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Trial · NCT02989857

Study of AG-120 in Previously Treated Advanced Cholangiocarcinoma With IDH1 Mutations (ClarIDHy)

NCT02989857, Phase 3, Completed, Institut de Recherches Internationales Servier; results first posted 2022-04-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of AG-120 in Previously Treated Advanced Cholangiocarcinoma With IDH1 Mutations (ClarIDHy). Trials, record NCT02989857. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02989857

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of AG-120 in Previously Treated Advanced Cholangiocarcinoma With IDH1 Mutations (ClarIDHy)
NCT number
NCT02989857
Status
Completed
Phases
Phase 3
Enrollment
187 participants, actual
Lead sponsor
Institut de Recherches Internationales Servier
Conditions
Advanced Cholangiocarcinoma, Metastatic Cholangiocarcinoma
Interventions
AG-120, Placebo
First posted
2016-12-12
Last updated
2024-08-20
Results first posted
2022-04-13

Source ClinicalTrials.gov

Registered outcomes32

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression Free Survival (PFS) as Determined by the Independent Radiology Committee (IRC)From the date of randomization to the date of first documentation of disease progression or death due to any cause (Up to approximately 2 years)
PFS is defined as the time from date of randomization to the date of first documented disease progression as assessed by the IRC using Response Evaluation Criteria in Solid Tumors \[RECIST\] v1.1, or date of death due to any cause, whichever occurred first. Disease progression was defined as greater than or equal to (≥)20 percent (%) increase in sum of the diameter of target lesions, taking as reference the smallest sum diameter recorded since the treatment started. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm) or the appearance of 1 or more new lesions.
SecondaryPercentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From first dose of study drug up to 28 days after last dose for each intervention (Up to approximately 4 Years)
An AE is any untoward medical occurrence associated with the use of a drug in participants, whether or not considered drug related. An AE or suspected adverse reaction is considered serious (an SAE) if it is fatal, life-threatening, causes in-patient hospitalization or prolongation of existing hospitalization, persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, congenital anomaly/birth defect in a neonate/infant born to a mother or father exposed to study treatment or is an important medical event. Treatment-emergent adverse events are reported.
SecondaryPercentage of Participants Who Experienced Laboratory Abnormalities Reported as Grade 3 or Higher Adverse EventsFrom first dose of the study drug up to end of treatment visit for each intervention (Up to approximately 4 Years)
The laboratory parameters evaluated by the investigator included hematology and chemistry. Laboratory abnormalities reported in this endpoint are Grade 3 or higher adverse events. Grading categories were determined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03.
SecondaryPercentage of Participants With Clinically Significant Grade 3 or Higher Vital Signs AEsFrom first dose of the study drug up to end of treatment visit for each intervention (Up to approximately 4 Years)
Clinically significant vital signs were recorded as adverse events; there were some vital signs reported as Grade 3 or higher adverse events. Grading categories were determined by NCI CTCAE, version 4.03.
SecondaryPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance StatusBaseline
The Eastern Cooperative Oncology Group Performance Status (ECOG PS) score classified participants according to their functional impairment, with scores ranging from 0 to 4. ECOG PS: 0 = fully active, able to carry on all pre-disease performance without restriction; 1 = restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light housework, office work; 2 = ambulatory and capable of all self-care but unable to carry out any work activities, up and about more than 50% of waking hours; 3 = capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4 = completely disabled, cannot carry on any self-care, totally confined to bed or chair. A higher score means a worse functional status.
SecondaryPercentage of Participants Who Required At Least One Concomitant Medications During the TreatmentFrom first dose of study drug up to 28 days after last dose (Up to approximately 4 Years)
Concomitant medications were medications that were ongoing or initiated after the first dose of the study drug but before the last dose plus 28 days. Percentage of participants who required at least one concomitant medications during the study along with their prescribed study drug (AG-120 or placebo) were reported.
SecondaryPercentage of Participants With Abnormal Electrocardiogram (ECG) Changes Reported as Adverse EventsPre-dose C1D1, C2D1; Post-dose C1D1, C1D15, C2D1 and Day 1 of C3D1 and all cycles thereafter up to last dose plus 28 days (Up to approximately 4 years)
SecondaryOverall Survival (OS)From date of randomization until the date of death due to any cause (Up to approximately 2 years)
Overall survival was defined as the time in months from date of randomization to the date of death due to any cause. Participants without documentation of death at the time of the final collection were censored at the date the participant was last known to be alive, or the final collection date, whichever is earlier.
SecondaryObjective Response Rate (ORR) as Assessed by the Investigator RECIST Version 1.1From the date of randomization up to confirmed CR or PR (Up to approximately 2 years)
ORR as assessed by the investigator was defined as the percentage of participants with a best overall response (BOR) defined as complete response (CR) or partial response (PR) per RECIST v1.1. CR: disappearance of all target and non-target lesions (TLs) and all pathological lymph nodes (LNs) (target and non target), with short axis \<10mm. PR: ≥30% decrease in sum of diameters (SOD) from Baseline.
SecondaryORR as Assessed by the IRC Per RECIST v1.1From the date of randomization up to confirmed CR or PR (Up to approximately 2 years)
ORR as assessed by the IRC was defined as the percentage of participants with a best overall response (BOR) defined as complete response (CR) or partial response (PR) per RECIST v1.1. CR: disappearance of all target and non-target lesions (TLs) and all pathological lymph nodes (LNs) (target and non target), with short axis \<10mm. PR: ≥30% decrease in sum of diameters (SOD) from Baseline.

Outcomes32

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression Free Survival (PFS) as Determined by the Independent Radiology Committee (IRC)From the date of randomization to the date of first documentation of disease progression or death due to any cause (Up to approximately 2 years)
ITT set included all participants who were randomized, with the treatment group designated according to the randomization. Number analyzed is the number of participants with data available for analyses at the specified time point. Two participants were excluded from the analysis as they were randomized in the study after the data cutoff date (31 January 2019) for the analysis of PFS.
monthsMEDIAN
SECONDARYPercentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From first dose of study drug up to 28 days after last dose for each intervention (Up to approximately 4 Years)Safety Analysis Set (SAS) included all participants who received at least one dose of study drug (AG-120 or Placebo).percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Experienced Laboratory Abnormalities Reported as Grade 3 or Higher Adverse EventsFrom first dose of the study drug up to end of treatment visit for each intervention (Up to approximately 4 Years)SAS included all participants who received at least one dose of study drug (AG-120 or Placebo).percentage of participantsNUMBER
SECONDARYPercentage of Participants With Clinically Significant Grade 3 or Higher Vital Signs AEsFrom first dose of the study drug up to end of treatment visit for each intervention (Up to approximately 4 Years)SAS included all participants who received at least one dose of study drug (AG-120 or Placebo).percentage of participantsNUMBER
SECONDARYPercentage of Participants With Eastern Cooperative Oncology Group (ECOG) Performance StatusBaselineITT population included all participants who were randomized, with the treatment group designated according to the randomization.percentage of participantsNUMBER
SECONDARYPercentage of Participants Who Required At Least One Concomitant Medications During the TreatmentFrom first dose of study drug up to 28 days after last dose (Up to approximately 4 Years)SAS included all participants who received at least one dose of study drug (AG-120 or Placebo).percentage of participantsNUMBER
SECONDARYPercentage of Participants With Abnormal Electrocardiogram (ECG) Changes Reported as Adverse EventsPre-dose C1D1, C2D1; Post-dose C1D1, C1D15, C2D1 and Day 1 of C3D1 and all cycles thereafter up to last dose plus 28 days (Up to approximately 4 years)SAS included all participants who received at least one dose of study drug (AG-120 or Placebo).percentage of participantsNUMBER
SECONDARYOverall Survival (OS)From date of randomization until the date of death due to any cause (Up to approximately 2 years)ITT population included all participants who were randomized, with the treatment group designated according to the randomization.monthsMEDIAN
SECONDARYObjective Response Rate (ORR) as Assessed by the Investigator RECIST Version 1.1From the date of randomization up to confirmed CR or PR (Up to approximately 2 years)
ITT population included all participants who were randomized, with the treatment group designated according to the randomization. Number analyzed is the number of participants with data available for analyses at the specified time point. Two participants were excluded from the analysis as they were randomized in the study after the data cutoff date (31 January 2019) for the analysis of tumor response.
percentage of participantsNUMBER
SECONDARYORR as Assessed by the IRC Per RECIST v1.1From the date of randomization up to confirmed CR or PR (Up to approximately 2 years)
ITT population included all participants who were randomized, with the treatment group designated according to the randomization. Number analyzed is the number of participants with data available for analyses at the specified time point. Two participants were excluded from the analysis as they were randomized in the study after the data cutoff date (31 January 2019) for the analysis of tumor response.
percentage of participantsNUMBER

Results by group348

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression Free Survival (PFS) as Determined by the Independent Radiology Committee (IRC)AG-1202.795% Confidence Interval 1.6 to 4.2months
Progression Free Survival (PFS) as Determined by the Independent Radiology Committee (IRC)Placebo1.495% Confidence Interval 1.4 to 1.6months
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)AG-120AEs97.6percentage of participants
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)PlaceboAEs96.6percentage of participants
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)After Crossover to AG-120AEs95.3percentage of participants
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)AG-120SAEs35.0percentage of participants
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)PlaceboSAEs23.7percentage of participants
Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)After Crossover to AG-120SAEs27.9percentage of participants
Percentage of Participants Who Experienced Laboratory Abnormalities Reported as Grade 3 or Higher Adverse EventsAG-120Anaemia7.3percentage of participants
Percentage of Participants Who Experienced Laboratory Abnormalities Reported as Grade 3 or Higher Adverse EventsPlaceboAnaemia0.0percentage of participants

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Randomization PhaseSTARTEDAG-120126
Randomization PhaseSTARTEDPlacebo61
Randomization PhaseSTARTEDAfter Crossover to AG-1200
Randomization PhaseCOMPLETEDAG-120123
Randomization PhaseCOMPLETEDPlacebo59
Randomization PhaseCOMPLETEDAfter Crossover to AG-1200
Randomization PhaseNOT COMPLETEDAG-1203
Randomization PhaseNOT COMPLETEDPlacebo2
Randomization PhaseNOT COMPLETEDAfter Crossover to AG-1200
Cross Over PhaseSTARTEDAG-1200

Adverse events399

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNauseaGastrointestinal disordersAG-12052123
otherNauseaGastrointestinal disordersPlacebo1759
otherNauseaGastrointestinal disordersAfter Cross Over to AG-1201243
otherDiarrhoeaGastrointestinal disordersAG-12043123
otherDiarrhoeaGastrointestinal disordersPlacebo1059
otherDiarrhoeaGastrointestinal disordersAfter Cross Over to AG-1201243
otherFatigueGeneral disordersAG-12038123
otherFatigueGeneral disordersPlacebo1059
otherFatigueGeneral disordersAfter Cross Over to AG-1201043
otherAbdominal painGastrointestinal disordersAG-12030123

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAG-12099126
Total, all-cause mortalityPlacebo1461
Total, all-cause mortalityAfter Cross Over to AG-1203443
Total, other adverse eventsAG-120118123
Total, other adverse eventsPlacebo5659
Total, other adverse eventsAfter Cross Over to AG-1203643
Total, serious adverse eventsAG-12043123
Total, serious adverse eventsPlacebo1459
Total, serious adverse eventsAfter Cross Over to AG-1201243

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32416072BACKGROUNDPubMed
34554208DERIVEDPubMed
38278871DERIVEDPubMed
41646284DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02989857

GET https://conductscience.org/api/trials/v1/NCT02989857/registered?page=2