Fact CheckerSign in

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
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

Full criteria on ClinicalTrials.gov

Sites (63)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Royal Adelaide Hospital
Coordinator of this site? Confirm its status
AdelaideAustraliaNot yet recruiting
Monash Health
Coordinator of this site? Confirm its status
ClaytonAustraliaRecruiting
Northern Health
Coordinator of this site? Confirm its status
EppingAustraliaRecruiting
Liverpool Hospital
Coordinator of this site? Confirm its status
LiverpoolAustraliaNot yet recruiting
Sir Charles Gairdner Hospital
Coordinator of this site? Confirm its status
NedlandsAustraliaRecruiting
Calvary Mater Newcastle
Coordinator of this site? Confirm its status
WaratahAustraliaRecruiting
Liga Paranaense de Combate ao Cancer - Hospital Erasto Gaertner
Coordinator of this site? Confirm its status
CuritibaBrazilRecruiting
Casa de Saude Santa Marcelina
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Centro de Pesquisa Clínica - Hospital Nove de Julho
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Real E Benemerita Associacao Portuguesa de Sao Paulo
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Instituto Nacional do Câncer
Coordinator of this site? Confirm its status
São PauloBrazilNot yet recruiting
Hospital das Clinicas da Faculdade de Medicina da USP
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Centro de Pesquisas Clínicas da Fundação Doutor Amaral Carvalho
Coordinator of this site? Confirm its status
São PauloBrazilRecruiting
Technische Universitaet Dresden
Coordinator of this site? Confirm its status
DresdenGermanyRecruiting
Marien Hospital Duesseldorf GmbH
Coordinator of this site? Confirm its status
DuesseldorfGermanyRecruiting
Universitaetsmedizin Goettingen
Coordinator of this site? Confirm its status
GoettingenGermanyRecruiting
Medizinische Hochschule Hannover
Coordinator of this site? Confirm its status
HanoverGermanyRecruiting
Universitaet Leipzig
Coordinator of this site? Confirm its status
LeipzigGermanyRecruiting
Klinikum rechts der Isar der TU Muenchen AöR
Coordinator of this site? Confirm its status
MunichGermanyRecruiting
Institut Catala d'Oncologia
Coordinator of this site? Confirm its status
BadalonaSpainRecruiting
Vall d'Hebron Institute of Oncology
Coordinator of this site? Confirm its status
BarcelonaSpainRecruiting
Clinica Universidad de Navarra
Coordinator of this site? Confirm its status
MadridSpainRecruiting
Clínica Universidad de navarra
Coordinator of this site? Confirm its status
PamplonaSpainRecruiting
Hospital Universitario De Salamanca
Coordinator of this site? Confirm its status
SalamancaSpainRecruiting
Hospital Universitario Virgen De La Macarena
Coordinator of this site? Confirm its status
SevillaSpainRecruiting
Hospital Universitario Y Politecnico La Fe
Coordinator of this site? Confirm its status
ValenciaSpainRecruiting
Centre Hospitalier Universitaire de Nantes
Coordinator of this site? Confirm its status
NantesFranceRecruiting
Centre Hospitalier Universitaire de Nice
Coordinator of this site? Confirm its status
NiceFranceRecruiting
Assistance Publique Hopitaux de Paris
Coordinator of this site? Confirm its status
ParisFranceRecruiting
Centre Hospitalier Universitaire de Bordeaux
Coordinator of this site? Confirm its status
PessacFranceRecruiting
Centre Hospitalier Universitaire De Toulouse
Coordinator of this site? Confirm its status
Toulouse Cedex 9FranceRecruiting
CHRU De Nancy
Coordinator of this site? Confirm its status
Vandoeuvre Les Nancy CedexFranceRecruiting
Western General Hospital
Coordinator of this site? Confirm its status
EdinburghUnited KingdomRecruiting
St James University Hospital
Coordinator of this site? Confirm its status
LeedsUnited KingdomWithdrawn
University College London Hospital
Coordinator of this site? Confirm its status
LondonUnited KingdomRecruiting
Kings College Hospital
Coordinator of this site? Confirm its status
LondonUnited KingdomRecruiting
Churchill Hospital
Coordinator of this site? Confirm its status
OxfordUnited KingdomRecruiting
Torbay Hospital
Coordinator of this site? Confirm its status
TorquayUnited KingdomRecruiting
Azienda Ospedaliero-Universitaria delle Marche
Coordinator of this site? Confirm its status
AnconaItalyRecruiting
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Coordinator of this site? Confirm its status
BolognaItalyRecruiting
Careggi University Hospital
Coordinator of this site? Confirm its status
FlorenceItalyRecruiting
Fondazione IRCCS Policlinico San Matteo
Coordinator of this site? Confirm its status
PaviaItalyRecruiting
Universita' Degli Studi Di Roma Tor Vergata
Coordinator of this site? Confirm its status
RomeItalyRecruiting
Humanitas Mirasole S.p.A.
Coordinator of this site? Confirm its status
RozzanoItalyRecruiting
Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
Coordinator of this site? Confirm its status
TurinItalyRecruiting
Kyushu University Hospital
Coordinator of this site? Confirm its status
Higashi-ku, Fukuoka-city, FukuokaJapanRecruiting
Japanese Red Cross Society Himeji Hospital
Coordinator of this site? Confirm its status
Himeji-city, HyogoJapanRecruiting
Tokai University Hospital
Coordinator of this site? Confirm its status
Isehara City, KanagawaJapanRecruiting
Japanese Red Cross Musashino Hospital
Coordinator of this site? Confirm its status
Musashino-city, TokyoJapanRecruiting
Kitasato University Hospital
Coordinator of this site? Confirm its status
SagamiharaJapanNot yet recruiting
University of Fukui Hospital
Coordinator of this site? Confirm its status
Yoshida-gunJapanRecruiting
Amsterdam UMC Stichting
Coordinator of this site? Confirm its status
AmsterdamNetherlandsRecruiting
Universitair Medisch Centrum Groningen
Coordinator of this site? Confirm its status
GroningenNetherlandsRecruiting
Massachusetts General Hospital
Coordinator of this site? Confirm its status
BostonUnited StatesRecruiting
UNC Lineberger Comprehensive Cancer Center
Coordinator of this site? Confirm its status
Chapel HillUnited StatesRecruiting
University of Chicago, Duchossois Center for Advanced Medicine (DCAM)
Coordinator of this site? Confirm its status
ChicagoUnited StatesRecruiting
Ohio State University Comprehensive Cancer Center
Coordinator of this site? Confirm its status
ColumbusUnited StatesRecruiting
University of Texas UT Southwestern Comprehensive Cancer Center
Coordinator of this site? Confirm its status
DallasUnited StatesRecruiting
Presbyterian/St. Luke's Medical Center
Coordinator of this site? Confirm its status
DenverUnited StatesRecruiting
Oncology Associates of Oregon
Coordinator of this site? Confirm its status
EugeneUnited StatesRecruiting
MD Anderson Cancer Centre
Coordinator of this site? Confirm its status
HoustonUnited StatesRecruiting
MSKCC
Coordinator of this site? Confirm its status
New YorkUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.