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Agios (AGIO) Presents Final Data from Phase 3 ClarIDHy Study of TIBSOVO (ivosidenib tablets) in Patients with Previously Treated IDH1-

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Additional Information

Clinical Data Updated Efficacy Data
Efficacy data as of the data cutoff showed:
  • The median OS for patients in the TIBSOVO® arm was 10.3 months compared to 7.5 months for patients in the placebo arm (HR=0.79; 95% CI [0.56–1.12], 1-sided p=0.093).
  • After adjusting for crossover from placebo to TIBSOVO® using the pre-specified analysis of rank-preserving structural failure time (RPSFT), the median OS for patients in the placebo arm was 5.1 months (HR=0.49; 95% CI [0.34–0.70], 1-sided p<0.0001).
  • The 6-month survival rate for patients in the TIBSOVO® arm was 69 percent compared to 57 percent of patients in the placebo arm, not adjusted for crossover.
  • The 12-month survival rate for patients in the TIBSOVO® arm was 43 percent compared to 36 percent for patients in the placebo arm, not adjusted for crossover.
  • Treatment with TIBSOVO® preserved patients’ physical functioning from baseline, as assessed by the EORTC QLQ-C30 questionnaire, whereas patients in the placebo arm experienced decline from baseline at cycle 2, day 1 (2-sided p=0.002) and cycle 3, day 1 (2-sided p=0.004).
  • Treatment with TIBSOVO® improved patients’ pain at cycle 2, day 1 compared to placebo, as assessed by the EORTC QLQ-BIL21 questionnaire (2-sided p=0.039); no difference was observed at cycle 3, day 1.
  • Neither arm was favored on other pre-specified quality-of-life subscales (QLQ-C30 Appetite Loss and QLQ-BIL21 Pain and Eating).
Updated Safety Data
  • Grade 3 or above treatment-emergent adverse events (TEAE) were reported in 53 percent of total TIBSOVO® patients, which includes patients originally randomized to TIBSOVO® and those who crossed over from placebo to TIBSOVO®, compared to 37.3 percent of patients on placebo, with the most common being ascites (9.0% total TIBSOVO® vs. 6.8% placebo), anemia (7.2% total TIBSOVO® vs. 0% placebo) and increased blood bilirubin (5.4% total TIBSOVO® vs. 1.7% placebo).
  • TEAEs leading to discontinuation were more common with placebo compared with total TIBSOVO® (8.5% vs. 6.6%).
  • TEAEs leading to dose reductions (3.0% vs. 0%) and interruptions (30.1% vs. 18.6%) were more common with total TIBSOVO® compared with placebo.
  • The most common TEAEs of any grade for total TIBSOVO® were nausea (38.0%), diarrhea (33.1%) and fatigue (28.9%).
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Catalyst Date
Occurred on:
Jan 17, 2021
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Related Keywords Tibsovo, Ivosidenib, Idh1-mutant Cholangiocarcinoma