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Table 1 Characteristics of studies and subjects included in the review

From: Efficacy and safety of IDH inhibitors in IDH-mutated cancers: a systematic review and meta-analysis of 4 randomized controlled trials

Study author (year)

Study design

Gender (M/F)

Case

Experimental

vs. control

Patients’ characteristics

Intervention methods

Abou-Alfa 2020

RCT phase 3

68/117

185

124vs61

Patients from 49 hospitals in six countries aged at least 18 years with histologically confirmed, advanced, IDH1-mutant cholangiocarcinoma who had progressed on previous therapy, and had up to two previous treatment regimens for advanced disease, an Eastern Cooperative Oncology Group performance status score of 0 or 1, and a measurable lesion as defined by Response Evaluation Criteria in Solid Tumors version 1.1.

Oral ivosidenib 500 mg once daily vs. or matched placebo

Botton 2023

RCT phase 3

181/132

319

158vs161

Patients aged ≥ 60 years with de novo or secondary AML (World Health Organization classification20), a confirmed IDH2 gene mutation, and an Eastern Cooperative Oncology Group performance status score ≤ 2. At screening, patients were to have received 2 or 3 prior AML-directed therapies; prior hypomethylating agent (HMA) therapy for higher-risk myelodysplastic syndromes (MDS) also constituted an eligible prior therapy if the patient experienced progression to AML during or within 60 days after receiving the HMA.

Enasidenib 100 mg per day vs. conventional care regimen (CCR)

DiNardo 2021

RCT phase 2

/

101

68vs33

Eligible patients were aged 18 years or older and had newly diagnosed, mutant-IDH2 acute myeloid leukaemia, and an Eastern Cooperative Oncology Group performance status of 0–2

Enasidenib plus azacitidine vs. azacitidine only

Montesinos 2022

RCT phase 3

80/66

146

72vs74

Age of 18 years or older and a centrally confirmed diagnosis of previously untreated IDH1-mutated acute myeloid leukemia determined with the Food and Drug Administration–approved Abbott RealTime IDH1 in vitro polymerase-chain-reaction (PCR) assay. Additional eligibility criteria included no previous treatment with an IDH1 inhibitor or hypomethylating agent for myelodysplastic syndrome, an Eastern Cooperative Oncology Group (ECOG) performance-status score of 0 to 2 (on a 5-point scale in which higher scores indicate greater disability), and adequate hepatic and renal function.

Oral ivosidenib (500 mg once daily) and subcutaneous or intravenous azacitidine (75 mg per square meter of body-surface area for 7 days in 28-day cycles) or to receive matched placebo and azacitidine