Study of AG-120 (Ivosidenib) vs. Placebo in Combination With Azacitidine in Participants With Previously Untreated Acute Myeloid Leukemia With an IDH1 Mutation (AGILE)
A Phase 3, Multicenter, Double-Blind, Randomized, Placebo-Controlled Study of AG-120 in Combination With Azacitidine in Subjects ≥ 18 Years of Age With Previously Untreated Acute Myeloid Leukemia With an IDH1 Mutation
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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New South Wales
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Camperdown, New South Wales, Australia, 2050
- Royal Prince Alfred Hospital
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South Australia
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Adelaide, South Australia, Australia, 5000
- Royal Adelaide Hospital
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Bedford Park, South Australia, Australia, 5042
- Flinders Medical Centre
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Salzburg, Austria, 5020
- Salzburger Landeskliniken
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Vienna, Austria, 1130
- Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhügel
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Rio de Janeiro, Brazil, 20230-130
- Instituto Nacional de Câncer
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São Paulo, Brazil, 01308-050
- Hospital Sírio Libanês
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São Paulo, Brazil, 08270-070
- Hospital Santa Marcelina
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São Paulo, Brazil, 01321-001
- Hospital São José
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São Paulo
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Campinas, São Paulo, Brazil, 13083-878
- Unicamp Universidade Estadual de Campinas
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Jaú, São Paulo, Brazil, 17210-120
- Hospital Amaral Carvalho
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Manitoba
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Winnipeg, Manitoba, Canada, R3E 0V9
- Cancer Care Manitoba
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Ontario
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Toronto, Ontario, Canada, M5G 2M9
- University Health Network
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Beijing, China
- Peking Union Medical College Hospital
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Guangzhou, China, 510080
- Guangdong Provincial People's Hospital
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Hangzhou, China, 310003
- The First Affiliated Hospital, College of Medicine, Zhejiang University
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Tianjin, China, 300020
- Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences
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Henan
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Zhengzhou, Henan, China, 450008
- Henan Cancer Hospital
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Sichuan
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Chengdu, Sichuan, China, 610041
- West China Hospital Sichuan University
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Ostrava, Czechia
- Fakultni Nemocnice Ostrava
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Brest, France, 29609
- CHRU de Brest - Hopital Morvan
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Caen, France, 14000
- Institut dHematologie de Basse Normandie
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Grenoble, France, 38043
- CHU de Grenoble
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Le Chesnay, France, 78 157
- Centre Hospitalier de Versailles CHV Hopital Andre Mignot
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Paris, France, 75015
- Groupe Hospitalier Necker Enfants Malades
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Poitiers, France, 86021
- CHRU de Poitiers La Miletrie
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Strasbourg, France, 67200
- Hopital de Hautepierre
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Toulouse, France, 31059
- EDOG - Institut Claudius Regaud - PPDS
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Villejuif, France, 94805
- Institut Gustave Roussy
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Gironde
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Pessac, Gironde, France, 33604
- Hopital Haut Leveque
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Indre-et-Loire
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Tours, Indre-et-Loire, France, 37044
- Hopital Bretonneau
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Loire-Atlantique
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Nantes, Loire-Atlantique, France, 44093
- Hotel Dieu - Nantes
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Rhone
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Pierre-Bénite, Rhone, France, 69495
- Centre Hospitalier Lyon Sud
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Sarthe
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Le Mans, Sarthe, France, 72037
- Centre Hospitalier Le Mans
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Berlin, Germany, 13353
- Charité - Universitätsmedizin Berlin
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Hanover, Germany, 30625
- Medizinische Hochschule Hannover
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Leipzig, Germany, 04103
- Universitätsklinikum Leipzig
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München, Germany, 81377
- LMU Klinikum der Universität München
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Ulm, Germany, 89081
- Universitatsklinikum Ulm
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North Rhine-Westphalia
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Essen, North Rhine-Westphalia, Germany, 45122
- Universitätsklinikum Essen
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Saxony
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Chemnitz, Saxony, Germany, 09113
- Klinikum Chemnitz gGmbH
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Petah Tikva, Israel, 49100
- Rabin Medical Center - PPDS
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Rehovot, Israel, 7610000
- Kaplan Medical Center
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Tzrifin, Israel, 70300
- Shamir Medical Center Assaf Harofeh
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Meldola, Italy, 47014
- Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori IRST - PPDS
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Milan, Italy, 20162
- ASST Grande Ospedale Metropolitano Niguarda - Presidio Ospedaliero Ospedale Niguarda Ca' Granda
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Milan, Italy, 20132
- Ospedale San Raffaele S.r.l. - PPDS
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Pavia, Italy, 27100
- Fondazione IRCCS Policlinico San Matteo di Pavia
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Rimini, Italy, 47900
- Ospedale Infermi di Rimini
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Torino, Italy, 10126
- Azienda Ospedaliera Città della Salute e della Scienza di Torino
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Lombardy
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Varese, Lombardy, Italy, 21100
- ASST dei Sette Laghi - Ospedale Di Circolo E Fondazione Macchi
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Fukui, Japan, 910-1193
- University of Fukui Hospital
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Himeji, Japan, 670-8540
- Japanese Red Cross Society Himeji Hospital
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Kobe, Japan
- Kobe City Medical Center General Hospital
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Ehime
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Matsuyama, Ehime, Japan, 790-8524
- Matsuyama Red Cross Hospital
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Culiacán, Mexico, 80230
- SINACOR
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México, Mexico, 14000
- Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
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Nijmegen, Netherlands, 6525 GA
- Universitair Medisch Centrum Groningen
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North Holland
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Amsterdam, North Holland, Netherlands, 1081 HV
- VU Medisch Centrum
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Gdansk, Poland, 80-214
- Uniwersyteckie Centrum Kliniczne
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Lower Silesian Voivodeship
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Wroclaw, Lower Silesian Voivodeship, Poland, 50-367
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Poland, 02-776
- Instytut Hematologii I Transfuzjologii
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Kaluga, Russia, 248007
- Kaluga Regional Clinical Hospital
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Moscow, Russia, 129301
- City Clinical Hospital # 40
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Busan, South Korea, 602-739
- Pusan National University Hospital
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Seoul, South Korea, 03722
- Severance Hospital Yonsei University Health System
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Seoul, South Korea, 110-744
- Seoul National University Hospital
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Gyeonggido
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Goyang-si, Gyeonggido, South Korea, 10408
- National Cancer Center
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Suwon, Gyeonggido, South Korea, 16499
- Ajou University Hospital
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Barcelona, Spain, 08036
- Hospital Clinic De Barcelona
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Barcelona, Spain, 08035
- Hospital Universitario Vall d'Hebron - PPDS
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Madrid, Spain, 28034
- Hospital Universitario Ramon y Cajal
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Madrid, Spain, 28040
- Hospital Universitario Fundacion Jimenez Diaz
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Spain, 28007
- Hospital General Universitario Gregorio Marañon
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Seville, Spain, 41013
- Hospital Universitario Virgen del Rocio - PPDS
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Valencia, Spain, 46026
- Hospital Universitari i Politecnic La Fe de Valencia
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Zaragoza, Spain, 50009
- Hospital Clinico Universitario Lozano Blesa
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A Coruna
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Santiago de Compostela, A Coruna, Spain, 15706
- CHUS H. Clinico U. de Santiago
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Balearic Islands
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Palma de Mallorca, Balearic Islands, Spain, 07010
- Hospital Universitario Son Espases
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Barcelona
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Badalona, Barcelona, Spain, 08916
- Hospital Universitario Germans Trias i Pujol
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Las Palmas
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Las Palmas de Gran Canaria, Las Palmas, Spain, 35010
- Hospital Universitario de Gran Canaria Doctor Negrín
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Changhua, Taiwan, 500
- Changhua Christian Medical Foundation Changhua Christian Hospital
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Kaohsiung City, Taiwan, 807
- Kaohsiung Medical University Hospital
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Taichung, Taiwan, 40447
- China Medical University Hospital
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Tainan, Taiwan, 736
- Chi Mei Medical Center, Liouying
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Taipei, Taiwan
- National Taiwan University Hospital
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West Midlands
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Birmingham, West Midlands, United Kingdom, B9 5SS
- Birmingham Heartlands Hospital
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Kentucky
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Louisville, Kentucky, United States, 40207
- Norton Cancer Institute - Suburban
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Be ≥ 18 years of age and meet at least 1 of the following criteria defining ineligibility for intensive induction chemotherapy (IC): ≥ 75 years old, Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 2, severe cardiac disorder (e.g., congestive heart failure requiring treatment, left ventricular ejection fraction (LVEF), ≤50%, or chronic stable angina), severe pulmonary disorder (e.g., diffusing capacity of the lungs for carbon monoxide ≤65% or forced expiratory volume in 1 second ≤65%), creatinine clearance <45 mL/minute, bilirubin >1.5 times the upper limit of normal (ULN) and/or have any other comorbidity that the Investigator judges to be incompatible with intensive IC and must be reviewed and approved by the Medical Monitor before study enrollment.
- Have previously untreated AML, defined according to World Health Organization (WHO) criteria, with ≥ 20% leukemic blasts in the bone marrow. Participants with extramedullary disease alone (i.e., no detectable bone marrow and no detectable peripheral blood AML) are not eligible for the study.
- Have an isocitrate dehydrogenase 1 (IDH1) mutation.
- Have an ECOG PS score of 0 to 2.
- Have adequate hepatic function.
- Have adequate renal function.
- Have agreed to undergo serial blood and bone marrow sampling.
- Be able to understand and willing to sign an informed consent form (ICF).
- Be willing to complete Quality of Life assessments during the study
- If female with reproductive potential, must have a negative serum pregnancy test prior to the start of study therapy. Females of reproductive potential, as well as fertile men and their female partners of reproductive potential, must agree to use 2 effective forms of contraception.
Exclusion Criteria:
- Are candidates for and willing to receive intensive induction chemotherapy (IC) for their AML.
- Have received any prior treatment for AML with the exception of hydroxyurea.
- Have received a hypomethylating agent for myelodysplastic syndrome (MDS).
- Participants who had previously received an experimental agent for MDS may not be randomized until a washout period has elapsed since the last dose of that agent.
- Have received prior treatment with an IDH1 inhibitor.
- Have a known hypersensitivity to any of the components of AG-120, matched placebo, or azacitidine.
- Are female and pregnant or breastfeeding.
- Have an active, uncontrolled, systemic fungal, bacterial, or viral infection without improvement despite appropriate antibiotics, antiviral therapy, and/or other treatment.
- Have a prior history of cancer other than MDS or myeloproliferative disorder, unless the participant has been free of the disease for ≥ 1 year prior to the start of study treatment.
- Have had significant active cardiac disease within 6 months prior to the start of the study treatment.
- Have any condition that increases the risk of abnormal ECG or cardiac arrhythmia.
- Have a condition that limits the ingestion or absorption of drugs administered by mouth.
- Have uncontrolled hypertension (systolic blood pressure [BP] > 180 mmHg or diastolic BP > 100 mmHg).
- Have clinical symptoms suggestive of active central nervous system (CNS) leukemia or known CNS leukemia.
- Have immediate, life-threatening, severe complications of leukemia, such as uncontrolled bleeding, pneumonia with hypoxia or sepsis, and/or disseminated intravascular coagulation.
- Have any other medical or psychological condition deemed by the Investigator to be likely to interfere with the participant's ability to give informed consent or participate in the study.
- Are taking medications that are known to prolong the QT interval unless they can be transferred to other medications within ≥5 half-lives prior to dosing, or unless the medications can be properly monitored during the study. (If equivalent medication is not available, heart rate corrected QT interval [QTc] will be closely monitored.)
- Have a known medical history of progressive multifocal leukoencephalopathy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: AG-120 + Azacitidine
Participants received AG-120 500 mg orally, once daily (QD) in combination with azacitidine 75 milligrams per square meter per day (mg/m^2/day) subcutaneously (SC) or intravenously (IV), on Days 1-7, or on Days 1-5 and 8-9, of each 28-day cycle for a minimum of 6 cycles until death, disease relapse, disease progression, development of unacceptable toxicity (adverse event), confirmed pregnancy, withdrawal by participant or protocol violation.
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Tablets administered orally
Other Names:
Administered SC or IV
Other Names:
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Placebo Comparator: Placebo + Azacitidine
Participants received AG-120 matching placebo orally, QD in combination with azacitidine 75 mg/m^2/day SC or IV, on Days 1-7, or on Days 1-5 and 8-9, of each 28-day cycle for a minimum of 6 cycles until death, disease relapse, disease progression, development of unacceptable toxicity (adverse event), confirmed pregnancy, withdrawal by participant or protocol violation .
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Tablets administered orally
Administered SC or IV
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Event-Free Survival (EFS)
Time Frame: Up to Week 24
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EFS was defined as the time from randomization until treatment failure, relapse from remission, or death from any cause, whichever occurs first.
Treatment failure was defined as failure to achieve complete remission (CR) by Week 24.
CR: Bone marrow blasts <5% and no Auer rods; absence of extramedullary disease; Absolute neutrophil count (ANC) ≥1.0 × 10^9 per litre (10^9/L) (1000 per microlitre [1000/μL]); platelet count ≥100 × 10^9/L (100,000/μL); independence of red blood cell transfusions.
Participants who had an EFS event (relapse or death) after, 2 or more missing disease assessments were censored at the last adequate disease assessment documenting no relapse before the missing assessments.
The reported data represents the Kaplan-Meier median value.
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Up to Week 24
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Complete Remission Rate (CR Rate)
Time Frame: Up to approximately 52 months
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CR rate is defined as the proportion of participants who achieve a CR.
A Cochran-Mantel-Haenszel (CMH) test will be used to compare CR rate between the 2 treatment arms.
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Up to approximately 52 months
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Overall Survival (OS)
Time Frame: Up to approximately 52 months
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OS is defined as the time from date of randomization to the date of death due to any cause.
Kaplan-Meier (KM) curves and KM estimates of OS will be presented for each treatment arm.
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Up to approximately 52 months
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CR + Complete Remission With Partial Hematologic (CRh) Rate
Time Frame: Up to approximately 52 months
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CR + CRh rate is defined as the proportion of participants who achieve a CR or CRh.
CRh is defined as a CR with partial recovery of peripheral blood counts (less than 5% bone marrow blasts, absolute neutrophil count (ANC) greater than 0.5 × 10^9/liter (L) 500/microliter (μL)], and platelets greater than 50 × 10^9/L [50,000/μL]).
A CMH test will be used to compare the CR + CRh rate between the 2 treatment arms.
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Up to approximately 52 months
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Objective Response Rate (ORR)
Time Frame: Up to approximately 52 months
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ORR is defined as the rate of CR, CR with incomplete hematologic recovery (CRi) (including CR with incomplete platelet recovery [CRp]), partial remission (PR), and morphologic leukemia-free state (MLFS).
The best response is calculated using the following hierarchy: CR, followed by CRi (including CRp), followed by PR and MLFS.
A summary of best response by treatment arm will be produced.
A CMH test will be used to compare ORR between the 2 treatment arms.
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Up to approximately 52 months
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CR + CRi (Including CRp) Rate
Time Frame: Up to approximately 52 months
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The CR + CRi (including CRp) rate is defined as the proportion of participants who achieve a CR or CRi (including CRp).
A CMH test will be used to compare the CR + CRi (including CRp) rate between the 2 treatment arms.
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Up to approximately 52 months
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Duration of CR (DOCR)
Time Frame: Up to approximately 52 months
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DOCR will be calculated as the date of the first occurrence of CR to the date of first documented disease relapse, or death.
DOCR is only defined for participants who achieve a CR.
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Up to approximately 52 months
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Duration of CRh (DOCRh)
Time Frame: Up to approximately 52 months
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DOCRh will be calculated as the date of the first occurrence of CR or CRh to the date of first documented disease relapse or death.
DOCRh is only defined for participants who achieve a CR or CRh.
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Up to approximately 52 months
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Duration of Response (DOR)
Time Frame: Up to approximately 52 months
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DOR will be calculated as the date of the first response to the date of first documented disease relapse, disease progression, or death.
DOR is only defined for participants who achieve a CR, CRi (including CRp), PR, and/or MLFS.
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Up to approximately 52 months
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Duration of CRi (DOCRi)
Time Frame: Up to approximately 52 months
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DOCRi will be calculated as the date of the first occurrence of CR or CRi (including CRp) to the date of the first documented relapse or death.
DOCRi is only defined for participants who achieve a CR or CRi (including CRp).
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Up to approximately 52 months
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Time to CR (TTCR)
Time Frame: Up to approximately 52 months
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TTCR will be assessed from the date of randomization to the date of first occurrence of CR.
TTCR is only defined for participants who achieve a CR.
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Up to approximately 52 months
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Time to CRh (TTCRh)
Time Frame: Up to approximately 52 months
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TTCRh will be assessed from the date of randomization to the date of first occurrence of CR or CRh.
TTCRh is only defined for participants who achieve a CR or CRh.
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Up to approximately 52 months
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Time to Response (TTR)
Time Frame: Up to approximately 52 months
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TTR will be assessed from the date of randomization to the date of the first response.
TTR is only defined for participants who achieve a CR, CRi (including CRp), PR, and/or MLFS.
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Up to approximately 52 months
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Time to CRi (TTCRi)
Time Frame: Up to approximately 52 months
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TTCRi will be assessed from the date of randomization to the date of first occurrence of CR or CRi (including CRp).
TTCRi is only defined for participants who achieve a CR or CRi (including CRp).
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Up to approximately 52 months
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Units of Platelets and Red Blood Cells (RBC) Infused
Time Frame: Up to approximately 52 months
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All measures that are indicative of clinical benefit are measured like number of units of platelet and RBC infused.
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Up to approximately 52 months
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Rate of Infection
Time Frame: Up to approximately 52 months
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Up to approximately 52 months
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Percentage of Participants With CR With IDH1 Mutation Clearance (MC)
Time Frame: Up to approximately 52 months
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CR with IDH1 MC is defined as a response of CR where there is no evidence of the IDH1 mutation by molecular techniques to below the level of detection (0.02%-0.04%) for ≥1 on-treatment time point.
A CMH test will be used to compare the rate of CR between 2 treatment arms.
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Up to approximately 52 months
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Percentage of Participants With Abnormalities in Vital Sign Measurements
Time Frame: Up to approximately 52 months
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Vital signs will include body temperature, respiratory rate, blood pressure, and heart rate.
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Up to approximately 52 months
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Percentage of Participants With Abnormalities in Eastern Cooperative Oncology Group Performance Status (ECOG PS)
Time Frame: Up to approximately 52 months
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Up to approximately 52 months
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Percentage of Participants With Abnormalities in 12-lead Electrocardiograms (ECGs)
Time Frame: Up to approximately 52 months
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Up to approximately 52 months
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Percentage of Participants With Abnormalities in Echocardiogram (ECHO) or Multi-Gated Acquisition (MUGA) for Left Ventricular Ejection Fraction (LVEF)
Time Frame: Up to approximately 52 months
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LVEF is determined by ECHO or MUGA scan in participants.
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Up to approximately 52 months
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Percentage of Participants With Abnormalities in Clinical Laboratory Tests
Time Frame: Up to approximately 52 months
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Clinical laboratory assessments will include hematology, serum chemistry, coagulation.
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Up to approximately 52 months
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Percentage of Participants With Adverse Events (AEs)
Time Frame: Up to approximately 52 months
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An AE is defined as any untoward medical occurrence in a clinical investigation participant administered an investigational medicinal product; it does not necessarily have to have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug.
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Up to approximately 52 months
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Percentage of Participants With AEs of Special Interest (AESIs)
Time Frame: Up to approximately 52 months
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AESIs are AEs that are not solicited local or systemic AEs, they are predefined AEs that required close monitoring and prompt reporting to the sponsor.
AESIs include protocol-specified QT prolongation, isocitrate dehydrogenase (IDH) differentiation syndrome and leukocytosis.
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Up to approximately 52 months
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Percentage of Participants With Serious Adverse Events (SAEs)
Time Frame: Up to approximately 52 months
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An SAE is defined as an untoward medical occurrence, significant hazard, contraindication, side effect or precaution that at any dose: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.
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Up to approximately 52 months
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Percentage of Participants With Adverse Events Leading to Discontinuation or Death
Time Frame: Up to approximately 52 months
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An AE is defined as any untoward medical occurrence in a clinical investigation participant administered an investigational medicinal product; it does not necessarily have to have a causal relationship with this treatment.
An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug.
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Up to approximately 52 months
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Percentage of Participants Using Concomitant Medications
Time Frame: Up to approximately 52 months
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Participants receiving concomitant medications will be adequately monitored by ECG controls, drug concentration (where applicable), and serum electrolytes (i.e., potassium and magnesium).
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Up to approximately 52 months
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Number of Days Spent Hospitalized
Time Frame: Up to approximately 52 months
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Up to approximately 52 months
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Change From Baseline in the European Organisation for Research and Treatment of Cancer (EORTC) QLC-C30 Questionnaire
Time Frame: Up to approximately 52 months
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The EORTC QLQ-C30 questionnaire measures quality of life and consists of 30 questions that are incorporated into 5 functional domains (physical, role, cognitive, emotional, and social); a global health status/global quality of life; 3 symptom scales (fatigue, pain, and nausea and vomiting); and 6 single items that assess additional symptoms (dyspnea, appetite loss, sleep disturbance, constipation, and diarrhea) and the perceived financial burden of treatment experienced by participants with cancer.
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Up to approximately 52 months
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Change From Baseline in the EORTC EQ-5D-5L Questionnaire
Time Frame: Up to approximately 52 months
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The EORTC EQ-5D-5L questionnaire measures quality of life and spans 5 dimensions, including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, which are used to build a composite of the participant's health status.
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Up to approximately 52 months
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Percentage of Participants With Drug Exposure, Dose Modifications and Dose Intensities
Time Frame: Up to approximately 52 months
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The number of doses administered, total dose, duration of treatment, dose intensity, and the proportion of participants with dose modifications, will be summarized by treatment arm.
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Up to approximately 52 months
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Circulating Plasma Concentration of AG-120
Time Frame: Up to approximately 52 months
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Serial blood samples will be drawn before and after dosing of study treatment in order to determine circulating plasma concentrations.
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Up to approximately 52 months
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Circulating Plasma Concentration of 2-HG
Time Frame: Up to approximately 52 months
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Serial blood samples will be drawn before and after dosing of study treatment in order to determine circulating plasma concentrations.
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Up to approximately 52 months
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Montesinos P, Recher C, Vives S, Zarzycka E, Wang J, Bertani G, Heuser M, Calado RT, Schuh AC, Yeh SP, Daigle SR, Hui J, Pandya SS, Gianolio DA, de Botton S, Dohner H. Ivosidenib and Azacitidine in IDH1-Mutated Acute Myeloid Leukemia. N Engl J Med. 2022 Apr 21;386(16):1519-1531. doi: 10.1056/NEJMoa2117344.
- Montesinos P, Marchione DM, Recher C, Heuser M, Vives S, Zarzycka E, Wang J, Riva M, Calado RT, Schuh AC, Yeh SP, Tron AE, Hui J, Gianolio DA, Choe S, Patel P, De Botton S, DiNardo CD, Dohner H. Long-term results from the AGILE study of azacitidine plus ivosidenib vs placebo in newly diagnosed IDH1-mutated AML. Blood Adv. 2025 Oct 28;9(20):5177-5189. doi: 10.1182/bloodadvances.2025016399.
- Woods A, Norsworthy KJ, Wang X, Vallejo J, Chiu Yuen Chow E, Li RJ, Sun J, Charlab R, Jiang X, Pazdur R, Theoret MR, de Claro RA. FDA Approval Summary: Ivosidenib in Combination with Azacitidine for Treatment of Patients with Newly Diagnosed Acute Myeloid Leukemia with an IDH1 Mutation. Clin Cancer Res. 2024 Apr 1;30(7):1226-1231. doi: 10.1158/1078-0432.CCR-23-2234.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms
- Neoplasms by Histologic Type
- Hematologic Diseases
- Leukemia, Myeloid
- Hemic and Lymphatic Diseases
- Leukemia
- Leukemia, Myeloid, Acute
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Nucleic Acids, Nucleotides, and Nucleosides
- Cytidine
- Pyrimidine Nucleosides
- Pyrimidines
- Aza Compounds
- Nucleosides
- Ribonucleosides
- Azacitidine
- ivosidenib
Other Study ID Numbers
Other Study ID Numbers
- AG120-C-009
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Study Data/Documents
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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