Skip to content
Find Clinical Trials
Find Clinical Trials

Safety Study of AG-120 or AG-221 in Combination With Induction and Consolidation Therapy in Participants With Newly Diagnosed Acute Myeloid Leukemia (AML) With an IDH1 and/or IDH2 Mutation

Servier Protocol Code: AG120-221-C-001 Sponsor: Institut de Recherches Internationales Servier Clinicaltrials.gov Identifier: NCT02632708 EudraCT Number: 2015-004290-33

Find a recruiting site

How to participate in this study
If you think you are eligible for this study (see
eligibility criteria
below), you can identify the location closest to you and contact them directly. If you can’t find a location close to you, please contact Institut de Recherches Internationales Servier (I.R.I.S.)
Name: Institut de Recherches Internationales Servier, Département des études cliniques
Phone number: +33 1 55 72 60 00
The study has 17 locations

Study description

The study needed to test a combination of two drugs, ivosidenib (also called AG-120) and enasidenib (also called AG-221), in patients with a type of blood cancer called acute myeloid leukemia (AML). The study tests the combination of ivosidenib and enasidenib along with the standard treatment for AML. Standard treatment includes: induction therapy (initial treatment) and consolidation therapy (follow-up treatment).

In some cancers like AML, an abnormal (mutated) form of a protein called isocitrate dehydrogenase (IDH) is present in the tumor cells because of changes called mutations. There are two types of IDH proteins in the body: IDH1 and IDH2. When IDH1 or IDH2 is mutated, it makes too much of 2- hydroxyglutarate (2-HG), which is normally present in cells in small amounts. When there is too much 2-HG, it impairs normal cell functioning and may cause the cells to become tumor cells. Ivosidenib blocks the activity of abnormal IDH1 proteins and enasidenib blocks the activity of abnormal IDH2 proteins. These drugs may reduce the levels of 2-HG in cancer cells back to normal.

The main goal of the study is to see how safe and well-tolerated the study drugs are when used with other approved treatments in patients with AML and IDH1 or IDH2 mutations.

Official title: A Phase 1, Multicenter, Open-Label, Safety Study of AG-120 or AG-221 in Combination With Induction Therapy and Consolidation Therapy in Patients With Newly Diagnosed Acute Myeloid Leukemia With an IDH1 and/or IDH2 Mutation
Conditions
Newly Diagnosed Acute Myeloid Leukemia (AML) Untreated AML AML Arising From Myelodysplastic Syndrome (MDS) AML Arising From Antecedent Hematologic Disorder (AHD) AML Arising After Exposure to Genotoxic Injury
Interventions / Treatments
  • AG-120
  • AG-221
  • cytarabine
  • daunorubicin
  • idarubicin
  • mitoxantrone
  • etoposide
Other study id numbers
  • AG120-221-C-001

Eligibility Criteria

Eligible age for the study

18 years and older (Adult, Older Adult)

Sex

Male/Female

Accepts Healthy Volunteers

No

To take part in the study, participants have to:

  • Be at least 18 years old.
  • Have a type of blood cancer called AML that hasn’t been treated before and has a specific gene change called an IDH1 or IDH2 mutation.
  • Have adequate kidney, liver, and bone marrow function.

Participants cannot take part in the study if they:

  • Have already received treatment with medicines (chemotherapy) for their AML.
  • Have had another type of cancer and haven’t been cancer-free for at least one year before the study starts.

How is the study designed?

Allocation
Non-randomized
Interventional study model
Parallel
Participant Group / Arm
Experimental: AG-120 with cytarabine and daunorubicin

Participants take AG-120 orally every day along with standard initial treatment and follow-up treatment.

Intervention / Treatment
Drug: AG-120 (study drug)
Drug: cytarabine (standard treatment)
Drug: daunorubicin (standard treatment)
Drug: mitoxantrone (standard treatment)
Drug: etoposide (standard treatment)
Participant Group / Arm
Experimental: AG-120 with cytarabine and idarubicin

Participants take AG-120 orally every day along with standard initial treatment and follow-up treatment.

Intervention / Treatment
Drug: AG-120 (study drug)
Drug: cytarabine (standard treatment)
Drug: idarubicin (standard treatment)
Drug: mitoxantrone (standard treatment)
Drug: etoposide (standard treatment)
Participant Group / Arm
Experimental: AG-221 with cytarabine and daunorubicin

Participants take AG-221 orally every day along with standard initial treatment and follow-up treatment.

Intervention / Treatment
Drug: AG-221 (study drug)
Drug: cytarabine (standard treatment)
Drug: daunorubicin (standard treatment)
Drug: mitoxantrone (standard treatment)
Drug: etoposide (standard treatment)
Participant Group / Arm
Experimental: AG-221 with cytarabine and idarubicin

Participants take AG-221 orally every day along with standard initial treatment and follow-up treatment.

Intervention / Treatment
Drug: AG-221 (study drug)
Drug: cytarabine (standard treatment)
Drug: idarubicin (standard treatment)
Drug: mitoxantrone (standard treatment)
Drug: etoposide (standard treatment)
Participant Group / Arm
Experimental: AG-221 (starting on Day 8) with cytarabine and daunorubicin

Participants take AG-221 orally every day from 8th day of the first induction therapy cycle, along with initial treatment and follow-up treatment.

Intervention / Treatment
Drug: AG-221 (study drug)
Drug: cytarabine (standard treatment)
Drug: daunorubicin (standard treatment)
Drug: mitoxantrone (standard treatment)
Drug: etoposide (standard treatment)
Participant Group / Arm
Experimental: AG-221 (starting on Day 8) with cytarabine and idarubicin

Participants take AG-221 orally every day from 8th day of the first induction treatment cycle, along with standard initial treatment and follow-up treatment.

Intervention / Treatment
Drug: AG-221 (study drug)
Drug: cytarabine (standard treatment)
Drug: idarubicin (standard treatment)
Drug: mitoxantrone (standard treatment)
Drug: etoposide (standard treatment)

Keywords

Provided by Servier
Acute Myeloid Leukemia AML Untreated AML De novo AML Secondary AML Newly diagnosed AML IDH1 IDH2 Induction therapy Consolidation therapy IDH
Additional Relevant MeSH Terms Glioma
Leukemia, Myeloid, Acute