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Data updated: Jun 28, 2026

NIKTIMVO (axatilimab-csfr) · INCYTE CORP

Colony Stimulating Factor Receptor Type 1 (CSF-1R) Inhibitors
First-in-Class Orphan Drug Priority Review Fast Track 1st Cycle Met PDUFA 1st in US
Immunology Approved 2024-08-14

NIKTIMVO (axatilimab-csfr) is a colony stimulating factor-1 receptor (CSF-1R) blocker indicated for the treatment of chronic graft-versus-host disease (cGVHD). It is specifically approved for use in adult and pediatric patients weighing at least 40 kg who have failed at least two prior lines of systemic therapy. This medication provides a therapeutic option for patients whose condition has not responded to previous systemic treatments.

Source: FDA Label • Colony Stimulating Factor-1 Receptor Blocker

How NIKTIMVO Works

Axatilimab-csfr is a monoclonal antibody that binds to colony stimulating factor-1 receptors (CSF-1R) found on monocytes and macrophages. By blocking these receptors, the drug reduces the levels of circulating proinflammatory and profibrotic monocytes and monocyte-derived macrophages. This action inhibits the activity of pathogenic macrophages in tissues, addressing the biological drivers of the disease.

1
Indication
--
Phase 3 Trials
1
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2024-08-14
Patent Cliff
2031

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Routes
INTRAVENOUS
Dosage Forms
INJECTABLE

Companies

Active Ingredient: axatilimab-csfr

NIKTIMVO Approval History

2025
2026
Original
New Indication
New Form
Label Update
1 FDA actions from 2024 to 2024
Aug 2024 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What NIKTIMVO Treats

1 indications

NIKTIMVO is approved for 1 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Chronic Graft-versus-Host Disease
Source: FDA Label

NIKTIMVO Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

MoA expansion candidates

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Same target(s), different indications — where else is this mechanism being explored?

Indication competitors

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Same indication, different mechanism — what else might this patient receive?

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

INCYTE CORP's other novel FDA approvals

Other CDER-designated drugs from the same sponsor (2016–2025).

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Active Pipeline

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NIKTIMVO FDA Label Details

Indications & Usage

FDA Label (PDF)

NIKTIMVO is indicated for the treatment of chronic graft-versus-host disease (cGVHD) after failure of at least two prior lines of systemic therapy in adult and pediatric patients weighing at least 40 kg. NIKTIMVO is a colony stimulating factor-1 receptor (CSF-1R)-blocking antibody indicated for the treatment of chronic graft-versus-host disease (cGVHD) after failure of at least two prior lines of systemic therapy in adult and pediatric patients weighing at least 40 kg.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.