New Protocol: Ivosidenib and Azacitidine in IDH1-Mutated AML


  • Study

    Double-blind, randomized, placebo-controlled, phase 3 trial
    Newly diagnosed IDH1-mutated acute myeloid leukemia
    Ineligible for intensive induction chemotherapy
    Oral ivosidenib and azacitidine (N:72) or placebo and azacitidine (N:74)



  • Efficacy

    HR for EFS 0.33; [0.16-0.69, P:0.002]
    12 months EFS: 37% vs 12%
    Median OS: 24.0 vs 7.9 months



  • Safety

    Grade >= 3 AEs: febrile neutropenia (28% vs. 34%), neutropenia (27% vs. 16%)
    Any grade bleeding 41% vs 29%



  • N Engl J Med 2022; 386:1519-1531

    Ivosidenib and Azacitidine in IDH1-Mutated Acute Myeloid Leukemia

    http://doi.org/10.1056/NEJMoa2117344

    Reviewed by Hasan Cagri Yildirim, MD on May 20, 2022