NCT06465953RecruitingPhase 3
Ivosidenib (IVO) Monotherapy and Azacitidine (AZA) Monotherapy in Patients With Hypomethylating Agent (HMA) Naive Myelodysplastic Syndromes (MDS) With an IDH1 Mutation
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)
Source: ClinicalTrials.gov · Last updated 3 Sept 2026
Brief summary (registry, in English)
This study will enroll participants with myelodysplastic syndromes (MDS) with an Isocitrate dehydrogenase protein, 1 (IDH1) mutation, who have not received treatment with a hypomethylating agent previously. Participants will be randomized to receive either ivosidenib (IVO) alone or azacitidine (AZA) alone. IVO will be administered daily throughout the 28-day treatment cycle and AZA will be administered for the first 7 days of each 28-day cycle. Study visits will be conducted every week during Cycle 1 (Days 1, 8, 15, and 22), and Day 1 of each cycle thereafter. After the last dose of treatment, participants will attend an safety follow-up visit and participants will be followed to assess overall survival. Study visits may include a bone marrow aspirate, physical exam, echocardiogram (ECHO), electrocardiogram (ECG), blood and urine analysis, and questionnaires.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 3
- Study type
- Interventional
- Enrollment
- 48 (estimated)
- First submitted
- 14 Jun 2024
- Start date
- 3 Dec 2024
- Primary completion date
- 1 Nov 2027
- Lead sponsor
- Institut de Recherches Internationales Servier
- Diseases
- Myelodysplastic syndromes
- NCT number
- NCT06465953
- EU CT number
- 2023-510155-37-00
- EudraCT number
- 2023-510155-37
What you commit to
- Study type: Interventional · Phase 3
- Planned participants: 48
- From 3 Dec 2024 to the primary completion date, 1 Nov 2027
- 63 sites in 10 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- 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.
Other
- \>20% blasts by morphology or immunohistochemistry on screening bone marrow aspirate/biopsy
Who the study is looking for
- 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
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (63)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Royal Adelaide Hospital Coordinator of this site? Confirm its status | Adelaide | Australia | Not yet recruiting |
| Monash Health Coordinator of this site? Confirm its status | Clayton | Australia | Recruiting |
| Northern Health Coordinator of this site? Confirm its status | Epping | Australia | Recruiting |
| Liverpool Hospital Coordinator of this site? Confirm its status | Liverpool | Australia | Not yet recruiting |
| Sir Charles Gairdner Hospital Coordinator of this site? Confirm its status | Nedlands | Australia | Recruiting |
| Calvary Mater Newcastle Coordinator of this site? Confirm its status | Waratah | Australia | Recruiting |
| Liga Paranaense de Combate ao Cancer - Hospital Erasto Gaertner Coordinator of this site? Confirm its status | Curitiba | Brazil | Recruiting |
| Casa de Saude Santa Marcelina Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Centro de Pesquisa Clínica - Hospital Nove de Julho Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Real E Benemerita Associacao Portuguesa de Sao Paulo Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Instituto Nacional do Câncer Coordinator of this site? Confirm its status | São Paulo | Brazil | Not yet recruiting |
| Hospital das Clinicas da Faculdade de Medicina da USP Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Centro de Pesquisas Clínicas da Fundação Doutor Amaral Carvalho Coordinator of this site? Confirm its status | São Paulo | Brazil | Recruiting |
| Technische Universitaet Dresden Coordinator of this site? Confirm its status | Dresden | Germany | Recruiting |
| Marien Hospital Duesseldorf GmbH Coordinator of this site? Confirm its status | Duesseldorf | Germany | Recruiting |
| Universitaetsmedizin Goettingen Coordinator of this site? Confirm its status | Goettingen | Germany | Recruiting |
| Medizinische Hochschule Hannover Coordinator of this site? Confirm its status | Hanover | Germany | Recruiting |
| Universitaet Leipzig Coordinator of this site? Confirm its status | Leipzig | Germany | Recruiting |
| Klinikum rechts der Isar der TU Muenchen AöR Coordinator of this site? Confirm its status | Munich | Germany | Recruiting |
| Institut Catala d'Oncologia Coordinator of this site? Confirm its status | Badalona | Spain | Recruiting |
| Vall d'Hebron Institute of Oncology Coordinator of this site? Confirm its status | Barcelona | Spain | Recruiting |
| Clinica Universidad de Navarra Coordinator of this site? Confirm its status | Madrid | Spain | Recruiting |
| Clínica Universidad de navarra Coordinator of this site? Confirm its status | Pamplona | Spain | Recruiting |
| Hospital Universitario De Salamanca Coordinator of this site? Confirm its status | Salamanca | Spain | Recruiting |
| Hospital Universitario Virgen De La Macarena Coordinator of this site? Confirm its status | Sevilla | Spain | Recruiting |
| Hospital Universitario Y Politecnico La Fe Coordinator of this site? Confirm its status | Valencia | Spain | Recruiting |
| Centre Hospitalier Universitaire de Nantes Coordinator of this site? Confirm its status | Nantes | France | Recruiting |
| Centre Hospitalier Universitaire de Nice Coordinator of this site? Confirm its status | Nice | France | Recruiting |
| Assistance Publique Hopitaux de Paris Coordinator of this site? Confirm its status | Paris | France | Recruiting |
| Centre Hospitalier Universitaire de Bordeaux Coordinator of this site? Confirm its status | Pessac | France | Recruiting |
| Centre Hospitalier Universitaire De Toulouse Coordinator of this site? Confirm its status | Toulouse Cedex 9 | France | Recruiting |
| CHRU De Nancy Coordinator of this site? Confirm its status | Vandoeuvre Les Nancy Cedex | France | Recruiting |
| Western General Hospital Coordinator of this site? Confirm its status | Edinburgh | United Kingdom | Recruiting |
| St James University Hospital Coordinator of this site? Confirm its status | Leeds | United Kingdom | Withdrawn |
| University College London Hospital Coordinator of this site? Confirm its status | London | United Kingdom | Recruiting |
| Kings College Hospital Coordinator of this site? Confirm its status | London | United Kingdom | Recruiting |
| Churchill Hospital Coordinator of this site? Confirm its status | Oxford | United Kingdom | Recruiting |
| Torbay Hospital Coordinator of this site? Confirm its status | Torquay | United Kingdom | Recruiting |
| Azienda Ospedaliero-Universitaria delle Marche Coordinator of this site? Confirm its status | Ancona | Italy | Recruiting |
| Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico Coordinator of this site? Confirm its status | Bologna | Italy | Recruiting |
| Careggi University Hospital Coordinator of this site? Confirm its status | Florence | Italy | Recruiting |
| Fondazione IRCCS Policlinico San Matteo Coordinator of this site? Confirm its status | Pavia | Italy | Recruiting |
| Universita' Degli Studi Di Roma Tor Vergata Coordinator of this site? Confirm its status | Rome | Italy | Recruiting |
| Humanitas Mirasole S.p.A. Coordinator of this site? Confirm its status | Rozzano | Italy | Recruiting |
| Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino Coordinator of this site? Confirm its status | Turin | Italy | Recruiting |
| Kyushu University Hospital Coordinator of this site? Confirm its status | Higashi-ku, Fukuoka-city, Fukuoka | Japan | Recruiting |
| Japanese Red Cross Society Himeji Hospital Coordinator of this site? Confirm its status | Himeji-city, Hyogo | Japan | Recruiting |
| Tokai University Hospital Coordinator of this site? Confirm its status | Isehara City, Kanagawa | Japan | Recruiting |
| Japanese Red Cross Musashino Hospital Coordinator of this site? Confirm its status | Musashino-city, Tokyo | Japan | Recruiting |
| Kitasato University Hospital Coordinator of this site? Confirm its status | Sagamihara | Japan | Not yet recruiting |
| University of Fukui Hospital Coordinator of this site? Confirm its status | Yoshida-gun | Japan | Recruiting |
| Amsterdam UMC Stichting Coordinator of this site? Confirm its status | Amsterdam | Netherlands | Recruiting |
| Universitair Medisch Centrum Groningen Coordinator of this site? Confirm its status | Groningen | Netherlands | Recruiting |
| Massachusetts General Hospital Coordinator of this site? Confirm its status | Boston | United States | Recruiting |
| UNC Lineberger Comprehensive Cancer Center Coordinator of this site? Confirm its status | Chapel Hill | United States | Recruiting |
| University of Chicago, Duchossois Center for Advanced Medicine (DCAM) Coordinator of this site? Confirm its status | Chicago | United States | Recruiting |
| Ohio State University Comprehensive Cancer Center Coordinator of this site? Confirm its status | Columbus | United States | Recruiting |
| University of Texas UT Southwestern Comprehensive Cancer Center Coordinator of this site? Confirm its status | Dallas | United States | Recruiting |
| Presbyterian/St. Luke's Medical Center Coordinator of this site? Confirm its status | Denver | United States | Recruiting |
| Oncology Associates of Oregon Coordinator of this site? Confirm its status | Eugene | United States | Recruiting |
| MD Anderson Cancer Centre Coordinator of this site? Confirm its status | Houston | United States | Recruiting |
| MSKCC Coordinator of this site? Confirm its status | New York | United States | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.