Difference between revisions of "Ivosidenib (Tibsovo)"

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==Mechanism of action==
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==General information==
From the [https://www.cancer.gov/publications/dictionaries/cancer-drug/def/idh1-inhibitor-ag-120 NCI Drug Dictionary]: An orally available inhibitor of isocitrate dehydrogenase type 1 (IDH1), with potential antineoplastic activity. Upon administration, ivosidenib specifically inhibits a mutated form of IDH1 in the cytoplasm, which inhibits the formation of the oncometabolite, 2-hydroxyglutarate (2HG). This may lead to both an induction of cellular differentiation and an inhibition of cellular proliferation in IDH1-expressing tumor cells.
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Class/mechanism: IDH1 inhibitor. Ivosidenib inhibits the mutant isocitrate dehydrogenase 1 (IDH1) enzyme at lower drug concentrations than wild-type IDH1. Inhibiting mutant IDH1 enzyme prevents formation of the oncometabolite 2-hydroxyglutarate (2HG) in leukemia cells, causes a reduction in IDH1-expressing tumor cells, and increases percentages of mature myeloid cells.<ref name="insert">[https://www.tibsovo.com/pdf/prescribinginformation.pdf Ivosidenib (Tibsovo) package insert]</ref><ref>[[Media:Ivosidenib.pdf | Ivosidenib (Tibsovo) package insert (locally hosted backup)]]</ref><ref>[https://www.tibsovo.com/ Tibsovo manufacturer's website]</ref>
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==Diseases for which it is used==
 
==Diseases for which it is used==
 
*[[Acute_myeloid_leukemia,_IDH-mutated|IDH1-mutated AML]]
 
*[[Acute_myeloid_leukemia,_IDH-mutated|IDH1-mutated AML]]
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==Patient drug information==
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*[https://www.tibsovo.com/pdf/prescribinginformation.pdf Ivosidenib (Tibsovo) package insert]<ref name="insert"></ref>
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*[http://chemocare.com/chemotherapy/drug-info/ivosidenib.aspx Ivosidenib (Tibsovo) patient drug information (Chemocare)]<ref>[http://chemocare.com/chemotherapy/drug-info/ivosidenib.aspx Ivosidenib (Tibsovo) patient drug information (Chemocare)]</ref>
  
 
==History of changes in FDA indication==
 
==History of changes in FDA indication==
 
* 7/20/2018: Granted approval for adult patients with relapsed or refractory [[Acute_myeloid_leukemia,_IDH-mutated|acute myeloid leukemia (AML) with a susceptible IDH1 mutation]] as detected by an FDA-approved test.
 
* 7/20/2018: Granted approval for adult patients with relapsed or refractory [[Acute_myeloid_leukemia,_IDH-mutated|acute myeloid leukemia (AML) with a susceptible IDH1 mutation]] as detected by an FDA-approved test.
* 5/2/2019: Approval expanded for newly-diagnosed [[Acute_myeloid_leukemia,_IDH-mutated|acute myeloid leukemia (AML) with a susceptible IDH1 mutation]], as detected by an FDA-approved test, in patients who are at least 75 years old or who have comorbidities that preclude the use of intensive induction chemotherapy. ''(approval expanded to first-line setting with limitations)''
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* 5/2/2019: [https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-ivosidenib-first-line-treatment-aml-idh1-mutation FDA approval expanded] "for newly-diagnosed [[Acute_myeloid_leukemia,_IDH-mutated|acute myeloid leukemia (AML) with a susceptible IDH1 mutation]], as detected by an FDA-approved test, in patients who are at least 75 years old or who have comorbidities that preclude the use of intensive induction chemotherapy." ''(approval expanded to first-line setting with limitations)''
  
 
==Also known as==
 
==Also known as==
 
*'''Code name:''' AG-120
 
*'''Code name:''' AG-120
 
*'''Brand name:''' Tibsovo
 
*'''Brand name:''' Tibsovo
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==References==
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<references/>
  
 
[[Category:Drugs]]
 
[[Category:Drugs]]

Revision as of 21:25, 12 May 2019

General information

Class/mechanism: IDH1 inhibitor. Ivosidenib inhibits the mutant isocitrate dehydrogenase 1 (IDH1) enzyme at lower drug concentrations than wild-type IDH1. Inhibiting mutant IDH1 enzyme prevents formation of the oncometabolite 2-hydroxyglutarate (2HG) in leukemia cells, causes a reduction in IDH1-expressing tumor cells, and increases percentages of mature myeloid cells.[1][2][3]

Diseases for which it is used

Patient drug information

History of changes in FDA indication

Also known as

  • Code name: AG-120
  • Brand name: Tibsovo

References