Olutasidenib (FT-2102) in patients with relapsed or refractory IDH1-mutant glioma: A multicenter, open-label, phase Ib/II trial

dc.contributor
Institut Català de la Salut
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[de la Fuente MI] Sylvester Comprehensive Cancer Center and Department of Neurology, University of Miami, Miami, Florida, USA. [Colman H] Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA. [Rosenthal M] Peter MacCallum Cancer Centre Melbourne, Victoria, Australia. [Van Tine BA] Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA. [Levacic D] Baylor and Scott White Vasicek Cancer Center, Baylor University Temple, Temple, Texas, USA. [Walbert T] Henry Ford Cancer Institute, Henry Ford Health System and Wayne State University, Detroit, Michigan, USA. [Vieito M] Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain
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Vall d'Hebron Barcelona Hospital Campus
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de la Fuente, Macarena
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Colman, Howard
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Rosenthal, Mark
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Van Tine, Brian
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Levacic, Danijela
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Walbert, Tobias
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Vieito Villar, Maria
dc.date.accessioned
2025-10-25T05:38:26Z
dc.date.available
2025-10-25T05:38:26Z
dc.date.issued
2023-02-14T13:32:23Z
dc.date.issued
2023-02-14T13:32:23Z
dc.date.issued
2023-01
dc.identifier
de la Fuente MI, Colman H, Rosenthal M, Van Tine BA, Levacic D, Walbert T, et al. Olutasidenib (FT-2102) in patients with relapsed or refractory IDH1-mutant glioma: a multicenter, open-label, phase 1b/2 trial. Neuro Oncol. 2023 Jan;25(1):146–56.
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1523-5866
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https://hdl.handle.net/11351/8986
dc.identifier
10.1093/neuonc/noac139
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35639513
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000820020600001
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http://hdl.handle.net/11351/8986
dc.description.abstract
Brain penetration; Mutant; Olutasidenib
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Penetració cerebral; Mutant; Olutasidenib
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Penetración cerebral; Mutante; Olutasidenib
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Background Olutasidenib (FT-2102) is a highly potent, orally bioavailable, brain-penetrant and selective inhibitor of mutant isocitrate dehydrogenase 1 (IDH1). The aim of the study was to determine the safety and clinical activity of olutasidenib in patients with relapsed/refractory gliomas harboring an IDH1R132X mutation. Methods This was an open-label, multicenter, nonrandomized, phase Ib/II clinical trial. Eligible patients (≥18 years) had histologically confirmed IDH1R132X-mutated glioma that relapsed or progressed on or following standard therapy and had measurable disease. Patients received olutasidenib, 150 mg orally twice daily (BID) in continuous 28-day cycles. The primary endpoints were dose-limiting toxicities (DLTs) (cycle 1) and safety in phase I and objective response rate using the Modified Response Assessment in Neuro-Oncology criteria in phase II. Results Twenty-six patients were enrolled and followed for a median 15.1 months (7.3‒19.4). No DLTs were observed in the single-agent glioma cohort and the pharmacokinetic relationship supported olutasidenib 150 mg BID as the recommended phase II dose. In the response-evaluable population, disease control rate (objective response plus stable disease) was 48%. Two (8%) patients demonstrated a best response of partial response and eight (32%) had stable disease for at least 4 months. Grade 3‒4 adverse events (≥10%) included alanine aminotransferase increased and aspartate aminotransferase increased (three [12%], each). Conclusions Olutasidenib 150 mg BID was well tolerated in patients with relapsed/refractory gliomas harboring an IDH1R132X mutation and demonstrated preliminary evidence of clinical activity in this heavily pretreated population.
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This study was funded by Forma Therapeutics, Inc., Watertown, MA, USA.
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application/pdf
dc.language
eng
dc.publisher
Oxford University Press
dc.relation
Neuro-Oncology;25(1)
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https://doi.org/10.1093/neuonc/noac139
dc.rights
Attribution-NonCommercial 4.0 International
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http://creativecommons.org/licenses/by-nc/4.0/
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info:eu-repo/semantics/openAccess
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Scientia
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Gliomes - Tractament
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Medicaments antineoplàstics - Ús terapèutic
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DISEASES::Neoplasms::Neoplasms by Histologic Type::Neoplasms, Germ Cell and Embryonal::Neuroectodermal Tumors::Neoplasms, Neuroepithelial::Glioma
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Other subheadings::Other subheadings::Other subheadings::/drug therapy
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CHEMICALS AND DRUGS::Chemical Actions and Uses::Pharmacologic Actions::Therapeutic Uses::Antineoplastic Agents
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Other subheadings::Other subheadings::/therapeutic use
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ENFERMEDADES::neoplasias::neoplasias por tipo histológico::neoplasias de células germinales y embrionarias::tumores neuroectodérmicos::neoplasias neuroepiteliales::glioma
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Otros calificadores::Otros calificadores::Otros calificadores::/farmacoterapia
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COMPUESTOS QUÍMICOS Y DROGAS::acciones y usos químicos::acciones farmacológicas::usos terapéuticos::antineoplásicos
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Otros calificadores::Otros calificadores::/uso terapéutico
dc.title
Olutasidenib (FT-2102) in patients with relapsed or refractory IDH1-mutant glioma: A multicenter, open-label, phase Ib/II trial
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info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion


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