Evidence map›Paper›PMID 41239466›Full record

Trial reportJournal of hematology & oncology2025

Olutasidenib for mutated IDH1 acute myeloid leukemia: final five-year results from the phase 2 pivotal cohort.

Jorge Cortes, Antonio Curti, Pierre Fenaux, Brian A Jonas, Jürgen Krauter, Pau Montesinos, Christian Récher, David C Taussig, Eunice S Wang, Justin Watts and 6 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of hematology & oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02719574 (A Phase 1/2, Multicenter, Open-label Study of FT-2102 as a Single Agent and in Combination With Azacitidine or Cytarabine in Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome With an IDH1 Mutation), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02719574 phase1 / phase2completednot on this map

A Phase 1/2, Multicenter, Open-label Study of FT-2102 as a Single Agent and in Combination With Azacitidine or Cytarabine in Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome With an IDH1 Mutation

TypeinterventionalSponsorForma Therapeutics, Inc.Ran2016 to 2024Enrolled336ConditionsAcute Myeloid Leukemia, Acute Myelogenous Leukemia, Myelodysplastic SyndromeArmsFT-2102 (olutasidenib), Azacitidine, Cytarabine
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Jorge CortesDivision of Hematology and SCT, Georgia Cancer Center at Augusta University, 1410 Laney Walker Blvd., CN2222, Augusta, GA, 30912, USA. Jorge.cortes@augusta.edu.
Antonio CurtiInstitute of Hematology "Seràgnoli", IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Pierre FenauxService d'Hématologie Séniors, Assistance Publique Hôpitaux de Paris, Hôpital Saint-Louis, Université Paris Cité, Paris, France.
Brian A JonasDivision of Malignant Hematology/Cellular Therapy and Transplantation, Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, CA, USA.
Jürgen KrauterMedical Clinic III, Hematology and Oncology, Braunschweig Municipal Hospital, Braunschweig, Germany.
Pau MontesinosHospital Universitari I Politècnic La Fe, Valencia, Spain.
Christian RécherService d'hématologie, CHU de Toulouse, Institut Universitaire du Cancer Toulouse - Oncopole, Université de Toulouse, Toulouse, France.
David C TaussigHaemato-oncology Unit, Royal Marsden Hospital, Institute of Cancer Research, London, UK.
Eunice S WangDepartments of Immunology and Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Justin WattsUniversity of Miami Sylvester Comprehensive Cancer Center, Miami, FL, USA.
Andrew WeiPeter MacCallum Cancer Centre, Royal Melbourne Hospital and Walter and Eliza Hall Institute of Medical Research, Melbourne, Australia.
Karen Wl YeeDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, M5G 2M9, Canada.
Hua TianRigel Pharmaceuticals, Inc, South San Francisco, CA, USA.
Aaron SheppardRigel Pharmaceuticals, Inc, South San Francisco, CA, USA.
Christophe MarzacLaboratoire d'Immunologie-Hématologie, INSERM, UMR 1287, Université Paris Saclay, Gustave Roussy, Villejuif, France.
Stephane de BottonHematologie Clinique, Faculte Paris-Saclay, Institut Gustave Roussy, Institut Gustave Roussy, Villejuif, Villejuif, France.

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI KC KENT LLOYD · 2002 to 2026
$84.9M
NCI NIH HHS P30 CA093373
6 · The paper itself

Abstract

backgroundOlutasidenib is an oral, selective inhibitor of mutant isocitrate dehydrogenase 1 (mIDH1), FDA-approved for relapsed/refractory (R/R) acute myeloid leukemia (AML) based on a registrational, phase 2, open-label, multicenter trial.

methodsResults from the pre-planned interim analysis were previously published (data cut-off [DCO]: June 2021). In this final-follow up analysis, we report an additional 2 years of efficacy and safety data (DCO: June 2023).

resultsAt study completion, the overall population included 153 patients (median age, 71 years); 66% had received ≥ 2 prior treatment regimens, and 39% with a hypomethylating agent. Among the 147 efficacy-evaluable patients, 51 achieved complete remission (CR) or CR with partial hematologic recovery (CRh), resulting in a CR/CRh rate of 35% (P < 0.001; 95% CI, 27-43), with 32% of responders achieving CR. The median time to CR/CRh was 1.9 months (range, 0.9-5.6 months). Among responders, 33% achieved CR/CRh within 2-4 months and 12% required ≥ 4 months. The overall response rate (ORR) was 48% (n = 71; 95% CI, 40-56.7). Median duration of CR/CRh was 25.3 months (95% CI, 13.5-not reached), and median overall survival (OS) was 11.5 months (95% CI, 8.3-15.5). Patients with 1-2 prior regimens had a higher CR/CRh rate (41%) and longer median OS (13 months) than those with ≥ 3 prior regimens (CR/CRh: 24%; median OS: 8.9 months). CR/CRh rates were higher among patients with R132C (42%) and R132L/G/S mutations (33%) compared with those harboring R132H mutations (17%). Response rates decreased with increasing numbers of co-mutations. Few new adverse events (AEs) and no treatment discontinuations due to AEs occurred beyond Year 3.

conclusionThese 5-year data support the durable efficacy and manageable safety profile of olutasidenib in R/R mIDH1 AML, including heavily pretreated patients. Findings highlight the potential role of olutasidenib in earlier lines of treatment, and support sustaining therapy for at least 6 months to allow for a clinical response. Further research is warranted to optimize treatment sequencing and patient selection.

trial registrationNCT02719574.

Indexed as

Antineoplastic AgentsIsocitrate DehydrogenaseLeukemia, Myeloid, AcuteMutationPyridinesAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedAntineoplastic AgentsIDH1 protein, humanIsocitrate DehydrogenasePyridinesMutant IDH1 inhibitorOlutasidenibRelapsed/refractory AMLTargeted therapy

Identifiers

PMID41239466
PMCPMC12619413

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.