Study of Vorasidenib (AG-881) in Participants With Residual or Recurrent Grade 2 Glioma With an IDH1 or IDH2 Mutation (INDIGO)

Last updated: April 1, 2025
Sponsor: Institut de Recherches Internationales Servier
Overall Status: Active - Not Recruiting

Phase

3

Condition

Neurofibromatosis

Cancer/tumors

Brain Cancer

Treatment

Matching Placebo

Vorasidenib

Clinical Study ID

NCT04164901
AG881-C-004
2019-002481-13
2024-512961-15-00
  • Ages > 12
  • All Genders

Study Summary

Study AG881-C-004 is a phase 3, multicenter, randomized, double-blind, placebo-controlled study comparing the efficacy of vorasidenib to placebo in participants with residual or recurrent Grade 2 glioma with an IDH1 or IDH2 mutation who have undergone surgery as their only treatment. Participants will be required to have central confirmation of IDH mutation status prior to randomization. Approximately 340 participants are planned to be randomized 1:1 to receive orally administered vorasidenib 40 mg QD or placebo.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Be at least 12 years of age and weigh at least 40 kg.

  • Have Grade 2 oligodendroglioma or astrocytoma per WHO 2016 criteria.

  • Have had at least 1 prior surgery for glioma (biopsy, sub-total resection,gross-total resection), with the most recent surgery having occurred at least 1 year (-1 month) and not more than 5 years (+3 months) before the date of randomization,and no other prior anticancer therapy, including chemotherapy and radiotherapy andnot be in need of immediate chemotherapy or radiotherapy in the opinion of theInvestigator.

  • Have confirmed IDH1 (IDH1 R132H/C/G/S/L mutation variants tested) or IDH2 (IDH2R172K/M/W/S/G mutation variants tested) gene mutation status disease by centrallaboratory testing during the Prescreening period and available 1p19q status bylocal testing (eg, fluorescence in situ hybridization [FISH], comparative genomichybridization [CGH] array, sequencing) using an accredited laboratory.

  • Have MRI-evaluable, measurable, non-enhancing disease, as confirmed by the BIRC.

  • Have a Karnofsky Performance Scale (KPS) score (for participants ≥16 years of age)or Lansky Play Performance Scale (LPPS) score (for participants <16 years of age) of ≥80%.

Exclusion

Key Exclusion Criteria:

  • Have had any prior anticancer therapy other than surgery (biopsy, sub-totalresection, gross-total resection) for treatment of glioma including systemicchemotherapy, radiotherapy, vaccines, small-molecules, IDH inhibitors,investigational agents, laser ablation, etc.

  • Have features assessed as high-risk by the Investigator, including brainsteminvolvement either as primary location or by tumor extension, clinically relevantfunctional or neurocognitive deficits due to the tumor in the opinion of theInvestigator (deficits resulting from surgery are allowed), or uncontrolled seizures (defined as persistent seizures interfering with activities of daily life AND failed 3 lines of antiepileptic drug regimens including at least 1 combination regimen).

Study Design

Total Participants: 331
Treatment Group(s): 2
Primary Treatment: Matching Placebo
Phase: 3
Study Start date:
January 05, 2020
Estimated Completion Date:
May 31, 2028

Connect with a study center

  • BC Cancer Agency

    Vancouver, British Columbia V5Z 4E6
    Canada

    Site Not Available

  • London Health Sciences Centre

    London, Ontario N6A 5W9
    Canada

    Site Not Available

  • Princess Margaret Hospital

    Toronto, Ontario
    Canada

    Site Not Available

  • Sunnybrook Health Sciences Centre

    Toronto, Ontario M4N 3M5
    Canada

    Site Not Available

  • McGill University Health Center

    Montreal, Quebec H3A 2B4
    Canada

    Site Not Available

  • Centre Hospitalier Universitaire de Lille

    Lille, 59037
    France

    Site Not Available

  • Hôpital Pierre Wertheimer

    Lyon, 69394
    France

    Site Not Available

  • Hopitaux de La Timone

    Marseille, 13385
    France

    Site Not Available

  • Hospitalier Pitié Salpétrière

    Paris, 75013
    France

    Site Not Available

  • Universitätsklinikum Essen

    Essen, 45122
    Germany

    Site Not Available

  • Universitätsklinikum Hamburg Eppendorf

    Hamburg, 20246
    Germany

    Site Not Available

  • Universitätsklinikum Heidelberg

    Heidelberg, 69120
    Germany

    Site Not Available

  • Klinikum Mannheim Universitätsklinikum

    Mannheim, 68135
    Germany

    Site Not Available

  • Hadassah Medical Center

    Jerusalem, 91120
    Israel

    Site Not Available

  • Rabin Medical Center

    Petah Tikva, 49100
    Israel

    Site Not Available

  • Chaim Sheba Medical Center

    Ramat-Gan, 52621
    Israel

    Site Not Available

  • Tel Aviv Sourasky Medical Center

    Tel Aviv, 6423906
    Israel

    Site Not Available

  • Azienda Ospedaliera Città della Salute e della Scienza di Torino

    Torino, Piemonte 10126
    Italy

    Site Not Available

  • Ospedale Bellaria

    Bologna, 40139
    Italy

    Site Not Available

  • Istituto Oncologico Veneto - I.R.C.C.S.

    Padua, 35128
    Italy

    Site Not Available

  • Istituto Nazionale Tumori Regina Elena

    Roma, 144
    Italy

    Site Not Available

  • Istituto Clinico Humanitas

    Rozzano, 20089
    Italy

    Site Not Available

  • Nagoya University Hospital

    Nagoya, Aichi 466-8560
    Japan

    Site Not Available

  • Fujita Health University Hospital

    Toyoake, Aichi 470-1192
    Japan

    Site Not Available

  • Hiroshima University Hospital

    Minami-Ku, Hiroshima 734-8551
    Japan

    Site Not Available

  • The University of Tokyo Hospital

    Bunkyō-Ku, Tokyo 113-8655
    Japan

    Site Not Available

  • National Cancer Center Hospital

    Chuo Ku, Tokyo 104-0045
    Japan

    Site Not Available

  • Kumamoto University Hospital

    Kumamoto, 860-8556
    Japan

    Site Not Available

  • Kyoto University Hospital

    Kyoto, 606-8507
    Japan

    Site Not Available

  • University Hospital, Kyoto Prefectural University of Medicine

    Kyoto, 602-8566
    Japan

    Site Not Available

  • Okayama University Hospital

    Okayama, 700-8558
    Japan

    Site Not Available

  • Haaglanden MC, Antoniushove

    Leidschendam, Zuid-Holland 2262 BA
    Netherlands

    Site Not Available

  • Leiden University Medical Center

    Leiden, 2333 ZA
    Netherlands

    Site Not Available

  • Erasmus Medical Center

    Rotterdam, 3015 GD
    Netherlands

    Site Not Available

  • Universitair Medisch Centrum Utrecht

    Utrecht, 3584 CX
    Netherlands

    Site Not Available

  • Hospital Universitario Vall d'Hebrón

    Barcelona, 08035
    Spain

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Hospital Universitario Ramon y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Hôpitaux Universitaire de Genève

    Geneva, 1211
    Switzerland

    Site Not Available

  • Centre Hospitalier Universitaire Vaudois

    Lausanne, 1011
    Switzerland

    Site Not Available

  • Universitätsspital Zürich

    Zürich, 8006
    Switzerland

    Site Not Available

  • Freeman Hospital

    Newcastle Upon Tyne, England NE7 7DN
    United Kingdom

    Site Not Available

  • The Royal Marsden NHS Foundation Trust

    Sutton, Surrey SM2 5PT
    United Kingdom

    Site Not Available

  • Western General Hospital Edinburgh - PPDS

    Edinburgh, EH4 2XY
    United Kingdom

    Site Not Available

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX
    United Kingdom

    Site Not Available

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • St. Joseph's Hospital & Medical Center - Barrow Neurological Institute

    Phoenix, Arizona 85013
    United States

    Site Not Available

  • City of Hope

    Duarte, California 91010
    United States

    Site Not Available

  • University of California San Diego

    La Jolla, California 92093
    United States

    Site Not Available

  • UCLA Oncology Center

    Los Angeles, California 90095
    United States

    Site Not Available

  • University of California Irvine - Hospital

    Orange, California 92868
    United States

    Site Not Available

  • University of California San Francisco

    San Francisco, California 94143
    United States

    Site Not Available

  • Stanford Cancer Center

    Stanford, California 94305
    United States

    Site Not Available

  • University of Colorado Hospital - Anschutz Cancer Pavilion

    Aurora, Colorado 80045
    United States

    Site Not Available

  • HCA Research Institute Sarah Cannon

    Englewood, Colorado 80113
    United States

    Site Not Available

  • Yale University, Yale Cancer Center

    New Haven, Connecticut 06510
    United States

    Site Not Available

  • Mayo Clinic Jacksonville

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • Sylvester Comprehensive Cancer Center - University of Miami Hospital and Clinics

    Miami, Florida 33136
    United States

    Site Not Available

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Site Not Available

  • University of Chicago

    Chicago, Illinois 60637
    United States

    Site Not Available

  • Indiana University Medical Center

    Indianapolis, Indiana 46202
    United States

    Site Not Available

  • University of Kansas Medical Center

    Kansas City, Kansas 66160
    United States

    Site Not Available

  • University of Kentucky

    Lexington, Kentucky 40536
    United States

    Site Not Available

  • Maine Medical Partners Neurology

    Scarborough, Maine 04074
    United States

    Site Not Available

  • John Hopkins Cancer Center

    Baltimore, Maryland 21231
    United States

    Site Not Available

  • Dana-Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Tufts Medical Center

    Boston, Massachusetts 02111
    United States

    Site Not Available

  • University of Michigan Comprehensive Cancer Center

    Ann Arbor, Michigan 48109
    United States

    Site Not Available

  • Henry Ford Hospital

    Detroit, Michigan 48202
    United States

    Site Not Available

  • Metro Minnesota Community Oncology

    Minneapolis, Minnesota 55416
    United States

    Site Not Available

  • Mayo Comprehensive Cancer

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School of Medicine - Siteman Cancer Center

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10065
    United States

    Site Not Available

  • Duke University Medical Center

    Durham, North Carolina 27710
    United States

    Site Not Available

  • Ohio State University Comprehensive Cancer Center

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Oregon Health and Science University

    Portland, Oregon 97239
    United States

    Site Not Available

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • University of Pittsburgh Hillman Cancer Center

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Tennessee Oncology

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Vanderbilt Ingram Cancer Center

    Nashville, Tennessee 37232
    United States

    Site Not Available

  • Baylor University Medical Center

    Dallas, Texas 75246
    United States

    Site Not Available

  • University of Texas Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • The University of Utah, Huntsman Cancer Hospital

    Salt Lake City, Utah 84112
    United States

    Site Not Available

  • University of Virginia

    Charlottesville, Virginia 22903
    United States

    Site Not Available

  • Seattle Cancer Care Alliance

    Seattle, Washington 98109
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.