Evidence map›Paper›PMID 30967620›Full record

Trial reportLeukemia2019

Enasidenib, an inhibitor of mutant IDH2 proteins, induces durable remissions in older patients with newly diagnosed acute myeloid leukemia.

Daniel A Pollyea, Martin S Tallman, Stéphane de Botton, Hagop M Kantarjian, Robert Collins, Anthony S Stein, Mark G Frattini, Qiang Xu, Alessandra Tosolini, Wendy L See and 5 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01915498 (A Phase 1/2, Multicenter, Open-Label, Dose-Escalation and Expansion, Safety, Pharmacokinetic, Pharmacodynamic, and Clinical Activity Study of Orally Administered AG-221 in Subjects With Advanced Hematologic Malignancies With an IDH2 Mutation), which is not on this map. Cited by 131 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 1 pooled it
26.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01915498 phase1 / phase2completednot on this map

A Phase 1/2, Multicenter, Open-Label, Dose-Escalation and Expansion, Safety, Pharmacokinetic, Pharmacodynamic, and Clinical Activity Study of Orally Administered AG-221 in Subjects With Advanced Hematologic Malignancies With an IDH2 Mutation

TypeinterventionalSponsorCelgeneRan2013 to 2023Enrolled345ConditionsHematologic NeoplasmsArmsEnasidenib
3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 1 synthesis or guideline pooled it, 248 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  11. Epigenetic Targeting in Myeloid Malignancies.Advances in experimental medicine and biology · 2026
    Review
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  15. Article
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71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 2 countries.

Daniel A PollyeaDivision of Hematology, University of Colorado School of Medicine, Aurora, CO, USA. daniel.pollyea@ucdenver.edu.ORCID http://orcid.org/0000-0001-6519-4860
Martin S TallmanLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Stéphane de BottonUniversité Paris-Sud, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Hagop M KantarjianThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Robert CollinsUT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0003-0313-2394
Anthony S SteinCity of Hope Comprehensive Cancer Center, Duarte, CA, USA.
Mark G FrattiniCelgene Corporation, Summit, NJ, USA.
Qiang XuCelgene Corporation, Summit, NJ, USA.
Alessandra TosoliniCelgene Corporation, Summit, NJ, USA.
Wendy L SeeCelgene Corporation, Summit, NJ, USA.
Kyle J MacBethCelgene Corporation, Summit, NJ, USA.
Samuel V AgrestaAgios Pharmaceuticals, Inc., Cambridge, MA, USA.
Eyal C AttarAgios Pharmaceuticals, Inc., Cambridge, MA, USA.
Courtney D DiNardoThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-9003-0390
Eytan M SteinLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Agios Pharmaceuticals (United States) · USMemorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USCity of Hope · USSouthwestern Medical Center · USUniversité Paris-Sud · FRUniversity of Colorado Denver · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Older adults with acute myeloid leukemia (AML) who are not fit for standard chemotherapy historically have poor outcomes. Approximately 12-15% of older patients with AML harbor isocitrate dehydrogenase 2 (IDH2) gene mutations. Enasidenib is an oral inhibitor of mutant IDH2 proteins. Among 39 patients with newly diagnosed mutant-IDH2 AML who received enasidenib monotherapy in this phase I/II trial, median age was 77 years (range 58-87) and 23 patients (59%) had had an antecedent hematologic disorder. The median number of enasidenib treatment cycles was 6.0 (range 1-35). The most common treatment-related adverse events were indirect hyperbilirubinemia (31%), nausea (23%), and fatigue, decreased appetite, and rash (18% each). Treatment-related grade 3-4 cytopenias were reported for eight patients (21%); there was no treatment-related grade 3-4 infections. Twelve patients achieved a response (overall response rate 30.8% [95% CI 17.0%, 47.6%]), including seven patients (18%) who attained complete remission. At a median follow-up of 8.4 months, the median duration of any response was not reached (NR). Median overall survival for all patients was 11.3 months (95% CI 5.7, 15.1), and was NR for responders. Oral, outpatient targeted treatment with enasidenib may benefit older adults with newly diagnosed mutant-IDH2 AML who are not candidates for cytotoxic regimens.

Indexed as

AgedAged, 80 and overAminopyridinesEnzyme InhibitorsFemaleHematologic DiseasesHumansIsocitrate DehydrogenaseLeukemia, Myeloid, AcuteMaleMaximum Tolerated DoseMiddle AgedMutant ProteinsMutationRemission InductionTreatment OutcomeAminopyridinesenasidenibEnzyme InhibitorsIDH2 protein, humanIsocitrate DehydrogenaseMutant ProteinsTriazines

Identifiers

PMID30967620
PMCPMC9724489
OpenAlexW2939577741

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.