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
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View full resultsBasic Information
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ACTIVE_NOT_RECRUITING
PHASE1/PHASE2
130 participants
INTERVENTIONAL
2016-06-03
2025-09-30
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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AG-120 + Azacitidine
AG-120
Specified dose on specified days
Azacitidine
Specified dose on specified days
AG-221 + Azacitidine
Azacitidine
Specified dose on specified days
AG-221
Specified dose on specified days
Azacitidine
Azacitidine
Specified dose on specified days
Interventions
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AG-120
Specified dose on specified days
Azacitidine
Specified dose on specified days
AG-221
Specified dose on specified days
Eligibility Criteria
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Inclusion Criteria
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
* Agree to serial bone marrow aspirate/biopsies
Exclusion Criteria
* 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
18 Years
ALL
No
Sponsors
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Celgene
INDUSTRY
Responsible Party
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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
Local Institution - 107
New Haven, Connecticut, United States
Local Institution - 108
Chicago, Illinois, United States
Local Institution - 103
Chicago, Illinois, United States
Local Institution - 102
Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Local Institution - 902
Boston, Massachusetts, United States
Local Institution - 106
New York, New York, United States
Local Institution - 110
Dallas, Texas, United States
Local Institution - 178
Adelaide, South Australia, Australia
Local Institution - 175
Melbourne, , Australia
Local Institution - 177
Perth, , Australia
Local Institution - UNK-121
Yvoir, , Belgium
Local Institution - 125
Toronto, Ontario, Canada
Local Institution - 205
Lille, , France
Local Institution - 206
Marseille, , France
Local Institution - 200
Paris, , France
Local Institution - 204
Pessac, , France
Local Institution - 202
Pierre-Bénite, , France
Local Institution - 203
Toulouse, , France
Local Institution - 201
Villejuif, , France
Local Institution - 227
Berlin, , Germany
Local Institution - 230
Dresden, , Germany
Local Institution - 225
Ulm, , Germany
Local Institution - 253
Bologna, Emilia-Romagna, , Italy
Local Institution - 252
Florence, , Italy
Local Institution - 256
Genova, , Italy
Local Institution - 251
Orbassano, , Italy
Local Institution - 254
Padua, , Italy
Local Institution - 250
Pesaro, , Italy
Local Institution - 255
Roma, , Italy
Local Institution - 277
Utrecht, , Netherlands
Local Institution - 327
Lisbon, , Portugal
Local Institution - 351
Seoul, , South Korea
Local Institution - 350
Seoul, , South Korea
Local Institution - 379
Barcelona, , Spain
Local Institution - 375
Barcelona, , Spain
Local Institution - 376
Cáceres, , Spain
Local Institution - 378
Madrid, , Spain
Local Institution - 381
Madrid, , Spain
Local Institution - 380
Málaga, , Spain
Local Institution - 377
Valencia, , Spain
Local Institution - UNK-52
Gothenburg, , Sweden
Local Institution - 403
Basel, , Switzerland
Local Institution - 401
Zurich, , Switzerland
Local Institution - 429
Birmingham, , United Kingdom
Local Institution - 427
Headington, , United Kingdom
Local Institution - 428
London, , United Kingdom
Local Institution - 430
Sutton (Surrey), , United Kingdom
Countries
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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.
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.
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.
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.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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BMS Clinical Trial Information
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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