Participants With Indolent Systemic Mastocytosis (ISM) in Germany

Intervention: Avapritinib

This is a non-interventional study assessing the effectiveness of avapritinib (BLU-285) in the management of ISM in real-world settings in Germany. The study also seeks to address the existing data gap in the natural history and management of participants with ISM. The study is designed to follow each participant up to a maximum of 24 months.

Ages 18 Years+8 locations
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RECRUITINGPHASE1No updates in a whileNCT06327685

Avapritinib With Decitabine in Patients With SM-AHN

Intervention: Avapritinib, Decitabine, Decitabine/Cedazuridine

Systemic mastocytosis with an associated hematologic neoplasm (SM-AHN) is a challenging disease to treat. Targeted KIT inhibitors have been approved for this indication based on their ability to control the mastocytosis portion of the disease, but patients frequently experience progression of the concomitant myeloid malignancy (i.e. the AHN). Using a combination approach to treat both aspects of the disease has the potential to provide enhanced disease control; however, overlapping toxicity is a concern. In this study, investigators aim to study the safety and tolerability of combined avapritinib and decitabine for the treatment of SM-AHN.

Ages 18 Years+7 locations
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RECRUITINGPHASE4No updates in a whileNCT06748001

Avapritinib Rollover Study

Intervention: Avapritinib

The primary objective of the rollover study is to evaluate the long-term safety of avapritinib in participants who have completed a Blueprint Medicines sponsored study (parent study) and continued to benefit from avapritinib.

Ages not specified7 locations
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ACTIVE NOT RECRUITINGPHASE2Recently updatedNCT03731260

(PIONEER) Study to Evaluate Efficacy and Safety of Avapritinib (BLU-285), A Selective KIT Mutation-targeted Tyrosine Kinase Inhibitor, Versus Placebo in Patients With Indolent Systemic Mastocytosis

Intervention: Avapritinib, Placebo

This is a Phase 2, randomized, double-blind, placebo-controlled study comparing the efficacy and safety of avapritinib + best supportive care (BSC) with placebo + BSC in patients with indolent systemic mastocytosis (ISM) whose symptoms are not adequately controlled by BSC. The study will be conducted in 3 parts. All patients will receive treatment with avapritinib during Part 3 including those rolling over from the placebo group.

Ages 18 Years+49 locations
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FDA-Approved Drugs

No FDA-approved drugs found for this company at this time.

Blueprint Medicines Trial Locations

Blueprint Medicines clinical trials are running at 176 sites in 25 countries. Click any country to drill down by state, city, and individual research facility. Proximity to a trial site is one of the most important factors in deciding whether to participate.

United States
69▼
Germany
21▼
France
12▼
Italy
12▼
United Kingdom
10▼
Netherlands
7▼
Belgium
5▼
Spain
5▼
Canada
4▼
Norway
3▼
Portugal
3▼
Sweden
3▼

Rare Disease Focus Areas (8)

Diseases targeted by Blueprint Medicines's clinical trial and drug development programs

CholangiocarcinomaRare Cancers

Cholangiocarcinoma is a rare and aggressive cancer that forms in the bile ducts, the thin tubes that carry digestive fluid (bile) from the liver to the small intestine. It can occur inside the liver (...

Prevalence: About 8,000 new cases per year in the U.S.; rising incidence worldwide
Familial Medullary Thyroid CarcinomaEndocrine & Hormonal

Familial medullary thyroid carcinoma is an autosomal dominant cancer predisposition syndrome caused by germline RET mutations. Nearly all mutation carriers develop medullary thyroid cancer by adulthoo...

Prevalence: Near-complete penetrance by adulthood in RET mutation carriers (varies by specific codon mutation); comprises ~25% of medullary thyroid cancers
Gastrointestinal Stromal TumorRare Cancers

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract, arising from the interstitial cells of Cajal or their precursors. Most GISTs are driven by...

Prevalence: About 6,000 new cases per year in the U.S. (American Cancer Society); true incidence may be higher as small GISTs are often incidentally discovered
Hereditary Diffuse Gastric CancerGastrointestinal

Hereditary diffuse gastric cancer is an autosomal dominant cancer predisposition syndrome caused by germline CDH1 mutations. Nearly all carriers develop diffuse gastric cancer by age 80 if not treated...

Prevalence: Estimated at 1 in 1,000 gastric cancer cases; ~1 in 100,000 in general population
MastocytosisBlood & Immune

Mastocytosis is a rare hematological disorder characterized by clonal expansion of mast cells in bone marrow, organs, and tissues. Abnormal mast cells release mediators causing symptoms including flus...

Prevalence: 1 in 10,000 to 1 in 300,000 (estimates vary widely)
Medullary Thyroid CancerRare Cancers

Medullary thyroid cancer (MTC) is a rare neuroendocrine tumor arising from the parafollicular C cells of the thyroid gland, accounting for 2-4% of all thyroid cancers. About 75% of cases are sporadic ...

Prevalence: Approximately 1,000-1,200 new cases per year in the U.S.; 2-4% of all thyroid cancers

Patient Resources

Organizations and resources related to Blueprint Medicines's rare disease focus areas

Frequently Asked Questions About Blueprint Medicines

Common questions about Blueprint Medicines's rare disease programs, clinical trials, and treatments.