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NCT Number: NCT07240662

Vorasidenib in CNS WHO Grade 2 IDH-mutant Diffuse Glioma

The goal of this prospective, observational study VIOLETA is to collect real-world data on vorasidenib treatment in a broad patient population. Though vorasidenib can be administered from 12 years old, VIOLETA focuses on adult patients with IDH1- or IDH2-mutant WHO grade 2 glioma who receive vorasidenib following surgery according to the current SmPC. Thus, VIOLETA will evaluate for the first-time treatment with vorasidenib in German clinical routine. To gain knowledge about how vorasidenib treatment affects patients' well-being, the primary objective of the study is to assess patients' quality of life. Further patient-relevant endpoints addressed by this study will include seizure burden, PFS, Objective Response Rate (ORR), TTNI, safety as well as factors affecting treatment decision making.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg

Heidelberg, Germany

Location status: Recruiting

Location contact

Wolfgang Wick, Prof. Dr.

CONTACT

[email protected]

+496221567075

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age ≥18 years
  • WHO grade 2 astrocytoma or oligodendroglioma
  • Presence of IDH1- or IDH2-mutation
  • Surgical intervention
  • No immediate need of radiotherapy or chemotherapy according to the treating physician
  • Decision for treatment with vorasidenib as per current SmPC
  • Signed written informed consent*
  • Willingness to participate in Patient-Reported Outcome (PRO) assessment in German language
  • Other criteria according to current SmPC * Patients are allowed to be enrolled up to 6 weeks after their first intake of vorasidenib but must still be on treatment at the time of enrollment

Exclusion criteria

  • Participation in an interventional clinical trial
  • Patient unable to consent
  • Other contraindications according to current SmPC.

Treatment and study plan

Vorasidenib

Drug

oral, first-in-class, dual inhibitor of mIDH 1 and 2

Primary outcomes

  1. Evaluate Quality of Life (QoL) by the Functional Assessment of Cancer Therapy - Brain (FACT-Br) questionnaire over the course of treatment

    Time frame: baseline, up to 72 months

    Evaluate QoL by the FACT-Br questionnaire over the course of treatment. Change from baseline in the FACT-Br total score over time. The FACT-Br total score ranges from 0 to 200, with higher scores indicating better quality of life.

Secondary outcomes

  1. Evaluate Quality of Life (QoL) by using the Functional Assessment of Cancer Therapy - Brain (FACT-Br) questionnaire at start and during course of vorasidenib treatment

    Time frame: baseline, up to 72 months

    Evaluate QoL by using the FACT-Br questionnaire at start and during course of vorasidenib treatment. Change from baseline over time for all other scales of the FACT-Br. For all scales, the higher the score the better quality of life.

  2. Assess seizure activity and severity at baseline and during treatment: Proportion of patients with baseline seizure activity

    Time frame: baseline, up to 72 months

    Proportion of patients with baseline seizure activity is defined as at least 1 seizure in the previous 30 days prior to vorasidenib treatment start

  3. Assess seizure activity and severity at baseline and during treatment: event rate of seizures

    Time frame: baseline, up to 72 months

    Exposure adjusted event rate of seizures according to patient-reported outcome (patient diary)

  4. Assess seizure activity and severity at baseline and during treatment: event rate of seizures with loss of consciousness

    Time frame: baseline, up to 72 months

    Exposure adjusted event rate of seizures with loss of consciousness according to PRO (patient diary)

  5. Assess seizure activity and severity at baseline and during treatment: incidence rate of seizures

    Time frame: baseline, up to 72 months

    Exposure adjusted incidence rate of seizures according to patient-recorded outcome

  6. Assess seizure activity and severity at baseline and during treatment: incidence rate of seizures with loss of consciousness

    Time frame: baseline, up to 72 months

    Exposure adjusted incidence rate of seizures according to patient-reported outcome

  7. Assess seizure activity and severity at baseline and during treatment: Change from baseline of seizures

    Time frame: max. 72 months; from patient-specific study start to end of study (during vorasidenib treatment and follow-up)

    Change from baseline of seizures reported by the patients during course of treatment

  8. Assess seizure activity and severity at baseline and during treatment: Change from baseline of seizures with loss of consciousness

    Time frame: baseline, up to 72 months

    Change from baseline of seizures with loss of consciousness reported by the patients during course of treatment

  9. Assess effectiveness in routine treatment: Progression-free survival

    Time frame: baseline, up to 72 months

    PFS ist defined as time interval measured from the day of first vorasidenib 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.

  10. Assess effectiveness in routine treatment: Overall Survival (OS)

    Time frame: baseline, up to 72 months

    OS is defined as the time interval measured form the day of first vorasidenib 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.

  11. Assess effectiveness in routine treatment: Objective response rate (ORR)

    Time frame: max. 72 months; from patient-specific study start to end of study (during vorasidenib treatment and follow-up)

    ORR is defined as the proportion of patients achieving Complete Response (CR), Partial Response (PR), or Minor Response (MR) as best response.

  12. Assess effectiveness in routine treatment: Disease Control Rate (DCR)

    Time frame: baseline, up to 72 months

    DCR is defined as proportion of patients with Complete Response, Partial Response, Minor Response or Stable Disease as best response.

  13. Assess effectiveness in routine treatment: Best response

    Time frame: baseline, up to 72 months

    Best response is defined as Complete Response (CR), Partial Response (PR), Minor Response (MR), Stable Disease (SD), or Progressive Disease (PD))

  14. Assess effectiveness in routine treatment: Time to next intervention (TTNI)

    Time frame: baseline, up to 72 months

    Time to next intervention is defined as time from first administration of vorasidenib until initiation of next intervention (i.e., subsequent antineoplastic treatment, surgery, chemotherapy or radiotherapy) or death, whichever comes first.

  15. Assess drug safety: Incidence of (serious) adverse events ((S)AEs)

    Time frame: Baseline up to 30 days after vorasidenib treatment

    Incidence of (serious) AEs ((S)AEs) as characterized by type, frequency, severity and seriousness.

  16. Assess drug safety: Incidence of (serious) adverse drug reactions ((S)ADRs)

    Time frame: Baseline up to 30 days after vorasidenib treatment

    Incidence of (serious) adverse drug reactions ((S)ADRs) as characterized by type, frequency, severity and seriousness.

  17. Assess drug safety: Incidence of seizures reported as treatment-emergent adverse events (TEAEs)

    Time frame: Baseline up to 30 days after vorasidenib treatment

    Treatment-emergent adverse events (TEAE) are adverse events that were not present before medical treatment, or a pre-existing event that worsens in intensity or frequency during vorasidenib treatment and the following 30 days.

  18. Assess parameters of physicians' treatment decision making using a questionnaire

    Time frame: Baseline

    Frequency of distinct parameters affecting therapy choice; questionnaire completed by treating physician.

  19. Duration of treatment with vorasidenib

    Time frame: baseline, up to 72 months

    Describe treatment reality in detail: Duration of treatment with vorasidenib

  20. Frequency of treatment modifications with reasons

    Time frame: baseline, up to 72 months

    Describe treatment reality in detail: Frequency of treatment modifications with reasons

  21. Time to start of vorasidenib treatment after initial diagnosis

    Time frame: Baseline

    Describe treatment reality in detail: Time to start of vorasidenib treatment after initial diagnosis

  22. Time to start of vorasidenib treatment after surgery

    Time frame: Baseline

    Describe treatment reality in detail: Time to start of vorasidenib treatment after surgery

  23. Frequency of distinct subsequent antineoplastic therapies (systemic therapies including substances, surgeries, radiotherapies)

    Time frame: baseline, up to 72 months

    Describe treatment reality in detail: Frequency of distinct subsequent antineoplastic therapies (systemic therapies including substances, surgeries, radiotherapies)

  24. Anti-epileptic medication: Proportion of patients with anti-epileptic drug (AED) treatment at baseline

    Time frame: baseline, up to 72 months

    Proportion of patients with anti-epileptic drug treatment at baseline (i.e. 30 days prior treatment)

  25. Anti-epileptic medication: Proportion of patients with AED treatment during treatment

    Time frame: baseline, up to 72 months

    Proportion of patients with anti-epileptic drug treatment during treatment

  26. Anti-epileptic medication: Type of AED

    Time frame: baseline, up to 72 months

    Anti-epileptic medication during course of treatment

  27. Anti-epileptic medication: Doses of AED

    Time frame: baseline, up to 72 months

    Doses of anti-epileptic medication over the course of time

  28. Anti-epileptic medication: AED modifications

    Time frame: baseline, up to 72 months

    Type of anti-epileptic medication modifications

  29. Anti-epileptic medication: Reasons for AED modifications

    Time frame: baseline, up to 72 months

    Anti-epileptic medication modifications with reasons thereof

  30. Anti-epileptic medication: Frequency of patients under AED treatment after End of Treatment (EOT) of vorasidenib

    Time frame: from end of treatment to end of study, up to 72 months

    Frequency of patients under AED treatment after EOT of vorasidenib (incl. dose)

Study contacts

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

iOMEDICO

CONTACT

[email protected]

+49761152420

Sponsors and collaborators

Lead sponsor

iOMEDICO AG

Industry

Registry information

Official study title

Vorasidenib in CNS WHO Grade 2 IDH-mutant Diffuse Glioma: A Multicenter, Prospective, Non-interventional Study in Germany

Acronym: VIOLETA

Important dates

Study start
2025
Primary completion
2031
Study completion
2032
First posted
Nov 21, 2025
Registry last updated
Jan 9, 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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