Ivosidenib in Participants With Locally Advanced or Metastatic Conventional Chondrosarcoma Untreated or Previously Treated With 1 Systemic Treatment Regimen
Locally Advanced or Metastatic Conventional Chondrosarcoma With an IDH1 Mutation, Untreated or Previously Treated With 1 Systemic Treatment Regimen
Investigational drug(s) / intervention(s)
Ivosidenib 500mgPlacebo
Ivosidenib 500mg: Provided as tablets, taken orally as two 250mg tablets once daily.
Placebo: Provided as tablets, taken orally once daily.
Study summary
Study CL3-95031-007 (CHONQUER) is a Phase 3, international, multicenter, double-blind, randomized, placebo-controlled study of orally administered ivosidenib. Participants are required to have a histopathological diagnosis consistent with isocitrate dehydrogenase-1 (IDH1) gene-mutated, locally advanced or metastatic conventional chondrosarcoma Grades 1, 2, or 3 and not eligible for curative resection. IDH1 mutant status will be determined during pre-screening/screening phase. Participant must have radiographic progression/recurrence of disease according to Response Evaluation Criteria in Solid Tumors (RECIST v1.1) and have received 0 to 1 prior systemic treatment regimen in the advanced/metastatic setting for conventional chondrosarcoma. The primary endpoint is progression-free survival (PFS) in Grades 1 and 2 participants. Key secondary endpoints are PFS in all randomized participants, overall survival (OS) in Grades 1 and 2 participants, and OS in all randomized participants.
Participants who meet enrollment criteria will be randomized 1:1 to receive oral ivosidenib 500mg once daily, or a matching placebo once daily.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Have a histopathological diagnosis (fresh or banked tumor biopsy sample collected within the last 3 years) consistent with locally advanced or metastatic conventional chondrosarcoma Grades 1, 2, or 3 and not eligible for curative resection.
* Have at least one BICR-confirmed measurable lesion as defined by RECIST v1.1. Participants who have received prior radiation therapy are eligible provided measurable disease falls outside of the treatment field or within the field and has shown ≥20% growth in size since post-treatment assessment.
* Have received 0 or 1 prior systemic treatment regimen in the advanced/metastatic setting for chondrosarcoma.
* Have radiographic progression/recurrence of disease according to RECIST v1.1 defined as:
1. Radiographic progression of disease (local and/or distant) documented by 2 imaging assessments performed no more than 6 months (±2 weeks) apart within 12 months before randomization.
OR
2. Any recurrence of disease (local and/or distant) after complete surgical resection and documented by imaging within 6 months (±2 weeks) before randomization.
* Have documented IDH1 gene-mutated disease (from a fresh tumor biopsy or the most recent banked tumor tissue available that was sourced from either a primary or metastatic tumor lesion) based on central laboratory testing (R132C/L/G/H/S mutation variants tested)
* Have recovered from any clinically relevant sequelae and toxic effects of any prior surgery, radiotherapy, or other therapy intended for the treatment of cancer.
Exclusion Criteria:
* Are unable to swallow oral medication.
* Pregnant or lactating women.
* Are participating in another interventional study at the same time; participation in noninterventional registries or epidemiological studies is allowed.
* Have received prior therapy with an IDH1 inhibitor
* Have received systemic anticancer therapy \<2 weeks prior to randomization (for investigational or immune-based anticancer therapy \<4 weeks).
* Have received radiotherapy \<2 weeks prior to randomization.
* Have known symptomatic brain metastases requiring steroids \>10 mg per day prednisone (or equivalent). Participants with previously diagnosed brain metastases are eligible if they have completed their treatment and have recovered from the acute effects of radiation therapy or surgery prior to randomization, have discontinued or reduced corticosteroid treatment \<=10 mg per day for these metastases for at least 4 weeks and have radiographically stable disease of brain lesions for at least 3 months prior to randomization.
* Have a history of another primary cancer, with the exception of: a) curatively resected non-melanoma skin cancer; b) curatively treated carcinoma in situ; or c) pT1-2 prostatic cancer Gleason score \<6 or d) participant is free of other primary solid or liquid tumor for ≥ 1 year prior to the start of study treatment and, in the opinion of the Investigator, the disease will not affect participant's outcome in the setting of current chondrosarcoma diagnosis.
* Have had major surgery within 4 weeks prior to randomization.
* Have significant active cardiac disease within 6 months prior to randomization, including New York Heart Association (NYHA) Class III or IV congestive heart failure; myocardial infarction; unstable angina; and/or stroke.
* Have LVEF \<40% by ECHO scan (or by other methods according to institutional practice) obtained within 28 days prior to randomization.
* Have a heart-rate corrected QT interval (using Fridericia's formula) (QTcF) ≥ 450 msec or other factors that increase the risk of QT prolongation or arrhythmic events (eg, heart failure, hypokalemia, family history of long QT interval syndrome). Participants with a bundle branch block combined with a prolonged QTcF interval may be permitted based on local cardiology assessment.
* Have known medical history of progressive multifocal leukoencephalopathy (PML).
Primary outcome measure(s)
Progression-free survival (PFS) based on Blinded Independent Central Reviewer (BICR) assessment in Grade 1 and Grade 2 participants — Up to approximately 31 months From randomization until BICR confirmed progressive disease or death due to any cause, whichever occurs first
Trial sites (114)
Facility
City
Region
Status
Usc Norris Comprehensive Cancer Center
Los Angeles
California
Recruiting
Sarcoma Oncology Research Center
Santa Monica
California
Recruiting
University of Colorado Cancer Center
Aurora
Colorado
Recruiting
Yale Cancer Center
New Haven
Connecticut
Recruiting
Mayo Clinic - Jacksonville, Fl
Jacksonville
Florida
Recruiting
University of Miami
Miami
Florida
Recruiting
Emory Winship Cancer Institute
Atlanta
Georgia
Recruiting
Robert H. Lurie Comprehensive Cancer Center of Northwestern University
Chicago
Illinois
Recruiting
University of Iowa Hospitals & Clinics- Holden Comprehensive Cancer Center
Iowa City
Iowa
Recruiting
Johns Hopkins University
Baltimore
Maryland
Recruiting
Dana-Farber Cancer Institute
Boston
Massachusetts
Recruiting
Mayo Clinic - Rochester, Mn
Rochester
Minnesota
Recruiting
The Washington University
St Louis
Missouri
Recruiting
Nebraska Methodist Hospital
Omaha
Nebraska
Recruiting
Memorial Sloan Kettering Cancer Center
New York
New York
Recruiting
Duke University
Durham
North Carolina
Recruiting
Cleveland Clinic
Cleveland
Ohio
Recruiting
The Ohio State University Comprehensive Cancer Center
Columbus
Ohio
Recruiting
Oregon Health & Science University Knight Cancer Institute
Portland
Oregon
Recruiting
University of Pittsburgh Medical Center-Hillman Cancer Center
Pittsburgh
Pennsylvania
Recruiting
Vanderbilt University Medical Center
Nashville
Tennessee
Recruiting
The Univeristy of Texas Md Anderson Cancer Center
Houston
Texas
Recruiting
Flinders Medical Centre
Bedford Park
Australia
Recruiting
Chris O'Brien Lifehouse
Camperdown
Australia
Not Yet Recruiting
Chris O'Brien Lifehouse
Camperdown
Australia
Recruiting
St Vincent'S Hospital Melbourne
Fitzroy
Australia
Recruiting
Sir Charles Gairdner Hospital
Nedlands
Australia
Recruiting
Princess Alexandra Hospital
Woolloongabba
Australia
Recruiting
Cliniques Universitaires St. Luc
Brussels
Belgium
Recruiting
U.Z. Gent
Ghent
Belgium
Recruiting
Centre Multidisciplinaire de Oncologie Medicale
Liège
Belgium
Recruiting
Liga Norte Riograndense Contra O Cancer
Natal
Rio Grande do Norte
Recruiting
Hospital de Amor - Barretos
Barretos
Brazil
Recruiting
Hospital Das Clínicas Da Ufmg
Belo Horizonte
Brazil
Recruiting
CIONC
Curitiba
Brazil
Recruiting
Cepon - Centro de Pesquisas Oncologicas
Florianópolis
Brazil
Recruiting
Fundação Amaral Carvalho - Jaú/ Sp
Jaú
Brazil
Recruiting
Instituto Nacional Do Câncer - Inca
Rio de Janeiro
Brazil
Recruiting
Icesp - Instituto Do Câncer Do Estado de São Paulo
São Paulo
Brazil
Recruiting
Impar Serviços Hospitalares S.A. - Hospital Nove de Julho
São Paulo
Brazil
Recruiting
+ 74 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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