Agios Pharma’s Tibsovo Approved for Leukemia

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FDA has approved an Agios Pharmaceuticals NDA for Tibsovo (ivosidenib) tablets for treating adult patients with relapsed or refractory acute myeloid leukemia (AML) who have a specific genetic mutation. This is the first isocitrate dehydrogenase-1 inhibitor approved for use with an FDA-approved companion diagnostic (Abbott’s RealTime IDH1 Assay) used to detect specific mutations in the IDH1 gene in patients with AML.

 

Tibsovo works by decreasing abnormal production of the oncometabolite 2-hydroxyglutarate, leading to differentiation of malignant cells, an agency release says. Its efficacy was demonstrated in a single-arm trial of 174 adult patients with relapsed or refractory AML with an IDH1 mutation. With a median follow-up of 8.3 months, 32.8% of patients experienced a complete remission or complete remission with partial hematologic recovery that lasted a median 8.2 months, it says. “Of the 110 patients who required transfusions of blood or platelets due to AML at the start of the study, 37% went at least 56 days without requiring a transfusion after treatment with Tibsovo,” it adds.


Common side effects of Tibsovo include fatigue, increase in white blood cells, joint pain, diarrhea, shortness of breath, swelling in the arms or legs, nausea, pain or sores in the mouth or throat, irregular heartbeat (QT prolongation), rash, fever, cough and constipation. Women who are breastfeeding should not take Tibsovo because it may cause harm to a newborn baby. Additionally, Tibsovo must be dispensed with a patient Medication Guide that describes important information about the drug’s uses and risks.

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