MedPath

Ivosidenib

Generic Name
Ivosidenib
Brand Names
Tibsovo
Drug Type
Small Molecule
Chemical Formula
C28H22ClF3N6O3
CAS Number
1448347-49-6
Unique Ingredient Identifier
Q2PCN8MAM6
Background

Ivosidenib is a first-in-class isocitrate dehydrogenase-1 (IDH1) inhibitor. IDH1 is an enzyme that is often mutated and overexpressed in some cancers, leading to aberrant cell growth and proliferation. Ivosidenib inhibits mutated IDH1, blocking the enzymatic activity and further differentiation of cancer cells.

Ivosidenib was granted accelerated approval by the FDA in July 2018 for the treatment of relapsed of refractory acute myeloid leukemia in adults. It is currently approved to also treat newly diagnosed acute myeloid leukemia in older adults in combination azacitidine or as monotherapy, as well as locally advanced or metastatic cholangiocarcinoma in adults. The drug is only effective in patients with a susceptible IDH1 mutation.

In February 2023, the EMA's Committee for Medicinal Products for Human Use (CHMP) adopted a positive opinion of ivosidenib and recommended it be granted marketing authorization for the treatment of acute myeloid leukemia and cholangiocarcinoma. It was fully approved by the EMA in May 2023.

Indication

Ivosidenib is an isocitrate dehydrogenase-1 (IDH1) inhibitor approved for use in the US and Europe. It is indicated for the treatment of patients with a susceptible IDH1 mutation with:

Associated Conditions
Acute Myeloid Leukemia, Locally Advanced Cholangiocarcinoma, Metastatic Cholangiocarcinoma, Refractory Acute Myeloid Leukemia (AML), Relapsed Acute Myelogenous Leukemia (AML)

A Study to Assess the Safety and Efficacy of Two Combinations of Isocitrate Dehydrogenase (IDH) Mutant Targeted Therapies Plus Azacitidine in Participants With Newly Diagnosed Acute Myeloid Leukemia (AML) Harboring IDH Mutations Who Are Not Candidates to Receive Intensive Induction Chemotherapy

Phase 1
Active, not recruiting
Conditions
Leukemia, Myeloid, Acute
Interventions
First Posted Date
2016-02-09
Last Posted Date
2025-04-23
Lead Sponsor
Celgene
Target Recruit Count
130
Registration Number
NCT02677922
Locations
🇮🇹

Local Institution - 250, Pesaro, Italy

🇪🇸

Local Institution - 381, Madrid, Spain

🇪🇸

Local Institution - 380, Malaga, Spain

and more 46 locations

Safety Study of AG-120 or AG-221 in Combination With Induction and Consolidation Therapy in Participants With Newly Diagnosed Acute Myeloid Leukemia (AML) With an IDH1 and/or IDH2 Mutation

Phase 1
Active, not recruiting
Conditions
Newly Diagnosed Acute Myeloid Leukemia (AML)
AML Arising After Exposure to Genotoxic Injury
Untreated AML
AML Arising From Myelodysplastic Syndrome (MDS)
AML Arising From Antecedent Hematologic Disorder (AHD)
Interventions
First Posted Date
2015-12-17
Last Posted Date
2025-04-11
Lead Sponsor
Institut de Recherches Internationales Servier
Target Recruit Count
153
Registration Number
NCT02632708
Locations
🇺🇸

UCLA Medical Center, Los Angeles, California, United States

🇺🇸

Hackensack University Medical Center, Hackensack, New Jersey, United States

🇺🇸

Johns Hopkins University, Baltimore, Maryland, United States

and more 14 locations

Food Effect Study of AG120 in Healthy Subjects

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2015-10-20
Last Posted Date
2016-11-29
Lead Sponsor
Agios Pharmaceuticals, Inc.
Target Recruit Count
36
Registration Number
NCT02579707
Locations
🇺🇸

Research Site, Madison, Wisconsin, United States

Study of Orally Administered AG-120 in Subjects With Advanced Solid Tumors, Including Glioma, With an IDH1 Mutation

Phase 1
Completed
Conditions
Glioma
Cholangiocarcinoma
Chondrosarcoma
Other Advanced Solid Tumors
Interventions
First Posted Date
2014-02-28
Last Posted Date
2025-01-27
Lead Sponsor
Institut de Recherches Internationales Servier
Target Recruit Count
174
Registration Number
NCT02073994

Study of Orally Administered AG-120 in Subjects With Advanced Hematologic Malignancies With an IDH1 Mutation

Phase 1
Recruiting
Conditions
Myelodysplastic Syndromes
Relapsed or Refractory Acute Myeloid Leukemia (AML)
Untreated AML
Other IDH1-mutated Positive Hematologic Malignancies
Interventions
First Posted Date
2014-02-28
Last Posted Date
2024-07-25
Lead Sponsor
Institut de Recherches Internationales Servier
Target Recruit Count
291
Registration Number
NCT02074839
Locations
🇺🇸

John Hopkins Cancer Center, Baltimore, Maryland, United States

🇺🇸

UT Southwestern Medical Center, Dallas, Texas, United States

🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

and more 27 locations
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