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NCT Number: NCT06607302

Ivosidenib in Locally Advanced or Metastatic Cholangiocarcinoma With IDH1 R132 Mutation After at Least One Prior Systemic Treatment - an Observational Study

Cholangiocarcinoma is a rare and aggressive tumor of the bile duct associated with a poor prognosis and very limited treatment options. The IDH1 inhibitor ivosidenib provides a new, targeted treatment option for this disease. Ivosidenib was approved by European Medicines Agency (EMA) in May 2023 as monotherapy in adult patients with locally advanced or metastatic cholangiocarcinoma with an IDH1 R132 mutation who were previously treated by at least one prior line of systemic therapy.

The prospective, multicenter, observational study IDHIRA will collect first real-world data on ivosidenib treatment in a broad patient population in Germany. Ivosidenib will be administered according to the current SmPC. Thus, IDHIRA will generate real-world evidence on effectiveness, quality of life (QoL) and safety of ivosidenib.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Hämatologisch-Onkologische Schwerpunktpraxis in Bad Liebenwerda, Bad Liebenwerda, Germany

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 18 years or older.
  • Histologically confirmed locally advanced or metastatic CCC with a documented IDH1 R132 mutation diagnosed by an appropriate diagnostic test
  • Patients must have at least one prior systemic therapy
  • Decision for treatment with ivosidenib according to current SmPC.
  • Signed written informed consent before or within 6 weeks of first ivosidenib dose (inclusion of patients up to 6 weeks after first ivosidenib intake is allowed for patients not participating in the PRO module)
  • For patients participating in the PRO module (optional):
  • Dated signature of informed consent form before start of study treatment.
  • Willingness and capability to participate in PRO assessment in German language.
  • Other criteria according to current SmPC.

Exclusion criteria

  • Participation in an interventional clinical trial within 30 days prior to enrolment or concurrent participation in an interventional clinical trial except for the follow-up period.
  • Other contraindications according to current SmPC.

Treatment and study plan

Primary outcomes

  1. Progression-free survival (PFS)

    Time frame: max. 38 months (FPI - LPLV)

    PFS is defined as the time interval measured from the day of first ivosidenib administration to first progression or death, whichever comes first. Patients without tumor progression or death at the time of analysis will be censored at their date of last contact.

Secondary outcomes

  1. Overall survival (OS)

    Time frame: max. 38 months (FPI - LPLV)

    OS is defined as the time interval measured from the day of first ivosidenib administration to time of death from any cause. Time to last contact will be used if a patient has no documented date of death and OS for the patient will be considered censored.

  2. Timt to treatment failure (TTF)

    Time frame: max. 38 months (FPI - LPLV)

    TTF is defined as the time interval measured from the day of first ivosidenib until discontinuation of treatment for any reason including progression, toxicity, start of a new antineoplastic therapy, or death, whichever occurs first. Patients dropping out without knowledge of a potential ending of therapy (e.g., lost to follow up) will be censored with the last date of contact.

  3. Overall response rate (ORR)

    Time frame: max. 38 months (FPI - LPLV)

    ORR is defined as the proportion of patients achieving a complete or partial response as best response. Patients without response measurement are considered non-responders.

  4. Disease control rate (DCR)

    Time frame: max. 38 months (FPI - LPLV)

    DCR is defined as the proportion of patients achieving complete response, partial response, or stable disease as best response. Patients without response measurement are considered non-responders.

  5. (Serious) adverse events ((S)AE))

    Time frame: max. 38 months (FPI - LPLV)

    The case- and patient-based incidence of (S)AEs will be provided.

  6. (Serious) adverse drug reactions ((S)ADR) related to ivosidenib

    Time frame: max. 38 months (FPI - LPLV)

    The case- and patient-based incidence of (S)ADRs will be provided.

  7. Adverse events of special interest (AESI)

    Time frame: max. 38 months (FPI - LPLV)

    The case- and patient-based incidence of AESIs will be provided.

  8. Global health-related quality of life during course of treatment

    Time frame: max. 38 months (FPI - LPLV)

    The change from baseline (i.e., difference) in the scales of the EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer quality of life questionnaire C30) will be displayed for each point in time, using boxplots.

    The scales of the EORTC QLQ-C30 range in score from 0 to 100. A high scale score represents a higher response level.

  9. Cholangiocarcinoma-related quality of life during course of treatment

    Time frame: max. 38 months (FPI - LPLV)

    The change from baseline (i.e., difference) in the scales of the EORTC QLQ-BIL21 (European Organisation for Research and Treatment of Cancer quality of life questionnaire BIL21) will be displayed for each point in time, using boxplots.

    The scales of the EORTC QLQ-BIL21 range in score from 0 to 100. A high scale score represents a higher response level.

  10. Assessing parameters of physician treatment decision making

    Time frame: max. 30 months (recruitment period)

    Frequencies of distinct impact ratings for parameters affecting ivosidenib therapy choice will be visualized using stacked bar charts.

  11. Assessing parameters of physician treatment satisfaction

    Time frame: max. 32 months (recruitment period plus 8 weeks)

    Frequencies of distinct satisfaction levels with ivosidenib treatment effectiveness and AE management will be visualized using stacked bar charts.

  12. Cumulative ivosidenib dose

    Time frame: max. 38 months (FPI - LPLV)

    Summary tables containing descriptive statistics (n, mean, standard deviation, median, 25th and 75th percentiles, minimum, and maximum) will be provided.

  13. Absolute dose intensity of ivosidenib

    Time frame: max. 38 months (FPI - LPLV)

    Summary tables containing descriptive statistics (n, mean, standard deviation, median, 25th and 75th percentiles, minimum, and maximum) will be provided.

  14. Relative dose intensity of ivosidenib

    Time frame: max. 38 months (FPI - LPLV)

    Summary tables containing descriptive statistics (n, mean, standard deviation, median, 25th and 75th percentiles, minimum, and maximum) will be provided.

  15. Frequency of dose modifications

    Time frame: max. 38 months (FPI - LPLV)

    Frequency of dose modifications will be presented.

  16. Type of dose modifications

    Time frame: max. 38 months (FPI - LPLV)

    Type of dose modifications (i.e., dose reductions, dose escalations, and interruptions) will be presented.

  17. Reasons for dose modifications

    Time frame: max. 38 months (FPI - LPLV)

    Reasons for dose modifications will be presented.

  18. Duration of treatment with ivosidenib

    Time frame: max. 38 months (FPI - LPLV)

    Duration of treatment with ivosidenib

  19. Reasons for end of treatment (EOT)

    Time frame: max. 38 months (FPI - LPLV)

    Reasons for end of treatment will be displayed

  20. Type of last previous therapy

    Time frame: max. 38 months (FPI - LPLV)

    Type of substances given in the last previous therapy will be displayed.

  21. Frequency of last previous therapy

    Time frame: max. 38 months (FPI - LPLV)

    Frequency of different substances given in the last previous therapy will be displayed.

  22. Duration of last previous therapy line

    Time frame: max. 38 months (FPI - LPLV)

    Duration of last previous therapy line will be displayed.

  23. Concomitant medications

    Time frame: max. 38 months (FPI - LPLV)

    Frequency of concomitant medications in total will be displayed.

  24. Concomitant medications known to induce QT prolongation

    Time frame: max. 38 months (FPI - LPLV)

    Frequency of concomitant medications known to induce QT prolongation (e.g., antiarrhythmic medicines, fluoroquinolones, triazole anti-fungals, 5-HT3 receptor antagonists) will be displayed.

  25. Subsequent antineoplastic therapies

    Time frame: max. 38 months (FPI - LPLV)

    Frequency and type of subsequent antineoplastic therapies by line of therapy will be displayed.

Study contacts

Contact information is provided by the study sponsor or research team.

Sina Grebhardt, PhD

CONTACT

[email protected]

+49 761 15 242 31

Sponsors and collaborators

Lead sponsor

iOMEDICO AG

Industry

Collaborators

  • Servier Deutschland GmbH

Registry information

Official study title

Ivosidenib in Locally Advanced or Metastatic Cholangiocarcinoma With IDH1 R132 Mutation After at Least One Prior Systemic Treatment - a Prospective, Multicenter, Observational Study in Germany

Acronym: IDHIRA

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Sep 23, 2024
Registry last updated
Jun 25, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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