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December 8, 2025Blood

PyramIDH: A phase 3 study of ivosidenib monotherapy or azacitidine monotherapy in patients with mutant isocitrate dehydrogenase 1 myelodysplastic syndromes who have not received prior hypomethylating agent therapy

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Authors

UPUwe PlatzbeckerUBUma BoratePPPrapti A. Patel

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Overview

Randomized trial compared azacitidine with ivosidenib in patients with lower-risk myelodysplastic syndromes, suggesting improved treatment options.

Key Points

  • Ivosidenib monotherapy led to higher remission rates, enhancing outcomes in lower-risk patients with myelodysplastic syndromes.
  • Complete remission and partial remission rates were notably higher than the standard drug therapy azacitidine.
  • Multicenter, phase 3, open-label study compared ivosidenib and azacitidine in treatment-naive patients with MDS.
  • The trial highlights the need for better treatment options, especially for patients prone to acute myeloid leukemia.

Cite This Study

Platzbecker et al. (2025) studied this question.

synapsesocial.com/papers/69362f714fa91c937236e1f7https://doi.org/10.1182/blood-2025-8254
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