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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT06465953




Registration number
NCT06465953
Ethics application status
Date submitted
14/06/2024
Date registered
20/06/2024
Date last updated
10/07/2025

Titles & IDs
Public title
Ivosidenib (IVO) Monotherapy and Azacitidine (AZA) Monotherapy in Patients With Hypomethylating Agent (HMA) Naive Myelodysplastic Syndromes (MDS) With an IDH1 Mutation
Scientific title
A Phase 3, Multicenter, Open Label, Randomized, Non-comparative Two-arm Study of Ivosidenib (IVO) Monotherapy and Azacitidine (AZA) Monotherapy in Adult Patients With Hypomethylating Agent (HMA) Naive Myelodysplastic Syndromes (MDS) With an Isocitrate Dehydrogenase-1 (IDH1) Mutation (PyramIDH Study)
Secondary ID [1] 0 0
2023-510155-37
Secondary ID [2] 0 0
S095031-178
Universal Trial Number (UTN)
Trial acronym
PyramIDH
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Hypomethylating Agent (HMA) Naive Myelodysplastic Syndromes (MDS) 0 0
Myelodysplastic Syndromes (MDS) 0 0
Condition category
Condition code
Blood 0 0 0 0
Haematological diseases
Blood 0 0 0 0
Other blood disorders
Other 0 0 0 0
Research that is not of generic health relevance and not applicable to specific health categories listed above

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Ivosidenib
Treatment: Drugs - Azacitidine

Experimental: Ivosidenib monotherapy -

Experimental: Azacitidine monotherapy -


Treatment: Drugs: Ivosidenib
Two 250 mg tablets, totaling 500 mg, administered orally once daily until disease relapse or progression, unacceptable toxicity, confirmed pregnancy, undergoing HSCT, death, withdrawal of consent, lost to follow-up, or Sponsor ending the study, whichever occurs first.

Treatment: Drugs: Azacitidine
Azacitidine 75mg/m\^2/day administered by subcutaneous (SC) or intravenous (IV) injection for 1 week (7 days) of each 4-week (28 day) treatment cycle until disease relapse or progression, unacceptable toxicity, confirmed pregnancy, undergoing HSCT, death, withdrawal of consent, lost to follow-up, or Sponsor ending the study, whichever occurs first.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of participants achieving CR and PR at 4 months
Timepoint [1] 0 0
Through 4 months after starting treatment
Secondary outcome [1] 0 0
Overall Response (OR) rate per IWG 2023 criteria
Timepoint [1] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [2] 0 0
Event-free survival (EFS)
Timepoint [2] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [3] 0 0
Overall Survival (OS)
Timepoint [3] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [4] 0 0
Duration of CR and PR
Timepoint [4] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [5] 0 0
Time to CR and PR
Timepoint [5] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [6] 0 0
Acute myeloid leukemia (AML) transformation rate
Timepoint [6] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [7] 0 0
Time to transfusion independence (TTTI)
Timepoint [7] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [8] 0 0
Duration of transfusion independence (DOTI)
Timepoint [8] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [9] 0 0
Transfusion independence rate
Timepoint [9] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [10] 0 0
Change from baseline in Quality of life (QOL) based on the QUALMS score
Timepoint [10] 0 0
Through the Event Free Survival Follow up (approximately 4 years)
Secondary outcome [11] 0 0
Change from baseline in health economic outcomes measures based on EQ-5D-5L score
Timepoint [11] 0 0
Through the Event Free Survival Follow up (approximately 4 years)
Secondary outcome [12] 0 0
Number of participants who proceed to hematopoietic stem cell transplantation (HSCT)
Timepoint [12] 0 0
Through the end of the study (approximately 4 years)
Secondary outcome [13] 0 0
Ivosidenib plasma concentrations
Timepoint [13] 0 0
Through Cycle 22 (each cycle is 28 days)
Secondary outcome [14] 0 0
2-HG plasma concentrations
Timepoint [14] 0 0
Through Cycle 22 (each cycle is 28 days)
Secondary outcome [15] 0 0
Number of participants achieving CR and PR at 6 months as per IWG 2006 criteria
Timepoint [15] 0 0
Through 6 months after starting treatment
Secondary outcome [16] 0 0
Number of participants achieving CR and PR at 6 months as per IWG 2023 criteria
Timepoint [16] 0 0
Through 6 months after starting treatment
Secondary outcome [17] 0 0
Number of participants achieving CR and PR at 4 months as per IWG 2023 criteria
Timepoint [17] 0 0
Through 4 months after starting treatment
Secondary outcome [18] 0 0
Number of adverse events (AEs) and serious adverse events (SAEs)
Timepoint [18] 0 0
Through the Safety Follow-up Visit (30-35 days after discontinuation of treatment)

Eligibility
Key inclusion criteria
* Diagnosis of HMA naive IDH1 R132 mutated MDS defined according to WHO criteria (5th edition):
* Moderate high, high and very high-risk MDS per IPSS-M score will be eligible regardless of blood counts and with blast counts 0-19%.
* Low and moderate low-risk MDS per IPSS-M score must:
* Have cytopenias related to MDS, defined as: <100 platelets/microliter, or absolute neutrophil count (ANC) <1000/mm3, or hemoglobin <10g/dL AND
* Have a blast count between 5-19% AND
* Be eligible for HMA therapy (very low risk participants are to be excluded)
* Locally or centrally confirmed IDH1 R132 C/G/H/L/S mutation
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Received prior anticancer/disease modifying treatment for MDS (including HMA's, cytotoxic chemotherapy, investigational agents, bcl-2 inhibitor based-regimens, hematopoietic stem cell transplant (HSCT), IDH1 inhibitors). For LR-MDS patients, prior treatment with growth factors, luspatercept, lenalidomide, and imetelstat are allowed.
* >20% blasts by morphology or immunohistochemistry on screening bone marrow aspirate/biopsy

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Monash Health - Clayton
Recruitment hospital [2] 0 0
Northern Health - Epping
Recruitment hospital [3] 0 0
Liverpool Hospital - Liverpool
Recruitment hospital [4] 0 0
Sir Charles Gairdner Hospital - Nedlands
Recruitment hospital [5] 0 0
Calvary Mater Newcastle - Waratah
Recruitment postcode(s) [1] 0 0
3168 - Clayton
Recruitment postcode(s) [2] 0 0
3076 - Epping
Recruitment postcode(s) [3] 0 0
2170 - Liverpool
Recruitment postcode(s) [4] 0 0
6009 - Nedlands
Recruitment postcode(s) [5] 0 0
2298 - Waratah
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Colorado
Country [2] 0 0
United States of America
State/province [2] 0 0
Illinois
Country [3] 0 0
United States of America
State/province [3] 0 0
Massachusetts
Country [4] 0 0
United States of America
State/province [4] 0 0
New York
Country [5] 0 0
United States of America
State/province [5] 0 0
North Carolina
Country [6] 0 0
United States of America
State/province [6] 0 0
Ohio
Country [7] 0 0
United States of America
State/province [7] 0 0
Oregon
Country [8] 0 0
United States of America
State/province [8] 0 0
Texas
Country [9] 0 0
France
State/province [9] 0 0
Nantes
Country [10] 0 0
France
State/province [10] 0 0
Nice
Country [11] 0 0
France
State/province [11] 0 0
Paris
Country [12] 0 0
France
State/province [12] 0 0
Pessac
Country [13] 0 0
France
State/province [13] 0 0
Toulouse
Country [14] 0 0
France
State/province [14] 0 0
Vandœuvre-lès-Nancy
Country [15] 0 0
Germany
State/province [15] 0 0
Dresden
Country [16] 0 0
Germany
State/province [16] 0 0
Düsseldorf
Country [17] 0 0
Germany
State/province [17] 0 0
Göttingen
Country [18] 0 0
Germany
State/province [18] 0 0
Leipzig
Country [19] 0 0
Germany
State/province [19] 0 0
Munich
Country [20] 0 0
Italy
State/province [20] 0 0
Ancona
Country [21] 0 0
Italy
State/province [21] 0 0
Bologna
Country [22] 0 0
Italy
State/province [22] 0 0
Firenze
Country [23] 0 0
Italy
State/province [23] 0 0
Milano
Country [24] 0 0
Italy
State/province [24] 0 0
Pavia
Country [25] 0 0
Italy
State/province [25] 0 0
Roma
Country [26] 0 0
Italy
State/province [26] 0 0
Torino
Country [27] 0 0
Japan
State/province [27] 0 0
Eiheiji-cho 670-8540 Himeji
Country [28] 0 0
Japan
State/province [28] 0 0
Higashi-ku, Fukuoka-city, Fukuoka
Country [29] 0 0
Japan
State/province [29] 0 0
Himeji-city, Hyogo
Country [30] 0 0
Japan
State/province [30] 0 0
Isehara-city, Kanagawa
Country [31] 0 0
Japan
State/province [31] 0 0
Musashino-city, Tokyo
Country [32] 0 0
Netherlands
State/province [32] 0 0
Amsterdam
Country [33] 0 0
Netherlands
State/province [33] 0 0
Groningen
Country [34] 0 0
Spain
State/province [34] 0 0
Badalona
Country [35] 0 0
Spain
State/province [35] 0 0
Barcelona
Country [36] 0 0
Spain
State/province [36] 0 0
Madrid
Country [37] 0 0
Spain
State/province [37] 0 0
Pamplona
Country [38] 0 0
Spain
State/province [38] 0 0
Salamanca
Country [39] 0 0
Spain
State/province [39] 0 0
Sevilla
Country [40] 0 0
Spain
State/province [40] 0 0
Valencia
Country [41] 0 0
United Kingdom
State/province [41] 0 0
Edinburgh
Country [42] 0 0
United Kingdom
State/province [42] 0 0
Leeds
Country [43] 0 0
United Kingdom
State/province [43] 0 0
London
Country [44] 0 0
United Kingdom
State/province [44] 0 0
Oxford
Country [45] 0 0
United Kingdom
State/province [45] 0 0
Torquay

Funding & Sponsors
Primary sponsor type
Other
Name
Institut de Recherches Internationales Servier
Address
Country
Other collaborator category [1] 0 0
Commercial sector/industry
Name [1] 0 0
Servier Bio-Innovation LLC
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Institut de Recherches Internationales Servier (I.R.I.S.), Clinical Studies Department
Address 0 0
Country 0 0
Phone 0 0
+33 1 55 72 60 00
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies:

* used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US).
* where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope.

In addition, access can be requested for all interventional clinical studies in patients:

* sponsored by Servier
* with a first patient enrolled as of 1 January 2004 onwards
* for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR)
When will data be available (start and end dates)?
After Marketing Authorization in EEA or US if the study is used for the approval.
Available to whom?
Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.
Available for what types of analyses?
How or where can data be obtained?
IPD available at link: http://clinicaltrials.servier.com/


What supporting documents are/will be available?

No Supporting Document Provided


Results publications and other study-related documents

No documents have been uploaded by study researchers.