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← Acute Myeloid Leukemia

HEALTH PROFESSIONAL · SOURCE READING

Ivosidenib

Source: Acute Myeloid Leukemia Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: March 14, 2025 · Captured 2026-09-09.

Selected source text with whitespace normalised. This Triangle page is not an NCI PDQ summary.

Context: Treatment of Refractory or Recurrent AML / Chemotherapy / Reduced-intensity therapy, including targeted therapy

Ivosidenib is an oral small molecule inhibitor with activity against the altered IDH1 enzyme.

Evidence (ivosidenib):

In a phase I/II study, 179 patients with relapsed or refractory AML were treated with ivosidenib.[19]

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In a phase I/II study, 179 patients with relapsed or refractory AML were treated with ivosidenib.[19]

The overall response rate was 39.1% (95% CI, 31.9%–46.7%) with a median duration response of 6.5 months (range, 4.6–9.3). This included 54 patients (30.2%) with a CR or a CRi.

In a phase I/II study, 179 patients with relapsed or refractory AML were treated with ivosidenib.[19]

Over one-third of patients who initially required transfusions became transfusion independent.

In a phase I/II study, 179 patients with relapsed or refractory AML were treated with ivosidenib.[19]

Grade 3 or higher prolongation of the QT interval was seen in 14 patients (7.8%), and grade 3 or higher differentiation was seen in 7 patients (3.9%). The FDA added a boxed warning to ivosidenib, which alerts prescribers that differentiation syndrome can occur.[19][Level of evidence C3]

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Preserved source evidence · Not medical advice