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Study description
This study was done to test two cancer drugs called ivosidenib (also called AG-120) and vorasidenib (also called AG-881) in patients with slow-growing brain tumors called low-grade glioma.
Glioma is a type of brain cancer that begins in ‘glial’ cells (the cells that surround and support nerve cells). It is a serious and rare disease with few effective treatment options.
In several types of cancer such as gliomas, an abnormal (mutated) form of a protein called isocitrate dehydrogenase (IDH) is present in the tumor cells due to changes called mutations. In the body, there are two types of IDH proteins: IDH1 and IDH2. When IDH1 or IDH2 is mutated, it produces too much 2-hydroxyglutarate (2-HG), which is a substance that is normally present in cells at low levels. When there is too much 2-HG, it impairs normal cell functioning and may cause the cells to become tumor cells.
Vorasidenib blocks the activity of abnormal IDH1 and IDH2 proteins. Ivosidenib blocks the activity of abnormal IDH1 protein. Vorasidenib and ivosidenib may reduce 2-HG levels in tumor cells back to normal levels.
The main objective of this study was to measure the level of 2-HG in surgically removed tumors after being treated with ivosidenib or vorasidenib compared with untreated (no treatment) tumors.
- AG-120
- AG881
- AG120-881-C-001
Eligibility Criteria
Eligible age for the study
Sex
Male/FemaleAccepts Healthy Volunteers
NoTo take part, participants had to:
- Be at least 18 years old.
- Have low grade glioma:
- with a specific type of IDH1 mutation.
- that can be removed with surgery in the next 2 to 4 months.
- Have good blood, kidney, and liver function.
Participants were not included in the study if they:
- Had already taken medicines that block the activity of IDH proteins.
- Had radiation therapy within 6 months before starting the study.
How is the study designed?
Before surgery, participants received no treatment for at least 28 days, including the day of the surgery.
Before surgery, participants received treatment with ivosidenib for at least 28 days, including the day of surgery.
Participants took ivosidenib tablets by mouth at 250 mg twice daily or 500 mg once daily.
Before surgery, participants received treatment with vorasidenib for at least 28 days, including the day of surgery.
Participants took 10 mg or 50 mg vorasidenib tablets by mouth once daily.
