Ivosidenib: First Global Approval.

Ivosidenib: First Global Approval.
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DOI:
10.1007/s40265-018-0978-3
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发表时间:
2018-09
期刊:
影响因子:
11.5
通讯作者:
Dhillon S
Dhillon S
中科院分区:
医学1区
文献类型:
--
作者:
Dhillon S

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Ivosidenib(Tibsovo®)是一种小分子,口服突变胞质异柠檬酸脱氢酶1(IDH1)的抑制剂,由Agios Pharmaceuticals开发,用于治疗IDH1突变患者的癌症。IDH1酶的突变形式产生代谢物2-羟基戊二酸(2-HG),其被认为在急性髓性白血病(AML)、神经胶质瘤和其他癌症的形成和进展中发挥作用。升高的2-HG水平干扰细胞代谢和表观遗传调节,从而促进肿瘤发生。Ivosidenib靶向IDH1代谢途径,以防止癌代谢产物2-HG的积聚。本文总结了ivosidenib开发的里程碑,导致其在美国首次获批用于治疗具有易感IDH1突变的复发性或难治性AML患者。AML、胆管癌、神经胶质瘤、骨髓增生异常综合征和实体瘤的临床开发正在全球范围内进行。
Ivosidenib (Tibsovo®) is a small molecule, orally available inhibitor of mutated cytosolic isocitrate dehydrogenase 1 (IDH1) that is being developed by Agios Pharmaceuticals for the treatment of cancer in patients with IDH1 mutations. The mutated form of the IDH1 enzyme produces a metabolite, 2-hydroxyglutarate (2-HG), which is thought to play a role in the formation and progression of acute myeloid leukaemia (AML), gliomas and other cancers. Elevated 2-HG levels interfere with cellular metabolism and epigenetic regulation, thereby contributing to oncogenesis. Ivosidenib targets the IDH1 metabolic pathway to prevent a build-up of the oncometabolite 2-HG. This article summarizes the milestones in the development of ivosidenib leading to this first approval in the USA for the treatment of patients with relapsed or refractory AML with a susceptible IDH1 mutation. Clinical development for AML, cholangiocarcinoma, glioma, myelodysplastic syndromes and solid tumours is ongoing worldwide.
DOI: 10.3390/cancers10060187
发表时间: 2018-06-06
期刊: Cancers
影响因子: 5.2
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