SIGMA (Safusidenib in IDH1 Mutant Glioma Maintenance)
NCT05303519 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 365
Last updated 2026-03-05
Summary
This is a 3-part study. The purpose of Part 1 of the study is to evaluate the efficacy, safety, and pharmacokinetic (PK) characteristics of safusidenib in participants with recurrent/progressive IDH1-mutant World Health Organization (WHO) Grade 2 or Grade 3 glioma.
The purpose of Part 2 will be to evaluate the efficacy of maintenance safusidenib treatment versus placebo in IDH1-mutant Grade 2 or Grade 3 astrocytoma with high-risk features or IDH1-mutant Grade 4 astrocytoma, following standard-of-care radiation or chemoradiation and adjuvant temozolomide. Part 2 will be randomized, double-blind, and placebo-controlled.
The purpose of Part 3 will be to evaluate the efficacy of safusidenib in participants with residual or recurrent IDH1-mutant Grade 3 oligodendroglioma who have received surgery as their only treatment. Part 3 will be an open-label single-arm cohort and will enroll participants concurrently with Part 2.
Conditions
- Glioma
- Astrocytoma, Grade IV
- IDH1-mutant Glioma
- Astrocytoma, IDH-Mutant, Grade 3
- Astrocytoma, IDH-Mutant, Grade 4
- Astrocytoma, IDH-Mutant, Grade 2
- Oligodendroglioma
- Oligodendroglioma, IDH-Mutant and 1p/19q-Codeleted
Interventions
- DRUG
-
safusidenib
safusidenib administered continuously as dosed single agent orally on Days 1 to 28 of a 28-day cycle. Subjects may continue treatment with agent safusidenib until disease progression or development of other unacceptable toxicity.
- DRUG
-
Placebo administered continuously as dosed single agent orally on Days 1 to 28 of a 28-day cycle. Subjects may continue treatment with placebo until disease progression or another reason for discontinuation occurs.
Sponsors & Collaborators
-
AnHeart Therapeutics Inc.
collaborator INDUSTRY -
Nuvation Bio Inc.
lead INDUSTRY
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-06-05
- Primary Completion
- 2028-12-01
- Completion
- 2030-12-01
- FDA Drug
- Yes
Countries
- United States
- Australia
- China
Study Locations
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