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Oncomine Dx Target Test 获批,作为Ivosidenib治疗IDH1+胆管癌患者的伴随诊断

Author: Medicalhalo
Release time: 2025-10-19 11:44:20
Companion diagnostics that prescribe appropriate medicines can accurately determine whether cancer patients are suitable for certain drug treatments, bringing hope to cancer patients.

ThermoFisher Scientific said the Oncomine Dx Target Test has received premarket approval as a companion diagnostic to identify patients with IDH1-mutated cholangiocarcinoma who are suitable for treatment with ivosidenib (Tibsovo).

(Source: Internet)

On August 25, 2021, the FDA approved ivosidenib for the treatment of adult patients with IDH1-positive cholangiocarcinoma, becoming the first treatment drug approved for this type of patients. At the same time, ivosidenib is also used to treat newly diagnosed patients with IDH1-positive acute myeloid leukemia (age 75 and above or who are not suitable for chemotherapy).

Ivosidenib was approved to treat patients with IDH1-mutant cholangiocarcinoma based on results from the Phase 3 ClarIDHy trial (NCT02989857). The study found that ivosidenib provided a statistically significant improvement in progression-free survival. Median progression-free survival (PFS) was 2.7 months in the ivosidenib group and 1.4 months in the placebo group. Overall, 32% of patients receiving ivosidenib did not experience disease progression or death at 6 months and 22% at 12 months.
"Previously, there were no approved targeted treatment options for this patient population," said Dr. Susan Pandya, vice president of clinical development at Servier Pharmaceuticals. "The FDA's approval of ivosidenib for the treatment of patients with IDH1 cholangiocarcinoma is an important milestone for the cholangiocarcinoma community."
The IDH1 gene is commonly associated with cholangiocarcinoma, and next-generation sequencing (NGS)-based testing has been shown to produce significant, reproducible results for the IDH1 gene. In 2017, Oncomine Dx Target Test received its first approval and is currently used as a companion diagnostic treatment for 4 targeted therapies for non-small cell lung cancer and 1 targeted therapy for cholangiocarcinoma.
In addition, a commercial development agreement has been reached to use the Oncomine Dx Target Test in conjunction with the Oncomine Precision Assay to identify patients with IDH1/2-positive low-grade glioma who may benefit from treatment with vorasidenib (AG-881).

Reference materials: FDA instructions were updated on October 24, 2023. FDA instructions website: https://www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=BasicSearch.process&ApplNo=211192

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