Drugs / Ivosidenib
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Ivosidenib

also known as AG-120 · AK112 · Ivo

Small molecule targets IDH1 via inhibition

Developed for
acute myeloid leukemia · myelodysplastic syndrome · cholangiocarcinoma · chondrosarcoma · cancer · ependymoma · Ewing sarcoma · glioma
+30 more · hepatoblastoma · Langerhans cell histiocytosis · malignant germ cell tumor · malignant glioma · medulloblastoma · myeloproliferative neoplasm · neuroblastoma · non-Hodgkin lymphoma · peripheral primitive neuroectodermal tumor · rhabdoid tumor · rhabdomyosarcoma · Wilms tumor · biliary tract cancer · biliary tract neoplasm · cancer of unknown primary site · childhood acute myeloid leukemia · clonal hematopoiesis of indeterminate potential · conventional osteosarcoma · histiocytic sarcoma · IDH-mutant anaplastic astrocytoma · juvenile xanthogranuloma · low grade glioma · metastatic malignant neoplasm · myelodysplastic syndrome with excess blasts-2 · myeloid hemopathy · osteosarcoma · pancreatic ductal adenocarcinoma · primary organ-specific lymphoma · refractory hematologic cancer · therapy related acute myeloid leukemia and myelodysplastic syndrome
Investigated by
Servier · Agios Pharmaceuticals, Inc. · National Cancer Institute (NCI) · M.D. Anderson Cancer Center · Servier · Servier Bio-Innovation LLC
+64 more · Institute of Hematology & Blood Diseases Hospital, China · Memorial Sloan Kettering Cancer Center · Servier · Celgene Corporation · HOVON Foundation · Massachusetts General Hospital · Ruijin Hospital · University of Chicago · AVEO Pharmaceuticals, Inc. · Academic and Community Cancer Research United · Accord Healthcare, Inc. · Alice Mims · Astellas Pharma US, Inc. · Beat AML, LLC · Belgian Group of Digestive Oncology · Bristol-Myers Squibb · CStone Pharmaceuticals · Cancer Research UK · Cancer Research UK & UCL Cancer Trials Centre · Case Comprehensive Cancer Center · Charite University, Berlin, Germany · Children's Oncology Group · City of Hope Medical Center · Cyprus Institute of Neurology and Genetics · Czech Lymphoma Study Group · European LeukemiaNet · Foundation Medicine · French Innovative Leukemia Organisation · Fudan University · Fundacion Para La Investigacion Hospital La Fe · Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León · GIMEMA Foundation · Gateway for Cancer Research · German Society for Pediatric Oncology and Hematology GPOH gGmbH · Groupe Francophone des Myelodysplasies · Hannover Medical School · Hoffmann-La Roche · Hospital Vall d'Hebron · Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest · Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS · Jason J. Luke, MD · Lithuanian University of Health Sciences · National Cancer Institute, France · Northwestern University · Ospedale Pediatrico Bambin Gesù · Ostdeutsche Studiengruppe Haematologie Und Onkologie e.V. · PETHEMA Foundation · Peking Union Medical College Hospital · Pierre Fabre Laboratories · Servier Deutschland GmbH · Servier Hellas Pharmaceuticals Ltd. · Servier Pharmaceuticals, LLC · Syndax Pharmaceuticals · TIMELEX · Taiho Oncology, Inc. · Technical University Dresden · The First Affiliated Hospital of Soochow University · Toscana Life Sciences Sviluppo s.r.l. · UNICANCER · University of Bologna · University of Ulm · Washington University School of Medicine · Yale University · Zymeworks BC Inc.

Regulatory milestones approvals, filings & regulatory actions · 8 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed acute megakaryoblastic leukemia in adult 1 milestone
Filed US (FDA) TIBSOVO acute megakaryoblastic leukemia in adult 2019-02-20

“FDA has accepted the company’s supplemental New Drug Application (sNDA) for TIBSOVO ® (ivosidenib) for the treatment of patients with newly diagnosed acute myeloid leukemia” agios.com ↗

“Submitted a new drug application (NDA) to the U.S. Food and Drug Administration ( FDA ) for ivosidenib for the treatment of patients with R/R AML with an IDH1 mutation.” agios.com ↗

Filed relapsed/refractory diffuse large B-cell lymphoma 1 milestone
Filed US (FDA) — relapsed/refractory diffuse large B-cell lymphoma 2017-12-26

“Submitted a new drug application (NDA) to the FDA for ivosidenib for the treatment of patients with R/R AML with an IDH1 mutation.” agios.com ↗

“submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration ( FDA ) for ivosidenib (AG-120)” agios.com ↗

Approved Indication not stated 3 milestones
Label expansions (4) US (FDA) TIBSOVO — 2019-05-02 – 2023-10-24 fda.gov ↗
Approved EU (EMA) Tibsovo — 2023-05-04 europa.eu ↗
Approved US (FDA) TIBSOVO — 2018-07-20 fda.gov ↗

Trials 61

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 120 trials
Phase 1 NCT07006688 Jan 2026 → Jul 2028 expected cancer Servier Bio-Innovation LLC Recruiting No outcome recorded
Phase 1 NCT06291987 Sep 2024 → May 2029 expected myeloproliferative neoplasm University of Chicago Recruiting No outcome recorded
Phase 1 NCT05756777 Oct 2023 → Apr 2027 expected acute myeloid leukemia Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 1 NCT05209074 Sep 2022 → Jul 2026 overdue pancreatic ductal adenocarcinoma Case Comprehensive Cancer Center Active not recruiting No outcome recorded
Phase 1 NCT04655391 Jun 2022 → Dec 2023 acute myeloid leukemia City of Hope Medical Center Withdrawn No outcome recorded
Phase 1 NCT04955938 Oct 2021 → Jun 2023 myeloproliferative neoplasm University of Chicago Withdrawn No outcome recorded Stop: Enrollment
Phase 1 NCT05010772 Oct 2021 → Dec 2026 expected acute myeloid leukemia M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1 NCT04088188 Jan 2021 → Dec 2023 cholangiocarcinoma Academic and Community Cancer Research United Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT04250051 Dec 2020 → Jan 2022 acute myeloid leukemia, myelodysplastic syndrome Northwestern University Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT04176393 Nov 2019 → Feb 2021 acute myeloid leukemia CStone Pharmaceuticals Completed No outcome recorded
Phase 1/26 trials · 1 met primary
Phase 1/2 NCT06611839 Oct 2025 → Oct 2026 expected acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase 1/2 NCT06501625 Dec 2024 → Jul 2026 overdue IDH-mutant anaplastic astrocytoma Servier Recruiting No outcome recorded
Phase 1/2 NCT05921760 Oct 2023 → Nov 2024 cancer Servier Bio-Innovation LLC Terminated No outcome recorded
Phase 1/2 NCT04774393 May 2021 → Nov 2027 expected acute myeloid leukemia M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT03471260 Mar 2018 → Sep 2027 expected acute myeloid leukemia, myelodysplastic syndrome M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1/2 NCT02677922 Jun 2016 → Aug 2018 overdue acute myeloid leukemia Celgene Corporation Active not recruiting Met primary
Phase 222 trials · 1 met primary
Phase 2 NCT07463768 Sep 2026 → Sep 2030 expected acute myeloid leukemia French Innovative Leukemia Organisation Not yet recruiting No outcome recorded
Phase 2 NCT07507760 Jun 2026 → Apr 2029 expected acute myeloid leukemia PETHEMA Foundation Recruiting No outcome recorded
Phase 2 NCT07607418 May 2026 → May 2027 expected acute myeloid leukemia, myelodysplastic syndrome Ruijin Hospital Recruiting No outcome recorded
Phase 2 NCT07548710 May 2026 → May 2027 expected acute myeloid leukemia Ruijin Hospital Recruiting No outcome recorded
Phase 2 NCT07392242 Jan 2026 → Jan 2028 expected acute myeloid leukemia Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 2 NCT06707493 Jan 2026 → Jan 2028 expected acute myeloid leukemia, disease related to hematopoietic stem cell transplant Massachusetts General Hospital Recruiting No outcome recorded
Phase 2 NCT07260175 Nov 2025 → Dec 2030 expected cholangiocarcinoma Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest Recruiting No outcome recorded
Phase 2 NCT06717958 Jun 2025 → Oct 2029 expected acute myeloid leukemia, myelodysplastic syndrome Technical University Dresden Recruiting No outcome recorded
Phase 2 NCT07007949 Jun 2025 → Apr 2026 overdue acute myeloid leukemia The First Affiliated Hospital of Soochow University Recruiting No outcome recorded
Phase 2 NCT06593548 Nov 2024 → Nov 2026 expected metastatic malignant neoplasm Fudan University Not yet recruiting No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT03013998 Nov 2016 → Dec 2032 expected acute myeloid leukemia Beat AML, LLC Recruiting No outcome recorded
Phase 39 trials · 2 met primary
Phase 3 NCT06713837 Feb 2025 → Jan 2028 expected acute myeloid leukemia Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS Recruiting No outcome recorded
Phase 3 NCT06465953 Dec 2024 → Nov 2027 expected myelodysplastic syndrome Servier Recruiting No outcome recorded
Phase 3 NCT05615818 Jul 2024 → Jun 2027 expected biliary tract neoplasm UNICANCER Recruiting No outcome recorded
Phase 3 NCT06127407 Jul 2024 → Feb 2028 expected chondrosarcoma Servier Bio-Innovation LLC Recruiting No outcome recorded
Phase 3 NCT05907057 Jun 2023 → Oct 2027 expected acute myeloid leukemia Servier Recruiting No outcome recorded
Phase 3 NCT05876754 May 2023 → Dec 2027 expected cholangiocarcinoma Servier Recruiting No outcome recorded
Phase 3 NCT03839771 Mar 2019 → Apr 2027 expected acute myeloid leukemia, myelodysplastic syndrome with excess blasts-2 HOVON Foundation Active not recruiting No outcome recorded
Phase 3 NCT03173248 Jun 2017 → Mar 2021 overdue acute myeloid leukemia Servier Active not recruiting Met primary
Phase 3 NCT02989857 Feb 2017 → Jan 2019 cholangiocarcinoma Servier Completed Met primary
Phase not applicable2 trials
— NCT07131059 May 2024 → May 2026 overdue acute myeloid leukemia Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
— NCT06265545 Feb 2024 → Jan 2026 overdue acute myeloid leukemia, refractory hematologic cancer Institute of Hematology & Blood Diseases Hospital, China Recruiting No outcome recorded
Phase not stated1 trial
— NCT03245424 — childhood acute myeloid leukemia Agios Pharmaceuticals, Inc. Approved for marketing No outcome recorded
Comparator or background therapy1 trial
Phase 3 NCT02665065 Comparator Jun 2016 → Jun 2022 overdue acute myeloid leukemia Actinium Pharmaceuticals Active not recruiting Met primary

News releases announcing trial results or a regulatory action · 39

DateIssuerRelease
2021-03-01 Agios Pharmaceuticals, Inc. Regulatory Agios Submits Supplemental New Drug Application to FDA for TIBSOVO® (ivosidenib tablets) for Patients with Previously Treated IDH1-Mutant Cholangiocarcinoma agios.com ↗
Agios has requested priority review for the application, which, if granted, could result in a six-month review process.
2021-01-17 Agios Pharmaceuticals, Inc. Results Agios Presents Final Data from Phase 3 ClarIDHy Study of TIBSOVO® (ivosidenib tablets) in Patients with Previously Treated IDH1-Mutant Cholangiocarcinoma agios.com ↗
The final analysis showed an improvement in the secondary endpoint of OS favoring patients randomized to TIBSOVO ® compared to those randomized to placebo; however, statistical significance was not reached.
2020-11-05 Agios Pharmaceuticals, Inc. Results Agios Reports Business Highlights and Third Quarter 2020 Financial Results agios.com ↗
2020-11-04 Agios Pharmaceuticals, Inc. Results Agios to Present Broad Set of Clinical and Translational Data for Oncology and Rare Genetic Disease Programs at the Virtual 2020 ASH Annual Meeting agios.com ↗
Ivosidenib Improves Overall Survival Relative to Standard Therapies in Relapsed or Refractory Mutant IDH1 AML: Results from Matched Comparisons to Historical Controls
2020-10-16 Agios Pharmaceuticals, Inc. Regulatory Agios Announces Withdrawal of European Marketing Authorization Application for TIBSOVO® as a Treatment for Relapsed or Refractory IDH1-mutant Acute Myeloid Leukemia agios.com ↗
Agios Pharmaceuticals, Inc. (NASDAQ:AGIO), a leader in the field of cellular metabolism to treat cancer and rare genetic diseases, today announced the withdrawal of its European Marketing Authorization Application (MAA) for TIBSOVO ® (ivosidenib tablets) for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with an isocitrate dehydrogenase-1 (IDH1) mutation.
2020-09-21 Agios Pharmaceuticals, Inc. Results Agios Announces Final Overall Survival Data from Phase 3 ClarIDHy Study of TIBSOVO® (ivosidenib tablets) in Previously Treated IDH1-Mutant Cholangiocarcinoma Patients agios.com ↗
A consistent trend in improved OS was observed in patients treated with TIBSOVO ® compared to those randomized to placebo, but was not statistically significant.
2020-05-19 Agios Pharmaceuticals, Inc. Results Agios Announces Publication of TIBSOVO® Phase 3 Data in The Lancet Oncology Demonstrating Significant Improvement in Progression-Free Survival Compared to Placebo in Previously Treated IDH1-Mutant Cholangiocarcinoma Patients agios.com ↗
The study met its primary endpoint, demonstrating a statistically significant improvement in progression-free survival (PFS) in patients randomized to TIBSOVO ® compared with placebo patients.
2020-05-14 Agios Pharmaceuticals, Inc. Results Agios to Present Updated Clinical Proof-of-Concept Data from the Phase 2 Study of Mitapivat in Thalassemia in Oral Presentation at the European Hematology Association Annual Congress agios.com ↗
Ivosidenib improves overall survival relative to standard therapies in relapsed or refractory mutant IDH1 AML: Results from matched comparisons to historical controls
2019-12-16 Agios Pharmaceuticals, Inc. Regulatory Agios Receives FDA Breakthrough Therapy Designation for TIBSOVO® (ivosidenib) for the Treatment of Adult Patients with Relapsed or Refractory Myelodysplastic Syndrome with an IDH1 Mutation agios.com ↗
today announced that the U.S. Food and Drug Administration ( FDA ) has granted Breakthrough Therapy designation for TIBSOVO ® (ivosidenib) for the treatment of adult patients with relapsed or refractory myelodysplastic syndrome (MDS) with a susceptible IDH1 mutation as detected by an FDA -approved test.
2019-12-09 Agios Pharmaceuticals, Inc. Results Agios Presents Translational Data to Further Characterize the Role of TIBSOVO® (ivosidenib) Treatment in IDH1 Mutant Acute Myeloid Leukemia (AML) agios.com ↗
Combination Therapy with TIBSOVO ® and Azacitidine Results in Deep and Durable Molecular Remission in Newly Diagnosed IDH1 Mutant AML
2019-11-22 Agios Pharmaceuticals, Inc. Results Agios Presents New Pharmacodynamic and Response Data from Both Cohorts of the Perioperative Study of Vorasidenib and TIBSOVO® (ivosidenib) in Patients with IDH1 Mutant Positive Low-Grade Glioma agios.com ↗
Preliminary Efficacy Data Show 31% Overall Response Rate for Both Vorasidenib and TIBSOVO ® with Postoperative Treatment
2019-11-06 Agios Pharmaceuticals, Inc. Results Agios to Present Broad Set of Clinical and Translational Data for Oncology and Rare Genetic Disease Programs at the 2019 ASH Annual Meeting agios.com ↗
Important Translational Data for TIBSOVO ® Underscore the High Clinical and Molecular Remissions Rate Observed in Combination with Azacitidine in IDH1 Mutant AML and Expand Understanding of Resistance Mechanisms

All press releases naming this drug 48 releases

DateIssuerRelease

Evidence & citations 8 cited values

Every value below carries the sentence it was read from. 65 sources stand behind the page.

FieldValueCited text
Known as Ivosidenib “Ivosidenib (AG-120) is a targeted mutant IDH1 inhibitor under evaluation in a phase 1 dose escalation and expansion study of IDH1-mutant advanced solid tumors including...” PMID 31028664 ↗ Apr 2019
50

“Study of AG-120 (Ivosidenib) vs. Placebo in Combination With Azacitidine in Participants With Previously Untreated Acute Myeloid Leukemia With an IDH1 Mutation” NCT03173248 ↗

“The IDH1 inhibitor ivosidenib (AG-120) that will be administered orally on a continuous basis at the dose of 500 mg/day starting at day 1 of each cycle.” NCT04044209 ↗

“Ivosidenib alone or in combination with low dose hypomethylating agent or low dose cytarabine” NCT06713837 ↗

“Ivosidenib (AG-120) is an oral, targeted, small-molecule inhibitor of mutant IDH1.” PMID 29860938 ↗ Jun 2018

“Ivosidenib (for subjects with IDH1 mutation)” NCT02665065 ↗

NCT07548710 ↗

NCT05876754 ↗

NCT05401097 ↗

NCT07392242 ↗

NCT04493164 ↗

Show 40 more sources

Known as AG-120 “An FDA-approved mutant IDH1 inhibitor, ivosidenib (AG-120), is actually a potent wtDH1 inhibitor under a nutrient-deprived microenvironment, reflective of the pancreatic cancer...” PMID 37034685 ↗ Mar 2023
19

“Expanded Access Program for Ivosidenib (AG-120) Monotherapy in Patients With Relapsed or Refractory Acute Myeloid Leukemia With an IDH1 Mutation” NCT03245424 ↗

“Ivosidenib (AG-120) is an oral, targeted, small-molecule inhibitor of mutant IDH1.” PMID 29860938 ↗ Jun 2018

“a single oral dose of ivosidenib (AG-120) in Japanese and Caucasian subjects” NCT03071770 ↗

“The drug involved in this study is ivosidenib (AG-120)” NCT03564821 ↗

“Single 500 mg dose of AG-120 (Ivosidenib).” NCT03282513 ↗

NCT02677922 ↗

NCT02489513 ↗

NCT03839771 ↗

NCT02579707 ↗

NCT02632708 ↗

Show 9 more sources

Known as AK112 “Ivosidenib (AK112)” NCT06593548 ↗
Known as Ivo “• Ivosidenib (Ivo): The dosage is 500 mg, administered orally once daily (QD).” NCT07007949 ↗
Action Inhibit “selective inhibitor of mutant IDH1” PMID 32208957 ↗ Mar 2020
Modality Small molecule “Ivosidenib (AG-120) is an oral, targeted, small-molecule inhibitor of mutant IDH1.” PMID 29860938 ↗ Jun 2018
Route Oral “AG-120 administered continuously as a single agent dosed orally on Days 1 to 28 of a 28-day cycle.” NCT02073994 ↗
Target IDH1 “Ivosidenib (AG-120) is a selective inhibitor of mutant IDH1 approved in the United States for specific cases of acute myeloid leukemia.” PMID 32208957 ↗ Mar 2020