An Open-label Phase 3b Study of Ivosidenib in Combination With Azacitidine in Adult Patients Newly Diagnosed With IDH1m Acute Myeloid Leukemia (AML) Ineligible for Intensive Induction Chemotherapy.

Last updated: April 8, 2025
Sponsor: Servier Affaires Médicales
Overall Status: Active - Recruiting

Phase

3

Condition

Leukemia

Leukemia (Pediatric)

Treatment

Ivosidenib 500mg Oral Tablet

Azacitidine

Clinical Study ID

NCT05907057
DIM-95031-006
2022-501709-11
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to learn more about the safety and efficacy of ivosidenib taken with azacitidine to treat adult patients with acute myeloid leukemia (AML) who are presenting a gene mutation called IDH1 (isocitrate dehydrogenase1 mutation-positive [IDH1m]) and cannot receive treatment with intensive chemotherapy (IC).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Has untreated Acute Myeloid Leukemia (AML)

  • Have a documented IDH1 R132 gene-mutated disease

  • Have at least one of the following making yourself ineligible for intensivechemotherapy (IC): 75 years or older, Eastern Cooperative Oncology Group PerformanceStatus (ECOG PS) of 2, or any comorbidity that the investigator judges to beincompatible with IC including but not limited to severe cardiac or pulmonarydisorder, creatinine clearance less than 45 mL/minute, or bilirubin greater than 1.5times the upper limit of normal

  • Has adequate hepatic (liver) and renal (kidney) function

  • Female participants of reproductive potential must have a negative blood pregnancytest and must use effective contraception during treatment and for at least 6 monthsfollowing treatment

  • Fertile male participants with female partners of reproductive potential must useeffective contraception during treatment and for at least 3 months followingtreatment

Exclusion

Exclusion Criteria:

  • Has received any prior treatment for AML, with the exception of hydroxyurea orleukapheresis for white blood cell count control

  • Has received prior treatment with an IDH1 inhibitor

  • Is a woman who is pregnant or breastfeeding

  • Has an active, uncontrolled, systemic fungal, bacterial, or viral infection (including human immunodeficiency virus [HIV], active hepatitis B (HBV), orhepatitis C virus [HCV]) without improvement despite appropriate antibiotics,antiviral therapy, and/or other treatment

  • Has had significant active cardiac disease within 6 months prior to the start ofstudy treatment, including Class III or IV congestive heart failure, myocardialinfarction (heart attack), unstable angina (chest pain), and/or stroke

  • Has dysphagia (difficulty swallowing), short-gut syndrome, gastroparesis (stomachparalysis), or any other condition that limits the ingestion or gastrointestinalabsorption of orally administered drugs

  • Has uncontrolled hypertension (high blood pressure)

Study Design

Total Participants: 245
Treatment Group(s): 2
Primary Treatment: Ivosidenib 500mg Oral Tablet
Phase: 3
Study Start date:
June 14, 2023
Estimated Completion Date:
December 15, 2026

Study Description

Participants who are eligible and enroll in the study will attend a study visit on the first day of each 28-day cycle. Study visits will consist of a physical exam, blood work, electrocardiogram (ECG) and other assessments. After treatment discontinuation participants will be contacted every 12 weeks through the end of the study (currently planned for 2026) to assess survival. The study drug, Ivosidenib, will be taken once daily throughout the duration of participation in the study, and Azacitidine will only be administered for 7 days at the beginning of each 28 day cycle. If at any point ivosidenib is made available as a medical prescription at the patient's site, the patient will switch to commercial product and will continue to be followed according to the protocol.

Connect with a study center

  • Royal brisbane & Women's Hospital

    Brisbane,
    Australia

    Site Not Available

  • st vincent's Hospital

    Fitzroy,
    Australia

    Site Not Available

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

    Subiaco,
    Australia

    Site Not Available

  • Kinghorn Cancer Centre

    Sydney,
    Australia

    Site Not Available

  • The Queen Elizabeth Hospital

    Woodville,
    Australia

    Site Not Available

  • Medizinische Universitaet Graz

    Graz,
    Austria

    Site Not Available

  • Ordensklinikum Linz GmbH

    Linz,
    Austria

    Site Not Available

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

    Salzburg,
    Austria

    Site Not Available

  • AKH - Medizinische Universität Wien

    Vienna, 1090
    Austria

    Completed

  • Klinikum Wels-Grieskirchen GmbH

    Wels, 4600
    Austria

    Completed

  • Medizinische Universitaet Wien Universitaetsklinik fuer Innere Medizin I

    Wien,
    Austria

    Site Not Available

  • Institut Paoli Calmettes

    Marseille, Bouches-du-Rhône 13273
    France

    Active - Recruiting

  • CHU CAEN - Hôpital de la Côte de Nacre

    Caen, Calvados 14033
    France

    Active - Recruiting

  • CHU de Toulouse pt

    Toulouse, Haute Garonne 31059
    France

    Active - Recruiting

  • CHU Rennes - Hopital Pontchaillou

    Rennes, Ille et Vilaine 35033
    France

    Site Not Available

  • CHU Angers - Hôpital Hôtel Dieu

    Angers, Liore 49100
    France

    Site Not Available

  • Charite Universittsmedizin Berlin

    Berlin,
    Germany

    Site Not Available

  • Universitaetsklinikum Carl-Gustav-Carus

    Dresden,
    Germany

    Site Not Available

  • Klinik für Gastroenterologie, Hepatologie und Infektiologie Universitätsklinikum Düsseldorf

    Düsseldorf, 40225
    Germany

    Site Not Available

  • Universitaetsklinikum Frankfurt

    Frankfurt,
    Germany

    Site Not Available

  • Medizinische Fakultaet der Universitaet Freiburg

    Freiburg,
    Germany

    Site Not Available

  • Medizinische Hochschule Hannover

    Hanover,
    Germany

    Site Not Available

  • Klinikum der Universitaet Muenchen-Grosshadern

    München,
    Germany

    Site Not Available

  • IRCCS Istituto Scientifico Romagnolo Per Lo Studio Dei Tumori "Dino Amadori" - IRST

    Meldola, Forli-Cesena 47014
    Italy

    Active - Recruiting

  • Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)

    Brescia, 25123
    Italy

    Active - Recruiting

  • IRCCS Ospedale Policlinico San Martino

    Genova, 16132
    Italy

    Active - Recruiting

  • Azienda Ospedaliera di Perugia Ospedale S. Maria della Misericordia

    Perugia, 06135
    Italy

    Active - Recruiting

  • Meander Medisch Centrum

    Amersfoort, 3818 AZ
    Netherlands

    Active - Recruiting

  • Amsterdam UMC

    Amsterdam, 1105 AZ
    Netherlands

    Active - Recruiting

  • Amsterdam UMC, location AMC

    Amsterdam,
    Netherlands

    Site Not Available

  • Rijnstate

    Arnhem, 6815 AD
    Netherlands

    Site Not Available

  • Universitair Medisch Centrum Groningen

    Groningen, 9713 GZ
    Netherlands

    Active - Recruiting

  • Universiteit Maastricht UM - Maastricht University Medical Centre MUMC

    Limburg,
    Netherlands

    Site Not Available

  • Hospital Universitario 12 de Octubre

    Madrid, 28041
    Spain

    Site Not Available

  • Sahlgrenska University Hospital

    Gothenburg,
    Sweden

    Site Not Available

  • Karolinska University Hospital

    Stockholm,
    Sweden

    Site Not Available

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

    Birmingham,
    United Kingdom

    Site Not Available

  • Imperial College London

    London,
    United Kingdom

    Active - Recruiting

  • The Beatson Institute West of Scotland Cancer Research

    London,
    United Kingdom

    Site Not Available

  • University College London Hospital NHS Trust

    London,
    United Kingdom

    Site Not Available

  • The Christie NHS Foundation Trust

    Manchester,
    United Kingdom

    Site Not Available

  • The Newcastle Upon Tyne Hospitals

    Newcastle Upon Tyne,
    United Kingdom

    Site Not Available

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