New pill targets rare gene mutation in Hard-to-Treat blood cancers
NCT ID NCT02074839
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-stage trial tests an oral drug called AG-120 in people with advanced blood cancers, like acute myeloid leukemia, that have a specific IDH1 mutation. The study aims to find the safest dose and see if the drug can control the disease. About 291 participants will take the pill daily until their disease gets worse or side effects become too severe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AG-120 (a pill that targets cancer cells with a specific IDH1 mutation)
- What this could lead to
- If it works, this could point toward a new treatment option for people with certain blood cancers that have not responded to other therapies.
- What could go wrong
- This is an early phase 1 trial, so the drug may not work or could cause unexpected side effects. It is only for people with a specific gene mutation, so it would not help everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 291 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2014
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Subject must be ≥18 years of age. * Subjects must have documented IDH1 R132 gene-mutated advanced hematologic malignancy based on local or central evaluation. * Subjects must be amenable to serial bone marrow biopsies, peripheral blood sampling, and urine sampling during the study. * Subjects must have ECOG PS of 0 to 2. * Platelet count ≥20,000/µL (Transfusions to achieve this level are allowed). * Subjects must have adequate hepatic function as evidenced by: Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase (ALP) ≤3.0 × ULN, unless considered due to leukemic disease and serum total bilirubin ≤1.5 x upper limit of normal (ULN), unless considered due to Gilbert's disease or leukemic disease * Subjects must have adequate renal function as evidenced by a serum creatinine ≤2.0 × ULN or creatinine clearance \>40mL/min based on Cockroft-Gault glomerular filtration rate (GFR) * Subjects must be recovered from any clinically relevant toxic effects of any prior surgery, radiotherapy, or other therapy intended for the treatment of cancer. * Female subjects with reproductive potential must have a negative serum pregnancy test within 7 days prior to the start of therapy and on the first day of study drug administration. Key Exclusion Criteria: * Subjects who have undergone hematopoietic stem cell transplant (HSCT) within 60 days of the first dose of AG-120, or subjects on immunosuppressive therapy post HSCT at the time of screening, or with clinically significant graft-versus-host disease (GVHD). (The use of a stable dose of oral steroids post HSCT and/or topical for ongoing skin GVHD is permitted.) * Subjects who received systemic anticancer therapy or radiotherapy \<14 days prior to their first day of study drug administration. (Hydroxyurea is allowed prior to enrollment and after the start of AG-120). * Subjects who received an investigational agent \<14 days prior to their first day of study drug administration. * Subjects who are pregnant or breastfeeding. * Subjects with an active severe infection or with an unexplained fever \>38.5°C during screening visits or on their first day of study drug administration (at the discretion of the Investigator, subjects with tumor fever may be enrolled). * Subjects with New York Heart Association (NYHA) Class III or IV congestive heart failure or LVEF \<40% by echocardiogram (ECHO) or multi-gated acquisition (MUGA) scan within approximately 28 days of C1D1. * Subjects with a history of myocardial infarction within the last 6 months of screening. * Subjects with a known unstable or uncontrolled angina pectoris. * Subjects with a known history of severe and/or uncontrolled ventricular arrhythmias. * Subjects with known unstable or uncontrolled angina pectoris. * Subjects with heart-rate corrected QT (QTc) interval ≥450 ms or other factors that increase the risk of QT prolongation or arrhythmic events. * Patients taking medications that are known to prolong the QT interval * Subjects with known infection with human immunodeficiency virus (HIV) or active hepatitis B or C. * Subjects with clinical symptoms suggesting active central nervous system (CNS) leukemia or known CNS leukemia. Evaluation of cerebrospinal fluid is only required if there is a clinical suspicion of CNS involvement by leukemia during screening. * Subjects with immediately life-threatening, severe complications of leukemia such as uncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminated intravascular coagulation.
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
6 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Central Lyon Sud
RECRUITINGPierre-Bénite, 69310, France
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City of Hope
ACTIVE_NOT_RECRUITINGDuarte, California, 91010, United States
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Cleveland Clinic
WITHDRAWNCleveland, Ohio, 44124, United States
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Cornell Cancer Center
TERMINATEDNew York, New York, 10065, United States
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Dana Farber Cancer Institute
TERMINATEDBoston, Massachusetts, 02215, United States
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Duke Cancer Center
TERMINATEDDurham, North Carolina, 27705, United States
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Emory University
ACTIVE_NOT_RECRUITINGAtlanta, Georgia, 30322, United States
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Hopital Haut-Leveque
RECRUITINGPessac, 33600, France
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Hopital La Timone
TERMINATEDMarseille, France
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Institute Gustave Roussly (IGR)
RECRUITINGVillejuif, 94800, France
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John Hopkins Cancer Center
ACTIVE_NOT_RECRUITINGBaltimore, Maryland, 21287, United States
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Karmanos Cancer Center
TERMINATEDDetroit, Michigan, 48201, United States
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MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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Massachusetts General Hospital
TERMINATEDBoston, Massachusetts, 02214, United States
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Mayo Clinic-AZ
TERMINATEDPhoenix, Arizona, 85259, United States
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Mayo Clinic-Jacksonville
TERMINATEDJacksonville, Florida, 32224, United States
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Medical University of South Carolina
RECRUITINGCharleston, South Carolina, 29425, United States
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Memorial Sloan Kettering Cancer Center
ACTIVE_NOT_RECRUITINGNew York, New York, 10021, United States
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Moffit Cancer Center
ACTIVE_NOT_RECRUITINGTampa, Florida, 33612, United States
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Northwestern University Medical Hospital
TERMINATEDChicago, Illinois, 60611, United States
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Ohio State University
TERMINATEDColumbus, Ohio, 43210, United States
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Oregon Health and Science University
TERMINATEDPortland, Oregon, 97239, United States
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Sarah Cannon Research Institute
TERMINATEDNashville, Tennessee, 37203, United States
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UT Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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University of Alabama at Birmingham
ACTIVE_NOT_RECRUITINGBirmingham, Alabama, 35294, United States
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University of California-Los Angeles
TERMINATEDLos Angeles, California, 90095, United States
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University of California-San Francisco
TERMINATEDSan Francisco, California, 94143, United States
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University of Colorado Denver
TERMINATEDAurora, Colorado, 80045, United States
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University of Miami
TERMINATEDMiami, Florida, 33136, United States
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Washington University
TERMINATEDSt Louis, Missouri, 63110, United States
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