An Early Access Study of Ivosidenib in Patients With a Pretreated Locally Advanced or Metastatic Cholangiocarcinoma (ProvIDHe)
An Open-Label Early Access Phase 3b Study of Ivosidenib in Patients With a Pretreated Locally Advanced or Metastatic Cholangiocarcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Institut de Recherches Internationales Servier, Clinical Studies Department
- Phone Number: +33 1 55 72 60 00
- Email: scientificinformation@servier.com
Study Locations
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Yerevan, Armenia
- Erebouni MC
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Yerevan, Armenia
- National Center of Oncology of Ra M
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Brisbane, Australia
- Royal Brisbane & Women's Hospital
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Fitzroy, Australia
- St Vincent's Hospital
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Subiaco, Australia
- St John of God Hospital - Bendat Family Comprehensive Cancer Centre (BFCCC)
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Sydney, Australia
- Kinghorn Cancer Centre
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Woodville, Australia
- The Queen Elizabeth Hospital
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Graz, Austria
- Medizinische Universitaet Graz
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Linz, Austria
- Ordensklinikum Linz GmbH
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Salzburg, Austria
- Universitaetsklinik fuer Innere Medizin III, mit Hämatologie, internistischer Onkologie, Hämostaseologie, Infektiologie, Rheumatologie und Onkologisches Zentrum
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Vienna, Austria
- Medizinische Universitaet Wien Universitaetsklinik fuer Innere Medizin I
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Brussels, Belgium
- Universite Libre de Bruxelles ULB -
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Ghent, Belgium
- Universitair Ziekenhuis Gent UZ Gent
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Leuven, Belgium
- UZ Leuven
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Woluwe-Saint-Lambert, Belgium
- Cliniques Univ St Luc - Gastro-Enterology
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Calgary, Canada
- Tom Baker Cancer Center
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Halifax, Canada
- NSHA, QEII Health Sciences Centre
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London, Canada
- London Regional Cancer Program
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Toronto, Canada
- Sunnybrook Health Sciences Centre
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Toronto, Canada
- Princess Margaret Cancer Center
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Lyon, France
- Hôpital privé Jean Mermoz
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Marseille, France
- Hôpital de la Timone
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Montpellier, France
- CHU Montpellier
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Nantes, France
- Centre Hospitalier Universitaire de Nantes CHU de Nantes
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Paris, France
- Institute Mutualiste Montsouris
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Pessac, France
- CHU Bordeaux, Hôpital Haut-Lévêque
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Poitiers, France
- CHU De Poitiers
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Berlin, Germany
- Charite Universittsmedizin Berlin
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Dresden, Germany
- Universitaetsklinikum Carl-Gustav-Carus
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Düsseldorf, Germany, 40225
- Klinik für Gastroenterologie, Hepatologie und Infektiologie Universitätsklinikum Düsseldorf
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Frankfurt, Germany
- Universitaetsklinikum Frankfurt
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Freiburg im Breisgau, Germany
- Medizinische Fakultaet der Universitaet Freiburg
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Hanover, Germany
- Medizinische Hochschule Hannover
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München, Germany
- Klinikum der Universitaet Muenchen-Grosshadern
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Cork, Ireland
- Cork University Hospital
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Dublin, Ireland
- St. James Hospital
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Dublin, Ireland
- St. Vincent's Private Hospital
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Bologna, Italy
- Policlinico S. Orsola-Malpighi
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Florence, Italy
- Aou Careggi
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Milan, Italy
- Ospedale San Raffaele
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Milan, Italy
- Fondazione IRCCS Istituto Nazionale dei Tumori
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Naples, Italy
- Istituto Nazionale Tumori IRCCS Fondazione Pascale
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Reggio Emilia, Italy
- IRCCS Arcispedale Santa Maria Nuova
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Roma, Italy
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
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Rozzano, Italy
- Humanitas Research Hospital
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San Giovanni Rotondo, Italy
- Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale Casa Sollievo della Sofferenza (CSS)
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Turin, Italy
- A.O.U. Città della Salute e della Scienza di Torino
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Verona, Italy
- AOUI Verona - Ospedale Borgo Roma
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Kanagawa, Japan
- Kanagawa Cancer Center
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Kumamoto, Japan
- Kumamoto University Hospital
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Matsuyama, Japan
- Shikoku Cancer Center
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Osaka, Japan
- Osaka International Cancer Institution
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Sapporo, Japan
- Hokkaido University Hospital
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Tokyo, Japan
- National Cancer Center Hospital
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Amsterdam, Netherlands
- Amsterdam UMC, location AMC
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Limburg, Netherlands
- Universiteit Maastricht UM - Maastricht University Medical Centre MUMC
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Bucharest, Romania
- Institutul Clinic Fundeni
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Cluj-Napoca, Romania
- Regional Institute of Gastroenterology and Hepatology
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Craiova, Romania
- Centrul de Oncologie Sfantu Necta
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Otopeni, Romania
- Radiotherapy Center Cluj
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Ploieşti, Romania
- Municipal Hospital Ploiesti
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Seongnam, South Korea
- CHA Bundang Medical Center
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Seoul, South Korea
- Asan Medical Center
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Seoul, South Korea
- Samsung Medical Center
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Seoul, South Korea
- Yonsei University Health System
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Seoul, South Korea
- Seoul National University
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A Coruña, Spain
- Complejo Hospitalario Universitario A Coruña (CHUAC)
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Barcelona, Spain
- Hospital Universitari Vall d'Hebron/Vall Hebron Institute of Oncology (VHIO)
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Córdoba, Spain
- Hospital Universitario Reina Sofa
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Elche, Spain
- Hospital General de Elche
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Madrid, Spain
- Hospital General Universitario Gregorio Marañón
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Madrid, Spain
- Hospital Universitario 12 de Octubre
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Madrid, Spain
- Hospital Universitario Fundación Jiménez Díaz
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Madrid, Spain
- Hospital Universitario HM Sanchinarro
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Pamplona, Spain
- Hospital Universitario de Navarra
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Santander, Spain
- Hospital Universitario Marqués de Valdecilla
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Gothenburg, Sweden
- Sahlgrenska University Hospital
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Stockholm, Sweden
- Karolinska University Hospital
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Birmingham, United Kingdom
- University Hospitals Birmingham (UHB) NHS Foundation Trust - Queen Elizabeth Hospital Birmingham (QEHB)
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Glasgow, United Kingdom
- The Beatson Institute West of Scotland Cancer Research
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London, United Kingdom
- Imperial College London
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London, United Kingdom
- University College London Hospital NHS Trust
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Manchester, United Kingdom
- The Christie NHS Foundation Trust
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Newcastle upon Tyne, United Kingdom
- The Newcastle Upon Tyne Hospitals
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of nonresectable or metastatic Cholangiocarcinoma (CCA), not eligible for curative-intent resection, transplantation, or ablative therapies
- Have a documented IDH1 R132C, R132L, R132G, R132H, or R132S gene-mutated disease
- Have tried at least 1 prior type of systemic therapy for CCA, and have recovered from any side effects
- Female patients of childbearing potential must have a negative blood pregnancy test prior to starting treatment and must agree to use 2 forms of contraception from the time they enroll to 1 month after their last dose of study drug
- Male patients with a female partner with childbearing potential must also agree to use 2 forms of contraception from the time they enroll to 1 month after their last dose of study drug
Exclusion Criteria:
- Received a prior IDH1 inhibitor
- Have received a transplant
- Have received systemic cancer treatment or radiotherapy within 2 weeks prior to Day 1 of Cycle 1
- Have received hepatic radiation, chemoembolization, and radiofrequency ablation within 4 weeks prior to Day 1 of Cycle 1
- Have ongoing brain metastases requiring steroids
- Have underwent major surgery within 4 weeks of Day 1 of Cycle 1 prior to C1D1
- Have an active hepatitis B (HBV) or hepatitis C (HCV) infections, known positive human immunodeficiency virus (HIV) antibody results, or acquired immunodeficiency syndrome (AIDS) related illness
- Are pregnant or breastfeeding
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Ivosidenib
Ivosidenib 500 mg, taken orally as two 250 mg tablets once daily for an unlimited amount of continuous 28-day cycles
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Ivosidenib 500 mg
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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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Number of Adverse Events (AEs) from Day 1 of Cycle 1 through 28 days after last study treatment
Time Frame: Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 days after last study treatment
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AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.
All reported AEs will be coded using the Medical Dictionary for Regulatory Activities (MedDRA), using the latest version.
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Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 days after last study treatment
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Number of Serious Adverse Events (SAEs) during the study treatment period (from Day 1 of Cycle 1 through the last study treatment intake or withdrawal of consent, whichever comes first).
Time Frame: Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment, 6 months after last study treatment, 12 months after last study treatment, 18 months after last study treatment
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SAEs related to study drug will be collected irrespective of the time of onset.
AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.
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Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment, 6 months after last study treatment, 12 months after last study treatment, 18 months after last study treatment
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Number of QT prolongation events during electrocardiogram (ECG) assessed as Grade 2 or worse occurring from Day 1 of Cycle 1 through 28 days after last study treatment
Time Frame: Day 1 of cycle 1, week 2 of cycle 1, week 3 of cycle 1, Day 1 of each consecutive cycle, 28 days after last study treatment
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QT interval, using Fridericia's formula [QTcF], to average QTc interval > 480 to 500msec (Grade 2) or worse, as seen during an ECG.
This is classified as an Adverse Event of Special Interest (AESI) for this study.
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Day 1 of cycle 1, week 2 of cycle 1, week 3 of cycle 1, Day 1 of each consecutive cycle, 28 days after last study treatment
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Change in Eastern Cooperative Oncology Group (ECOG) performance status (PS) score from baseline to worst value out of the post-baseline assessments.
Time Frame: Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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ECOG PS scoring consists of Grade 0 - 5, with 0 being the patient is fully active and 5 being the patient is dead.
Descriptive statistics of ECOG PS over time will be summarized by frequency.
Shift tables may be provided for ECOG PS from baseline to worst value of post-baseline assessments.
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Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Number of Adverse Events (AEs) leading to discontinuation or death from day 1 through 28 days after the last study treatment
Time Frame: Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 days after last study treatment
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Total number of AEs that result in discontinuation from treatment or death.
AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.
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Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 days after last study treatment
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Total laboratory abnormalities using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 grading scale or the low/normal/high classifications based on laboratory normal ranges.
Time Frame: Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Listing of all laboratory hematology, coagulation, and chemistry data with values flagged as abnormal to show the corresponding NCI-CTCAE grades and the classifications relative to the laboratory normal ranges.
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Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Change from baseline to the worst on-treatment value of laboratory abnormalities.
Time Frame: Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Abnormalities will be classified by using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 grading scale or the low/normal/high classifications based on laboratory normal ranges.
Shift tables using NCI-CTCAE grades to compare baseline to the worst on-treatment value will be used.
For laboratory tests, including hematology, coagulation, and chemistry, where NCI-CTCAE grades are not defined, shift tables using the low/normal/high [low and high] classification to compare baseline to the worst on treatment may be generated.
On-treatment is considered from Day 1 of Cycle 1 through 28 days after the last dose.
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Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Number of patients with vital sign values outside limits of the normal range at each time point.
Time Frame: Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Vital signs include systolic and diastolic blood pressure, heart rate, respiratory rate, and temperature.
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Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Mean change from baseline values to the worst on-treatment value of patients with vital signs outside limits of the normal range
Time Frame: Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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On-treatment is considered from Day 1 of Cycle 1 through 28 days after the last dose.
Vital signs include systolic and diastolic blood pressure, heart rate, respiratory rate, and temperature.
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Screening visit, Day 1 of cycle 1, Day 1 of each consecutive cycle, 28 + 14 days (maximum) after last study treatment
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall survival (OS)
Time Frame: through 28 days after last treatment
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OS is defined as the time from date of enrollment to the date of death due to any cause.
It will be assessed using the Kaplan-Meier (KM) method curves and estimates.
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through 28 days after last treatment
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Duration of response (DOR)
Time Frame: through 28 days after last treatment
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DOR is defined as the time from the date of response to either progression or death.
It will be assessed using the Kaplan-Meier (KM) method curves and estimates.
This will be based on tumor assessments conducted by the investigator according to local clinical practice.
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through 28 days after last treatment
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Time to response (TTR)
Time Frame: through 28 days after last treatment
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TTR is defined as the time from the date of enrollment to the date of response.
It will be assessed using the Kaplan-Meier (KM) method curves and estimates.
This will be based on tumor assessments conducted by the investigator according to local clinical practice.
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through 28 days after last treatment
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Proportion of days at home or hospital for all patients
Time Frame: through 28 days after last treatment
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through 28 days after last treatment
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Change from baseline of health economic measures, as assessed by the 5-level EuroQol 5-dimensional questionnaire (EQ-5D-5).
Time Frame: through 28 days after last treatment
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Health economic measures, as assessed by the EQ-5D-5L, will be evaluated for patients with a baseline assessment and at least 1 post-baseline EQ-5D-5L assessment that generate a score.
Change from baseline scores for each time point will be quantified with descriptive statistics.
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through 28 days after last treatment
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Progression-free survival (PFS) time beginning at enrollement
Time Frame: through 28 days after last treatment
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PFS is defined as the time from the date of enrollment to the date at which the disease escalates or progresses.
It will be assessed using the Kaplan-Meier (KM) method curves and estimates.
This will be based on tumor assessments conducted by the investigator according to local clinical practice.
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through 28 days after last treatment
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Change from baseline of Quality of life scores
Time Frame: through 28 days after last study treatment
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Measured by the validated European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Cholangiocarcinoma and Gallbladder Cancer Module (QLQ-BIL21).
EORTC QLQ-BIL21, will be evaluated for patients with a baseline assessment and at least 1 post-baseline QLQ-BIL21 assessment that generates a score.
Change from baseline for each time point, will be summarized using descriptive statistics.
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through 28 days after last study treatment
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- DIM-95031-002
- 2022-501463-40 (EudraCT Number)
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
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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