Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
NCT06707493

Ivosidenib as Post-HSCT Maintenance for AML

Led by Massachusetts General Hospital · Updated on 2026-04-28

75

Participants Needed

4

Research Sites

206 weeks

Total Duration

On this page

Sponsors

M

Massachusetts General Hospital

Lead Sponsor

S

Servier

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a Phase 2 study of the study drug, ivosidenib (a mutant IDH1 inhibitor), compared to placebo, given to patients with IDH1-mutant acute myeloid leukemia (AML) after hematopoietic stem cell transplantation (HCT).

CONDITIONS

Official Title

Ivosidenib as Post-HSCT Maintenance for AML

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of IDH1(R132)-mutant acute myeloid leukemia (AML) confirmed by mutation testing
  • Age between 18 and 75 years
  • Planned allogeneic hematopoietic stem cell transplantation (HCT) with any graft source
  • ECOG performance status of 2 or less
  • Normal organ and marrow function: neutrophil count ≥ 1000/µL without recent growth factor support, platelet count ≥ 50,000/µL without recent transfusions
  • Liver function tests (AST, ALT, alkaline phosphatase) less than 3 times the upper limit of normal
  • Direct bilirubin less than 2.0 mg/dL
  • Creatinine clearance ≥ 40 mL/min (Cockcroft-Gault formula)
  • Left ventricular ejection fraction (LVEF) ≥ 40% by heart scan
  • Negative pregnancy test for females of childbearing potential
  • Agreement to use contraception during treatment and for 90 days after last dose
  • Ability to understand and sign informed consent
  • No evidence of relapse or refractory disease before treatment start
  • Willingness to start treatment between 45 and 90 days post-transplant
  • No systemic infection requiring IV antibiotics within 7 days before treatment
  • Chimerism studies showing ≥ 70% donor cells in blood or bone marrow
  • No acute graft versus host disease requiring significant steroid treatment or increased immunosuppression
  • Allowed GVHD prophylaxis or treatment agents per study guidelines
Not Eligible

You will not qualify if you...

  • Prior allogeneic hematopoietic stem cell transplantation
  • Morphologic relapse or refractory AML within 42 days before study entry
  • History of other malignancies unless disease-free for 5 years or limited to certain skin or cervical cancers
  • Active hepatitis B or C infection
  • Congestive heart failure classified as New York Heart Association (NYHA) class 3 or 4
  • Heart dysfunction with left ventricular ejection fraction below 40%
  • History of dangerous heart rhythm problems or long QT syndrome
  • QTc interval ≥ 450 ms or other risk factors for arrhythmias at screening
  • Uncontrolled illnesses that would interfere with study participation
  • Use of investigational agents not approved for any indication during the study
  • Evidence of relapsed or residual disease before starting treatment
  • Inadequate hematological or organ function at treatment start

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

Emory University Hospital

Atlanta, Georgia, United States, 30322

Actively Recruiting

2

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

3

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02115

Actively Recruiting

4

Froedtert Hospital & the Medical College of Wisconsin

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

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Research Team

A

Amir T Fathi, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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