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

NCT ID: NCT02677922

Last Updated: 2025-04-23

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-03

Study Completion Date

2025-09-30

Brief Summary

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The purpose of this study are

1. to determine the recommended combination dose of AG-120 and AG-221 separately when administered with azacitidine and,
2. to investigate the safety, tolerability, and efficacy of the combinations of AG-120 with azacitidine and AG-221 with azacitidine versus with azacitidine alone in participants with acute myeloid leukemia (AML) with the isocitrate dehydrogenase (IDH) enzyme isoforms 1 or 2 mutations, respectively.

Detailed Description

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Conditions

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Leukemia, Myeloid, Acute

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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AG-120 + Azacitidine

Group Type EXPERIMENTAL

AG-120

Intervention Type DRUG

Specified dose on specified days

Azacitidine

Intervention Type DRUG

Specified dose on specified days

AG-221 + Azacitidine

Group Type EXPERIMENTAL

Azacitidine

Intervention Type DRUG

Specified dose on specified days

AG-221

Intervention Type DRUG

Specified dose on specified days

Azacitidine

Group Type EXPERIMENTAL

Azacitidine

Intervention Type DRUG

Specified dose on specified days

Interventions

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AG-120

Specified dose on specified days

Intervention Type DRUG

Azacitidine

Specified dose on specified days

Intervention Type DRUG

AG-221

Specified dose on specified days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed, primary (ie, de novo) or secondary (progression of Myelodysplastic syndrome \[MDS\] or myeloproliferative neoplasms \[MPN\], or therapy-related) acute myeloid leukemia (AML) according to the WHO classification with ≥ 20% leukemic blasts in the bone marrow
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
* Agree to serial bone marrow aspirate/biopsies

Exclusion Criteria

* Suspected or proven to have acute promyelocytic leukemia based on morphology, immunophenotype, molecular assay, or karyotype
* AML secondary to chronic myelogenous leukemia (CML)
* Received a targeted agent against an isocitrate dehydrogenase 1 (IDH1) or isocitrate dehydrogenase 2 (IDH2) mutation
* Has or is suspected of having central nervous system (CNS) leukemia. Evaluation of cerebrospinal fluid is only required if CNS involvement by leukemia is suspected during screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celgene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution - 105

Duarte, California, United States

Site Status

Local Institution - 107

New Haven, Connecticut, United States

Site Status

Local Institution - 108

Chicago, Illinois, United States

Site Status

Local Institution - 103

Chicago, Illinois, United States

Site Status

Local Institution - 102

Boston, Massachusetts, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Local Institution - 902

Boston, Massachusetts, United States

Site Status

Local Institution - 106

New York, New York, United States

Site Status

Local Institution - 110

Dallas, Texas, United States

Site Status

Local Institution - 178

Adelaide, South Australia, Australia

Site Status

Local Institution - 175

Melbourne, , Australia

Site Status

Local Institution - 177

Perth, , Australia

Site Status

Local Institution - UNK-121

Yvoir, , Belgium

Site Status

Local Institution - 125

Toronto, Ontario, Canada

Site Status

Local Institution - 205

Lille, , France

Site Status

Local Institution - 206

Marseille, , France

Site Status

Local Institution - 200

Paris, , France

Site Status

Local Institution - 204

Pessac, , France

Site Status

Local Institution - 202

Pierre-Bénite, , France

Site Status

Local Institution - 203

Toulouse, , France

Site Status

Local Institution - 201

Villejuif, , France

Site Status

Local Institution - 227

Berlin, , Germany

Site Status

Local Institution - 230

Dresden, , Germany

Site Status

Local Institution - 225

Ulm, , Germany

Site Status

Local Institution - 253

Bologna, Emilia-Romagna, , Italy

Site Status

Local Institution - 252

Florence, , Italy

Site Status

Local Institution - 256

Genova, , Italy

Site Status

Local Institution - 251

Orbassano, , Italy

Site Status

Local Institution - 254

Padua, , Italy

Site Status

Local Institution - 250

Pesaro, , Italy

Site Status

Local Institution - 255

Roma, , Italy

Site Status

Local Institution - 277

Utrecht, , Netherlands

Site Status

Local Institution - 327

Lisbon, , Portugal

Site Status

Local Institution - 351

Seoul, , South Korea

Site Status

Local Institution - 350

Seoul, , South Korea

Site Status

Local Institution - 379

Barcelona, , Spain

Site Status

Local Institution - 375

Barcelona, , Spain

Site Status

Local Institution - 376

Cáceres, , Spain

Site Status

Local Institution - 378

Madrid, , Spain

Site Status

Local Institution - 381

Madrid, , Spain

Site Status

Local Institution - 380

Málaga, , Spain

Site Status

Local Institution - 377

Valencia, , Spain

Site Status

Local Institution - UNK-52

Gothenburg, , Sweden

Site Status

Local Institution - 403

Basel, , Switzerland

Site Status

Local Institution - 401

Zurich, , Switzerland

Site Status

Local Institution - 429

Birmingham, , United Kingdom

Site Status

Local Institution - 427

Headington, , United Kingdom

Site Status

Local Institution - 428

London, , United Kingdom

Site Status

Local Institution - 430

Sutton (Surrey), , United Kingdom

Site Status

Countries

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United States Australia Belgium Canada France Germany Italy Netherlands Portugal South Korea Spain Sweden Switzerland United Kingdom

References

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Montesinos P, Fathi AT, de Botton S, Stein EM, Zeidan AM, Zhu Y, Prebet T, Vigil CE, Bluemmert I, Yu X, DiNardo CD. Differentiation syndrome associated with treatment with IDH2 inhibitor enasidenib: pooled analysis from clinical trials. Blood Adv. 2024 May 28;8(10):2509-2519. doi: 10.1182/bloodadvances.2023011914.

Reference Type DERIVED
PMID: 38507688 (View on PubMed)

Woods A, Norsworthy KJ, Wang X, Vallejo J, Chiu Yuen Chow E, Li RJ, Sun J, Charlab R, Jiang X, Pazdur R, Theoret MR, de Claro RA. FDA Approval Summary: Ivosidenib in Combination with Azacitidine for Treatment of Patients with Newly Diagnosed Acute Myeloid Leukemia with an IDH1 Mutation. Clin Cancer Res. 2024 Apr 1;30(7):1226-1231. doi: 10.1158/1078-0432.CCR-23-2234.

Reference Type DERIVED
PMID: 38010220 (View on PubMed)

DiNardo CD, Schuh AC, Stein EM, Montesinos P, Wei AH, de Botton S, Zeidan AM, Fathi AT, Kantarjian HM, Bennett JM, Frattini MG, Martin-Regueira P, Lersch F, Gong J, Hasan M, Vyas P, Dohner H. Enasidenib plus azacitidine versus azacitidine alone in patients with newly diagnosed, mutant-IDH2 acute myeloid leukaemia (AG221-AML-005): a single-arm, phase 1b and randomised, phase 2 trial. Lancet Oncol. 2021 Nov;22(11):1597-1608. doi: 10.1016/S1470-2045(21)00494-0. Epub 2021 Oct 18.

Reference Type DERIVED
PMID: 34672961 (View on PubMed)

DiNardo CD, Stein AS, Stein EM, Fathi AT, Frankfurt O, Schuh AC, Dohner H, Martinelli G, Patel PA, Raffoux E, Tan P, Zeidan AM, de Botton S, Kantarjian HM, Stone RM, Frattini MG, Lersch F, Gong J, Gianolio DA, Zhang V, Franovic A, Fan B, Goldwasser M, Daigle S, Choe S, Wu B, Winkler T, Vyas P. Mutant Isocitrate Dehydrogenase 1 Inhibitor Ivosidenib in Combination With Azacitidine for Newly Diagnosed Acute Myeloid Leukemia. J Clin Oncol. 2021 Jan 1;39(1):57-65. doi: 10.1200/JCO.20.01632. Epub 2020 Oct 29.

Reference Type DERIVED
PMID: 33119479 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2015-003951-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

AG-221-AML-005

Identifier Type: -

Identifier Source: org_study_id

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