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Phase 1/2 Study of Enasidenib (AG-221) in Adults With Advanced Hematologic Malignancies With an Isocitrate Dehydrogenase Isoform 2 (IDH2) Mutation

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

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01915498
Enrollment
345
Registered
2013-08-05
Start date
2013-08-27
Completion date
2023-10-31
Last updated
2024-10-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hematologic Neoplasms

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

DRUGEnasidenib

Enasidenib tablets administered orally every day of 28-day treatment cycles until disease progression or unacceptable toxicities.

Sponsors

Agios Pharmaceuticals, Inc.
CollaboratorINDUSTRY
Celgene
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
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 daysToxicity 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 EventsFrom 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 EventsFrom 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 EventsFrom 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

MeasureTime frameDescription
Phase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily DoseResponse 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-baselineBaseline 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 ResponseFrom 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 SurvivalFrom 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 SurvivalFrom 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-baselineBaseline 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-baselineBaseline 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-baselineBaseline 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 SurvivalFrom 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 ResponseFrom 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 DoseResponse 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 ResponseResponse 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 ResponseResponse 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 DoseResponse 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 ResponseResponse 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 ResponseResponse 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 DoseResponse 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 ResponseResponse 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 ResponseResponse 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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 DosesCycle 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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 -3Day -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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 QDDay -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 QDDay -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 QDDay -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 QDDay -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 QDDay -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 QDDay -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 -3Day -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 QDDay -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 DoseResponse 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 -3Screening 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 -3Screening 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 EnasidenibCycle 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 EnasidenibCycle 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 EnasidenibCycle 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 QDDay -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 AMLResponse 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 DoseResponse 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 RateResponse 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 RateResponse 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

ArmCount
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
Total345

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013FG014FG015FG016FG017FG018
Main Analysis (Sept 2013 - Sept 2017)Adverse Event20110014121124142160
Main Analysis (Sept 2013 - Sept 2017)Bone Marrow Transplant (BMT)1201001000101652290
Main Analysis (Sept 2013 - Sept 2017)Death21111201002004143160
Main Analysis (Sept 2013 - Sept 2017)Development of Intercurrent Condition0000000000100100110
Main Analysis (Sept 2013 - Sept 2017)Disease Progression13342551547323241498410
Main Analysis (Sept 2013 - Sept 2017)Lost to Follow-up0000000000100000000
Main Analysis (Sept 2013 - Sept 2017)Medical Condition1000010000000010020
Main Analysis (Sept 2013 - Sept 2017)Miscellaneous0120000111010101480
Main Analysis (Sept 2013 - Sept 2017)Physician Decision0000010002000121220
Main Analysis (Sept 2013 - Sept 2017)Protocol Violation0000100001000000000
Main Analysis (Sept 2013 - Sept 2017)Withdrawal by Subject0001100001001512250
Safety Follow up (Aug 2019 to Sep 2023)Adverse Event0000000000000000001
Safety Follow up (Aug 2019 to Sep 2023)Withdrawal by Subject0000000000000000001
Safety Follow-up (Sep 2017 to July 2019)Ongoing Treatment0000000000000000002

Baseline characteristics

CharacteristicPhase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Expansion Arm 1: Enasidenib 100 mg QDPhase 1 Dose Expansion Arm 2: Enasidenib 100 mg QDPhase 1 Dose Expansion Arm 3: Enasidenib 100 mg QDPhase 1 Dose Expansion Arm 4: Enasidenib 100 mg QDPhase 2: Enasidenib 100 mg QDTotalPhase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Enasidenib 30 mg BID
Absolute Neutrophil Count (ANC)0.5 10^9 cells/L0.2 10^9 cells/L0.2 10^9 cells/L0.5 10^9 cells/L1.0 10^9 cells/L0.4 10^9 cells/L0.6 10^9 cells/L1.1 10^9 cells/L0.1 10^9 cells/L0.8 10^9 cells/L0.4 10^9 cells/L0.1 10^9 cells/L0.4 10^9 cells/L1.0 10^9 cells/L0.3 10^9 cells/L0.4 10^9 cells/L0.5 10^9 cells/L0.3 10^9 cells/L0.8 10^9 cells/L
Age, Continuous73.6 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 Participants4 Participants5 Participants5 Participants4 Participants3 Participants5 Participants2 Participants3 Participants5 Participants22 Participants0 Participants8 Participants13 Participants45 Participants137 Participants4 Participants3 Participants4 Participants
Age, Customized
< 65 Years Old
1 Participants2 Participants2 Participants10 Participants0 Participants6 Participants2 Participants5 Participants1 Participants1 Participants11 Participants25 Participants1 Participants4 Participants35 Participants114 Participants3 Participants2 Participants3 Participants
Age, Customized
≥ 75 Years Old
2 Participants3 Participants0 Participants7 Participants2 Participants5 Participants2 Participants0 Participants1 Participants1 Participants16 Participants0 Participants16 Participants10 Participants26 Participants94 Participants0 Participants3 Participants0 Participants
Bone Marrow Blasts
< 20% Blasts
1 Participants0 Participants2 Participants6 Participants2 Participants4 Participants3 Participants4 Participants0 Participants2 Participants11 Participants6 Participants2 Participants16 Participants22 Participants86 Participants1 Participants3 Participants1 Participants
Bone Marrow Blasts
20% to < 30% Blasts
1 Participants1 Participants0 Participants0 Participants1 Participants1 Participants1 Participants0 Participants0 Participants0 Participants4 Participants2 Participants6 Participants2 Participants14 Participants34 Participants1 Participants0 Participants0 Participants
Bone Marrow Blasts
30% to < 50% Blasts
1 Participants2 Participants0 Participants5 Participants2 Participants5 Participants2 Participants2 Participants2 Participants1 Participants8 Participants4 Participants6 Participants3 Participants18 Participants69 Participants1 Participants2 Participants5 Participants
Bone Marrow Blasts
≥ 50% Blasts
2 Participants6 Participants4 Participants11 Participants1 Participants4 Participants3 Participants1 Participants3 Participants4 Participants26 Participants12 Participants10 Participants6 Participants49 Participants150 Participants4 Participants3 Participants1 Participants
Bone Marrow Blasts
Missing
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants3 Participants6 Participants0 Participants0 Participants0 Participants
Cytogenetic Risk Status
Failure
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants6 Participants9 Participants1 Participants0 Participants0 Participants
Cytogenetic Risk Status
Favorable-Risk
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Cytogenetic Risk Status
Intermediate-Risk
1 Participants5 Participants2 Participants6 Participants4 Participants9 Participants6 Participants5 Participants3 Participants3 Participants19 Participants14 Participants13 Participants19 Participants57 Participants173 Participants1 Participants2 Participants4 Participants
Cytogenetic Risk Status
Missing
2 Participants1 Participants4 Participants8 Participants1 Participants3 Participants3 Participants1 Participants1 Participants1 Participants15 Participants3 Participants4 Participants6 Participants17 Participants79 Participants3 Participants4 Participants2 Participants
Cytogenetic Risk Status
Poor-Risk
2 Participants3 Participants1 Participants8 Participants1 Participants2 Participants0 Participants1 Participants1 Participants3 Participants13 Participants8 Participants8 Participants2 Participants26 Participants84 Participants2 Participants2 Participants1 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
0 - Fully active
2 Participants0 Participants2 Participants7 Participants1 Participants2 Participants2 Participants1 Participants3 Participants1 Participants10 Participants5 Participants6 Participants6 Participants24 Participants79 Participants2 Participants4 Participants1 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1 - Restricted but ambulatory
2 Participants5 Participants4 Participants11 Participants4 Participants9 Participants4 Participants6 Participants1 Participants5 Participants28 Participants18 Participants13 Participants16 Participants65 Participants204 Participants5 Participants4 Participants4 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
2 - Ambulatory but unable to work
1 Participants4 Participants1 Participants4 Participants1 Participants3 Participants3 Participants0 Participants1 Participants1 Participants11 Participants2 Participants6 Participants5 Participants16 Participants61 Participants0 Participants0 Participants2 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
3 - Limited self-care
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
4 - Completely Disabled
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Missing
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants1 Participants1 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants7 Participants3 Participants2 Participants1 Participants8 Participants27 Participants1 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants8 Participants3 Participants15 Participants6 Participants8 Participants8 Participants6 Participants4 Participants4 Participants36 Participants16 Participants22 Participants19 Participants60 Participants234 Participants5 Participants7 Participants4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants0 Participants3 Participants5 Participants0 Participants6 Participants1 Participants1 Participants1 Participants2 Participants6 Participants6 Participants1 Participants7 Participants38 Participants84 Participants1 Participants1 Participants3 Participants
Hemoglobin91.0 g/L89.0 g/L92.0 g/L96.5 g/L94.0 g/L87.5 g/L93.0 g/L97.0 g/L103.0 g/L95.0 g/L93.0 g/L93.0 g/L89.0 g/L92.0 g/L89.0 g/L90.0 g/L86.0 g/L97.5 g/L82.0 g/L
Isocitrate dehydrogenase 2 (IDH2) Mutation Type
Missing
1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants2 Participants0 Participants0 Participants0 Participants
Isocitrate dehydrogenase 2 (IDH2) Mutation Type
R140
2 Participants6 Participants6 Participants19 Participants5 Participants10 Participants9 Participants6 Participants1 Participants5 Participants37 Participants18 Participants17 Participants21 Participants80 Participants259 Participants6 Participants5 Participants6 Participants
Isocitrate dehydrogenase 2 (IDH2) Mutation Type
R172
2 Participants3 Participants1 Participants3 Participants1 Participants4 Participants0 Participants1 Participants4 Participants2 Participants12 Participants7 Participants8 Participants5 Participants26 Participants84 Participants1 Participants3 Participants1 Participants
Isocitrate dehydrogenase 2 (IDH2) Mutation Type
Unknown
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Malignancy Type
Myelodysplastic Syndrome (MDS)
0 Participants0 Participants1 Participants3 Participants1 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants7 Participants0 Participants17 Participants0 Participants2 Participants1 Participants
Malignancy Type
Other
0 Participants0 Participants1 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants6 Participants0 Participants9 Participants0 Participants0 Participants0 Participants
Malignancy Type
Relapsed / Refractory Acute Myeloid Leukemia (AML)
3 Participants8 Participants5 Participants19 Participants3 Participants9 Participants8 Participants7 Participants3 Participants7 Participants48 Participants25 Participants3 Participants9 Participants105 Participants280 Participants6 Participants6 Participants6 Participants
Malignancy Type
Untreated AML
2 Participants1 Participants0 Participants0 Participants1 Participants3 Participants0 Participants0 Participants2 Participants0 Participants1 Participants0 Participants22 Participants5 Participants1 Participants39 Participants1 Participants0 Participants0 Participants
Platelets44.0 10^9 cells/L23.0 10^9 cells/L52.0 10^9 cells/L35.5 10^9 cells/L48.0 10^9 cells/L42.0 10^9 cells/L63.0 10^9 cells/L91.0 10^9 cells/L73.0 10^9 cells/L45.9 10^9 cells/L39.0 10^9 cells/L37.0 10^9 cells/L58.0 10^9 cells/L57.0 10^9 cells/L36.0 10^9 cells/L42.9 10^9 cells/L102.0 10^9 cells/L92.0 10^9 cells/L43.0 10^9 cells/L
Race/Ethnicity, Customized
American Indian/Alaskan Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants2 Participants0 Participants4 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black
0 Participants2 Participants1 Participants0 Participants0 Participants1 Participants0 Participants1 Participants0 Participants1 Participants1 Participants4 Participants0 Participants0 Participants6 Participants19 Participants0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Not Provided
3 Participants0 Participants1 Participants4 Participants0 Participants2 Participants1 Participants0 Participants1 Participants1 Participants6 Participants2 Participants1 Participants6 Participants21 Participants50 Participants0 Participants1 Participants0 Participants
Race/Ethnicity, Customized
Other
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants2 Participants0 Participants0 Participants0 Participants4 Participants1 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
2 Participants6 Participants5 Participants18 Participants6 Participants11 Participants8 Participants6 Participants4 Participants5 Participants40 Participants17 Participants24 Participants19 Participants78 Participants267 Participants6 Participants6 Participants6 Participants
Sex: Female, Male
Female
4 Participants4 Participants0 Participants11 Participants3 Participants3 Participants1 Participants5 Participants1 Participants1 Participants27 Participants12 Participants9 Participants10 Participants42 Participants144 Participants4 Participants4 Participants3 Participants
Sex: Female, Male
Male
1 Participants5 Participants7 Participants11 Participants3 Participants11 Participants8 Participants2 Participants4 Participants6 Participants22 Participants13 Participants16 Participants17 Participants64 Participants201 Participants3 Participants4 Participants4 Participants
Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status
Heterozygous
0 Participants0 Participants0 Participants1 Participants2 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants1 Participants20 Participants27 Participants0 Participants1 Participants0 Participants
Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status
Homozygous
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants1 Participants0 Participants2 Participants1 Participants10 Participants16 Participants0 Participants0 Participants0 Participants
Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status
Missing
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants20 Participants22 Participants0 Participants0 Participants0 Participants
Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status
Not Applicable
5 Participants9 Participants7 Participants21 Participants4 Participants14 Participants8 Participants7 Participants5 Participants6 Participants47 Participants24 Participants21 Participants23 Participants36 Participants258 Participants7 Participants7 Participants7 Participants
Uridine Diphosphate-Glucuronosyltransferase 1 Family, Polypeptide A1 (UGT1A1) Mutation Status
Wild Type
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants20 Participants22 Participants0 Participants0 Participants0 Participants
White Blood Cell Count1.9 10^9 cells/L2.6 10^9 cells/L2.1 10^9 cells/L5.3 10^9 cells/L3.3 10^9 cells/L2.6 10^9 cells/L2.4 10^9 cells/L2.1 10^9 cells/L1.3 10^9 cells/L3.6 10^9 cells/L3.0 10^9 cells/L3.1 10^9 cells/L2.3 10^9 cells/L2.7 10^9 cells/L2.0 10^9 cells/L2.4 10^9 cells/L2.0 10^9 cells/L2.5 10^9 cells/L2.0 10^9 cells/L

Adverse events

Event typeEG000
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 / 73 / 77 / 75 / 83 / 58 / 96 / 720 / 224 / 67 / 148 / 93 / 55 / 740 / 5015 / 2420 / 2517 / 2783 / 106
other
Total, other adverse events
7 / 77 / 77 / 78 / 85 / 58 / 97 / 722 / 226 / 614 / 149 / 95 / 57 / 750 / 5023 / 2425 / 2527 / 27106 / 106
serious
Total, serious adverse events
6 / 76 / 76 / 77 / 83 / 59 / 95 / 719 / 224 / 611 / 147 / 95 / 56 / 743 / 5018 / 2420 / 2520 / 2786 / 106

Outcome results

Primary

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.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)0 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLT)1 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP4 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE7 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP4 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 BIDPhase 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 BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE6 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE4 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE6 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP4 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE1 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE5 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 BIDPhase 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 BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE6 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP3 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE2 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE6 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 BIDPhase 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 BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE8 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE2 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE7 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP5 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP3 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE2 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE4 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE3 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP1 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP6 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE9 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE9 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP3 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE3 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE5 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE6 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE5 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP10 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP7 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP9 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE19 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE21 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP5 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP10 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP1 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP3 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE5 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE0 Participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE4 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP9 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP7 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE2 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP5 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE11 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP9 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE14 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP4 Participants
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE7 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE8 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP5 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP3 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE4 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE2 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE5 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP4 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE5 Participants
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Interruption of IP6 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE Related to IP4 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 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 QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to D/C of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Reduction of IP6 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 3-4 TEAE7 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Grade 5 TEAE0 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Interruption of IP6 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Leading to Discontinuation (D/C) of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)TEAE Related to IP Leading to Reduction of IP6 Participants
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1 Dose Escalation: Number of Participants With Treatment Emergent Adverse Events (TEAEs)Serious TEAE6 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to Investigational Product (IP)43 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE47 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsAny Treatment-emergent Adverse Event (TEAE)49 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE8 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to D/C of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE Related to IP20 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to IP Interruption24 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE41 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE Related to IP7 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Discontinuation (D/C) of IP6 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Reduction of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Interruption of IP9 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsAny Treatment-emergent Adverse Event (TEAE)24 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE Related to IP9 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Discontinuation (D/C) of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE19 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE2 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE21 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to IP Interruption10 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE Related to IP6 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to Investigational Product (IP)18 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Interruption of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to D/C of IP2 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsAny Treatment-emergent Adverse Event (TEAE)25 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to Investigational Product (IP)22 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE Related to IP1 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE Related to IP8 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE21 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE Related to IP15 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE8 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE20 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Discontinuation (D/C) of IP8 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to IP Interruption16 Participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Interruption of IP7 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Reduction of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to D/C of IP1 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE Related to IP2 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE17 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsAny Treatment-emergent Adverse Event (TEAE)27 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Reduction of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE20 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Interruption of IP3 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to IP Interruption9 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to Investigational Product (IP)23 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Discontinuation (D/C) of IP4 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE6 Participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE Related to IP7 Participants
Primary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Investigator Assessed Overall Response Rate (ORR)37.1 percentage of participants
Primary

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

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsAny Treatment-emergent Adverse Event (TEAE)105 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to Investigational Product (IP)88 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE92 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE Related to IP48 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE30 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE Related to IP1 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE85 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE Related to IP34 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Discontinuation (D/C) of IP22 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to D/C of IP5 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Reduction of IP9 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Reduction of IP7 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Interruption of IP49 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Interruption of IP23 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Interruption of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsAny treatment-emergent adverse event (TEAE)16 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to Investigational Product (IP)6 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE13 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsGrade 3-4 TEAE Related to IP3 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsGrade 5 TEAE Related to IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE9 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsSerious TEAE Related to IP1 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Discontinuation (D/C) of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to D/C of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsTEAE Related to IP Leading to Reduction of IP0 Participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDSafety Follow-up: Number of Participants With Treatment Emergent Adverse EventsTEAE Leading to Interruption of IP4 Participants
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDCombined Phase 1/2: Investigator Assessed Overall Response Rate in Participants With R/R AML38.8 percentage of participants
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) After Single and Multiple Oral Doses of Enasidenib 100 mg QDDay -3 / Cycle 1, Day 124631 ng*h/mLGeometric Coefficient of Variation 52.9
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) After Single and Multiple Oral Doses of Enasidenib 100 mg QDCycle 2, Day 1263131 ng*h/mLGeometric Coefficient of Variation 42.7
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 QDDay -3 / Cycle 1, Day 11352 ng*h/mLGeometric Coefficient of Variation 68.2
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 QDCycle 2, Day 123963 ng*h/mLGeometric Coefficient of Variation 43.8
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) After Single and Multiple Oral Doses of Enasidenib 100 mg QDDay -3 / Cycle 1, Day 17506 ng*h/mLGeometric Coefficient of Variation 62.8
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) After Single and Multiple Oral Doses of Enasidenib 100 mg QDCycle 2, Day 184600 ng*h/mLGeometric Coefficient of Variation 47.1
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 QDCycle 2, Day 17555 ng*h/mLGeometric Coefficient of Variation 43.6
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 QDDay -3 / Cycle 1, Day 1304 ng*h/mLGeometric Coefficient of Variation 96
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Maximum Concentration (Cmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QDDay -3 / Cycle 1, Day 11423 ng/mLGeometric Coefficient of Variation 50.2
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Maximum Concentration (Cmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QDCycle 2, Day 113057 ng/mLGeometric Coefficient of Variation 44.8
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QDDay -3 / Cycle 1, Day 175 ng/mLGeometric Coefficient of Variation 73.3
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QDCycle 2, Day 11183 ng/mLGeometric Coefficient of Variation 44.7
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Time to Maximum Concentration (Tmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QDDay -3 / Cycle 1, Day 14.00 hours
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Time to Maximum Concentration (Tmax) After Single and Multiple Oral Doses of Enasidenib 100 mg QDCycle 2, Day 12.00 hours
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QDDay -3 / Cycle 1, Day 123.44 hours
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 and 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of Enasidenib 100 mg QDCycle 2, Day 11.92 hours
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -318.9 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -346.9 hoursGeometric Coefficient of Variation 125.7
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -329.0 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -369.2 hoursGeometric Coefficient of Variation 161
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3106.4 hours
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -333.2 hoursGeometric Coefficient of Variation 124.6
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -336.8 hoursGeometric Coefficient of Variation 57.3
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -352.6 hoursGeometric Coefficient of Variation 109.5
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -365.9 hoursGeometric Coefficient of Variation 86.5
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -396.2 hoursGeometric Coefficient of Variation 60.1
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -373.8 hoursGeometric Coefficient of Variation 18.8
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Apparent Terminal Phase Half-life (t½) of Enasidenib After a Single Oral Dose on Day -391.3 hours
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 -34120 ng*h/mLGeometric Coefficient of Variation 61.5
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 -33925 ng*h/mLGeometric Coefficient of Variation 58.4
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 -36834 ng*h/mLGeometric Coefficient of Variation 54.1
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 -38616 ng*h/mLGeometric Coefficient of Variation 76.5
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 -311819 ng*h/mLGeometric Coefficient of Variation 31.3
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 -314818 ng*h/mLGeometric Coefficient of Variation 49.2
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 -320727 ng*h/mLGeometric Coefficient of Variation 41
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 -319961 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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 -338711 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 -38987 ng*h/mLGeometric Coefficient of Variation 72.1
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 -39611 ng*h/mLGeometric Coefficient of Variation 59.6
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 -317330 ng*h/mLGeometric Coefficient of Variation 50.6
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 -321656 ng*h/mLGeometric Coefficient of Variation 55.6
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 -328989 ng*h/mLGeometric Coefficient of Variation 29.6
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 -337703 ng*h/mLGeometric Coefficient of Variation 48.3
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 -358743 ng*h/mLGeometric Coefficient of Variation 41.5
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 -360846 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 -319192 ng*h/mLGeometric Coefficient of Variation 138.4
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 -320598 ng*h/mLGeometric Coefficient of Variation 79.9
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 -337737 ng*h/mLGeometric Coefficient of Variation 53.9
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 -358670 ng*h/mLGeometric Coefficient of Variation 59.5
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 -376820 ng*h/mLGeometric Coefficient of Variation 31.2
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 -395217 ng*h/mLGeometric Coefficient of Variation 57.2
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 -3160083 ng*h/mLGeometric Coefficient of Variation 12
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 -3244130 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 -33364 ng*h/mLGeometric Coefficient of Variation 59.7
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 -33020 ng*h/mLGeometric Coefficient of Variation 58.4
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 -35319 ng*h/mLGeometric Coefficient of Variation 57
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 -36634 ng*h/mLGeometric Coefficient of Variation 79.6
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 -39397 ng*h/mLGeometric Coefficient of Variation 32.1
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 -311550 ng*h/mLGeometric Coefficient of Variation 49.2
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 -315268 ng*h/mLGeometric Coefficient of Variation 42
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 -315039 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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 -331580 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 -317575 ng*h/mLGeometric Coefficient of Variation 105.1
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 -319975 ng*h/mLGeometric Coefficient of Variation 68.6
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 -339345 ng*h/mLGeometric Coefficient of Variation 51.9
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 -353018 ng*h/mLGeometric Coefficient of Variation 74.2
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 -376820 ng*h/mLGeometric Coefficient of Variation 31.2
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 -395959 ng*h/mLGeometric Coefficient of Variation 50.5
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 -3134094 ng*h/mLGeometric Coefficient of Variation 32.6
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 -3157042 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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 -338711 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3162 ng*h/mLGeometric Coefficient of Variation 80.4
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3258 ng*h/mLGeometric Coefficient of Variation 135.1
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3383 ng*h/mLGeometric Coefficient of Variation 72.3
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3379 ng*h/mLGeometric Coefficient of Variation 99.3
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3735 ng*h/mLGeometric Coefficient of Variation 65.1
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3716 ng*h/mLGeometric Coefficient of Variation 86.8
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3757 ng*h/mLGeometric Coefficient of Variation 57.5
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3548 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -31893 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib4830 ng*h/mLGeometric Coefficient of Variation 82.9
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib9437 ng*h/mLGeometric Coefficient of Variation 46.8
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib9002 ng*h/mLGeometric Coefficient of Variation 60
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib13463 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib20705 ng*h/mLGeometric Coefficient of Variation 16.1
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib6502 ng*h/mLGeometric Coefficient of Variation 132.7
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib3954 ng*h/mLGeometric Coefficient of Variation 80.6
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib9502 ng*h/mLGeometric Coefficient of Variation 42
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib13263 ng*h/mLGeometric Coefficient of Variation 40.1
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib14303 ng*h/mLGeometric Coefficient of Variation 47.2
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib12448 ng*h/mLGeometric Coefficient of Variation 35
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib17963 ng*h/mLGeometric Coefficient of Variation 18.7
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of AGI-16903 After Multiple Oral Doses of Enasidenib22102 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses41108 ng*h/mLGeometric Coefficient of Variation 63.2
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses99954 ng*h/mLGeometric Coefficient of Variation 35.1
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses126765 ng*h/mLGeometric Coefficient of Variation 34.6
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses174409 ng*h/mLGeometric Coefficient of Variation 32
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses200661 ng*h/mLGeometric Coefficient of Variation 18.9
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses61226 ng*h/mLGeometric Coefficient of Variation 117
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses53067 ng*h/mLGeometric Coefficient of Variation 50.1
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses104824 ng*h/mLGeometric Coefficient of Variation 47.6
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses126237 ng*h/mLGeometric Coefficient of Variation 37.8
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses132718 ng*h/mLGeometric Coefficient of Variation 52
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses131523 ng*h/mLGeometric Coefficient of Variation 43
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses199749 ng*h/mLGeometric Coefficient of Variation 24
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: AUC From Time Zero to 10 Hours Postdose (AUC0-10) of Enasidenib After Multiple Oral Doses269750 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3474 ng*h/mLGeometric Coefficient of Variation 80.4
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3777 ng*h/mLGeometric Coefficient of Variation 111.7
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -31238 ng*h/mLGeometric Coefficient of Variation 54.4
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -31222 ng*h/mLGeometric Coefficient of Variation 71.4
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -32128 ng*h/mLGeometric Coefficient of Variation 54.2
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -32159 ng*h/mLGeometric Coefficient of Variation 75.4
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -32477 ng*h/mLGeometric Coefficient of Variation 51.5
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -32274 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -31403 ng*h/mLGeometric Coefficient of Variation 93.7
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -32121 ng*h/mLGeometric Coefficient of Variation 104.8
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -33427 ng*h/mLGeometric Coefficient of Variation 40.9
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -34283 ng*h/mLGeometric Coefficient of Variation 58
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -37188 ng*h/mLGeometric Coefficient of Variation 43.6
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -37634 ng*h/mLGeometric Coefficient of Variation 66.2
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -310673 ng*h/mLGeometric Coefficient of Variation 29.8
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 72 Hours Postdose (AUC0-72) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -317591 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3122 ng*h/mLGeometric Coefficient of Variation 83.6
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3187 ng*h/mLGeometric Coefficient of Variation 134.4
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3276 ng*h/mLGeometric Coefficient of Variation 80.6
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3276 ng*h/mLGeometric Coefficient of Variation 104.1
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3558 ng*h/mLGeometric Coefficient of Variation 70.3
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3530 ng*h/mLGeometric Coefficient of Variation 91.1
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3526 ng*h/mLGeometric Coefficient of Variation 58.8
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3384 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -31470 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib4028 ng*h/mLGeometric Coefficient of Variation 82.9
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib7656 ng*h/mLGeometric Coefficient of Variation 47.5
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib7340 ng*h/mLGeometric Coefficient of Variation 59.8
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib10655 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib16638 ng*h/mLGeometric Coefficient of Variation 15.7
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib4395 ng*h/mLGeometric Coefficient of Variation 125.7
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib3281 ng*h/mLGeometric Coefficient of Variation 87.3
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib7645 ng*h/mLGeometric Coefficient of Variation 42.7
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib10720 ng*h/mLGeometric Coefficient of Variation 38.3
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib11579 ng*h/mLGeometric Coefficient of Variation 47.5
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib9961 ng*h/mLGeometric Coefficient of Variation 36
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib15888 ng*h/mLGeometric Coefficient of Variation 35.4
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Multiple Oral Doses of Enasidenib20480 ng*h/mLGeometric Coefficient of Variation 36.8
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses34338 ng*h/mLGeometric Coefficient of Variation 62.5
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses81775 ng*h/mLGeometric Coefficient of Variation 35.2
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses103364 ng*h/mLGeometric Coefficient of Variation 34.1
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses135649 ng*h/mLGeometric Coefficient of Variation 31.4
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses162308 ng*h/mLGeometric Coefficient of Variation 18
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses43407 ng*h/mLGeometric Coefficient of Variation 106.5
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses44360 ng*h/mLGeometric Coefficient of Variation 57.2
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses83444 ng*h/mLGeometric Coefficient of Variation 48.9
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses101462 ng*h/mLGeometric Coefficient of Variation 37.7
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses108404 ng*h/mLGeometric Coefficient of Variation 53.1
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses105098 ng*h/mLGeometric Coefficient of Variation 40.9
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses181186 ng*h/mLGeometric Coefficient of Variation 21.5
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Multiple Oral Doses219708 ng*h/mLGeometric Coefficient of Variation 14.6
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -31403 ng*h/mLGeometric Coefficient of Variation 93.7
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -32101 ng*h/mLGeometric Coefficient of Variation 86.2
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -33560 ng*h/mLGeometric Coefficient of Variation 40
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -33764 ng*h/mLGeometric Coefficient of Variation 83.8
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -37188 ng*h/mLGeometric Coefficient of Variation 43.6
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -37070 ng*h/mLGeometric Coefficient of Variation 62
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -36531 ng*h/mLGeometric Coefficient of Variation 93.9
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -38035 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -31893 ng*h/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib4830 ng*h/mLGeometric Coefficient of Variation 82.9
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib9437 ng*h/mLGeometric Coefficient of Variation 46.8
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib9002 ng*h/mLGeometric Coefficient of Variation 60
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib13463 ng*h/mL
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib20705 ng*h/mLGeometric Coefficient of Variation 16.1
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib5181 ng*h/mLGeometric Coefficient of Variation 133.1
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib3954 ng*h/mLGeometric Coefficient of Variation 80.6
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib9193 ng*h/mLGeometric Coefficient of Variation 42.1
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib13263 ng*h/mLGeometric Coefficient of Variation 40.1
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib14303 ng*h/mLGeometric Coefficient of Variation 47.2
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib12448 ng*h/mLGeometric Coefficient of Variation 35
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib17846 ng*h/mLGeometric Coefficient of Variation 33.7
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Multiple Oral Doses of Enasidenib24187 ng*h/mLGeometric Coefficient of Variation 24.4
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses41108 ng*h/mLGeometric Coefficient of Variation 63.2
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses99954 ng*h/mLGeometric Coefficient of Variation 35.1
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses126765 ng*h/mLGeometric Coefficient of Variation 34.6
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses174409 ng*h/mLGeometric Coefficient of Variation 32
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses200661 ng*h/mLGeometric Coefficient of Variation 18.9
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses51273 ng*h/mLGeometric Coefficient of Variation 111.1
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses53067 ng*h/mLGeometric Coefficient of Variation 50.1
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses100119 ng*h/mLGeometric Coefficient of Variation 49.7
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses126237 ng*h/mLGeometric Coefficient of Variation 37.8
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses132718 ng*h/mLGeometric Coefficient of Variation 52
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses131523 ng*h/mLGeometric Coefficient of Variation 43
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses202702 ng*h/mLGeometric Coefficient of Variation 17.8
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of Enasidenib After Multiple Oral Doses256155 ng*h/mLGeometric Coefficient of Variation 16
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baselineBaseline Transfusion Dependent38.7 percentage of participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baselineBaseline Transfusion Independent78.3 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baselineBaseline Transfusion Independent76.7 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baselineBaseline Transfusion Dependent33.1 percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baselineBaseline Transfusion Dependent39.3 percentage of participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baselineBaseline Transfusion Independent80.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baselineBaseline Transfusion Independent71.9 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Combined: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baselineBaseline Transfusion Dependent38.5 percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose22.2 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose14.3 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose0.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose27.6 percentage of participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose15.4 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose4.5 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose21.4 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose40.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Complete Response Rate (CRR) by Total Daily Dose28.6 percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose33.3 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose42.9 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose14.3 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose44.8 percentage of participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose46.2 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose50.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose35.7 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose60.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Investigator Assessed Overall Response Rate (ORR) by Total Daily Dose71.4 percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose22.2 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose14.3 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose0.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose31.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose15.4 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose18.2 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose28.6 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose40.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Rate of Complete Response and Complete Response With Incomplete Hematological Recovery (CR/CRi/CRp) by Total Daily Dose57.1 percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose4.2 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose2.9 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose0.9 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose2.0 months
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose3.8 months
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose1.9 months
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose3.8 months
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose3.7 months
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Time to Best Response by Total Daily Dose1.9 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose4.9 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose2.9 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose3.6 months
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose6.8 months
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose0.6 months
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose4.7 months
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose3.8 months
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Time to Complete Response by Total Daily Dose2.1 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose3.8 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose1.9 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose0.9 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose1.8 months
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose2.0 months
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose1.9 months
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose2.1 months
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose2.8 months
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1 Dose Escalation: Time to First Response by Total Daily Dose1.9 months
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Complete Response Rate22.4 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Complete Response Rate0.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Complete Response Rate20.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Complete Response Rate22.2 percentage of participants
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR)46.9 percentage of participants
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR)20.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR)36.0 percentage of participants
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Investigator Assessed Overall Response Rate (ORR)44.4 percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR)11.6 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR)NA months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Complete Response (DOCR)16.8 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR)5.6 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR)3.9 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR)NA months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Duration of Response (DOR)12.0 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS)4.0 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS)3.8 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS)9.2 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival (EFS)3.8 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival8.8 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival11.6 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival10.6 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Kaplan-Meier Estimate of Overall Survival11.3 months
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 BIDPhase 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 BIDPhase 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 BIDPhase 1 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp)25.9 percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Time to Best Response3.7 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Time to Best Response3.7 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Time to Best Response3.7 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Time to Best Response4.6 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Time to Complete Response3.7 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Time to Complete Response5.6 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Time to Complete Response9.4 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1 Dose Expansion: Time to First Response1.9 months
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1 Dose Expansion: Time to First Response3.7 months
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1 Dose Expansion: Time to First Response1.8 months
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1 Dose Expansion: Time to First Response1.4 months
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib619 ng/mLGeometric Coefficient of Variation 95
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1149 ng/mLGeometric Coefficient of Variation 54
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1096 ng/mLGeometric Coefficient of Variation 62.8
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1717 ng/mL
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib2651 ng/mLGeometric Coefficient of Variation 13.6
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib680 ng/mLGeometric Coefficient of Variation 148.1
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib518 ng/mLGeometric Coefficient of Variation 99.8
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1199 ng/mLGeometric Coefficient of Variation 42.3
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1640 ng/mLGeometric Coefficient of Variation 30.2
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1817 ng/mLGeometric Coefficient of Variation 55
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1687 ng/mLGeometric Coefficient of Variation 37.7
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib2415 ng/mLGeometric Coefficient of Variation 33.2
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Maximum Concentration (Cmax) of AGI-16903 After Multiple Oral Doses of Enasidenib3135 ng/mLGeometric Coefficient of Variation 38.8
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses5300 ng/mLGeometric Coefficient of Variation 71.9
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses12538 ng/mLGeometric Coefficient of Variation 39.2
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses15860 ng/mLGeometric Coefficient of Variation 34.5
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses23962 ng/mLGeometric Coefficient of Variation 25.3
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses26715 ng/mLGeometric Coefficient of Variation 24.7
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses6543 ng/mLGeometric Coefficient of Variation 124.9
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses6922 ng/mLGeometric Coefficient of Variation 64.2
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses13012 ng/mLGeometric Coefficient of Variation 46.5
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses15734 ng/mLGeometric Coefficient of Variation 38.6
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses17990 ng/mLGeometric Coefficient of Variation 64
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses18505 ng/mLGeometric Coefficient of Variation 42.4
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses28049 ng/mLGeometric Coefficient of Variation 23.4
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Maximum Concentration (Cmax) of Enasidenib After Multiple Oral Doses35269 ng/mLGeometric Coefficient of Variation 10.7
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -329 ng/mLGeometric Coefficient of Variation 89.3
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -347 ng/mLGeometric Coefficient of Variation 68.3
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -374 ng/mLGeometric Coefficient of Variation 52.3
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -379 ng/mLGeometric Coefficient of Variation 60.6
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3126 ng/mLGeometric Coefficient of Variation 39.4
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3138 ng/mLGeometric Coefficient of Variation 47.4
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3151 ng/mLGeometric Coefficient of Variation 52.4
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3188 ng/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Maximum Concentration of AGI-16903 After a Single Oral Dose of Enasidenib on Day -3242 ng/mL
Secondary

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.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3569 ng/mLGeometric Coefficient of Variation 45.6
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -3545 ng/mLGeometric Coefficient of Variation 64
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -31084 ng/mLGeometric Coefficient of Variation 51.6
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -31279 ng/mLGeometric Coefficient of Variation 56.1
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -31624 ng/mLGeometric Coefficient of Variation 29.5
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -32082 ng/mLGeometric Coefficient of Variation 46.5
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -33358 ng/mLGeometric Coefficient of Variation 43.1
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -33031 ng/mL
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Maximum Concentration of Enasidenib After a Single Oral Dose on Day -34670 ng/mL
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 changeStandard Deviation 43.9
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 changeStandard Deviation 63.9
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 changeStandard Deviation 96.4
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 changeStandard Deviation 53.1
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 changeStandard Deviation 44.5
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 changeStandard Deviation 37.5
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 changeStandard Deviation 9
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 changeStandard Deviation 38.6
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-54.8 percent changeStandard Deviation 94.7
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-69.0 percent changeStandard Deviation 42
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-76.5 percent changeStandard Deviation 56.4
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-54.5 percent changeStandard Deviation 192.9
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-89.2 percent changeStandard Deviation 18.9
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-68.9 percent changeStandard Deviation 63.3
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-89.5 percent changeStandard Deviation 12.5
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-88.6 percent changeStandard Deviation 12.3
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-81.4 percent changeStandard Deviation 11.6
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-80.7 percent changeStandard Deviation 14.5
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-63.3 percent changeStandard Deviation 40.7
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-84.8 percent changeStandard Deviation 18.5
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-70.6 percent changeStandard Deviation 61.8
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-79.3 percent changeStandard Deviation 22
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-65.6 percent changeStandard Deviation 94.7
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-71.0 percent changeStandard Deviation 57.1
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-47.2 percent changeStandard Deviation 224
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-80.4 percent changeStandard Deviation 45.7
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-35.6 percent changeStandard Deviation 422
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-86.0 percent changeStandard Deviation 25.3
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-91.2 percent changeStandard Deviation 4
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-89.8 percent changeStandard Deviation 8
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-60.6 percent changeStandard Deviation 83.8
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-71.3 percent changeStandard Deviation 31.5
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 15-23.1 percent change
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Minimum Percent Change From Baseline Response Value Post-dose Over 10 Hours (%BRmin) for 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 1-53.5 percent changeStandard Deviation 120.5
Secondary

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.

ArmMeasureValue (MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 -32.43 percent changeStandard Deviation 1044.2
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 changeStandard Deviation 71.3
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 -39.32 percent changeStandard Deviation 862.2
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 changeStandard Deviation 270.8
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 changeStandard Deviation 127.7
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 changeStandard Deviation 95.3
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 changeStandard Deviation 92
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 QDPhase 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
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 EnasidenibCycle 2, Day 1-49.01 percent changeStandard Deviation 115.4
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 EnasidenibCycle 1, Day 15-62.18 percent changeStandard Deviation 48.9
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 EnasidenibCycle 1, Day 15-62.60 percent changeStandard Deviation 113.1
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 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 EnasidenibCycle 2, Day 1-35.49 percent changeStandard Deviation 430.9
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 EnasidenibCycle 1, Day 15-87.19 percent changeStandard Deviation 21.4
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 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 EnasidenibCycle 2, Day 1-64.63 percent changeStandard Deviation 74.7
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 EnasidenibCycle 1, Day 15-84.24 percent changeStandard Deviation 14.2
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 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 EnasidenibCycle 2, Day 1-83.93 percent changeStandard Deviation 19
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 EnasidenibCycle 2, Day 1-78.07 percent changeStandard Deviation 17.2
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 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 EnasidenibCycle 1, Day 15-79.40 percent changeStandard Deviation 13.7
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 EnasidenibCycle 1, Day 15-58.76 percent changeStandard Deviation 44.9
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 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 EnasidenibCycle 2, Day 1-81.51 percent changeStandard Deviation 25.9
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 EnasidenibCycle 1, Day 15-69.00 percent changeStandard Deviation 38.8
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 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 EnasidenibCycle 2, Day 1-66.41 percent changeStandard Deviation 70.5
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 EnasidenibCycle 1, Day 15-64.23 percent changeStandard Deviation 80.3
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 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 EnasidenibCycle 2, Day 1-53.46 percent changeStandard Deviation 190.7
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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 EnasidenibCycle 2, Day 1-37.70 percent changeStandard Deviation 317.5
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 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 EnasidenibCycle 1, Day 15-71.67 percent changeStandard Deviation 72.6
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 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 EnasidenibCycle 1, Day 15-79.34 percent changeStandard Deviation 34.1
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 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 EnasidenibCycle 2, Day 1-27.70 percent changeStandard Deviation 599.5
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 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 EnasidenibCycle 1, Day 15-87.74 percent changeStandard Deviation 5.7
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 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 EnasidenibCycle 2, Day 1-87.88 percent changeStandard Deviation 9.4
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 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 EnasidenibCycle 1, Day 15-62.89 percent changeStandard Deviation 48.8
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 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 EnasidenibCycle 2, Day 1-76.98 percent changeStandard Deviation 40.2
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 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 EnasidenibCycle 2, Day 1-82.28 percent changeStandard Deviation 24.9
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 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 EnasidenibCycle 1, Day 152.54 percent change
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 10.98 hours
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 154.00 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 155.90 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 13.00 hours
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 153.03 hours
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 16.17 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 154.44 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 16.00 hours
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 12.00 hours
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 151.00 hours
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 12.95 hours
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 153.00 hours
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 16.96 hours
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 155.85 hours
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 153.10 hours
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 13.65 hours
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 14.00 hours
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 156.50 hours
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 15.95 hours
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 151.53 hours
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 17.92 hours
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 157.08 hours
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 154.00 hours
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 16.00 hours
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 1, Day 152.87 hours
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Time of Minimum Observed Concentration Over 10 Hours Postdose (Tmin) of 2-HG After Multiple Oral Doses of EnasidenibCycle 2, Day 12.00 hours
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -335.78 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -38.00 hours
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -323.92 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -348.00 hours
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -348.20 hours
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -348.70 hours
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -348.10 hours
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -330.79 hours
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Time of Minimum Observed Concentration Over 72 Hours Postdose (Tmin) of 2-HG After a Single Oral Dose of Enasidenib on Day -38.17 hours
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -336.38 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -310.00 hours
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -310.00 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -348.00 hours
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -324.12 hours
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -347.33 hours
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -348.10 hours
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -359.88 hours
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After a Single Oral Dose of Enasidenib on Day -36.17 hours
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1.50 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib2.00 hours
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib0.52 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1.48 hours
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1.54 hours
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib2.92 hours
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1.58 hours
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1.00 hours
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib4.00 hours
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1.00 hours
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib5.98 hours
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib2.98 hours
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Time to Maximum Concentration (Tmax) of AGI-16903 After Multiple Oral Doses of Enasidenib1.97 hours
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -31.59 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -35.83 hours
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -33.00 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -34.00 hours
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -33.98 hours
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -34.08 hours
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -38.89 hours
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -318.61 hours
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After a Single Oral Dose on Day -36.17 hours
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses0.50 hours
Phase 1 Dose Escalation: Enasidenib 50 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses2.00 hours
Phase 1 Dose Escalation: Enasidenib 75 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses0.50 hours
Phase 1 Dose Escalation: Enasidenib 100 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses4.47 hours
Phase 1 Dose Escalation: Enasidenib 150 mg BIDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses1.54 hours
Phase 1 Dose Escalation: Enasidenib 50 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses3.02 hours
Phase 1 Dose Escalation: Enasidenib 75 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses4.04 hours
Phase 1 Dose Escalation: Enasidenib 100 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses1.02 hours
Phase 1 Dose Escalation: Enasidenib 150 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses2.13 hours
Phase 1 Dose Escalation: Enasidenib 200 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses1.02 hours
Phase 1 Dose Escalation: Enasidenib 300 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses5.98 hours
Phase 1 Dose Escalation: Enasidenib 450 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses4.08 hours
Phase 1 Dose Escalation: Enasidenib 650 mg QDPhase 1: Time to Maximum Concentration (Tmax) of Enasidenib After Multiple Oral Doses2.00 hours
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Apparent Terminal Phase Half-life (t1/2) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 1, Day 132.2 hoursGeometric Coefficient of Variation 116.9
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Apparent Terminal Phase Half-life (t1/2) of Enasidenib After Single and Multiple Oral DosesCycle 1, Day 138.3 hoursGeometric Coefficient of Variation 81.7
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 DosesCycle 1, Day 127889 ng*h/mLGeometric Coefficient of Variation 46.7
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 DosesCycle 2, Day 1263131 ng*h/mLGeometric Coefficient of Variation 42.7
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Single and Multiple Oral DosesCycle 1, Day 18134 ng*h/mLGeometric Coefficient of Variation 49.3
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Area Under the Plasma Concentration Time Curve From Time Zero to 8 Hours Postdose (AUC0-8) of Enasidenib After Single and Multiple Oral DosesCycle 2, Day 186505 ng*h/mLGeometric Coefficient of Variation 44.4
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 DosesCycle 1, Day 117447 ng*h/mLGeometric Coefficient of Variation 88.6
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 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 DosesCycle 2, Day 1185566 ng*h/mLGeometric Coefficient of Variation 75.5
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 1, Day 11482 ng*h/mLGeometric Coefficient of Variation 63.9
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: AUC From Time Zero to 24 Hours Postdose (AUC0-24) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 2, Day 123963 ng*h/mLGeometric Coefficient of Variation 43.8
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 1, Day 1323 ng*h/mLGeometric Coefficient of Variation 90.8
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: AUC From Time Zero to 8 Hours Postdose (AUC0-8) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 2, Day 17409 ng*h/mLGeometric Coefficient of Variation 45.3
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 1, Day 1829 ng*h/mLGeometric Coefficient of Variation 138.1
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: AUC From Time Zero to the Last Quantifiable Concentration (AUC0-t) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 2, Day 116593 ng*h/mLGeometric Coefficient of Variation 81.8
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Complete Response Rate20.0 percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Duration of Complete Response4.6 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Kaplan-Meier Estimate of Duration of Response5.6 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Kaplan-Meier Estimate of Event Free Survival4.7 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Kaplan-Meier Estimate of Overall Survival7.0 months
Secondary

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.

ArmMeasureValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Rate of Complete Response and Complete Responses With Incomplete Hematological Recovery (CR/CRi/CRp)31.4 percentage of participants
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Time to Best Response3.7 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Time to Complete Response3.7 months
Secondary

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.

ArmMeasureValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2 Dose Expansion: Time to First Response2.7 months
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 1, Day 172 ng/mLGeometric Coefficient of Variation 80.8
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Maximum Concentration (Cmax) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 2, Day 11158 ng/mLGeometric Coefficient of Variation 48.5
Secondary

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.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Maximum Concentration (Cmax) of Enasidenib After Single and Multiple Oral DosesCycle 1, Day 11522 ng/mLGeometric Coefficient of Variation 45.1
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Maximum Concentration (Cmax) of Enasidenib After Single and Multiple Oral DosesCycle 2, Day 113126 ng/mLGeometric Coefficient of Variation 42.4
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baselineBaseline Transfusion Independent69.6 percentage of participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Percentage of Participants Who Achieved 56-Day Platelet Transfusion Independence Post-baselineBaseline Transfusion Dependent35.6 percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baselineBaseline Transfusion Dependent41.8 percentage of participants
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Percentage of Participants Who Achieved 56-Day Red Blood Cell Transfusion Independence Post-baselineBaseline Transfusion Independent57.9 percentage of participants
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 1, Day 18.00 hours
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Time to Maximum Concentration (Tmax) of AGI-16903 After Single and Multiple Oral Doses of EnasidenibCycle 2, Day 12.12 hours
Secondary

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.

ArmMeasureGroupValue (MEDIAN)
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Time to Maximum Concentration (Tmax) of Enasidenib After Single and Multiple Oral DosesCycle 1, Day 14.04 hours
Phase 1 Dose Escalation: Enasidenib 30 mg BIDPhase 2: Time to Maximum Concentration (Tmax) of Enasidenib After Single and Multiple Oral DosesCycle 2, Day 12.08 hours

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026