Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID02074839

Study of Orally Administered AG-120 in Advanced Hematologic Malignancies With an IDH1 Mutation Evaluating Safety, Dose, and Clinical Activity

Led by Institut de Recherches Internationales Servier · Updated on 2025-06-08

291

Participants Needed

30

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying AG-120, an oral drug, in adults with advanced blood cancers that have an IDH1 mutation. This Phase I, multicenter trial aims to find the safest dose, understand how the drug acts in the body, and evaluate its effects on the disease. The study includes patients with relapsed or refractory acute myeloid leukemia (AML), untreated AML, and other IDH1-mutated blood cancers, including myelodysplastic syndromes. The trial is sponsored by Institut de Recherches Internationales Servier and involves evaluating safety, pharmacokinetics, pharmacodynamics, and clinical activity.

CONDITIONS

Brief Title

Study of Orally Administered AG-120 in Subjects With Advanced Hematologic Malignancies With an IDH1 Mutation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Documented IDH1 R132 gene-mutated advanced hematologic malignancy
  • Ability to have serial bone marrow biopsies, peripheral blood, and urine sampling during the study
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
  • Platelet count of at least 20,000/µL (transfusions allowed to reach this count)
  • Adequate liver function with AST, ALT, and ALP less than or equal to 3 times the upper limit of normal (ULN), unless related to leukemia, and total bilirubin less than or equal to 1.5 times ULN unless related to Gilbert's disease or leukemia
  • Adequate kidney function with serum creatinine less than or equal to 2.0 times ULN or creatinine clearance above 40 mL/min
  • Recovery from significant side effects of prior cancer treatments
  • For females of childbearing potential, a negative pregnancy test within 7 days before starting treatment and on the first day of study drug administration
Not Eligible

You will not qualify if you...

  • Hematopoietic stem cell transplant within 60 days before first dose or current immunosuppressive therapy after transplant, or significant graft-versus-host disease (except stable oral or topical steroids for skin GVHD)
  • Systemic anticancer therapy or radiotherapy within 14 days before first dose (hydroxyurea allowed before and after start)
  • Investigational agent use within 14 days before first dose
  • Pregnant or breastfeeding
  • Active severe infection or unexplained fever above 38.5°C at screening or first dose day (tumor-related fever may be allowed)
  • New York Heart Association Class III or IV heart failure or left ventricular ejection fraction below 40% within about 28 days before treatment
  • Heart attack within 6 months before screening
  • Unstable or uncontrolled angina or severe ventricular arrhythmias
  • Prolonged QT interval (QTc ≥450 ms) or medications that prolong QT interval
  • Known HIV infection or active hepatitis B or C
  • Symptoms or known involvement of central nervous system leukemia
  • Life-threatening severe leukemia complications such as uncontrolled bleeding, pneumonia with low oxygen or shock, or widespread clotting disorder

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Repeated 28-day cycles until disease progression or discontinuation.

Participants take AG-120 orally every day in 28-day cycles until disease progression, unacceptable side effects, or hematopoietic stem cell transplant.

Visits occur regularly during treatment for safety and clinical assessments

Trial Site Locations

Total: 30 locations

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

Active, Not Recruiting

2

Mayo Clinic-AZ

Phoenix, Arizona, United States, 85259

Terminated

3

City of Hope

Duarte, California, United States, 91010

Active, Not Recruiting

4

University of California-Los Angeles

Los Angeles, California, United States, 90095

Terminated

5

University of California-San Francisco

San Francisco, California, United States, 94143

Terminated

6

University of Colorado Denver

Aurora, Colorado, United States, 80045

Terminated

7

Mayo Clinic-Jacksonville

Jacksonville, Florida, United States, 32224

Terminated

8

University of Miami

Miami, Florida, United States, 33136

Terminated

9

Moffit Cancer Center

Tampa, Florida, United States, 33612

Active, Not Recruiting

10

Emory University

Atlanta, Georgia, United States, 30322

Active, Not Recruiting

11

Northwestern University Medical Hospital

Chicago, Illinois, United States, 60611

Terminated

12

John Hopkins Cancer Center

Baltimore, Maryland, United States, 21287

Active, Not Recruiting

13

Massachusetts General Hospital

Boston, Massachusetts, United States, 02214

Terminated

14

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Terminated

15

Karmanos Cancer Center

Detroit, Michigan, United States, 48201

Terminated

16

Washington University

St Louis, Missouri, United States, 63110

Terminated

17

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10021

Active, Not Recruiting

18

Cornell Cancer Center

New York, New York, United States, 10065

Terminated

19

Duke Cancer Center

Durham, North Carolina, United States, 27705

Terminated

20

Cleveland Clinic

Cleveland, Ohio, United States, 44124

Withdrawn

21

Ohio State University

Columbus, Ohio, United States, 43210

Terminated

22

Oregon Health and Science University

Portland, Oregon, United States, 97239

Terminated

23

Medical University of South Carolina

Charleston, South Carolina, United States, 29425

Actively Recruiting

24

Sarah Cannon Research Institute

Nashville, Tennessee, United States, 37203

Terminated

25

UT Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

26

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

27

Hopital La Timone

Marseille, France

Terminated

28

Hopital Haut-Leveque

Pessac, France, 33600

Actively Recruiting

29

Central Lyon Sud

Pierre-Bénite, France, 69310

Actively Recruiting

30

Institute Gustave Roussly (IGR)

Villejuif, France, 94800

Actively Recruiting

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Research Team

I

Institut de Recherches Internationales Servier Clinical Studies Department

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Ivosidenib in Chinese patients with relapsed or refractory isocitrate dehydrogenase 1 mutated acute myeloid leukemia: a registry study.

Mingyuan Sun, Qingsong Yin, Yang Liang...

https://pubmed.ncbi.nlm.nih.gov/38911469

Final phase 1 substudy results of ivosidenib for patients with mutant IDH1 relapsed/refractory myelodysplastic syndrome.

Courtney D DiNardo, Gail J Roboz, Justin M Watts...

https://pubmed.ncbi.nlm.nih.gov/38640348

Population pharmacokinetic and exposure-response analyses of ivosidenib in patients with IDH1-mutant advanced hematologic malignancies.

Xuemin Jiang, Russ Wada, Bill Poland...

https://pubmed.ncbi.nlm.nih.gov/33493392

Molecular mechanisms mediating relapse following ivosidenib monotherapy in IDH1-mutant relapsed or refractory AML.

Sung Choe, Hongfang Wang, Courtney D DiNardo...

https://pubmed.ncbi.nlm.nih.gov/32380538

Clinical pharmacokinetics and pharmacodynamics of ivosidenib in patients with advanced hematologic malignancies with an IDH1 mutation.

Bin Fan, David Dai, Courtney D DiNardo...

https://pubmed.ncbi.nlm.nih.gov/32296873

Ivosidenib induces deep durable remissions in patients with newly diagnosed IDH1-mutant acute myeloid leukemia.

Gail J Roboz, Courtney D DiNardo, Eytan M Stein...

https://pubmed.ncbi.nlm.nih.gov/31841594

Evidence for Clinical Differentiation and Differentiation Syndrome in Patients With Acute Myeloid Leukemia and IDH1 Mutations Treated With the Targeted Mutant IDH1 Inhibitor, AG-120.

K C Birendra, Courtney D DiNardo

https://pubmed.ncbi.nlm.nih.gov/27245312