An Early Access Study of Ivosidenib in Patients With a Pretreated Locally Advanced or Metastatic Cholangiocarcinoma

Last updated: February 17, 2026
Sponsor: Servier Affaires Médicales
Overall Status: Active - Recruiting

Phase

3

Condition

Abdominal Cancer

Digestive System Neoplasms

Liver Cancer

Treatment

Ivosidenib Oral Tablet

Clinical Study ID

NCT05876754
DIM-95031-002
2022-501463-40
  • Ages > 18
  • All Genders

Study Summary

A Phase 3b research study to consolidate the data that ivosidenib is safe and effective in adult patients with previously treated, locally advanced, or metastatic cholangiocarcinoma (CCA). All patients who meet inclusion criteria will be enrolled to receive ivosidenib tablets orally once daily for 28 day cycles, continuing as long as clinical benefit and consent for participation is maintained. There will be a minimum of 6 study visits from screening until the final follow-up, if one cycle of treatment is completed and consent is maintained through 18 months of follow-up. Each additional cycle completed will add one study visit, on the first day of each cycle.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Diagnosis of nonresectable or metastatic Cholangiocarcinoma (CCA), not eligible forcurative-intent resection, transplantation, or ablative therapies

  • Have a documented IDH1 R132C, R132L, R132G, R132H, or R132S gene-mutated disease

  • Have tried at least 1 prior type of systemic therapy for CCA, and have recoveredfrom any side effects

  • Female patients of childbearing potential must have a negative blood pregnancy testprior to starting treatment and must agree to use 2 forms of contraception from thetime they enroll to 1 month after their last dose of study drug

  • Male patients with a female partner with childbearing potential must also agree touse 2 forms of contraception from the time they enroll to 1 month after their lastdose of study drug

Exclusion

Exclusion Criteria:

  • Received a prior IDH1 inhibitor

  • Have received a transplant

  • Have received systemic cancer treatment or radiotherapy within 2 weeks prior to Day 1 of Cycle 1

  • Have received hepatic radiation, chemoembolization, and radiofrequency ablationwithin 4 weeks prior to Day 1 of Cycle 1

  • Have ongoing brain metastases requiring steroids

  • Have underwent major surgery within 4 weeks of Day 1 of Cycle 1 prior to C1D1

  • Have an active hepatitis B (HBV) or hepatitis C (HCV) infections, known positivehuman immunodeficiency virus (HIV) antibody results, or acquired immunodeficiencysyndrome (AIDS) related illness

  • Are pregnant or breastfeeding

Study Design

Total Participants: 220
Treatment Group(s): 1
Primary Treatment: Ivosidenib Oral Tablet
Phase: 3
Study Start date:
May 03, 2023
Estimated Completion Date:
December 01, 2027

Study Description

Ivosidenib is approved in the United States and in EU for the treatment of advanced or metastatic CCA; this study is being conducted to conslidate the data related to the safety, efficacy, and impact on quality of life for patients. This is an open-label, single-arm study of ivosidenib, which means that all patients meeting eligibility criteria will receive two 250 mg ivosidenib tablets, totaling 500mg of drug, to be taken orally, once daily, for 28 consecutive days, also referred to as one cycle. Additional cycles can continue as long as clinical benefit is confirmed by an investigator, and consent is maintained. There will be a screening visit, study visit on day 1 of each cycle, withdrawal visit within 42 days of stopping treatment, and a follow-up visit every 6 months for up to 18 months after stopping treatment. This results in a minimum of 6 study visits for the completion of one 28-day cycle of ivosidenib. One additional study visit will be added on day one of each additional cycle of treatment. Study visits will include an electrocardiogram (ECG), physical exam, tumor assessment, according to local practive at a given site and blood and urine analyses. If at any point ivosidenib is made available as a medical prescription at the patient's site, patients will be withdrawn from the study treatment and patients will be followed to collect data on overall survival.

Connect with a study center

  • Erebouni MC

    Yerevan,
    Armenia

    Site Not Available

  • National Center of Oncology of Ra M

    Yerevan,
    Armenia

    Completed

  • Erebouni MC

    Yerevan 616052,
    Armenia

    Completed

  • National Center of Oncology of Ra M

    Yerevan 616052,
    Armenia

    Completed

  • Royal brisbane & Women's Hospital

    Brisbane,
    Australia

    Site Not Available

  • Royal brisbane & Women's Hospital

    Brisbane 2174003,
    Australia

    Completed

  • St Vincent's Hospital

    Fitzroy,
    Australia

    Site Not Available

  • St Vincent's Hospital

    Fitzroy 2166584,
    Australia

    Completed

  • St John of God Hospital - Bendat Family Comprehensive Cancer Centre (BFCCC)

    Subiaco,
    Australia

    Site Not Available

  • St John of God Hospital - Bendat Family Comprehensive Cancer Centre (BFCCC)

    Subiaco 2060886,
    Australia

    Completed

  • Kinghorn Cancer Centre

    Sydney,
    Australia

    Site Not Available

  • Kinghorn Cancer Centre

    Sydney 2147714,
    Australia

    Completed

  • The Queen Elizabeth Hospital

    Woodville,
    Australia

    Site Not Available

  • The Queen Elizabeth Hospital

    Woodville 2057897,
    Australia

    Completed

  • Medizinische Universitaet Graz

    Graz,
    Austria

    Site Not Available

  • Medizinische Universitaet Graz

    Graz 2778067,
    Austria

    Completed

  • Ordensklinikum Linz GmbH

    Linz,
    Austria

    Site Not Available

  • Ordensklinikum Linz GmbH

    Linz 2772400,
    Austria

    Completed

  • Universitaetsklinik fuer Innere Medizin III, mit Hämatologie, internistischer Onkologie, Hämostaseologie, Infektiologie, Rheumatologie und Onkologisches Zentrum

    Salzburg,
    Austria

    Site Not Available

  • Universitaetsklinik fuer Innere Medizin III, mit Hämatologie, internistischer Onkologie, Hämostaseologie, Infektiologie, Rheumatologie und Onkologisches Zentrum

    Salzburg 2766824,
    Austria

    Completed

  • Medizinische Universitaet Wien Universitaetsklinik fuer Innere Medizin I

    Vienna 2761369,
    Austria

    Completed

  • Medizinische Universitaet Wien Universitaetsklinik fuer Innere Medizin I

    Wien,
    Austria

    Site Not Available

  • Universite Libre de Bruxelles ULB -

    Brussel,
    Belgium

    Site Not Available

  • Universite Libre de Bruxelles ULB -

    Brussels 2800866,
    Belgium

    Completed

  • Universitair Ziekenhuis Gent UZ Gent

    Gent,
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Gent UZ Gent

    Ghent 2797656,
    Belgium

    Completed

  • UZ Leuven

    Leuven,
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven 2792482,
    Belgium

    Completed

  • Cliniques Univ St Luc - Gastro-Enterology

    Woluwe-Saint-Lambert,
    Belgium

    Site Not Available

  • Cliniques Univ St Luc - Gastro-Enterology

    Woluwe-Saint-Lambert 2783476,
    Belgium

    Completed

  • Tom Baker Cancer Center

    Calgary,
    Canada

    Site Not Available

  • Tom Baker Cancer Center

    Calgary 5913490,
    Canada

    Completed

  • NSHA, QEII Health Sciences Centre

    Halifax,
    Canada

    Site Not Available

  • NSHA, QEII Health Sciences Centre

    Halifax 6324729,
    Canada

    Completed

  • London Regional Cancer Program

    London,
    Canada

    Site Not Available

  • London Regional Cancer Program

    London 6058560,
    Canada

    Completed

  • Princess Margaret Cancer Center

    Toronto,
    Canada

    Active - Recruiting

  • Sunnybrook Health Sciences Centre

    Toronto,
    Canada

    Site Not Available

  • Princess Margaret Cancer Center

    Toronto 6167865,
    Canada

    Completed

  • Sunnybrook Health Sciences Centre

    Toronto 6167865,
    Canada

    Completed

  • Hôpital Privé Jean Mermoz

    Lyon,
    France

    Site Not Available

  • Hôpital Privé Jean Mermoz

    Lyon 2996944,
    France

    Completed

  • Hopital de la Timone

    Marseille,
    France

    Site Not Available

  • Hopital de la Timone

    Marseille 2995469,
    France

    Completed

  • CHU Montpellier

    Montpellier,
    France

    Site Not Available

  • CHU Montpellier

    Montpellier 2992166,
    France

    Completed

  • Centre Hospitalier Universitaire de Nantes CHU de Nantes

    Nantes,
    France

    Site Not Available

  • Centre Hospitalier Universitaire de Nantes CHU de Nantes

    Nantes 2990969,
    France

    Completed

  • Institute Mutualiste Montsouris

    Paris,
    France

    Site Not Available

  • Institute Mutualiste Montsouris

    Paris 2988507,
    France

    Completed

  • CHU Bordeaux, Hôpital Haut-Lévêque

    Pessac,
    France

    Site Not Available

  • CHU Bordeaux, Hôpital Haut-Lévêque

    Pessac 2987805,
    France

    Completed

  • CHU de Poitiers

    Poitiers,
    France

    Site Not Available

  • CHU de Poitiers

    Poitiers 2986495,
    France

    Completed

  • Charite Universittsmedizin Berlin

    Berlin,
    Germany

    Site Not Available

  • Charite Universittsmedizin Berlin

    Berlin 2950159,
    Germany

    Completed

  • Universitaetsklinikum Carl-Gustav-Carus

    Dresden,
    Germany

    Site Not Available

  • Universitaetsklinikum Carl-Gustav-Carus

    Dresden 2935022,
    Germany

    Completed

  • Klinik für Gastroenterologie, Hepatologie und Infektiologie Universitätsklinikum Düsseldorf

    Düsseldorf, 40225
    Germany

    Site Not Available

  • Klinik für Gastroenterologie, Hepatologie und Infektiologie Universitätsklinikum Düsseldorf

    Düsseldorf 2934246, 40225
    Germany

    Completed

  • Universitaetsklinikum Frankfurt

    Frankfurt,
    Germany

    Site Not Available

  • Universitaetsklinikum Frankfurt

    Frankfurt 2925536,
    Germany

    Completed

  • Medizinische Fakultaet der Universitaet Freiburg

    Freiburg,
    Germany

    Site Not Available

  • Medizinische Fakultaet der Universitaet Freiburg

    Freiburg im Breisgau 2925177,
    Germany

    Completed

  • Medizinische Hochschule Hannover

    Hannover,
    Germany

    Site Not Available

  • Medizinische Hochschule Hannover

    Hanover 2910831,
    Germany

    Completed

  • Klinikum der Universitaet Muenchen-Grosshadern

    München,
    Germany

    Site Not Available

  • Klinikum der Universitaet Muenchen-Grosshadern

    München 2867711,
    Germany

    Completed

  • Cork University Hospital

    Cork,
    Ireland

    Site Not Available

  • Cork University Hospital

    Cork 2965140,
    Ireland

    Completed

  • St. James Hospital

    Dublin,
    Ireland

    Completed

  • St. Vincent's Private Hospital

    Dublin,
    Ireland

    Site Not Available

  • St. James Hospital

    Dublin 2964574,
    Ireland

    Completed

  • St. Vincent's Private Hospital

    Dublin 2964574,
    Ireland

    Completed

  • Policlinico S. Orsola-Malpighi

    Bologna,
    Italy

    Site Not Available

  • Policlinico S. Orsola-Malpighi

    Bologna 3181928,
    Italy

    Completed

  • AOU Careggi

    Florence,
    Italy

    Site Not Available

  • AOU Careggi

    Florence 3176959,
    Italy

    Completed

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milan 6951411,
    Italy

    Completed

  • Ospedale San Raffaele

    Milan 6951411,
    Italy

    Completed

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milano,
    Italy

    Completed

  • Ospedale San Raffaele

    Milano,
    Italy

    Site Not Available

  • Istituto Nazionale Tumori IRCCS Fondazione Pascale

    Napoli,
    Italy

    Site Not Available

  • Istituto Nazionale Tumori IRCCS Fondazione Pascale

    Napoli 9031661,
    Italy

    Completed

  • IRCCS Arcispedale Santa Maria Nuova

    Reggio Emilia,
    Italy

    Site Not Available

  • IRCCS Arcispedale Santa Maria Nuova

    Reggio Emilia 3169522,
    Italy

    Completed

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Roma,
    Italy

    Site Not Available

  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Roma 8957247,
    Italy

    Completed

  • Humanitas Research Hospital

    Rozzano,
    Italy

    Site Not Available

  • Humanitas Research Hospital

    Rozzano 3168837,
    Italy

    Completed

  • Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale Casa Sollievo della Sofferenza (CSS)

    San Giovanni Rotondo,
    Italy

    Site Not Available

  • Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale Casa Sollievo della Sofferenza (CSS)

    San Giovanni Rotondo 3168234,
    Italy

    Completed

  • A.O.U. Città della Salute e della Scienza di Torino

    Turin,
    Italy

    Site Not Available

  • A.O.U. Città della Salute e della Scienza di Torino

    Turin 3165524,
    Italy

    Completed

  • AOUI Verona - Ospedale Borgo Roma

    Verona,
    Italy

    Site Not Available

  • AOUI Verona - Ospedale Borgo Roma

    Verona 3164527,
    Italy

    Completed

  • Kanagawa Cancer Center

    Kanagawa 1860292,
    Japan

    Active - Recruiting

  • Kumamoto University hospital

    Kumamoto 1858421,
    Japan

    Active - Recruiting

  • Shikoku Cancer Center

    Matsuyama 1926099,
    Japan

    Active - Recruiting

  • Osaka International Cancer Institution

    Osaka 1853909,
    Japan

    Active - Recruiting

  • Hokkaido University Hospital

    Sapporo 2128295,
    Japan

    Active - Recruiting

  • National Cancer Center Hospital

    Tokyo 1850147,
    Japan

    Active - Recruiting

  • CHA Bundang Medical Center

    Seongnam,
    Korea, Republic of

    Site Not Available

  • Asan Medical Center

    Seoul,
    Korea, Republic of

    Completed

  • Samsung Medical Center

    Seoul,
    Korea, Republic of

    Site Not Available

  • Seoul National University

    Seoul,
    Korea, Republic of

    Completed

  • Yonsei University Health System

    Seoul,
    Korea, Republic of

    Completed

  • Amsterdam UMC, location AMC

    Amsterdam,
    Netherlands

    Site Not Available

  • Amsterdam UMC, location AMC

    Amsterdam 2759794,
    Netherlands

    Completed

  • Universiteit Maastricht UM - Maastricht University Medical Centre MUMC

    Limburg,
    Netherlands

    Completed

  • Institutul Clinic Fundeni

    Bucarest,
    Romania

    Site Not Available

  • Institutul Clinic Fundeni

    Bucharest 683506,
    Romania

    Completed

  • Regional Institute of Gastroenterology and Hepatology

    Cluj-Napoca,
    Romania

    Site Not Available

  • Regional Institute of Gastroenterology and Hepatology

    Cluj-Napoca 681290,
    Romania

    Completed

  • Centrul de Oncologie Sfantu Necta

    Craiova,
    Romania

    Site Not Available

  • Centrul de Oncologie Sfantu Necta

    Craiova 680332,
    Romania

    Completed

  • Radiotherapy Center Cluj

    Otopeni,
    Romania

    Site Not Available

  • Radiotherapy Center Cluj

    Otopeni 671590,
    Romania

    Completed

  • Municipal Hospital Ploiesti

    Ploiesti,
    Romania

    Site Not Available

  • Municipal Hospital Ploiesti

    Ploieşti 670474,
    Romania

    Completed

  • CHA Bundang Medical Center

    Seongnam 6876792,
    South Korea

    Completed

  • Asan Medical Center

    Seoul 1835848,
    South Korea

    Completed

  • Samsung Medical Center

    Seoul 1835848,
    South Korea

    Completed

  • Seoul National University

    Seoul 1835848,
    South Korea

    Completed

  • Yonsei University Health System

    Seoul 1835848,
    South Korea

    Completed

  • Complejo Hospitalario Universitario A Coruña (CHUAC)

    A Coruña,
    Spain

    Site Not Available

  • Complejo Hospitalario Universitario A Coruña (CHUAC)

    A Coruña 3119841,
    Spain

    Completed

  • Hospital Universitari Vall d'Hebron/Vall Hebron Institute of Oncology (VHIO)

    Barcelona,
    Spain

    Site Not Available

  • Hospital Universitari Vall d'Hebron/Vall Hebron Institute of Oncology (VHIO)

    Barcelona 3128760,
    Spain

    Completed

  • Hospital Universitario Reina Sofa

    Córdoba,
    Spain

    Site Not Available

  • Hospital Universitario Reina Sofa

    Córdoba 2519240,
    Spain

    Completed

  • Hospital General de Elche

    Elche,
    Spain

    Site Not Available

  • Hospital General de Elche

    Elche 2518559,
    Spain

    Completed

  • Hospital General Universitario Gregorio Maranon

    Madrid,
    Spain

    Completed

  • Hospital Universitario 12 de octubre

    Madrid,
    Spain

    Site Not Available

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid,
    Spain

    Completed

  • Hospital Universitario HM Sanchinarro

    Madrid,
    Spain

    Completed

  • Hospital General Universitario Gregorio Maranon

    Madrid 3117735,
    Spain

    Completed

  • Hospital Universitario 12 de octubre

    Madrid 3117735,
    Spain

    Completed

  • Hospital Universitario Fundacion Jimenez Diaz

    Madrid 3117735,
    Spain

    Completed

  • Hospital Universitario HM Sanchinarro

    Madrid 3117735,
    Spain

    Completed

  • Hospital Universitario de Navarra

    Pamplona,
    Spain

    Site Not Available

  • Hospital Universitario de Navarra

    Pamplona 3114472,
    Spain

    Completed

  • Hospital Universitario Marqués de Valdecilla

    Santander,
    Spain

    Site Not Available

  • Hospital Universitario Marqués de Valdecilla

    Santander 3109718,
    Spain

    Completed

  • Sahlgrenska University Hospital

    Gothenburg,
    Sweden

    Site Not Available

  • Sahlgrenska University Hospital

    Gothenburg 2711537,
    Sweden

    Completed

  • Karolinska University Hospital

    Stockholm,
    Sweden

    Site Not Available

  • Karolinska University Hospital

    Stockholm 2673730,
    Sweden

    Completed

  • University Hospitals Birmingham (UHB) NHS Foundation Trust - Queen Elizabeth Hospital Birmingham (QEHB)

    Birmingham,
    United Kingdom

    Site Not Available

  • University Hospitals Birmingham (UHB) NHS Foundation Trust - Queen Elizabeth Hospital Birmingham (QEHB)

    Birmingham 2655603,
    United Kingdom

    Completed

  • The Beatson Institute West of Scotland Cancer Research

    Glasgow,
    United Kingdom

    Site Not Available

  • The Beatson Institute West of Scotland Cancer Research

    Glasgow 2648579,
    United Kingdom

    Completed

  • Imperial College London

    London,
    United Kingdom

    Completed

  • The Beatson Institute West of Scotland Cancer Research

    London,
    United Kingdom

    Site Not Available

  • University College London Hospital NHS Trust

    London,
    United Kingdom

    Completed

  • Imperial College London

    London 2643743,
    United Kingdom

    Completed

  • University College London Hospital NHS Trust

    London 2643743,
    United Kingdom

    Completed

  • The Christie NHS Foundation Trust

    Manchester,
    United Kingdom

    Site Not Available

  • The Christie NHS Foundation Trust

    Manchester 2643123,
    United Kingdom

    Completed

  • The Newcastle Upon Tyne Hospitals

    Newcastle Upon Tyne,
    United Kingdom

    Site Not Available

  • The Newcastle Upon Tyne Hospitals

    Newcastle upon Tyne 2641673,
    United Kingdom

    Completed

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