Clinical Trials

Numerous clinical trials spanning Phase I through Phase III evaluate the efficacy, safety, and pharmacokinetics of ivosidenib (AG-120) across active, recruiting, pending, and completed statuses. Primary indications focus on IDH1-mutated hematologic malignancies and solid tumors—including acute myeloid leukemia, myeloproliferative neoplasms, chondrosarcoma, and glioma—as well as cohorts with hepatic impairment. Sponsors include commercial entities such as Servier and Agios Pharmaceuticals, alongside academic institutions like Memorial Sloan Kettering Cancer Center and the University of Chicago.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07745296 NOT_YET_RECRUITING
Biliary Tract Cancer (BTC)
UNICANCER
2027-01-02 PHASE3
NCT03013998 RECRUITING
Previously Untreated Relapsed Refractory Acute Myeloid Leukemia
Beat AML, LLC
2016-11 PHASE2; PHASE3
NCT07260175 RECRUITING
Cholangiocarcinoma; IDH Mutation
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
2025-11-18 PHASE2
NCT07463768 NOT_YET_RECRUITING
Acute Myeloid Leukemia
French Innovative Leukemia Organisation
2026-09 PHASE2
NCT05030441 ACTIVE_NOT_RECRUITING
Clonal Cytopenia of Undetermined Significance
Washington University School of Medicine
2022-04-01 PHASE2
NCT06717958 RECRUITING
AML; MDS
Technische Universität Dresden
2025-06-17 PHASE2
NCT06291987 RECRUITING
Myeloproliferative Neoplasms
University of Chicago
2024-09-19 PHASE1
NCT07507760 RECRUITING
Acute Myeloid Leukemia With Gene Mutations
PETHEMA Foundation
2026-06-12 PHASE2
NCT07075016 RECRUITING
Acute Myeloid Leukemia
Stichting Hemato-Oncologie voor Volwassenen Nederland
2025-08-05 PHASE3
NCT07006688 RECRUITING
IDH1-Mutated Malignancies
Servier Bio-Innovation LLC
2026-01-14 PHASE1
NCT04493164 RECRUITING
Acute Myeloid Leukemia With Gene Mutations; Myelodysplastic Syndrome; Myeloproliferative Neoplasm; Recurrent Acute Myeloid Leukemia; Refractory Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2020-12-30 PHASE2
NCT07131059 RECRUITING
AML, Adult
Institute of Hematology & Blood Diseases Hospital, China
2024-05-11
NCT06127407 RECRUITING
Locally Advanced or Metastatic Conventional Chondrosarcoma With an IDH1 Mutation, Untreated or Previously Treated With 1 Systemic Treatment Regimen
Servier Bio-Innovation LLC
2024-07-09 PHASE3
NCT06265545 RECRUITING
AML; Refractory; Relapsed
Institute of Hematology & Blood Diseases Hospital, China
2024-02-22
NCT06707493 RECRUITING
IDH1 Mutation; Acute Myeloid Leukemia (AML); Hematopoietic Stem Cell Transplant (HSCT)
Massachusetts General Hospital
2026-01-16 PHASE2
NCT07392242 RECRUITING
Acute Myeloid Leukemia
Memorial Sloan Kettering Cancer Center
2026-01-27 PHASE2
NCT06648473 WITHDRAWN
Low Grade Glioma of Brain
Duke University
2026-01-01
NCT05876754 ACTIVE_NOT_RECRUITING
Cholangiocarcinoma
Servier Affaires Médicales
2023-05-03 PHASE3
NCT04774393 RECRUITING
Acute Myeloid Leukemia; Recurrent Acute Myeloid Leukemia; Refractory Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2021-05-24 PHASE1; PHASE2
NCT06465953 RECRUITING
Hypomethylating Agent (HMA) Naive Myelodysplastic Syndromes (MDS); Myelodysplastic Syndromes (MDS)
Institut de Recherches Internationales Servier
2024-12-03 PHASE3
NCT05907057 RECRUITING
Acute Myeloid Leukemia (AML)
Servier Affaires Médicales
2023-06-14 PHASE3
NCT03471260 RECRUITING
Acute Myeloid Leukemia; Hematopoietic and Lymphoid System Neoplasm; Myelodysplastic Syndrome; Myeloproliferative Neoplasm; Recurrent Acute Myeloid Leukemia; Refractory Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2018-03-19 PHASE1; PHASE2
NCT05401097 RECRUITING
Acute Myeloid Leukemia
Alice Mims
2022-09-13 PHASE2
NCT05615818 RECRUITING
Biliary Tract Neoplasms
UNICANCER
2024-07-18 PHASE3
NCT07548710 RECRUITING
Acute Myeloid Leukemia
Ruijin Hospital
2026-05-01 PHASE2
NCT07607418 RECRUITING
AML (Acute Myeloid Leukemia); MDS (Myelodysplastic Syndrome)
Ruijin Hospital
2026-05-22 PHASE2
NCT05756777 RECRUITING
Acute Myeloid Leukemia (AML)
Memorial Sloan Kettering Cancer Center
2023-10-25 PHASE1
NCT03839771 ACTIVE_NOT_RECRUITING
Acute Myeloid Leukemia; Myelodysplastic Syndrome With Excess Blasts-2
Stichting Hemato-Oncologie voor Volwassenen Nederland
2019-03-01 PHASE3
NCT03503409 ACTIVE_NOT_RECRUITING
Myelodysplastic Syndromes; Acute Myeloid Leukemia
Groupe Francophone des Myelodysplasies
2019-05-14 PHASE2
NCT04278781 ACTIVE_NOT_RECRUITING
Chondrosarcoma; Chondrosarcoma, Grade 2; Chondrosarcoma, Grade 3; IDH1 Gene Mutation
Memorial Sloan Kettering Cancer Center
2020-03-04 PHASE2
NCT05010772 RECRUITING
Acute Myeloid Leukemia
M.D. Anderson Cancer Center
2021-10-25 PHASE1
NCT02074839 RECRUITING
Relapsed or Refractory Acute Myeloid Leukemia (AML); Untreated AML; Other IDH1-mutated Positive Hematologic Malignancies; Myelodysplastic Syndromes
Institut de Recherches Internationales Servier
2014-03-01 PHASE1
NCT06593548 NOT_YET_RECRUITING
CRC; MSS; Metastatic Cancer
Fudan University
2024-11-01 PHASE2
NCT07282262 RECRUITING
Biliary Tract Cancer
Peking Union Medical College Hospital
2024-05-01 PHASE2
NCT06611839 RECRUITING
AML; IDH1 Mutation; Treatment
Institute of Hematology & Blood Diseases Hospital, China
2025-10-17 PHASE1; PHASE2
NCT06501625 RECRUITING
Locally Advanced, Unresectable or Metastatic Cholangiocarcinoma With an IDH1 Mutation
Institut de Recherches Internationales Servier
2024-12-16 PHASE1; PHASE2
NCT05209074 ACTIVE_NOT_RECRUITING
Pancreatic Ductal Adenocarcinoma; Resectable Pancreatic Cancer
Case Comprehensive Cancer Center
2022-09-08 PHASE1
NCT07007949 RECRUITING
Acute Myeloid Leukemia; IDH1 Gene Mutation; Ivosidenib
The First Affiliated Hospital of Soochow University
2025-06-01 PHASE2
NCT03155620 ACTIVE_NOT_RECRUITING
Advanced Malignant Solid Neoplasm; Ann Arbor Stage III Non-Hodgkin Lymphoma; Ann Arbor Stage IV Non-Hodgkin Lymphoma; Histiocytic Sarcoma; Juvenile Xanthogranuloma; Langerhans Cell Histiocytosis; Malignant Glioma; Recurrent Childhood Rhabdomyosarcoma; Recurrent Ependymoma; Recurrent Ewing Sarcoma; Recurrent Glioma; Recurrent Hepatoblastoma; Recurrent Langerhans Cell Histiocytosis; Recurrent Malignant Germ Cell Tumor; Recurrent Malignant Solid Neoplasm; Recurrent Medulloblastoma; Recurrent Neuroblastoma; Recurrent Non-Hodgkin Lymphoma; Recurrent Osteosarcoma; Recurrent Peripheral Primitive Neuroectodermal Tumor; Recurrent Primary Central Nervous System Neoplasm; Recurrent Rhabdoid Tumor; Recurrent Soft Tissue Sarcoma; Refractory Ewing Sarcoma; Refractory Glioma; Refractory Hepatoblastoma; Refractory Langerhans Cell Histiocytosis; Refractory Malignant Germ Cell Tumor; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Osteosarcoma; Refractory Peripheral Primitive Neuroectodermal Tumor; Refractory Primary Central Nervous System Neoplasm; Refractory Rhabdoid Tumor; Refractory Rhabdomyosarcoma; Rhabdoid Tumor; Stage III Osteosarcoma AJCC v7; Stage III Soft Tissue Sarcoma AJCC v7; Stage IV Osteosarcoma AJCC v7; Stage IV Soft Tissue Sarcoma AJCC v7; Stage IVA Osteosarcoma AJCC v7; Stage IVB Osteosarcoma AJCC v7; Wilms Tumor
National Cancer Institute (NCI)
2017-07-31 PHASE2
NCT04195555 ACTIVE_NOT_RECRUITING
Recurrent Ependymoma; Recurrent Ewing Sarcoma; Recurrent Hepatoblastoma; Recurrent Langerhans Cell Histiocytosis; Recurrent Malignant Germ Cell Tumor; Recurrent Malignant Glioma; Recurrent Malignant Solid Neoplasm; Recurrent Medulloblastoma; Recurrent Neuroblastoma; Recurrent Non-Hodgkin Lymphoma; Recurrent Osteosarcoma; Recurrent Peripheral Primitive Neuroectodermal Tumor; Recurrent Rhabdoid Tumor; Recurrent Rhabdomyosarcoma; Recurrent Soft Tissue Sarcoma; Recurrent WHO Grade 2 Glioma; Refractory Ependymoma; Refractory Ewing Sarcoma; Refractory Hepatoblastoma; Refractory Langerhans Cell Histiocytosis; Refractory Malignant Germ Cell Tumor; Refractory Malignant Glioma; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Osteosarcoma; Refractory Peripheral Primitive Neuroectodermal Tumor; Refractory Rhabdoid Tumor; Refractory Rhabdomyosarcoma; Refractory Soft Tissue Sarcoma; Refractory WHO Grade 2 Glioma; Wilms Tumor
National Cancer Institute (NCI)
2020-07-20 PHASE2
NCT05921760 TERMINATED
IDH1-mutant Cholangiocarcinoma
Servier Bio-Innovation LLC
2023-10-23 PHASE1; PHASE2
NCT06081829 ACTIVE_NOT_RECRUITING
Cholangiocarcinoma Non-resectable; Cholangiocarcinoma Metastatic
Servier
2023-10-10 PHASE2
NCT06127407 Not yet recruiting
Locally Advanced or Metastatic Conventional Chondrosarcoma With an IDH1 Mutation Untreated or Previously Treated With 1 Systemic Treatment Regimen
Servier Bio-Innovation LLC|Institut de Recherches Internationales Servier|Servier
2024-06-07 Phase 3
NCT06377579 Not yet recruiting
AML Adult
French Innovative Leukemia Organisation|Acute Leukemia French Association
2024-05-15 --
NCT02073994 COMPLETED
Cholangiocarcinoma; Chondrosarcoma; Glioma; Other Advanced Solid Tumors
Institut de Recherches Internationales Servier
2014-03-01 PHASE1
NCT04655391 WITHDRAWN
Recurrent Acute Myeloid Leukemia
City of Hope Medical Center
2022-06-25 PHASE1
NCT04088188 TERMINATED
Advanced Cholangiocarcinoma; Metastatic Cholangiocarcinoma; Unresectable Cholangiocarcinoma
Academic and Community Cancer Research United
2021-01-25 PHASE1
NCT06181734 Recruiting
Acute Myeloid Leukemia (AML)
iOMEDICO AG
2023-12-20 --
NCT04056910 COMPLETED
Advanced Solid Tumor; IDH1 Mutation; Glioma
Jason J. Luke, MD
2021-09-20 PHASE2
NCT04955938 WITHDRAWN
IDH Mutation; IDH1 Mutation; IDH2 Gene Mutation; Blood Cancer; Myeloproliferative Neoplasm
University of Chicago
2021-10-29 PHASE1
NCT05907057 Recruiting
Acute Myeloid Leukemia (AML)
Servier Affaires Médicales|Servier
2023-06-14 Phase 3
NCT03498521 COMPLETED
Cancer of Unknown Primary Site
Hoffmann-La Roche
2018-07-10 PHASE2
NCT03564821 COMPLETED
IDH1 Mutation Myeloid Neoplasms
Massachusetts General Hospital
2019-01-16 PHASE1
NCT04250051 TERMINATED
Recurrent Acute Myeloid Leukemia; Recurrent Myelodysplastic Syndrome; Recurrent Myeloproliferative Neoplasm; Refractory Acute Myeloid Leukemia; Refractory Myelodysplastic Syndrome; Newly Diagnosed Acute Myeloid Leukemia (AML); IDH1 Mutation Myeloid Neoplasms; Acute Myeloid Leukemia (AML)
Northwestern University
2020-12-21 PHASE1
NCT04955938 Recruiting
IDH Mutation|IDH1 Mutation|IDH2 Gene Mutation|Blood Cancer|Myeloproliferative Neoplasm
University of Chicago
2021-10-29 Phase 1
NCT04044209 WITHDRAWN
Myelodysplastic Syndromes; Acute Myeloid Leukemia
Yale University
2020-02-12 PHASE2
NCT03173248 ACTIVE_NOT_RECRUITING
Newly Diagnosed Acute Myeloid Leukemia (AML); Untreated AML; AML Arising From Myelodysplastic Syndrome (MDS); Leukemia, Myeloid, Acute
Institut de Recherches Internationales Servier
2017-06-26 PHASE3
NCT04176393 COMPLETED
Relapsed or Refractory Acute Myeloid Leukemia
CStone Pharmaceuticals
2019-11-12 PHASE1
NCT03343197 COMPLETED
Glioma
Institut de Recherches Internationales Servier
2018-03-20 PHASE1
NCT02989857 COMPLETED
Advanced Cholangiocarcinoma; Metastatic Cholangiocarcinoma
Institut de Recherches Internationales Servier
2017-02-20 PHASE3
NCT02632708 ACTIVE_NOT_RECRUITING
Newly Diagnosed Acute Myeloid Leukemia (AML); Untreated AML; AML Arising From Myelodysplastic Syndrome (MDS); AML Arising From Antecedent Hematologic Disorder (AHD); AML Arising After Exposure to Genotoxic Injury
Institut de Recherches Internationales Servier
2015-12-31 PHASE1
NCT02677922 ACTIVE_NOT_RECRUITING
Leukemia, Myeloid, Acute
Celgene
2016-06-03 PHASE1; PHASE2
NCT03282513 COMPLETED
Hepatic Impairment
Agios Pharmaceuticals, Inc.
2017-09-26 PHASE1
NCT03071770 COMPLETED
Healthy
Agios Pharmaceuticals, Inc.
2017-03-31 PHASE1
NCT02831972 COMPLETED
Healthy
Agios Pharmaceuticals, Inc.
2016-06 PHASE1
NCT02579707 COMPLETED
Healthy
Agios Pharmaceuticals, Inc.
2015-10 PHASE1
NCT02489513 COMPLETED
Healthy Volunteers
Agios Pharmaceuticals, Inc.
2015-06 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-04)

Check the AG-120 (Ivosidenib) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ivosidenib selectively binds to and inhibits mutant isocitrate dehydrogenase 1 (IDH1), preventing the NADPH-dependent reduction of alpha-ketoglutarate to the oncometabolite D-2-hydroxyglutarate (2-HG) and thereby reversing histone and DNA hypermethylation to promote cellular differentiation. This inhibition restores normal cell maturation and suppresses tumor growth, providing therapeutic relevance in IDH1-mutated clinical conditions such as acute myeloid leukemia, chondrosarcoma, and glioma.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.