Hematologic Neoplasms
Conditions
Keywords
acute myeloid leukemia, AML, myelodysplastic syndrome, MDS, hematologic malignancies, IDH2, Phase I, Phase II, AG-221, relapse AML, refractory AML
Brief summary
The primary objectives of Phase 1 Dose Escalation/Part 1 Expansion are: * To assess the safety and tolerability of treatment with enasidenib administered continuously as a single agent dosed orally on Days 1 to 28 of a 28-day cycle in participants with advanced hematologic malignancies. * To determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) and/or the recommended Phase 2 dose (RP2D) of enasidenib in participants with advanced hematologic malignancies. The primary objective of Phase 2 is: • To assess the efficacy of enasidenib as treatment for participants with relapsed or refractory (R/R) acute myelogenous leukemia (AML) with an IDH2 mutation.
Interventions
Enasidenib tablets administered orally every day of 28-day treatment cycles until disease progression or unacceptable toxicities.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Subject must be greater than or equal to 18 years of age. 2. Subjects must have an advanced hematologic malignancy including: Phase 1/ Dose escalation: 1. Diagnosis of acute myelogenous leukemia (AML) according to World Health Organization (WHO) criteria; * Disease refractory or relapsed (defined as the reappearance of \> 5% blasts in the bone marrow). * Untreated AML, greater than or equal to 60 years of age and are not candidates for standard therapy due to age, performance status, and/or adverse risk factors, according to the treating physician and with approval of the Medical Monitor; 2. Diagnosis of Myelodysplastic syndrome (MDS) according to WHO classification with refractory anemia with excess blasts (RAEB-1 or RAEB-2), or considered high-risk by the Revised International Prognostic Scoring System (IPSS-R), that is recurrent or refractory, or the subject is intolerant to established therapy known to provide clinical benefit for their condition (i.e., subjects must not be candidates for regimens known to provide clinical benefit), according to the treating physician and with approval of the Medical Monitor. Phase 1/Part 1 Expansion: Arm 1: Relapsed or refractory AML and age greater than or equal to 60 years or any subject with AML regardless of age who has relapsed following a bone marrow transplant (BMT). Arm 2: Relapsed or refractory AML and age \<60 years, excluding subjects with AML who have relapsed following a BMT. Arm 3: Untreated AML and age greater than or equal to 60 years that decline standard of care chemotherapy. Arm 4: Isocitrate dehydrogenase protein, 2 (IDH2)-mutated advanced hematologic malignancies not eligible for Arms 1 to 3. Phase 2: Diagnosis of AML according to World Health Organization (WHO) criteria and disease relapsed or refractory as defined by: * Subjects who relapse after allogeneic transplantation; * Subjects in second or later relapse; * Subjects who are refractory to initial induction or re-induction treatment * Subjects who relapse within 1 year of initial treatment, excluding patients with favorable-risk status according to National Comprehensive Cancer Network (NCCN) Guidelines. Favorable-risk cytogenetics: inv(16), t(16;16), t(8;21), t(15;17) 3. Subjects must have documented IDH2 gene-mutated disease: * For subjects in the dose escalation phase and Part 1 Expansion, IDH2 mutation may be based on local evaluation. (Centralized testing will be performed retrospectively.) * For subjects in the Phase 2 portion of the trial, central testing of IDH2 mutation of bone marrow aspirate and peripheral blood, is required during screening to confirm eligibility 4. Subjects must be amenable to serial bone marrow sampling, peripheral blood sampling and urine sampling during the study. * The diagnosis and evaluation of AML or MDS will be made by bone marrow aspiration and/or biopsy. If an aspirate is unobtainable (i.e., a dry tap), the diagnosis may be made from the core biopsy. * Screening bone marrow aspirate and peripheral blood samples are required of all subjects. A bone marrow biopsy must be collected if adequate aspirate is not attainable unless: * A bone marrow aspirate and biopsy was performed as part of the standard of care within 28 days prior to the start of the study treatment; and * Slides of bone marrow aspirate, biopsy and stained peripheral blood smear are available for both local and central pathology reviewers; and * A bone marrow aspirate sample acquired within 28 days prior to the start of study treatment has been sent for cytogenetic analysis. 5. Subjects must be able to understand and willing to sign an informed consent. A legally authorized representative may consent on behalf of a subject who is otherwise unable to provide informed consent, if acceptable to and approved by the site and/or sites Institutional Review Board (IRB)/Independent Ethics Committee (IEC). 6. Subjects must have Eastern Cooperative Oncology Group (ECOG) Performance status (PS) of 0 to 2. 7. Platelet count ≥ 20,000/μL (transfusions to achieve this level are allowed). Subjects with a baseline platelet count of \< 20,000/μL due to underlying malignancy are eligible with Medical Monitor approval. 8. Subjects must have adequate hepatic function as evidenced by: * Serum total bilirubin ≤ 1.5 × upper limit of normal (ULN), unless considered due to Gilbert's disease, a gene mutation in UGT1A1, or leukemic organ involvement, following approval by the Medical Monitor; * Aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase (ALP) ≤ 3.0 × ULN, unless considered due to leukemic organ involvement. 9. Subjects must have adequate renal function as evidenced by: • Serum creatinine ≤ 2.0 × ULN OR • Creatinine clearance greater than 40 mL/min based on the Cockroft-Gault glomerular filtration rate (GFR) estimation: (140 - Age) x (weight in kg) x (0.85 if female)/72 x serum creatinine 10. Subjects must be recovered from any clinically relevant toxic effects of any prior surgery, radiotherapy, or other therapy intended for the treatment of cancer. (Subjects with residual Grade 1 toxicity, for example Grade 1 peripheral neuropathy or residual alopecia, are allowed with approval of the Medical Monitor) 11. Female subjects of child-bearing potential must agree to undergo medically supervised pregnancy test prior to starting study drug. The first pregnancy test will be performed at screening (within 7 days prior to first study drug administration), and on the day of the first study drug administration and confirmed negative prior to dosing and Day 1 before dosing all subsequent cycles. 12. Female subjects with reproductive potential must have a negative serum pregnancy test within 7 days prior to the start of therapy. Subjects with reproductive potential are defined as sexually mature women who have not undergone a hysterectomy, bilateral oophorectomy or tubal occlusion or who have not been naturally postmenopausal (i.e., who have not menstruated at all) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months). Females of reproductive potential as well as fertile men and their partners who are female of reproductive potential must agree to abstain from sexual intercourse or to use two highly effective forms of contraception from the time of giving informed consent, during the study and for 120 days (females and males) following the last dose of AG-221. A highly effective form of contraception is defined as hormonal oral contraceptives, injectables, patches, intrauterine devices, double-barrier method (e.g., synthetic condoms, diaphragm, or cervical cap with spermicidal foam, cream, or gel), or male partner sterilization. 13. Able to adhere to the study visit schedule (ie, clinic visits at the study sites are mandatory, unless noted otherwise for particular study visits) and other protocol requirements.
Exclusion criteria
1. Subjects who have undergone hematopoietic stem cell transplant (HSCT) within 60 days of the first dose of AG-221, or subjects on immunosuppressive therapy post HSCT at the time of screening, or with clinically significant graft-versus-host disease (GVHD). (The use of a stable dose of oral steroids post GVHD and/or topical steroids for ongoing skin GVHD is permitted with Medical Monitor approval.) 2. Subjects who received systemic anticancer therapy or radiotherapy \< 14 days prior to their first day of study drug administration. (Hydroxyurea is allowed for up to 28 days after the start of AG-221 for the control of peripheral leukemic blasts in subjects with white blood cell \[WBC\] counts \> 30,000/μL as well as prior to enrollment). 3. Subjects who received a small molecule investigational agent \< 14 days prior to their first day of study drug administration. In addition, the first dose of AG-221 should not occur before a period ≥ 5 half-lives of the investigational agent has elapsed. 4. Subjects taking the following sensitive cytochrome P450 (CYP) substrate medications that have a narrow therapeutic range are excluded from the study unless they can be transferred to other medications within ≥5 half-lives prior to dosing: paclitaxel (CYP2C8) warfarin, phenytoin (CYP2C9), S-mephenytoin (CYP2C19), thioridazine (CYP2D6), theophylline and tizanidine (CYP1A2). 5. Subjects taking the P-glycoprotein (P-gp) and breast cancer resistant protein (BCRP) transporter-sensitive substrates digoxin and rosuvastatin should be excluded from the study unless they can be transferred to other medications within ≥ 5 half-lives prior to dosing. 6. Subjects for whom potentially curative anticancer therapy is available. 7. Subjects who are pregnant or lactating. 8. Subjects with an active severe infection that required anti-infective therapy or with an unexplained fever \> 38.5°C during screening visits or on their first day of study drug administration (at the discretion of the Investigator, subjects with tumor fever may be enrolled). 9. Subjects with known hypersensitivity to any of the components of AG-221. 10. Subjects with New York Heart Association (NYHA) Class III or IV congestive heart failure or left ventricular ejection fraction (LVEF) \< 40% by echocardiogram (ECHO) or multi-gated acquisition (MUGA) scan within approximately 28 days of Cycle 1, Day 1 (C1D1). 11. Subjects with a history of myocardial infarction within the last 6 months of screening. 12. Subjects with uncontrolled hypertension (systolic blood pressure \[BP\] \>180 mmHg or diastolic BP \> 100 mmHg) at screening are excluded. Subjects requiring 2 or more medications to control hypertension are eligible with Medical Monitor approval. 13. Subjects with known unstable or uncontrolled angina pectoris. 14. Subjects with a known history of severe and/or uncontrolled ventricular arrhythmias. 15. Subjects with heart-rate corrected QT (QTc) interval ≥ 450 msec or other factors that increase the risk of QT prolongation or arrhythmic events (e.g., heart failure, hypokalemia, family history of long QT interval syndrome) at screening. 16. Subjects taking medications that are known to prolong the QT interval unless they can be transferred to other medications within ≥ 5 half-lives prior to dosing. 17. Subjects with known infection with human immunodeficiency virus (HIV) or active hepatitis B or C. 18. Subjects with any other medical or psychological condition, deemed by the Investigator to be likely to interfere with a subject's ability to sign informed consent, cooperate, or participate in the study. 19. Subjects with known dysphagia, short-gut syndrome, gastroparesis, or other conditions that limit the ingestion or gastrointestinal absorption of drugs administered orally. 20. Subjects with clinical symptoms suggesting active central nervous system (CNS) leukemia or known CNS leukemia. 21. Subjects with immediately life-threatening, severe complications of leukemia such as uncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminated intravascular coagulation. 22. In the Phase 2 portion of the trial only, subjects who have previously received treatment with an inhibitor of Isocitrate dehydrogenase ( IDH).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | From time of first dose up to the end of Cycle 1; 28 days | Toxicity severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03. A DLT was defined as: • Non-hematologic toxicities: CTCAE ≥ Grade 3 with the exception of ≥ Grade 3 blood bilirubin increases in participants with a uridine diphosphate- glucuronosyltransferase 1 family, polypeptide A1 (UGT1A1) mutation. In participants with a UGT1A1 mutation, blood bilirubin increases of \> 5× upper limit of normal (ULN) were considered a DLT. • Hematologic toxicities: Prolonged myelosuppression, defined as persistence of ≥ Grade 3 neutropenia or thrombocytopenia (by NCI CTCAE v4.03), leukemia-specific criteria, i.e., marrow cellularity \<5% on Day 28 or later from the start of study drug without evidence of leukemia) at least 42 days after the initiation of Cycle 1 therapy. Leukemia-specific grading was used for cytopenias (based on percentage decrease from Baseline: 50 to 75% = Grade 3, \>75% = Grade 4) |
| Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | From the first dose of investigational product (IP) up to 28 days after the last dose, up to the data cutoff date of 01 September 2017; median treatment duration in the dose escalation phase was 5.0 months (range 0.4 to 34.2 months). | A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: • Resulted in death; • Was life threatening; • Requires inpatient hospitalization or prolongation of existing hospitalization; • Resulted in persistent or significant disability/incapacity; • Was a congenital anomaly/birth defect; • Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5). |
| Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | From the first dose of investigational product (IP) up to 28 days after the last dose of IP up to the data cutoff date of 01 September 2017; median treatment duration in Part 1 Expansion was 5.2 months (range 0.5 to 32.8 months). | A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: • Resulted in death; • Was life threatening; • Required inpatient hospitalization or prolongation of existing hospitalization; • Resulted in persistent or significant disability/incapacity; • Was a congenital anomaly/birth defect; • Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5). |
| Phase 2 Dose Expansion: Investigator Assessed Overall Response Rate (ORR) | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | ORR is defined as the percentage of participants achieving an overall response of complete response (CR), CR with incomplete neutrophil recovery (CRi), CR with incomplete platelet recovery (CRp), partial response (PR), or morphologic leukemia-free state (MLFS) based on the 2003 revised International Working Group (IWG) criteria for AML, assessed by the Investigator. CR: • Absolute neutrophil count (ANC) \> 1.0 x10⁹/L • Platelet count \> 100 x10⁹/L • Bone marrow (BM) blasts \< 5% • Absence of blasts with Auer rods • Independence of red cell transfusions CRi: • All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: • All CR criteria except for residual thrombocytopenia (platelets \< 100 x 10⁹/L) PR: • Meets hematologic criteria of CR • Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: • Bone marrow blasts \< 5% • Absence of blasts with Auer rods • Absence of extramedullary disease • No hematologic recovery required |
| Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | From the first dose of investigational product (IP) up to 28 days after the last dose, up to the data cutoff of date of 01 September 2017; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: - Resulted in death; - Was life threatening; - Required inpatient hospitalization or prolongation of existing hospitalization; - Resulted in persistent or significant disability/incapacity; - Was a congenital anomaly/birth defect; - Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5). |
| Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | From the primary analysis cut-off date of 01 September 2017 to the final analysis cut-off date of 29 July 2019, a maximum of 23 months. | A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: - Resulted in death; - Was life threatening; - Required inpatient hospitalization or prolongation of existing hospitalization; - Resulted in persistent or significant disability/incapacity; - Was a congenital anomaly/birth defect; - Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in the Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months). | The percentage of participants achieving a complete response (CR), CR with incomplete neutrophil recovery (CRi), or a CR with incomplete platelet recovery (CRp), based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator review. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) |
| Phase 1 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp) | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months). | The percentage of participants achieving a complete response (CR), CR with incomplete neutrophil recovery (CRi), or a CR with incomplete platelet recovery (CRp) based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS, assessed by the investigator. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) |
| Phase 2 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp) | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | The percentage of participants achieving a complete response (CR), CR with incomplete neutrophil recovery (CRi), or a CR with incomplete platelet recovery (CRp) based on the 2003 revised IWG criteria for AML, assessed by the Investigator. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) |
| Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR) | From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months). | Among participants who had a response of CR, CRi, CRp, PR, mCR, or MLFS based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS, assessed by the Investigator, duration of response was calculated from the date of the first occurrence of response to the date of documented disease relapse, progression, or death due to any cause, whichever occurred first. DOR was estimated using the Kaplan-Meier method. Participants without relapse, progressive disease, or death due to any cause were censored at the date of the last adequate response assessment. |
| Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline to the end of treatment; overall median duration of treatment exposure in Phase 1 combined was 5.1 months (range 0.4, 34.2 months). | Participants who achieved 56-day post-baseline platelet transfusion independence, i.e. with no platelet transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline platelet transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 28 days before and 28 days after the first dose of treatment for Phase 1. Results are reported for all participants in Phase 1 combined and for the subset of participants with R/R AML. |
| Phase 2 Dose Expansion: Kaplan-Meier Estimate of Duration of Response | From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months). | For participants with an objective response based on the 2003 revised IWG criteria for AML assessed by the Investigator, duration of response was calculated from the date of the first occurrence of response to the date of documented disease relapse, progression, or death due to any cause, whichever occurred first. Participants without relapse, progressive disease or death were censored at the last response assessment date. Relapse (for participants who previously attained CR, Cri, CRp or MLFS): BM blasts ≥ 5%, reappearance of blasts in the blood or development of extramedullary disease. Disease progression (for participants who previously attained PR): development of new extramedullary disease, or For participants with 5% to 67% BM blasts at nadir: - a \> 50% increase in BM blasts from nadir and that is ≥ 20%. For participants with ≥ 67% BM blasts at nadir: - a doubling of the nadir absolute peripheral blood (PB) blast count and the final absolute PB blast count \> 10 x 10⁹/L. |
| Phase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival | From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months). | Overall survival is defined as the time from first dose to the date of death due to any cause. Participants still alive were censored at the last date known to be alive or at the data cut-off date, whichever was earlier. |
| Phase 2 Dose Expansion: Kaplan-Meier Estimate of Overall Survival | From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months). | Overall survival is defined as the time from first dose to the date of death due to any cause. Participants still alive were censored at the last date known to be alive or at the data cut-off date, whichever was earlier. |
| Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline to the end of treatment; overall median duration of treatment exposure in Phase 1 combined was 5.1 months (range 0.4, 34.2 months). | Participants who achieved 56-day post-baseline red blood cell (RBC) transfusion independence, i.e. with no RBC transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline RBC transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 28 days before and 28 days after the first dose of treatment for Phase 1. Results are reported for all participants in Phase 1 combined and for the subset of participants with R/R AML. |
| Phase 2: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline to the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | Participants who achieved 56-day post-baseline red blood cell (RBC) transfusion independence, i.e. with no RBC transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline RBC transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 56 days before the first dose date for Phase 2. |
| Phase 2: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline to the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | Participants who achieved 56-day post-baseline platelet transfusion independence, i.e. with no platelet transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline platelet transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 56 days before the first dose date for Phase 2. |
| Phase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS) | From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months). | Event-free survival is defined as the interval from the date of the first dose to the date of documented relapse, progression, or death due to any cause, whichever occurs first. Participants without an EFS event were censored at the date of the last adequate response assessment. |
| Phase 2 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival | From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months). | Event-free survival is defined as the interval from the date of the first dose to the date of documented relapse, progression, or death due to any cause, whichever occurred first. Participants without an EFS event were censored at the date of the last adequate response assessment. |
| Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR) | From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months). | Among participants who had a response of CR based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS assessed by the Investigator, duration of complete response was calculated from the date of the first occurrence of complete response to the date of documented disease relapse, progression or death, whichever occurred earlier. DOCR was estimated using the Kaplan-Meier method. Participants without relapse, progressive disease, or death due to any cause were censored at the date of the last adequate response assessment. |
| Phase 2 Dose Expansion: Duration of Complete Response | From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months). | Among participants who had a response of CR based on the 2003 revised IWG criteria for AML assessed by the Investigator, duration of complete response was calculated from the date of the first occurrence of complete response to the date of documented disease relapse, progression or death, whichever occurred earlier. DOCR was estimated using the Kaplan-Meier method. Participants without relapse, progressive disease, or death due to any cause were censored at the date of the last adequate response assessment. |
| Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months). | Time to response is defined as the time from the date of first dose to the date of the first occurrence of response of CR, CRi, CRp, PR, mCR (for MDS) or MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS as assessed by the Investigator. |
| Phase 1 Dose Expansion: Time to First Response | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months). | Time to response is defined as the time from the date of first dose to the date of the first occurrence of response of CR, CRi, CRp, PR, mCR (for MDS) or MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS as assessed by the Investigator. |
| Phase 2 Dose Expansion: Time to First Response | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | Time to response is defined as the time from the date of first dose to the date of the first occurrence of response of CR, CRi, CRp, PR, or MLFS based on the 2003 revised IWG criteria for AML as assessed by the Investigator. |
| Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months). | Time to best response is defined as the time from the date of the first dose to the date of the first occurrence of best response according to the following hierarchical order: CR, CRi/CRp, PR, mCR (for MDS) / MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment. |
| Phase 1 Dose Expansion: Time to Best Response | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Part 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months). | Time to best response is defined as the time from the date of the first dose to the date of the first occurrence of best response according to the following hierarchical order: CR, CRi/CRp, PR, mCR (for MDS) / MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment. |
| Phase 2 Dose Expansion: Time to Best Response | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | Time to best response is defined as the time from the date of the first dose to the date of the first occurrence of best response according to the following hierarchical order: CR, CRi/CRp, PR, or MLFS based on the 2003 revised IWG criteria for AML per investigator assessment. |
| Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in the Phase 1 Dose Escalation phase was 5.0 months (range 0.4 to 34.2 months). | Time to complete response is defined as the time from the date of the first dose to the date of the first complete response based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment. |
| Phase 1 Dose Expansion: Time to Complete Response | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Part 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months). | Time to complete response is defined as the time from the date of the first dose to the date of the first complete response based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment. |
| Phase 2 Dose Expansion: Time to Complete Response | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | Time to complete response is defined as the time from the date of the first dose to the date of the first complete response based on the 2003 revised IWG criteria for AML per investigator assessment. |
| Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Dose Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for assessment of enasidenib pharmacokinetics (PK). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule. |
| Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule. |
| Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule. |
| Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 72 hours post-dose (AUC0-72) was calculated using the linear trapezoidal rule. |
| Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule. |
| Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. T1/2 was not calculated when the terminal elimination rate constant (λz) was not estimable. |
| Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule. |
| Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Single and Multiple Oral Doses | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, and 8 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) of enasidenib was calculated using the linear trapezoidal rule. |
| Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC 0-24) of Enasidenib After Single and Multiple Oral Doses | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule. |
| Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Single and Multiple Oral Doses | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule. |
| Phase 2: Maximum Concentration (Cmax) of Enasidenib After Single and Multiple Oral Doses | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 2: Time to Maximum Concentration (Tmax) of Enasidenib After Single and Multiple Oral Doses | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 2: Apparent Terminal Phase Half-life (t1/2) of Enasidenib After Single and Multiple Oral Doses | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to hour 8 post-dose (AUC 0-8) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 72 hours post-dose (AUC0-72) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule. |
| Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. t1/2 was not calculated when the terminal elimination rate constant (λz) was not estimable. |
| Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule. |
| Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule. |
| Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, and 8 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule. |
| Phase 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule. |
| Phase 2: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule. |
| Phase 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 2: Apparent Terminal Phase Half-life (t1/2) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose. | AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, and 8 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule. |
| Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule. |
| Phase 1 and 2: Maximum Concentration (Cmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1 and 2: Time to Maximum Concentration (Tmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, and 8 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule. |
| Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule. |
| Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL. |
| Phase 1 and 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in the dose escalation phase was 5.0 months (range 0.4 to 34.2 months). | ORR is defined as the percentage of participants achieving an overall response of CR, CRi, CRp, PR, marrow CR (mCR) (for MDS) and MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS. CR: • ANC \> 1.0 x10⁹/L • Platelet count \> 100 x10⁹/L • Bone marrow (BM) blasts \< 5% • Absence of blasts with Auer rods • Independence of red cell transfusions CRi: • All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: • All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) PR: • Meets hematologic criteria of CR • Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: • Bone marrow blasts \< 5% • Absence of blasts with Auer rods • Absence of extramedullary disease • No hematologic recovery required mCR: • Bone marrow myeloblasts ≤ 5% and decreased by ≥ 50% |
| Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | Screening visit, Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma 2-HG was measured using qualified LC-MS/MS in order to characterize the pharmacodynamic (PD) effects of enasidenib; the LLOQ was 30.0 ng/mL. Area under the effect concentration time curve from time point zero (predose) up to 10 hours postdose (AUEC0-10) was calculated using the linear trapezoid rule. Percent change from Baseline for AUEC0-10 was calculated as (AUEC0-10 minus \[Baseline\*Tlast\]) / (Baseline\*Tlast) \* 100, where Tlast corresponded to 10 hours and Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage. |
| Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | Screening visit, Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma 2-HG was measured using qualified LC-MS/MS in order to characterize the pharmacodynamic (PD) effects of enasidenib; the LLOQ was 30.0 ng/mL. Minimum percent change from Baseline response value post-dose over 10 hours was calculated as: (minimum observed concentration post-dose over 10 hours \[Rmin\] - Baseline) / Baseline \* 100. Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage. |
| Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 and Cycle 2, Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL. Area under the effect concentration time curve from time point zero (predose) up to 10 hours postdose (AUEC0-10) was calculated using the linear trapezoid rule. Percent change from baseline for AUEC0-10 was calculated as: (AUEC0-10 minus \[Baseline\*Tlast\]) / (Baseline\*Tlast) \* 100, where Tlast corresponded to 10 hours and Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage. |
| Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 and Cycle 2, Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL. Minimum percent change from Baseline response value post-dose over 10 hours was calculated as: (minimum observed concentration post-dose over 10 hours \[Rmin\] - Baseline) / Baseline \* 100. Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage. |
| Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 and Cycle 2, Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose. | Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL. |
| Phase 1 and 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose. | The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. |
| Phase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR) | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months). | ORR is defined as the percentage of participants achieving an overall response of CR, CRi, CRp, PR, mCR (for MDS), or MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) PR: - Meets hematologic criteria of CR - Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: - Bone marrow blasts \< 5% - Absence of blasts with Auer rods - Absence of extramedullary disease - No hematologic recovery required mCR: - Bone marrow myeloblasts ≤ 5% and decreased by ≥ 50% |
| Combined Phase 1/2: Investigator Assessed Overall Response Rate in Participants With R/R AML | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure for Phase 1 and 2 R/R AML participants was 5.4 months (range 0.4 to 34.2 months). | For participants with R/R AML ORR is defined as the percentage of participants achieving an overall response of CR, CRi, CRp, PR, or MLFS based on the 2003 revised IWG criteria for AML. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) PR: - Meets hematologic criteria of CR - Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: - Bone marrow blasts \< 5% - Absence of blasts with Auer rods - Absence of extramedullary disease - No hematologic recovery required |
| Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months). | Complete response rate is defined as the percentage of participants achieving a complete response (CR) based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS as assessed by the investigator. CR for AML: - Absolute neutrophil count (ANC) \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CR for MDS: - Bone marrow: ≤ 5% myeloblasts with normal maturation of all cell lines - Peripheral blood: -- Hemoglobin ≥ 11 g/dL -- Platelets ≥ 100 × 10⁹/L -- Neutrophils ≥ 1.0 × 10⁹/L -- Blasts = 0% |
| Phase 1 Dose Expansion: Complete Response Rate | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months). | Complete response rate is defined as the percentage of participants achieving a complete response (CR) based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS as assessed by the investigator. CR for AML: - Absolute neutrophil count (ANC) \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CR for MDS: - Bone marrow: ≤ 5% myeloblasts with normal maturation of all cell lines - Peripheral blood: -- Hemoglobin ≥ 11 g/dL -- Platelets ≥ 100 × 10⁹/L -- Neutrophils ≥ 1.0 × 10⁹/L -- Blasts = 0% |
| Phase 2 Dose Expansion: Complete Response Rate | Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months). | Complete response rate is defined as the percentage of participants achieving a complete response (CR) based on the 2003 revised IWG criteria for AML as assessed by the investigator. CR for AML: - Absolute neutrophil count (ANC) \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions |
Countries
France, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID Participants received enasidenib 30 mg tablets twice a day (BID) on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID Participants received enasidenib 50 mg tablets BID on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 7 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID Participants received enasidenib 75 mg tablets BID on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 7 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID Participants received enasidenib 100 mg tablets BID on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 8 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID Participants received enasidenib 150 mg tablets BID on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 5 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD Participants received enasidenib 50 mg tablets once a day (QD) on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD Participants received enasidenib 75 mg tablets QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 7 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD Participants received enasidenib 100 mg tablets QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 22 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD Participants received enasidenib 150 mg tablets QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 6 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD Participants received enasidenib 200 mg tablets QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 14 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD Participants received enasidenib 300 mg tablets QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 9 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD Participants received enasidenib 450 mg tablets QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 5 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD Participants received enasidenib 650 mg tablets QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 7 |
| Phase 1 Dose Expansion Arm 1: Enasidenib 100 mg QD Participants ≥ 60 years old with relapsed or refractory AML or participants of any age if relapsed post-bone marrow transplant (BMT) received 100 mg enasidenib QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 49 |
| Phase 1 Dose Expansion Arm 2: Enasidenib 100 mg QD Participants \< 60 years old with relapsed, refractory AML, excluding participants who relapsed post-BMT, received 100 mg enasidenib QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 25 |
| Phase 1 Dose Expansion Arm 3: Enasidenib 100 mg QD Untreated AML participants ≥ 60 years old who declined standard of care received 100 mg enasidenib QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 25 |
| Phase 1 Dose Expansion Arm 4: Enasidenib 100 mg QD Participants with advanced hematologic malignancies not eligible for Arms 1 to 3 received 100 mg enasidenib QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 27 |
| Phase 2: Enasidenib 100 mg QD Participants received enasidenib 100 mg QD on Day 1 to Day 28 of each 28-day treatment cycle until disease progression or development of unacceptable toxicity. | 106 |
| Total | 345 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 | FG008 | FG009 | FG010 | FG011 | FG012 | FG013 | FG014 | FG015 | FG016 | FG017 | FG018 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Main Analysis (Sept 2013 - Sept 2017) | Adverse Event | 2 | 0 | 1 | 1 | 0 | 0 | 1 | 4 | 1 | 2 | 1 | 1 | 2 | 4 | 1 | 4 | 2 | 16 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Bone Marrow Transplant (BMT) | 1 | 2 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | 6 | 5 | 2 | 2 | 9 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Death | 2 | 1 | 1 | 1 | 1 | 2 | 0 | 1 | 0 | 0 | 2 | 0 | 0 | 4 | 1 | 4 | 3 | 16 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Development of Intercurrent Condition | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Disease Progression | 1 | 3 | 3 | 4 | 2 | 5 | 5 | 15 | 4 | 7 | 3 | 2 | 3 | 24 | 14 | 9 | 8 | 41 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Lost to Follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Medical Condition | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Miscellaneous | 0 | 1 | 2 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 1 | 0 | 1 | 0 | 1 | 4 | 8 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Physician Decision | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 | 0 | 0 | 1 | 2 | 1 | 2 | 2 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Protocol Violation | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Main Analysis (Sept 2013 - Sept 2017) | Withdrawal by Subject | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 5 | 1 | 2 | 2 | 5 | 0 |
| Safety Follow up (Aug 2019 to Sep 2023) | Adverse Event | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Safety Follow up (Aug 2019 to Sep 2023) | Withdrawal by Subject | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Safety Follow-up (Sep 2017 to July 2019) | Ongoing Treatment | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 |
Baseline characteristics
| Characteristic | Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Expansion Arm 1: Enasidenib 100 mg QD | Phase 1 Dose Expansion Arm 2: Enasidenib 100 mg QD | Phase 1 Dose Expansion Arm 3: Enasidenib 100 mg QD | Phase 1 Dose Expansion Arm 4: Enasidenib 100 mg QD | Phase 2: Enasidenib 100 mg QD | Total | Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Enasidenib 30 mg BID |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Absolute Neutrophil Count (ANC) | 0.5 10^9 cells/L | 0.2 10^9 cells/L | 0.2 10^9 cells/L | 0.5 10^9 cells/L | 1.0 10^9 cells/L | 0.4 10^9 cells/L | 0.6 10^9 cells/L | 1.1 10^9 cells/L | 0.1 10^9 cells/L | 0.8 10^9 cells/L | 0.4 10^9 cells/L | 0.1 10^9 cells/L | 0.4 10^9 cells/L | 1.0 10^9 cells/L | 0.3 10^9 cells/L | 0.4 10^9 cells/L | 0.5 10^9 cells/L | 0.3 10^9 cells/L | 0.8 10^9 cells/L |
| Age, Continuous | 73.6 years STANDARD_DEVIATION 7.23 | 71.8 years STANDARD_DEVIATION 9 | 62.3 years STANDARD_DEVIATION 13.77 | 63.9 years STANDARD_DEVIATION 15.06 | 73.8 years STANDARD_DEVIATION 2.48 | 67.5 years STANDARD_DEVIATION 14.69 | 68.3 years STANDARD_DEVIATION 6.2 | 61.3 years STANDARD_DEVIATION 8.86 | 70.0 years STANDARD_DEVIATION 8.77 | 70.1 years STANDARD_DEVIATION 5.34 | 70.5 years STANDARD_DEVIATION 11.09 | 49.2 years STANDARD_DEVIATION 8.12 | 76.4 years STANDARD_DEVIATION 6.87 | 68.1 years STANDARD_DEVIATION 13.96 | 66.5 years STANDARD_DEVIATION 11.88 | 66.8 years STANDARD_DEVIATION 12.49 | 64.7 years STANDARD_DEVIATION 8.38 | 67.6 years STANDARD_DEVIATION 12.88 | 62.6 years STANDARD_DEVIATION 6.37 |
| Age, Customized ≥ 65- < 75 Years Old | 2 Participants | 4 Participants | 5 Participants | 5 Participants | 4 Participants | 3 Participants | 5 Participants | 2 Participants | 3 Participants | 5 Participants | 22 Participants | 0 Participants | 8 Participants | 13 Participants | 45 Participants | 137 Participants | 4 Participants | 3 Participants | 4 Participants |
| Age, Customized < 65 Years Old | 1 Participants | 2 Participants | 2 Participants | 10 Participants | 0 Participants | 6 Participants | 2 Participants | 5 Participants | 1 Participants | 1 Participants | 11 Participants | 25 Participants | 1 Participants | 4 Participants | 35 Participants | 114 Participants | 3 Participants | 2 Participants | 3 Participants |
| Age, Customized ≥ 75 Years Old | 2 Participants | 3 Participants | 0 Participants | 7 Participants | 2 Participants | 5 Participants | 2 Participants | 0 Participants | 1 Participants | 1 Participants | 16 Participants | 0 Participants | 16 Participants | 10 Participants | 26 Participants | 94 Participants | 0 Participants | 3 Participants | 0 Participants |
| Bone Marrow Blasts < 20% Blasts | 1 Participants | 0 Participants | 2 Participants | 6 Participants | 2 Participants | 4 Participants | 3 Participants | 4 Participants | 0 Participants | 2 Participants | 11 Participants | 6 Participants | 2 Participants | 16 Participants | 22 Participants | 86 Participants | 1 Participants | 3 Participants | 1 Participants |
| Bone Marrow Blasts 20% to < 30% Blasts | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 4 Participants | 2 Participants | 6 Participants | 2 Participants | 14 Participants | 34 Participants | 1 Participants | 0 Participants | 0 Participants |
| Bone Marrow Blasts 30% to < 50% Blasts | 1 Participants | 2 Participants | 0 Participants | 5 Participants | 2 Participants | 5 Participants | 2 Participants | 2 Participants | 2 Participants | 1 Participants | 8 Participants | 4 Participants | 6 Participants | 3 Participants | 18 Participants | 69 Participants | 1 Participants | 2 Participants | 5 Participants |
| Bone Marrow Blasts ≥ 50% Blasts | 2 Participants | 6 Participants | 4 Participants | 11 Participants | 1 Participants | 4 Participants | 3 Participants | 1 Participants | 3 Participants | 4 Participants | 26 Participants | 12 Participants | 10 Participants | 6 Participants | 49 Participants | 150 Participants | 4 Participants | 3 Participants | 1 Participants |
| Bone Marrow Blasts Missing | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 3 Participants | 6 Participants | 0 Participants | 0 Participants | 0 Participants |
| Cytogenetic Risk Status Failure | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 6 Participants | 9 Participants | 1 Participants | 0 Participants | 0 Participants |
| Cytogenetic Risk Status Favorable-Risk | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Cytogenetic Risk Status Intermediate-Risk | 1 Participants | 5 Participants | 2 Participants | 6 Participants | 4 Participants | 9 Participants | 6 Participants | 5 Participants | 3 Participants | 3 Participants | 19 Participants | 14 Participants | 13 Participants | 19 Participants | 57 Participants | 173 Participants | 1 Participants | 2 Participants | 4 Participants |
| Cytogenetic Risk Status Missing | 2 Participants | 1 Participants | 4 Participants | 8 Participants | 1 Participants | 3 Participants | 3 Participants | 1 Participants | 1 Participants | 1 Participants | 15 Participants | 3 Participants | 4 Participants | 6 Participants | 17 Participants | 79 Participants | 3 Participants | 4 Participants | 2 Participants |
| Cytogenetic Risk Status Poor-Risk | 2 Participants | 3 Participants | 1 Participants | 8 Participants | 1 Participants | 2 Participants | 0 Participants | 1 Participants | 1 Participants | 3 Participants | 13 Participants | 8 Participants | 8 Participants | 2 Participants | 26 Participants | 84 Participants | 2 Participants | 2 Participants | 1 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - Fully active | 2 Participants | 0 Participants | 2 Participants | 7 Participants | 1 Participants | 2 Participants | 2 Participants | 1 Participants | 3 Participants | 1 Participants | 10 Participants | 5 Participants | 6 Participants | 6 Participants | 24 Participants | 79 Participants | 2 Participants | 4 Participants | 1 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status 1 - Restricted but ambulatory | 2 Participants | 5 Participants | 4 Participants | 11 Participants | 4 Participants | 9 Participants | 4 Participants | 6 Participants | 1 Participants | 5 Participants | 28 Participants | 18 Participants | 13 Participants | 16 Participants | 65 Participants | 204 Participants | 5 Participants | 4 Participants | 4 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status 2 - Ambulatory but unable to work | 1 Participants | 4 Participants | 1 Participants | 4 Participants | 1 Participants | 3 Participants | 3 Participants | 0 Participants | 1 Participants | 1 Participants | 11 Participants | 2 Participants | 6 Participants | 5 Participants | 16 Participants | 61 Participants | 0 Participants | 0 Participants | 2 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status 3 - Limited self-care | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status 4 - Completely Disabled | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Eastern Cooperative Oncology Group (ECOG) Performance Status Missing | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants | 1 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 7 Participants | 3 Participants | 2 Participants | 1 Participants | 8 Participants | 27 Participants | 1 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 3 Participants | 8 Participants | 3 Participants | 15 Participants | 6 Participants | 8 Participants | 8 Participants | 6 Participants | 4 Participants | 4 Participants | 36 Participants | 16 Participants | 22 Participants | 19 Participants | 60 Participants | 234 Participants | 5 Participants | 7 Participants | 4 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 2 Participants | 0 Participants | 3 Participants | 5 Participants | 0 Participants | 6 Participants | 1 Participants | 1 Participants | 1 Participants | 2 Participants | 6 Participants | 6 Participants | 1 Participants | 7 Participants | 38 Participants | 84 Participants | 1 Participants | 1 Participants | 3 Participants |
| Hemoglobin | 91.0 g/L | 89.0 g/L | 92.0 g/L | 96.5 g/L | 94.0 g/L | 87.5 g/L | 93.0 g/L | 97.0 g/L | 103.0 g/L | 95.0 g/L | 93.0 g/L | 93.0 g/L | 89.0 g/L | 92.0 g/L | 89.0 g/L | 90.0 g/L | 86.0 g/L | 97.5 g/L | 82.0 g/L |
| Isocitrate dehydrogenase 2 (IDH2) Mutation Type Missing | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants |
| Isocitrate dehydrogenase 2 (IDH2) Mutation Type R140 | 2 Participants | 6 Participants | 6 Participants | 19 Participants | 5 Participants | 10 Participants | 9 Participants | 6 Participants | 1 Participants | 5 Participants | 37 Participants | 18 Participants | 17 Participants | 21 Participants | 80 Participants | 259 Participants | 6 Participants | 5 Participants | 6 Participants |
| Isocitrate dehydrogenase 2 (IDH2) Mutation Type R172 | 2 Participants | 3 Participants | 1 Participants | 3 Participants | 1 Participants | 4 Participants | 0 Participants | 1 Participants | 4 Participants | 2 Participants | 12 Participants | 7 Participants | 8 Participants | 5 Participants | 26 Participants | 84 Participants | 1 Participants | 3 Participants | 1 Participants |
| Isocitrate dehydrogenase 2 (IDH2) Mutation Type Unknown | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Malignancy Type Myelodysplastic Syndrome (MDS) | 0 Participants | 0 Participants | 1 Participants | 3 Participants | 1 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 7 Participants | 0 Participants | 17 Participants | 0 Participants | 2 Participants | 1 Participants |
| Malignancy Type Other | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 6 Participants | 0 Participants | 9 Participants | 0 Participants | 0 Participants | 0 Participants |
| Malignancy Type Relapsed / Refractory Acute Myeloid Leukemia (AML) | 3 Participants | 8 Participants | 5 Participants | 19 Participants | 3 Participants | 9 Participants | 8 Participants | 7 Participants | 3 Participants | 7 Participants | 48 Participants | 25 Participants | 3 Participants | 9 Participants | 105 Participants | 280 Participants | 6 Participants | 6 Participants | 6 Participants |
| Malignancy Type Untreated AML | 2 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 3 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 1 Participants | 0 Participants | 22 Participants | 5 Participants | 1 Participants | 39 Participants | 1 Participants | 0 Participants | 0 Participants |
| Platelets | 44.0 10^9 cells/L | 23.0 10^9 cells/L | 52.0 10^9 cells/L | 35.5 10^9 cells/L | 48.0 10^9 cells/L | 42.0 10^9 cells/L | 63.0 10^9 cells/L | 91.0 10^9 cells/L | 73.0 10^9 cells/L | 45.9 10^9 cells/L | 39.0 10^9 cells/L | 37.0 10^9 cells/L | 58.0 10^9 cells/L | 57.0 10^9 cells/L | 36.0 10^9 cells/L | 42.9 10^9 cells/L | 102.0 10^9 cells/L | 92.0 10^9 cells/L | 43.0 10^9 cells/L |
| Race/Ethnicity, Customized American Indian/Alaskan Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Asian | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 4 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Black | 0 Participants | 2 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 4 Participants | 0 Participants | 0 Participants | 6 Participants | 19 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized Not Provided | 3 Participants | 0 Participants | 1 Participants | 4 Participants | 0 Participants | 2 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 6 Participants | 2 Participants | 1 Participants | 6 Participants | 21 Participants | 50 Participants | 0 Participants | 1 Participants | 0 Participants |
| Race/Ethnicity, Customized Other | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 4 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race/Ethnicity, Customized White | 2 Participants | 6 Participants | 5 Participants | 18 Participants | 6 Participants | 11 Participants | 8 Participants | 6 Participants | 4 Participants | 5 Participants | 40 Participants | 17 Participants | 24 Participants | 19 Participants | 78 Participants | 267 Participants | 6 Participants | 6 Participants | 6 Participants |
| Sex: Female, Male Female | 4 Participants | 4 Participants | 0 Participants | 11 Participants | 3 Participants | 3 Participants | 1 Participants | 5 Participants | 1 Participants | 1 Participants | 27 Participants | 12 Participants | 9 Participants | 10 Participants | 42 Participants | 144 Participants | 4 Participants | 4 Participants | 3 Participants |
| Sex: Female, Male Male | 1 Participants | 5 Participants | 7 Participants | 11 Participants | 3 Participants | 11 Participants | 8 Participants | 2 Participants | 4 Participants | 6 Participants | 22 Participants | 13 Participants | 16 Participants | 17 Participants | 64 Participants | 201 Participants | 3 Participants | 4 Participants | 4 Participants |
| Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status Heterozygous | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 20 Participants | 27 Participants | 0 Participants | 1 Participants | 0 Participants |
| Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status Homozygous | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 2 Participants | 1 Participants | 10 Participants | 16 Participants | 0 Participants | 0 Participants | 0 Participants |
| Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status Missing | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 20 Participants | 22 Participants | 0 Participants | 0 Participants | 0 Participants |
| Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status Not Applicable | 5 Participants | 9 Participants | 7 Participants | 21 Participants | 4 Participants | 14 Participants | 8 Participants | 7 Participants | 5 Participants | 6 Participants | 47 Participants | 24 Participants | 21 Participants | 23 Participants | 36 Participants | 258 Participants | 7 Participants | 7 Participants | 7 Participants |
| Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status Wild Type | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 20 Participants | 22 Participants | 0 Participants | 0 Participants | 0 Participants |
| White Blood Cell Count | 1.9 10^9 cells/L | 2.6 10^9 cells/L | 2.1 10^9 cells/L | 5.3 10^9 cells/L | 3.3 10^9 cells/L | 2.6 10^9 cells/L | 2.4 10^9 cells/L | 2.1 10^9 cells/L | 1.3 10^9 cells/L | 3.6 10^9 cells/L | 3.0 10^9 cells/L | 3.1 10^9 cells/L | 2.3 10^9 cells/L | 2.7 10^9 cells/L | 2.0 10^9 cells/L | 2.4 10^9 cells/L | 2.0 10^9 cells/L | 2.5 10^9 cells/L | 2.0 10^9 cells/L |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk | EG011 affected / at risk | EG012 affected / at risk | EG013 affected / at risk | EG014 affected / at risk | EG015 affected / at risk | EG016 affected / at risk | EG017 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 6 / 7 | 3 / 7 | 7 / 7 | 5 / 8 | 3 / 5 | 8 / 9 | 6 / 7 | 20 / 22 | 4 / 6 | 7 / 14 | 8 / 9 | 3 / 5 | 5 / 7 | 40 / 50 | 15 / 24 | 20 / 25 | 17 / 27 | 83 / 106 |
| other Total, other adverse events | 7 / 7 | 7 / 7 | 7 / 7 | 8 / 8 | 5 / 5 | 8 / 9 | 7 / 7 | 22 / 22 | 6 / 6 | 14 / 14 | 9 / 9 | 5 / 5 | 7 / 7 | 50 / 50 | 23 / 24 | 25 / 25 | 27 / 27 | 106 / 106 |
| serious Total, serious adverse events | 6 / 7 | 6 / 7 | 6 / 7 | 7 / 8 | 3 / 5 | 9 / 9 | 5 / 7 | 19 / 22 | 4 / 6 | 11 / 14 | 7 / 9 | 5 / 5 | 6 / 7 | 43 / 50 | 18 / 24 | 20 / 25 | 20 / 27 | 86 / 106 |
Outcome results
Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)
Toxicity severity was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03. A DLT was defined as: • Non-hematologic toxicities: CTCAE ≥ Grade 3 with the exception of ≥ Grade 3 blood bilirubin increases in participants with a uridine diphosphate- glucuronosyltransferase 1 family, polypeptide A1 (UGT1A1) mutation. In participants with a UGT1A1 mutation, blood bilirubin increases of \> 5× upper limit of normal (ULN) were considered a DLT. • Hematologic toxicities: Prolonged myelosuppression, defined as persistence of ≥ Grade 3 neutropenia or thrombocytopenia (by NCI CTCAE v4.03), leukemia-specific criteria, i.e., marrow cellularity \<5% on Day 28 or later from the start of study drug without evidence of leukemia) at least 42 days after the initiation of Cycle 1 therapy. Leukemia-specific grading was used for cytopenias (based on percentage decrease from Baseline: 50 to 75% = Grade 3, \>75% = Grade 4)
Time frame: From time of first dose up to the end of Cycle 1; 28 days
Population: All participants who took at least one dose of study drug in the dose escalation phase and either had a DLT during Cycle 1, regardless of the amount of study drug exposure, or had no DLT and completed at least 75% of their planned Cycle 1 doses, and were considered to have had enough safety data to conclude that a DLT did not occur during Cycle 1.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT) | 1 Participants |
Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: • Resulted in death; • Was life threatening; • Requires inpatient hospitalization or prolongation of existing hospitalization; • Resulted in persistent or significant disability/incapacity; • Was a congenital anomaly/birth defect; • Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5).
Time frame: From the first dose of investigational product (IP) up to 28 days after the last dose, up to the data cutoff date of 01 September 2017; median treatment duration in the dose escalation phase was 5.0 months (range 0.4 to 34.2 months).
Population: The safety analysis set includes all participants who received at least 1 dose of study treatment.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 8 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 8 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 10 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 19 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 21 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 22 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 17 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 10 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 14 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 11 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 14 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 14 Participants |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 8 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Interruption of IP | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE Related to IP | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Any treatment-emergent adverse event (TEAE) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to Investigational Product (IP) | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to D/C of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Reduction of IP | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 3-4 TEAE | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Grade 5 TEAE | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Interruption of IP | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Leading to Discontinuation (D/C) of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | TEAE Related to IP Leading to Reduction of IP | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs) | Serious TEAE | 6 Participants |
Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events
A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: • Resulted in death; • Was life threatening; • Required inpatient hospitalization or prolongation of existing hospitalization; • Resulted in persistent or significant disability/incapacity; • Was a congenital anomaly/birth defect; • Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5).
Time frame: From the first dose of investigational product (IP) up to 28 days after the last dose of IP up to the data cutoff date of 01 September 2017; median treatment duration in Part 1 Expansion was 5.2 months (range 0.5 to 32.8 months).
Population: All participants in Phase 1 Expansion who received at least 1 dose of study treatment.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to Investigational Product (IP) | 43 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE | 47 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Any Treatment-emergent Adverse Event (TEAE) | 49 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE | 8 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to D/C of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE Related to IP | 20 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to IP Interruption | 24 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE | 41 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE Related to IP | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Discontinuation (D/C) of IP | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Reduction of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Interruption of IP | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Any Treatment-emergent Adverse Event (TEAE) | 24 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE Related to IP | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Discontinuation (D/C) of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE | 19 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE | 21 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to IP Interruption | 10 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE Related to IP | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to Investigational Product (IP) | 18 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Interruption of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to D/C of IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Any Treatment-emergent Adverse Event (TEAE) | 25 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to Investigational Product (IP) | 22 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE Related to IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE Related to IP | 8 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE | 21 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE Related to IP | 15 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE | 8 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE | 20 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Discontinuation (D/C) of IP | 8 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to IP Interruption | 16 Participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Interruption of IP | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Reduction of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to D/C of IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE Related to IP | 2 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE | 17 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Any Treatment-emergent Adverse Event (TEAE) | 27 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Reduction of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE | 20 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Interruption of IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to IP Interruption | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to Investigational Product (IP) | 23 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Discontinuation (D/C) of IP | 4 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE Related to IP | 7 Participants |
Phase 2 Dose Expansion: Investigator Assessed Overall Response Rate (ORR)
ORR is defined as the percentage of participants achieving an overall response of complete response (CR), CR with incomplete neutrophil recovery (CRi), CR with incomplete platelet recovery (CRp), partial response (PR), or morphologic leukemia-free state (MLFS) based on the 2003 revised International Working Group (IWG) criteria for AML, assessed by the Investigator. CR: • Absolute neutrophil count (ANC) \> 1.0 x10⁹/L • Platelet count \> 100 x10⁹/L • Bone marrow (BM) blasts \< 5% • Absence of blasts with Auer rods • Independence of red cell transfusions CRi: • All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: • All CR criteria except for residual thrombocytopenia (platelets \< 100 x 10⁹/L) PR: • Meets hematologic criteria of CR • Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: • Bone marrow blasts \< 5% • Absence of blasts with Auer rods • Absence of extramedullary disease • No hematologic recovery required
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Investigator Assessed Overall Response Rate (ORR) | 37.1 percentage of participants |
Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events
A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: - Resulted in death; - Was life threatening; - Required inpatient hospitalization or prolongation of existing hospitalization; - Resulted in persistent or significant disability/incapacity; - Was a congenital anomaly/birth defect; - Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5).
Time frame: From the first dose of investigational product (IP) up to 28 days after the last dose, up to the data cutoff of date of 01 September 2017; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Any Treatment-emergent Adverse Event (TEAE) | 105 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to Investigational Product (IP) | 88 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE | 92 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE Related to IP | 48 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE | 30 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE Related to IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE | 85 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE Related to IP | 34 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Discontinuation (D/C) of IP | 22 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to D/C of IP | 5 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Reduction of IP | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Reduction of IP | 7 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Interruption of IP | 49 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Interruption of IP | 23 Participants |
Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events
A TEAE is any adverse event that began or worsened on or after the start of investigational product (IP) through 28 days after the last dose. A treatment-related TEAE is a TEAE that is suspected (possibly or probably related) by the Investigator to be related to the IP. A serious AE is one that at any dose of IP or at any time during the observation period met the following criteria: - Resulted in death; - Was life threatening; - Required inpatient hospitalization or prolongation of existing hospitalization; - Resulted in persistent or significant disability/incapacity; - Was a congenital anomaly/birth defect; - Was medically important. The intensity of each AE was graded from 1 to 5 according to the NCI CTCAE Version 4.03, and according to the following: Mild (Grade 1), Moderate (Grade 2), Severe (Grade 3), Life threatening (Grade 4), or Death (Grade 5).
Time frame: From the primary analysis cut-off date of 01 September 2017 to the final analysis cut-off date of 29 July 2019, a maximum of 23 months.
Population: Participants who received at least 1 dose of study treatment during the Safety Follow-up Period.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Interruption of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | Any treatment-emergent adverse event (TEAE) | 16 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to Investigational Product (IP) | 6 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE | 13 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | Grade 3-4 TEAE Related to IP | 3 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | Grade 5 TEAE Related to IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE | 9 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | Serious TEAE Related to IP | 1 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Discontinuation (D/C) of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to D/C of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | TEAE Related to IP Leading to Reduction of IP | 0 Participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Safety Follow-up: Number of Participants With Treatment Emergent Adverse Events | TEAE Leading to Interruption of IP | 4 Participants |
Combined Phase 1/2: Investigator Assessed Overall Response Rate in Participants With R/R AML
For participants with R/R AML ORR is defined as the percentage of participants achieving an overall response of CR, CRi, CRp, PR, or MLFS based on the 2003 revised IWG criteria for AML. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) PR: - Meets hematologic criteria of CR - Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: - Bone marrow blasts \< 5% - Absence of blasts with Auer rods - Absence of extramedullary disease - No hematologic recovery required
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure for Phase 1 and 2 R/R AML participants was 5.4 months (range 0.4 to 34.2 months).
Population: All participants in Phase 1 and 2 with R/R AML who received at least one dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Combined Phase 1/2: Investigator Assessed Overall Response Rate in Participants With R/R AML | 38.8 percentage of participants |
Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 24631 ng*h/mL | Geometric Coefficient of Variation 52.9 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 263131 ng*h/mL | Geometric Coefficient of Variation 42.7 |
Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 1352 ng*h/mL | Geometric Coefficient of Variation 68.2 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 23963 ng*h/mL | Geometric Coefficient of Variation 43.8 |
Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, and 8 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 7506 ng*h/mL | Geometric Coefficient of Variation 62.8 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 84600 ng*h/mL | Geometric Coefficient of Variation 47.1 |
Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, and 8 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 7555 ng*h/mL | Geometric Coefficient of Variation 43.6 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 304 ng*h/mL | Geometric Coefficient of Variation 96 |
Phase 1 and 2: Maximum Concentration (Cmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Maximum Concentration (Cmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 1423 ng/mL | Geometric Coefficient of Variation 50.2 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Maximum Concentration (Cmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 13057 ng/mL | Geometric Coefficient of Variation 44.8 |
Phase 1 and 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 75 ng/mL | Geometric Coefficient of Variation 73.3 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 1183 ng/mL | Geometric Coefficient of Variation 44.7 |
Phase 1 and 2: Time to Maximum Concentration (Tmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Time to Maximum Concentration (Tmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 4.00 hours |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Time to Maximum Concentration (Tmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 2.00 hours |
Phase 1 and 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for single dose PK analysis, and underwent PK assessments on Cycle 2, Day 1 for multiple dose (steady-state) PK analysis. Participants in Phase 2 underwent PK assessments on Cycle 1, Day 1 for single dose analysis and on Cycle 2, Day 1 for multiple dose (steady-state) analysis. AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 (Phase 1 only) predose and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose or Cycle 1 Day 1 (Phase 2) and Cycle 2 Day 1 (Phase 1 & 2) at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Day -3 or Cycle 1, Day 1 and Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took \< 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. Participants in Phase 1 and 2 who received enasidenib 100 mg QD are combined for the analysis.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Day -3 / Cycle 1, Day 1 | 23.44 hours |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 and 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QD | Cycle 2, Day 1 | 1.92 hours |
Phase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. t1/2 was not calculated when the terminal elimination rate constant (λz) was not estimable.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 18.9 hours | — |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 46.9 hours | Geometric Coefficient of Variation 125.7 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 29.0 hours | — |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 69.2 hours | Geometric Coefficient of Variation 161 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 106.4 hours | — |
Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. T1/2 was not calculated when the terminal elimination rate constant (λz) was not estimable.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | 33.2 hours | Geometric Coefficient of Variation 124.6 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | 36.8 hours | Geometric Coefficient of Variation 57.3 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | 52.6 hours | Geometric Coefficient of Variation 109.5 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | 65.9 hours | Geometric Coefficient of Variation 86.5 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | 96.2 hours | Geometric Coefficient of Variation 60.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | 73.8 hours | Geometric Coefficient of Variation 18.8 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -3 | 91.3 hours | — |
Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 4120 ng*h/mL | Geometric Coefficient of Variation 61.5 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 3925 ng*h/mL | Geometric Coefficient of Variation 58.4 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 6834 ng*h/mL | Geometric Coefficient of Variation 54.1 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 8616 ng*h/mL | Geometric Coefficient of Variation 76.5 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 11819 ng*h/mL | Geometric Coefficient of Variation 31.3 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 14818 ng*h/mL | Geometric Coefficient of Variation 49.2 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 20727 ng*h/mL | Geometric Coefficient of Variation 41 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 19961 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After a Single Oral Dose on Day -3 | 38711 ng*h/mL | — |
Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 8987 ng*h/mL | Geometric Coefficient of Variation 72.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 9611 ng*h/mL | Geometric Coefficient of Variation 59.6 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 17330 ng*h/mL | Geometric Coefficient of Variation 50.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 21656 ng*h/mL | Geometric Coefficient of Variation 55.6 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 28989 ng*h/mL | Geometric Coefficient of Variation 29.6 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 37703 ng*h/mL | Geometric Coefficient of Variation 48.3 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 58743 ng*h/mL | Geometric Coefficient of Variation 41.5 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC0-24) of Enasidenib After a Single Oral Dose on Day -3 | 60846 ng*h/mL | — |
Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 72 hours post-dose (AUC0-72) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 19192 ng*h/mL | Geometric Coefficient of Variation 138.4 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 20598 ng*h/mL | Geometric Coefficient of Variation 79.9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 37737 ng*h/mL | Geometric Coefficient of Variation 53.9 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 58670 ng*h/mL | Geometric Coefficient of Variation 59.5 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 76820 ng*h/mL | Geometric Coefficient of Variation 31.2 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 95217 ng*h/mL | Geometric Coefficient of Variation 57.2 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 160083 ng*h/mL | Geometric Coefficient of Variation 12 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 72 Hours Postdose (AUC0-72) of Enasidenib After a Single Oral Dose on Day -3 | 244130 ng*h/mL | — |
Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Dose Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3) for assessment of enasidenib pharmacokinetics (PK). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 3364 ng*h/mL | Geometric Coefficient of Variation 59.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 3020 ng*h/mL | Geometric Coefficient of Variation 58.4 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 5319 ng*h/mL | Geometric Coefficient of Variation 57 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 6634 ng*h/mL | Geometric Coefficient of Variation 79.6 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 9397 ng*h/mL | Geometric Coefficient of Variation 32.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 11550 ng*h/mL | Geometric Coefficient of Variation 49.2 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 15268 ng*h/mL | Geometric Coefficient of Variation 42 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 15039 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After a Single Oral Dose on Day -3 | 31580 ng*h/mL | — |
Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 17575 ng*h/mL | Geometric Coefficient of Variation 105.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 19975 ng*h/mL | Geometric Coefficient of Variation 68.6 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 39345 ng*h/mL | Geometric Coefficient of Variation 51.9 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 53018 ng*h/mL | Geometric Coefficient of Variation 74.2 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 76820 ng*h/mL | Geometric Coefficient of Variation 31.2 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 95959 ng*h/mL | Geometric Coefficient of Variation 50.5 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 134094 ng*h/mL | Geometric Coefficient of Variation 32.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 157042 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After a Single Oral Dose on Day -3 | 38711 ng*h/mL | — |
Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 162 ng*h/mL | Geometric Coefficient of Variation 80.4 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 258 ng*h/mL | Geometric Coefficient of Variation 135.1 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 383 ng*h/mL | Geometric Coefficient of Variation 72.3 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 379 ng*h/mL | Geometric Coefficient of Variation 99.3 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 735 ng*h/mL | Geometric Coefficient of Variation 65.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 716 ng*h/mL | Geometric Coefficient of Variation 86.8 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 757 ng*h/mL | Geometric Coefficient of Variation 57.5 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 548 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 1893 ng*h/mL | — |
Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 4830 ng*h/mL | Geometric Coefficient of Variation 82.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 9437 ng*h/mL | Geometric Coefficient of Variation 46.8 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 9002 ng*h/mL | Geometric Coefficient of Variation 60 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 13463 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 20705 ng*h/mL | Geometric Coefficient of Variation 16.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 6502 ng*h/mL | Geometric Coefficient of Variation 132.7 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 3954 ng*h/mL | Geometric Coefficient of Variation 80.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 9502 ng*h/mL | Geometric Coefficient of Variation 42 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 13263 ng*h/mL | Geometric Coefficient of Variation 40.1 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 14303 ng*h/mL | Geometric Coefficient of Variation 47.2 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 12448 ng*h/mL | Geometric Coefficient of Variation 35 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 17963 ng*h/mL | Geometric Coefficient of Variation 18.7 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib | 22102 ng*h/mL | — |
Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 10 hours post-dose (AUC0-10) was calculated using the linear trapezoidal rule.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 41108 ng*h/mL | Geometric Coefficient of Variation 63.2 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 99954 ng*h/mL | Geometric Coefficient of Variation 35.1 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 126765 ng*h/mL | Geometric Coefficient of Variation 34.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 174409 ng*h/mL | Geometric Coefficient of Variation 32 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 200661 ng*h/mL | Geometric Coefficient of Variation 18.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 61226 ng*h/mL | Geometric Coefficient of Variation 117 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 53067 ng*h/mL | Geometric Coefficient of Variation 50.1 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 104824 ng*h/mL | Geometric Coefficient of Variation 47.6 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 126237 ng*h/mL | Geometric Coefficient of Variation 37.8 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 132718 ng*h/mL | Geometric Coefficient of Variation 52 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 131523 ng*h/mL | Geometric Coefficient of Variation 43 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 199749 ng*h/mL | Geometric Coefficient of Variation 24 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses | 269750 ng*h/mL | — |
Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, and 24 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 474 ng*h/mL | Geometric Coefficient of Variation 80.4 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 777 ng*h/mL | Geometric Coefficient of Variation 111.7 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 1238 ng*h/mL | Geometric Coefficient of Variation 54.4 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 1222 ng*h/mL | Geometric Coefficient of Variation 71.4 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 2128 ng*h/mL | Geometric Coefficient of Variation 54.2 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 2159 ng*h/mL | Geometric Coefficient of Variation 75.4 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 2477 ng*h/mL | Geometric Coefficient of Variation 51.5 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 2274 ng*h/mL | — |
Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 72 hours post-dose (AUC0-72) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 1403 ng*h/mL | Geometric Coefficient of Variation 93.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 2121 ng*h/mL | Geometric Coefficient of Variation 104.8 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 3427 ng*h/mL | Geometric Coefficient of Variation 40.9 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 4283 ng*h/mL | Geometric Coefficient of Variation 58 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 7188 ng*h/mL | Geometric Coefficient of Variation 43.6 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 7634 ng*h/mL | Geometric Coefficient of Variation 66.2 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 10673 ng*h/mL | Geometric Coefficient of Variation 29.8 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 17591 ng*h/mL | — |
Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to hour 8 post-dose (AUC 0-8) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation and Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 122 ng*h/mL | Geometric Coefficient of Variation 83.6 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 187 ng*h/mL | Geometric Coefficient of Variation 134.4 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 276 ng*h/mL | Geometric Coefficient of Variation 80.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 276 ng*h/mL | Geometric Coefficient of Variation 104.1 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 558 ng*h/mL | Geometric Coefficient of Variation 70.3 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 530 ng*h/mL | Geometric Coefficient of Variation 91.1 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 526 ng*h/mL | Geometric Coefficient of Variation 58.8 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 384 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 1470 ng*h/mL | — |
Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 4028 ng*h/mL | Geometric Coefficient of Variation 82.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 7656 ng*h/mL | Geometric Coefficient of Variation 47.5 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 7340 ng*h/mL | Geometric Coefficient of Variation 59.8 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 10655 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 16638 ng*h/mL | Geometric Coefficient of Variation 15.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 4395 ng*h/mL | Geometric Coefficient of Variation 125.7 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 3281 ng*h/mL | Geometric Coefficient of Variation 87.3 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 7645 ng*h/mL | Geometric Coefficient of Variation 42.7 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 10720 ng*h/mL | Geometric Coefficient of Variation 38.3 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 11579 ng*h/mL | Geometric Coefficient of Variation 47.5 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 9961 ng*h/mL | Geometric Coefficient of Variation 36 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 15888 ng*h/mL | Geometric Coefficient of Variation 35.4 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib | 20480 ng*h/mL | Geometric Coefficient of Variation 36.8 |
Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, and 8 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 34338 ng*h/mL | Geometric Coefficient of Variation 62.5 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 81775 ng*h/mL | Geometric Coefficient of Variation 35.2 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 103364 ng*h/mL | Geometric Coefficient of Variation 34.1 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 135649 ng*h/mL | Geometric Coefficient of Variation 31.4 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 162308 ng*h/mL | Geometric Coefficient of Variation 18 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 43407 ng*h/mL | Geometric Coefficient of Variation 106.5 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 44360 ng*h/mL | Geometric Coefficient of Variation 57.2 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 83444 ng*h/mL | Geometric Coefficient of Variation 48.9 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 101462 ng*h/mL | Geometric Coefficient of Variation 37.7 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 108404 ng*h/mL | Geometric Coefficient of Variation 53.1 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 105098 ng*h/mL | Geometric Coefficient of Variation 40.9 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 181186 ng*h/mL | Geometric Coefficient of Variation 21.5 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses | 219708 ng*h/mL | Geometric Coefficient of Variation 14.6 |
Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the time of the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 1403 ng*h/mL | Geometric Coefficient of Variation 93.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 2101 ng*h/mL | Geometric Coefficient of Variation 86.2 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 3560 ng*h/mL | Geometric Coefficient of Variation 40 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 3764 ng*h/mL | Geometric Coefficient of Variation 83.8 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 7188 ng*h/mL | Geometric Coefficient of Variation 43.6 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 7070 ng*h/mL | Geometric Coefficient of Variation 62 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 6531 ng*h/mL | Geometric Coefficient of Variation 93.9 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 8035 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 1893 ng*h/mL | — |
Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 4830 ng*h/mL | Geometric Coefficient of Variation 82.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 9437 ng*h/mL | Geometric Coefficient of Variation 46.8 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 9002 ng*h/mL | Geometric Coefficient of Variation 60 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 13463 ng*h/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 20705 ng*h/mL | Geometric Coefficient of Variation 16.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 5181 ng*h/mL | Geometric Coefficient of Variation 133.1 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 3954 ng*h/mL | Geometric Coefficient of Variation 80.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 9193 ng*h/mL | Geometric Coefficient of Variation 42.1 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 13263 ng*h/mL | Geometric Coefficient of Variation 40.1 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 14303 ng*h/mL | Geometric Coefficient of Variation 47.2 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 12448 ng*h/mL | Geometric Coefficient of Variation 35 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 17846 ng*h/mL | Geometric Coefficient of Variation 33.7 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib | 24187 ng*h/mL | Geometric Coefficient of Variation 24.4 |
Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 41108 ng*h/mL | Geometric Coefficient of Variation 63.2 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 99954 ng*h/mL | Geometric Coefficient of Variation 35.1 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 126765 ng*h/mL | Geometric Coefficient of Variation 34.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 174409 ng*h/mL | Geometric Coefficient of Variation 32 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 200661 ng*h/mL | Geometric Coefficient of Variation 18.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 51273 ng*h/mL | Geometric Coefficient of Variation 111.1 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 53067 ng*h/mL | Geometric Coefficient of Variation 50.1 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 100119 ng*h/mL | Geometric Coefficient of Variation 49.7 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 126237 ng*h/mL | Geometric Coefficient of Variation 37.8 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 132718 ng*h/mL | Geometric Coefficient of Variation 52 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 131523 ng*h/mL | Geometric Coefficient of Variation 43 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 202702 ng*h/mL | Geometric Coefficient of Variation 17.8 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses | 256155 ng*h/mL | Geometric Coefficient of Variation 16 |
Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline
Participants who achieved 56-day post-baseline platelet transfusion independence, i.e. with no platelet transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline platelet transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 28 days before and 28 days after the first dose of treatment for Phase 1. Results are reported for all participants in Phase 1 combined and for the subset of participants with R/R AML.
Time frame: Baseline to the end of treatment; overall median duration of treatment exposure in Phase 1 combined was 5.1 months (range 0.4, 34.2 months).
Population: The population included all participants who received at least one dose of study treatment in Phase 1 Dose Escalation and Dose Expansion. Results were analyzed and are reported for Phase 1 combined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline Transfusion Dependent | 38.7 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline Transfusion Independent | 78.3 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline Transfusion Independent | 76.7 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline Transfusion Dependent | 33.1 percentage of participants |
Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline
Participants who achieved 56-day post-baseline red blood cell (RBC) transfusion independence, i.e. with no RBC transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline RBC transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 28 days before and 28 days after the first dose of treatment for Phase 1. Results are reported for all participants in Phase 1 combined and for the subset of participants with R/R AML.
Time frame: Baseline to the end of treatment; overall median duration of treatment exposure in Phase 1 combined was 5.1 months (range 0.4, 34.2 months).
Population: The population included all participants who received at least one dose of study treatment in Phase 1 Dose Escalation and Dose Expansion. Results were analyzed and are reported for Phase 1 combined.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline Transfusion Dependent | 39.3 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline Transfusion Independent | 80.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline Transfusion Independent | 71.9 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline Transfusion Dependent | 38.5 percentage of participants |
Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose
Complete response rate is defined as the percentage of participants achieving a complete response (CR) based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS as assessed by the investigator. CR for AML: - Absolute neutrophil count (ANC) \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CR for MDS: - Bone marrow: ≤ 5% myeloblasts with normal maturation of all cell lines - Peripheral blood: -- Hemoglobin ≥ 11 g/dL -- Platelets ≥ 100 × 10⁹/L -- Neutrophils ≥ 1.0 × 10⁹/L -- Blasts = 0%
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months).
Population: All participants who received at least one dose of study treatment in Phase 1 Dose Escalation. Participants were grouped according to assigned total daily dose.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 22.2 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 14.3 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 0.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 27.6 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 15.4 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 4.5 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 21.4 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 40.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose | 28.6 percentage of participants |
Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose
ORR is defined as the percentage of participants achieving an overall response of CR, CRi, CRp, PR, marrow CR (mCR) (for MDS) and MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS. CR: • ANC \> 1.0 x10⁹/L • Platelet count \> 100 x10⁹/L • Bone marrow (BM) blasts \< 5% • Absence of blasts with Auer rods • Independence of red cell transfusions CRi: • All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: • All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) PR: • Meets hematologic criteria of CR • Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: • Bone marrow blasts \< 5% • Absence of blasts with Auer rods • Absence of extramedullary disease • No hematologic recovery required mCR: • Bone marrow myeloblasts ≤ 5% and decreased by ≥ 50%
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in the dose escalation phase was 5.0 months (range 0.4 to 34.2 months).
Population: All participants who received at least one dose of study treatment in Phase 1 Dose Escalation. Participants were grouped according to assigned total daily dose.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 33.3 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 42.9 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 14.3 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 44.8 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 46.2 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 50.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 35.7 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 60.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose | 71.4 percentage of participants |
Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose
The percentage of participants achieving a complete response (CR), CR with incomplete neutrophil recovery (CRi), or a CR with incomplete platelet recovery (CRp), based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator review. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L)
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in the Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months).
Population: All participants who received at least one dose of study treatment in Phase 1 Dose Escalation. Participants were grouped according to assigned total daily dose.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 22.2 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 14.3 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 0.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 31.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 15.4 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 18.2 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 28.6 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 40.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose | 57.1 percentage of participants |
Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose
Time to best response is defined as the time from the date of the first dose to the date of the first occurrence of best response according to the following hierarchical order: CR, CRi/CRp, PR, mCR (for MDS) / MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Escalation and who had an objective response. Participants were grouped according to assigned total daily dose.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 4.2 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 2.9 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 0.9 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 2.0 months |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 3.8 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 1.9 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 3.8 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 3.7 months |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Time to Best Response by Total Daily Dose | 1.9 months |
Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose
Time to complete response is defined as the time from the date of the first dose to the date of the first complete response based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in the Phase 1 Dose Escalation phase was 5.0 months (range 0.4 to 34.2 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Escalation with a complete response. Participants were grouped according to assigned total daily dose.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 4.9 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 2.9 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 3.6 months |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 6.8 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 0.6 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 4.7 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 3.8 months |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Time to Complete Response by Total Daily Dose | 2.1 months |
Phase 1 Dose Escalation: Time to First Response by Total Daily Dose
Time to response is defined as the time from the date of first dose to the date of the first occurrence of response of CR, CRi, CRp, PR, mCR (for MDS) or MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS as assessed by the Investigator.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Escalation was 5.0 months (range 0.4 to 34.2 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Escalation who had an objective response. Participants were grouped according to assigned total daily dose.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 3.8 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 1.9 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 0.9 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 1.8 months |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 2.0 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 1.9 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 2.1 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 2.8 months |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1 Dose Escalation: Time to First Response by Total Daily Dose | 1.9 months |
Phase 1 Dose Expansion: Complete Response Rate
Complete response rate is defined as the percentage of participants achieving a complete response (CR) based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS as assessed by the investigator. CR for AML: - Absolute neutrophil count (ANC) \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CR for MDS: - Bone marrow: ≤ 5% myeloblasts with normal maturation of all cell lines - Peripheral blood: -- Hemoglobin ≥ 11 g/dL -- Platelets ≥ 100 × 10⁹/L -- Neutrophils ≥ 1.0 × 10⁹/L -- Blasts = 0%
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months).
Population: All participants in Phase 1 Dose Expansion who received at least one dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Complete Response Rate | 22.4 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Complete Response Rate | 0.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Complete Response Rate | 20.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Complete Response Rate | 22.2 percentage of participants |
Phase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR)
ORR is defined as the percentage of participants achieving an overall response of CR, CRi, CRp, PR, mCR (for MDS), or MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L) PR: - Meets hematologic criteria of CR - Decrease of BM blasts to 5-25% and decrease of pretreatment BM blast ≥ 50%. MLFS: - Bone marrow blasts \< 5% - Absence of blasts with Auer rods - Absence of extramedullary disease - No hematologic recovery required mCR: - Bone marrow myeloblasts ≤ 5% and decreased by ≥ 50%
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months).
Population: All participants who received at least one dose of study treatment in Phase 1 Expansion.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR) | 46.9 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR) | 20.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR) | 36.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR) | 44.4 percentage of participants |
Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR)
Among participants who had a response of CR based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS assessed by the Investigator, duration of complete response was calculated from the date of the first occurrence of complete response to the date of documented disease relapse, progression or death, whichever occurred earlier. DOCR was estimated using the Kaplan-Meier method. Participants without relapse, progressive disease, or death due to any cause were censored at the date of the last adequate response assessment.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Expansion with a complete response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR) | 11.6 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR) | NA months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR) | 16.8 months |
Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR)
Among participants who had a response of CR, CRi, CRp, PR, mCR, or MLFS based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS, assessed by the Investigator, duration of response was calculated from the date of the first occurrence of response to the date of documented disease relapse, progression, or death due to any cause, whichever occurred first. DOR was estimated using the Kaplan-Meier method. Participants without relapse, progressive disease, or death due to any cause were censored at the date of the last adequate response assessment.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Expansion with an objective response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR) | 5.6 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR) | 3.9 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR) | NA months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR) | 12.0 months |
Phase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS)
Event-free survival is defined as the interval from the date of the first dose to the date of documented relapse, progression, or death due to any cause, whichever occurs first. Participants without an EFS event were censored at the date of the last adequate response assessment.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months).
Population: All participants in Phase 1 Dose Expansion who received at least one dose of study treatment.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS) | 4.0 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS) | 3.8 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS) | 9.2 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS) | 3.8 months |
Phase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival
Overall survival is defined as the time from first dose to the date of death due to any cause. Participants still alive were censored at the last date known to be alive or at the data cut-off date, whichever was earlier.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; overall median time on follow-up in Phase 1 Dose Expansion was 8.3 months (range 0.5 to 32.8 months).
Population: All participants in Phase 1 Dose Expansion who received at least one dose of study treatment.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival | 8.8 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival | 11.6 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival | 10.6 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival | 11.3 months |
Phase 1 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp)
The percentage of participants achieving a complete response (CR), CR with incomplete neutrophil recovery (CRi), or a CR with incomplete platelet recovery (CRp) based on the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS, assessed by the investigator. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L)
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months).
Population: All participants who received at least one dose of study treatment in Phase 1 Dose Expansion.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp) | 28.6 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp) | 8.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp) | 24.0 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp) | 25.9 percentage of participants |
Phase 1 Dose Expansion: Time to Best Response
Time to best response is defined as the time from the date of the first dose to the date of the first occurrence of best response according to the following hierarchical order: CR, CRi/CRp, PR, mCR (for MDS) / MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Part 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Expansion who had an objective response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Time to Best Response | 3.7 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Time to Best Response | 3.7 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Time to Best Response | 3.7 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Time to Best Response | 4.6 months |
Phase 1 Dose Expansion: Time to Complete Response
Time to complete response is defined as the time from the date of the first dose to the date of the first complete response based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS per investigator assessment.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Part 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Expansion who had a complete response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Time to Complete Response | 3.7 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Time to Complete Response | 5.6 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Time to Complete Response | 9.4 months |
Phase 1 Dose Expansion: Time to First Response
Time to response is defined as the time from the date of first dose to the date of the first occurrence of response of CR, CRi, CRp, PR, mCR (for MDS) or MLFS (for AML) based on the 2003 revised IWG criteria for AML and 2006 modified IWG criteria for MDS as assessed by the Investigator.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 1 Dose Expansion was 5.2 months (range 0.5 to 32.8 months).
Population: Participants who received at least one dose of study treatment in Phase 1 Dose Expansion who had an objective response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1 Dose Expansion: Time to First Response | 1.9 months |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1 Dose Expansion: Time to First Response | 3.7 months |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1 Dose Expansion: Time to First Response | 1.8 months |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1 Dose Expansion: Time to First Response | 1.4 months |
Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 619 ng/mL | Geometric Coefficient of Variation 95 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1149 ng/mL | Geometric Coefficient of Variation 54 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1096 ng/mL | Geometric Coefficient of Variation 62.8 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1717 ng/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 2651 ng/mL | Geometric Coefficient of Variation 13.6 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 680 ng/mL | Geometric Coefficient of Variation 148.1 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 518 ng/mL | Geometric Coefficient of Variation 99.8 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1199 ng/mL | Geometric Coefficient of Variation 42.3 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1640 ng/mL | Geometric Coefficient of Variation 30.2 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1817 ng/mL | Geometric Coefficient of Variation 55 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1687 ng/mL | Geometric Coefficient of Variation 37.7 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 2415 ng/mL | Geometric Coefficient of Variation 33.2 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 3135 ng/mL | Geometric Coefficient of Variation 38.8 |
Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 5300 ng/mL | Geometric Coefficient of Variation 71.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 12538 ng/mL | Geometric Coefficient of Variation 39.2 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 15860 ng/mL | Geometric Coefficient of Variation 34.5 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 23962 ng/mL | Geometric Coefficient of Variation 25.3 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 26715 ng/mL | Geometric Coefficient of Variation 24.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 6543 ng/mL | Geometric Coefficient of Variation 124.9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 6922 ng/mL | Geometric Coefficient of Variation 64.2 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 13012 ng/mL | Geometric Coefficient of Variation 46.5 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 15734 ng/mL | Geometric Coefficient of Variation 38.6 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 17990 ng/mL | Geometric Coefficient of Variation 64 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 18505 ng/mL | Geometric Coefficient of Variation 42.4 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 28049 ng/mL | Geometric Coefficient of Variation 23.4 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses | 35269 ng/mL | Geometric Coefficient of Variation 10.7 |
Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 29 ng/mL | Geometric Coefficient of Variation 89.3 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 47 ng/mL | Geometric Coefficient of Variation 68.3 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 74 ng/mL | Geometric Coefficient of Variation 52.3 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 79 ng/mL | Geometric Coefficient of Variation 60.6 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 126 ng/mL | Geometric Coefficient of Variation 39.4 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 138 ng/mL | Geometric Coefficient of Variation 47.4 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 151 ng/mL | Geometric Coefficient of Variation 52.4 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 188 ng/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 242 ng/mL | — |
Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 569 ng/mL | Geometric Coefficient of Variation 45.6 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 545 ng/mL | Geometric Coefficient of Variation 64 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 1084 ng/mL | Geometric Coefficient of Variation 51.6 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 1279 ng/mL | Geometric Coefficient of Variation 56.1 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 1624 ng/mL | Geometric Coefficient of Variation 29.5 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 2082 ng/mL | Geometric Coefficient of Variation 46.5 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 3358 ng/mL | Geometric Coefficient of Variation 43.1 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 3031 ng/mL | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3 | 4670 ng/mL | — |
Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma 2-HG was measured using qualified LC-MS/MS in order to characterize the pharmacodynamic (PD) effects of enasidenib; the LLOQ was 30.0 ng/mL. Minimum percent change from Baseline response value post-dose over 10 hours was calculated as: (minimum observed concentration post-dose over 10 hours \[Rmin\] - Baseline) / Baseline \* 100. Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage.
Time frame: Screening visit, Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PD parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Dose Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -36.9 percent change | Standard Deviation 43.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -37.7 percent change | Standard Deviation 63.9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -38.6 percent change | Standard Deviation 96.4 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -47.5 percent change | Standard Deviation 53.1 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -59.6 percent change | Standard Deviation 44.5 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -56.9 percent change | Standard Deviation 37.5 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -74.7 percent change | Standard Deviation 9 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -31.5 percent change | Standard Deviation 38.6 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After a Single Oral Dose of Enasidenib on Day -3 | -36.9 percent change | — |
Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib
Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL. Minimum percent change from Baseline response value post-dose over 10 hours was calculated as: (minimum observed concentration post-dose over 10 hours \[Rmin\] - Baseline) / Baseline \* 100. Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage.
Time frame: Cycle 1, Day 15 and Cycle 2, Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -54.8 percent change | Standard Deviation 94.7 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -69.0 percent change | Standard Deviation 42 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -76.5 percent change | Standard Deviation 56.4 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -54.5 percent change | Standard Deviation 192.9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -89.2 percent change | Standard Deviation 18.9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -68.9 percent change | Standard Deviation 63.3 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -89.5 percent change | Standard Deviation 12.5 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -88.6 percent change | Standard Deviation 12.3 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -81.4 percent change | Standard Deviation 11.6 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -80.7 percent change | Standard Deviation 14.5 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -63.3 percent change | Standard Deviation 40.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -84.8 percent change | Standard Deviation 18.5 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -70.6 percent change | Standard Deviation 61.8 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -79.3 percent change | Standard Deviation 22 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -65.6 percent change | Standard Deviation 94.7 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -71.0 percent change | Standard Deviation 57.1 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -47.2 percent change | Standard Deviation 224 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -80.4 percent change | Standard Deviation 45.7 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -35.6 percent change | Standard Deviation 422 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -86.0 percent change | Standard Deviation 25.3 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -91.2 percent change | Standard Deviation 4 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -89.8 percent change | Standard Deviation 8 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -60.6 percent change | Standard Deviation 83.8 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -71.3 percent change | Standard Deviation 31.5 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -23.1 percent change | — |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -53.5 percent change | Standard Deviation 120.5 |
Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma 2-HG was measured using qualified LC-MS/MS in order to characterize the pharmacodynamic (PD) effects of enasidenib; the LLOQ was 30.0 ng/mL. Area under the effect concentration time curve from time point zero (predose) up to 10 hours postdose (AUEC0-10) was calculated using the linear trapezoid rule. Percent change from Baseline for AUEC0-10 was calculated as (AUEC0-10 minus \[Baseline\*Tlast\]) / (Baseline\*Tlast) \* 100, where Tlast corresponded to 10 hours and Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage.
Time frame: Screening visit, Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PD parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | 2.43 percent change | Standard Deviation 1044.2 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | -13.55 percent change | Standard Deviation 71.3 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | 9.32 percent change | Standard Deviation 862.2 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | -7.28 percent change | Standard Deviation 270.8 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | -16.61 percent change | Standard Deviation 127.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | -11.92 percent change | Standard Deviation 95.3 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | -17.79 percent change | Standard Deviation 92 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | -8.92 percent change | — |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose (%BAUEC0-10) of 2-hydroxyglutarate (2-HG) on Day -3 | -16.14 percent change | — |
Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib
Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL. Area under the effect concentration time curve from time point zero (predose) up to 10 hours postdose (AUEC0-10) was calculated using the linear trapezoid rule. Percent change from baseline for AUEC0-10 was calculated as: (AUEC0-10 minus \[Baseline\*Tlast\]) / (Baseline\*Tlast) \* 100, where Tlast corresponded to 10 hours and Baseline was equal to the average of the Screening and Day -3 (predose) 2-HG values. Data reported are the arithmetic mean and relative standard deviation expressed as a percentage.
Time frame: Cycle 1, Day 15 and Cycle 2, Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -49.01 percent change | Standard Deviation 115.4 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -62.18 percent change | Standard Deviation 48.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -62.60 percent change | Standard Deviation 113.1 |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -35.49 percent change | Standard Deviation 430.9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -87.19 percent change | Standard Deviation 21.4 |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -64.63 percent change | Standard Deviation 74.7 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -84.24 percent change | Standard Deviation 14.2 |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -83.93 percent change | Standard Deviation 19 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -78.07 percent change | Standard Deviation 17.2 |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -79.40 percent change | Standard Deviation 13.7 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -58.76 percent change | Standard Deviation 44.9 |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -81.51 percent change | Standard Deviation 25.9 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -69.00 percent change | Standard Deviation 38.8 |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -66.41 percent change | Standard Deviation 70.5 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -64.23 percent change | Standard Deviation 80.3 |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -53.46 percent change | Standard Deviation 190.7 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -37.70 percent change | Standard Deviation 317.5 |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -71.67 percent change | Standard Deviation 72.6 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -79.34 percent change | Standard Deviation 34.1 |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -27.70 percent change | Standard Deviation 599.5 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -87.74 percent change | Standard Deviation 5.7 |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -87.88 percent change | Standard Deviation 9.4 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | -62.89 percent change | Standard Deviation 48.8 |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -76.98 percent change | Standard Deviation 40.2 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | -82.28 percent change | Standard Deviation 24.9 |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Percent Change From Baseline for Area Under the Effect Concentration Time Curve From Time 0 to 10 Hours Postdose of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 2.54 percent change | — |
Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib
Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL.
Time frame: Cycle 1, Day 15 and Cycle 2, Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 1, Day 15 or Cycle 2, Day 1 with sufficient data to determine PD parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 0.98 hours |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 4.00 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 5.90 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 3.00 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 3.03 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 6.17 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 4.44 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 6.00 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 2.00 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 1.00 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 2.95 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 3.00 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 6.96 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 5.85 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 3.10 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 3.65 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 4.00 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 6.50 hours |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 5.95 hours |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 1.53 hours |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 7.92 hours |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 7.08 hours |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 4.00 hours |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 6.00 hours |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 1, Day 15 | 2.87 hours |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 2.00 hours |
Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma 2-HG was measured using qualified LC-MS/MS, the LLOQ was 30.0 ng/mL.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PD parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 35.78 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 8.00 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 23.92 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 48.00 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 48.20 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 48.70 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 48.10 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 30.79 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -3 | 8.17 hours |
Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 36.38 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 10.00 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 10.00 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 48.00 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 24.12 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 47.33 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 48.10 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 59.88 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3 | 6.17 hours |
Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1.50 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 2.00 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 0.52 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1.48 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1.54 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 2.92 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1.58 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1.00 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 4.00 hours |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1.00 hours |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 5.98 hours |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 2.98 hours |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib | 1.97 hours |
Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3
The first 3 participants enrolled in each cohort of the dose escalation phase and the first 15 participants enrolled in each arm of Phase 1 Expansion received a single dose of enasidenib three days prior to starting the 28-day dosing regimen (Day -3). Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Day -3 prior to the single dose of enasidenib and at 0.5, 1, 2, 3, 4, 6, 8, 10, 24, 48, and 72 hours post-dose.
Population: Participants who received 1 dose of enasidenib on Day -3 with sufficient data to determine PK parameters. Participants who received 2 doses on Day -3 or who received the incorrect dose were excluded. Participants in the Phase 1 Escalation BID and QD cohorts and Phase 1 Expansion cohorts were were grouped by dose for Day -3 analyses.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 1.59 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 5.83 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 3.00 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 4.00 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 3.98 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 4.08 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 8.89 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 18.61 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -3 | 6.17 hours |
Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 2 Day 1 at predose and 0.5, 1, 2, 3, 4, 6, 8, and 10 hours post-dose.
Population: Participants who received enasidenib on Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis. Participants in the Phase 1 Escalation and Expansion Enasidenib 100 mg QD cohorts were combined for analysis.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 0.50 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 2.00 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 0.50 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 4.47 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg BID | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 1.54 hours |
| Phase 1 Dose Escalation: Enasidenib 50 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 3.02 hours |
| Phase 1 Dose Escalation: Enasidenib 75 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 4.04 hours |
| Phase 1 Dose Escalation: Enasidenib 100 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 1.02 hours |
| Phase 1 Dose Escalation: Enasidenib 150 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 2.13 hours |
| Phase 1 Dose Escalation: Enasidenib 200 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 1.02 hours |
| Phase 1 Dose Escalation: Enasidenib 300 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 5.98 hours |
| Phase 1 Dose Escalation: Enasidenib 450 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 4.08 hours |
| Phase 1 Dose Escalation: Enasidenib 650 mg QD | Phase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses | 2.00 hours |
Phase 2: Apparent Terminal Phase Half-life (t1/2) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1, Day 1 or Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1. T1/2 was not calculated when the terminal elimination rate constant (λz) was not estimable.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Apparent Terminal Phase Half-life (t1/2) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1, Day 1 | 32.2 hours | Geometric Coefficient of Variation 116.9 |
Phase 2: Apparent Terminal Phase Half-life (t1/2) of Enasidenib After Single and Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1 Day 1 or Cycle 2 Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2 Day 1. t1/2 was not calculated when the terminal elimination rate constant (λz) was not estimable.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Apparent Terminal Phase Half-life (t1/2) of Enasidenib After Single and Multiple Oral Doses | Cycle 1, Day 1 | 38.3 hours | Geometric Coefficient of Variation 81.7 |
Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC 0-24) of Enasidenib After Single and Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1 Day 1 or Cycle 2 Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2 Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC 0-24) of Enasidenib After Single and Multiple Oral Doses | Cycle 1, Day 1 | 27889 ng*h/mL | Geometric Coefficient of Variation 46.7 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 24 Hours Postdose (AUC 0-24) of Enasidenib After Single and Multiple Oral Doses | Cycle 2, Day 1 | 263131 ng*h/mL | Geometric Coefficient of Variation 42.7 |
Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Single and Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) of enasidenib was calculated using the linear trapezoidal rule.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, and 8 hours post-dose.
Population: Participants who received enasidenib on Cycle 1 Day 1 or Cycle 2 Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Single and Multiple Oral Doses | Cycle 1, Day 1 | 8134 ng*h/mL | Geometric Coefficient of Variation 49.3 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Single and Multiple Oral Doses | Cycle 2, Day 1 | 86505 ng*h/mL | Geometric Coefficient of Variation 44.4 |
Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Single and Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1 Day 1 or Cycle 2 Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2 Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Single and Multiple Oral Doses | Cycle 1, Day 1 | 17447 ng*h/mL | Geometric Coefficient of Variation 88.6 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Single and Multiple Oral Doses | Cycle 2, Day 1 | 185566 ng*h/mL | Geometric Coefficient of Variation 75.5 |
Phase 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 24 hours post-dose (AUC0-24) was calculated using the linear trapezoidal rule.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1, Day 1 or Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1, Day 1 | 1482 ng*h/mL | Geometric Coefficient of Variation 63.9 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 23963 ng*h/mL | Geometric Coefficient of Variation 43.8 |
Phase 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to 8 hours post-dose (AUC0-8) was calculated using the linear trapezoidal rule.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, and 8 hours post-dose.
Population: Participants who received enasidenib on Cycle 1, Day 1 or Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1, Day 1 | 323 ng*h/mL | Geometric Coefficient of Variation 90.8 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 7409 ng*h/mL | Geometric Coefficient of Variation 45.3 |
Phase 2: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL. Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC0-t) was calculated using the linear trapezoidal rule.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1, Day 1 or Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1, Day 1 | 829 ng*h/mL | Geometric Coefficient of Variation 138.1 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 16593 ng*h/mL | Geometric Coefficient of Variation 81.8 |
Phase 2 Dose Expansion: Complete Response Rate
Complete response rate is defined as the percentage of participants achieving a complete response (CR) based on the 2003 revised IWG criteria for AML as assessed by the investigator. CR for AML: - Absolute neutrophil count (ANC) \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Complete Response Rate | 20.0 percentage of participants |
Phase 2 Dose Expansion: Duration of Complete Response
Among participants who had a response of CR based on the 2003 revised IWG criteria for AML assessed by the Investigator, duration of complete response was calculated from the date of the first occurrence of complete response to the date of documented disease relapse, progression or death, whichever occurred earlier. DOCR was estimated using the Kaplan-Meier method. Participants without relapse, progressive disease, or death due to any cause were censored at the date of the last adequate response assessment.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months).
Population: Participants in Phase 2 with R/R AML who received at least one dose of study treatment and who had a complete response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Duration of Complete Response | 4.6 months |
Phase 2 Dose Expansion: Kaplan-Meier Estimate of Duration of Response
For participants with an objective response based on the 2003 revised IWG criteria for AML assessed by the Investigator, duration of response was calculated from the date of the first occurrence of response to the date of documented disease relapse, progression, or death due to any cause, whichever occurred first. Participants without relapse, progressive disease or death were censored at the last response assessment date. Relapse (for participants who previously attained CR, Cri, CRp or MLFS): BM blasts ≥ 5%, reappearance of blasts in the blood or development of extramedullary disease. Disease progression (for participants who previously attained PR): development of new extramedullary disease, or For participants with 5% to 67% BM blasts at nadir: - a \> 50% increase in BM blasts from nadir and that is ≥ 20%. For participants with ≥ 67% BM blasts at nadir: - a doubling of the nadir absolute peripheral blood (PB) blast count and the final absolute PB blast count \> 10 x 10⁹/L.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months).
Population: Participants in Phase 2 with R/R AML who received at least one dose of study treatment and who had an objective response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Kaplan-Meier Estimate of Duration of Response | 5.6 months |
Phase 2 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival
Event-free survival is defined as the interval from the date of the first dose to the date of documented relapse, progression, or death due to any cause, whichever occurred first. Participants without an EFS event were censored at the date of the last adequate response assessment.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival | 4.7 months |
Phase 2 Dose Expansion: Kaplan-Meier Estimate of Overall Survival
Overall survival is defined as the time from first dose to the date of death due to any cause. Participants still alive were censored at the last date known to be alive or at the data cut-off date, whichever was earlier.
Time frame: From first dose of study treatment to the data cut-off date of 01 September 2017; median time on follow-up in Phase 2 was 5.8 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Kaplan-Meier Estimate of Overall Survival | 7.0 months |
Phase 2 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp)
The percentage of participants achieving a complete response (CR), CR with incomplete neutrophil recovery (CRi), or a CR with incomplete platelet recovery (CRp) based on the 2003 revised IWG criteria for AML, assessed by the Investigator. CR: - ANC \> 1.0 x10⁹/L - Platelet count \> 100 x10⁹/L - Bone marrow (BM) blasts \< 5% - Absence of blasts with Auer rods - Independence of red cell transfusions CRi: - All CR criteria except for residual neutropenia (ANC \< 1.0 x 10⁹/L CRp: - All CR criteria except for residual thrombocytopenia (platelet counts \< 100 x 10⁹/L)
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp) | 31.4 percentage of participants |
Phase 2 Dose Expansion: Time to Best Response
Time to best response is defined as the time from the date of the first dose to the date of the first occurrence of best response according to the following hierarchical order: CR, CRi/CRp, PR, or MLFS based on the 2003 revised IWG criteria for AML per investigator assessment.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: Participants in Phase 2 with R/R AML who received at least one dose of study treatment and who had an objective response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Time to Best Response | 3.7 months |
Phase 2 Dose Expansion: Time to Complete Response
Time to complete response is defined as the time from the date of the first dose to the date of the first complete response based on the 2003 revised IWG criteria for AML per investigator assessment.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: Participants in Phase 2 with R/R AML who received at least one dose of study treatment and who had a complete response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Time to Complete Response | 3.7 months |
Phase 2 Dose Expansion: Time to First Response
Time to response is defined as the time from the date of first dose to the date of the first occurrence of response of CR, CRi, CRp, PR, or MLFS based on the 2003 revised IWG criteria for AML as assessed by the Investigator.
Time frame: Response assessments were performed every 28 days through Month 12 and every 56 days thereafter until the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: Participants in Phase 2 with R/R AML who received at least one dose of study treatment and who had an objective response.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2 Dose Expansion: Time to First Response | 2.7 months |
Phase 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1, Day 1 or Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1, Day 1 | 72 ng/mL | Geometric Coefficient of Variation 80.8 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 1158 ng/mL | Geometric Coefficient of Variation 48.5 |
Phase 2: Maximum Concentration (Cmax) of Enasidenib After Single and Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1 Day 1 or Cycle 2 Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2 Day 1.
| Arm | Measure | Group | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Maximum Concentration (Cmax) of Enasidenib After Single and Multiple Oral Doses | Cycle 1, Day 1 | 1522 ng/mL | Geometric Coefficient of Variation 45.1 |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Maximum Concentration (Cmax) of Enasidenib After Single and Multiple Oral Doses | Cycle 2, Day 1 | 13126 ng/mL | Geometric Coefficient of Variation 42.4 |
Phase 2: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline
Participants who achieved 56-day post-baseline platelet transfusion independence, i.e. with no platelet transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline platelet transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 56 days before the first dose date for Phase 2.
Time frame: Baseline to the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline Transfusion Independent | 69.6 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baseline | Baseline Transfusion Dependent | 35.6 percentage of participants |
Phase 2: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline
Participants who achieved 56-day post-baseline red blood cell (RBC) transfusion independence, i.e. with no RBC transfusions for at least 56 consecutive days during the treatment exposure period, reported by Baseline RBC transfusion dependence status. Participants with at least one transfusion during the Baseline period were considered transfusion dependent at Baseline, where the Baseline period is defined as 56 days before the first dose date for Phase 2.
Time frame: Baseline to the end of treatment; median duration of treatment exposure in Phase 2 was 5.3 months (range 0.4 to 22.5 months).
Population: All participants In Phase 2 with R/R AML who received at least 1 dose of study treatment.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline Transfusion Dependent | 41.8 percentage of participants |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baseline | Baseline Transfusion Independent | 57.9 percentage of participants |
Phase 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib
AGI-16903 is a primary metabolite of enasidenib. Plasma AGI-16903 was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1, Day 1 or Cycle 2, Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2, Day 1.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 1, Day 1 | 8.00 hours |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib | Cycle 2, Day 1 | 2.12 hours |
Phase 2: Time to Maximum Concentration (Tmax) of Enasidenib After Single and Multiple Oral Doses
Plasma enasidenib was measured using validated liquid chromatography-mass spectrometry methods (LC-MS/MS). The lower limit of quantification (LLOQ) in plasma was 1.00 ng/mL.
Time frame: Cycle 1 Day 1 and Cycle 2 Day 1 at predose and 2, 4, 6, 8, and 24 hours post-dose.
Population: Participants who received enasidenib on Cycle 1 Day 1 or Cycle 2 Day 1 with sufficient data to determine PK parameters. Participants who took less than 80% of their planned continuous dosing regimen were excluded from the analysis of Cycle 2 Day 1.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Time to Maximum Concentration (Tmax) of Enasidenib After Single and Multiple Oral Doses | Cycle 1, Day 1 | 4.04 hours |
| Phase 1 Dose Escalation: Enasidenib 30 mg BID | Phase 2: Time to Maximum Concentration (Tmax) of Enasidenib After Single and Multiple Oral Doses | Cycle 2, Day 1 | 2.08 hours |