Table 3.

Potential Pivotal Studies Evaluating Vorasidenib in IDHm Gliomas Beyond INDIGO Population

SettingTreatmentPopulationNotes
AdjuvantVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas after gross total resection in whom a watch-and-wait approach could be consideredFeasibility unclear
ConcomitantStandard of care chemotherapy (PCV, TMZ) combined with vorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas requiring adjuvant treatment with chemotherapy/radiation therapySame design could be considered for patients with grade 4 astrocytoma
MaintenanceVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas, after completion of standard of care treatment with chemotherapy and radiation therapySame design could be considered for patients with grade 4 astrocytoma
SettingTreatmentPopulationNotes
AdjuvantVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas after gross total resection in whom a watch-and-wait approach could be consideredFeasibility unclear
ConcomitantStandard of care chemotherapy (PCV, TMZ) combined with vorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas requiring adjuvant treatment with chemotherapy/radiation therapySame design could be considered for patients with grade 4 astrocytoma
MaintenanceVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas, after completion of standard of care treatment with chemotherapy and radiation therapySame design could be considered for patients with grade 4 astrocytoma
Table 3.

Potential Pivotal Studies Evaluating Vorasidenib in IDHm Gliomas Beyond INDIGO Population

SettingTreatmentPopulationNotes
AdjuvantVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas after gross total resection in whom a watch-and-wait approach could be consideredFeasibility unclear
ConcomitantStandard of care chemotherapy (PCV, TMZ) combined with vorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas requiring adjuvant treatment with chemotherapy/radiation therapySame design could be considered for patients with grade 4 astrocytoma
MaintenanceVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas, after completion of standard of care treatment with chemotherapy and radiation therapySame design could be considered for patients with grade 4 astrocytoma
SettingTreatmentPopulationNotes
AdjuvantVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas after gross total resection in whom a watch-and-wait approach could be consideredFeasibility unclear
ConcomitantStandard of care chemotherapy (PCV, TMZ) combined with vorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas requiring adjuvant treatment with chemotherapy/radiation therapySame design could be considered for patients with grade 4 astrocytoma
MaintenanceVorasidenib vs. placeboNewly-diagnosed grade 2–3 gliomas, after completion of standard of care treatment with chemotherapy and radiation therapySame design could be considered for patients with grade 4 astrocytoma
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