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On December 1, 2022, olutasidenib, an oral, small molecule, IDH1 inhibitor was approved by the U.S. Food and Drug Administration (FDA) for the treatment of patients with IDH1-mutated relapsed or refractory (R/R) acute myeloid leukemia (AML).1
This approval is based on results from a phase II study (NCT02719574) that has previously been reported on by the AML Hub. Briefly, the study included 147 adult patients with R/R AML who were treated with oral olutasidenib at a dose of 150 mg, twice daily.1
Olutasidenib was well tolerated with an acceptable safety profile. The most common adverse reactions included nausea, fatigue/malaise, arthralgia, constipation, leukocytosis, dyspnea, fever, rash, mucositis, diarrhea, and transaminitis. Olutasidenib has a boxed warning regarding the risk of differentiation syndrome.1
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