Ivosidenib maintenance after allogeneic stem cell transplant for IDH1‑mutant AML or high‑risk MDS
Official title: A Prospective, Single-arm, Open-label, Multicenter Phase II Trial Evaluating the Efficacy and Safety of Ivosidenib Maintenance Therapy After Allogeneic Stem Cell Transplantation (alloSCT) in Patients With Acute Myeloid Leukemia (AML) and Myelodysplastic Neoplasia (MD) Carrying an IDH1 Mutation
Run by Technische Universität Dresden · NCT06717958 · Data updated 2026-11-12
This will test whether taking ivosidenib after a recent allogeneic stem cell transplant helps people with AML or high‑risk MDS who have an IDH1 mutation stay in remission longer.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 76 (estimated) |
| Sponsor | Technische Universität Dresden Academic / other |
| Locations | 17 sites (Aachen and 16 other locations) |
| Status | Recruiting |
| Started | June 17, 2025 |
| Main results expected | October 1, 2029 |
| Study ends | February 1, 2030 |
| Registry record updated | August 26, 2026 |
| Trial ID | NCT06717958 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with AML or high‑risk MDS who have a confirmed IDH1 mutation and received an allogeneic stem cell transplant within the previous 100 days and who do not have severe active GVHD requiring high‑dose steroids.
✕Probably not a fit
Patients without an IDH1 mutation, those with severe (grade III–IV) active graft‑versus‑host disease requiring >1 mg/kg steroids, or those beyond the ~100‑day post‑transplant window are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase 2 trial gives oral ivosidenib 250 mg daily as maintenance to patients with IDH1‑mutated acute myeloid leukemia (AML) or high‑risk myelodysplastic neoplasia (MDS) who had an allogeneic stem cell transplant within the past 100 days. Participants are monitored regularly for relapse, adverse events, and graft‑versus‑host disease, and those with severe active GVHD requiring >1 mg/kg steroids are excluded. The primary endpoint is event‑free survival, with secondary endpoints including safety and tolerability. The study is led by Technische Universität Dresden with sites in Aachen, Dresden, and Essen, Germany.
Why it matters
Potential benefit: If successful, ivosidenib maintenance could reduce relapse risk and extend relapse‑free survival after transplant for patients with IDH1‑mutated AML or high‑risk MDS.
How similar studies have gone: Ivosidenib is an approved targeted therapy that has shown activity in IDH1‑mutant AML, but its use as routine post‑transplant maintenance is relatively novel and not yet proven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criterion: * AML or MDS with IDH1 mutation Exclusion criteria: * active GvHD (graft vs host disease) grade III-IV according to Harris criteria requiring steroids \>1mg/ kg prednisolone equivalent
Where it's running
-
Universitätsklinikum Aachen
Aachen, Germany Recruiting -
Klinikum Chemnitz gGmbH
Chemnitz, Germany Recruiting -
Technische Universitaet Dresden, Medizinische Klinik und Poliklinik I
Dresden, Germany Recruiting -
Universitätsklinikum Essen
Essen, Germany Recruiting -
Goethe Universität Frankfurt / Universitätsklinikum Frankfurt
Frankfurt am Main, Germany Recruiting -
Universitätsmedizin Greifswald KöR
Greifswald, Germany Recruiting
Show 11 more locations
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Martin-Luther-Universitaet Halle-Wittenberg
Halle, Germany Recruiting -
University Medical Center Hamburg-Eppendorf
Hamburg, Germany Recruiting -
Universitätsklinikum Jena
Jena, Germany Recruiting -
Universitätsklinikum Schleswig-Holstein
Kiel, Germany Recruiting -
Universität Leipzig
Leipzig, Germany Recruiting -
Klinikum der Technischen Universitaet Muenchen (TUM Klinikum)
München, Germany Recruiting -
Universität Münster
Münster, Germany Recruiting -
Rostock University Medical Center
Rostock, Germany Recruiting -
Universitaetsklinikum Erlangen AöR
Erlangen, Germany Not yet recruiting -
Universitätsmedizin der Johannes Gutenberg-Universität Mainz
Mainz, Germany Not yet recruiting -
Universitaetsklinikum Ulm
Ulm, Germany Not yet recruiting
Study contacts
- Study coordinator: Jan Moritz Middeke, Dr. med.
- Email: pivot@ukdd.de
- Phone: +493514583192
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.