enasidenib

Trade name: idhifa

Small moleculeapprovedOrphan Drug FDAFast Track FDA

Approved

Aug 1, 2017

Enasidenib, aslo known as AG-221 and CC-90007, is a potent and selective IDH2 inhibitor with potential anticancer activity (IDH2 = Isocitrate dehydrogenase 2). The mutations of IDH2 present in certain cancer cells result in a new ability of the enzyme to catalyze the NAPH-dependent reduction of α-ketoglutarate to R(-)-2-hydroxyglutarate (2HG). The production of 2HG is believed to contribute to the formation and progression of cancer. The inhibition of mutant IDH2 and its neoactivity is therefore a potential therapeutic treatment for cancer. Enasidenib is an orally available, selective, potent inhibitor of the mutated IDH2 protein, making it a highly targeted investigational medicine for the potential treatment of patients with cancers that harbor an IDH2 mutation. Enasidenib has received orphan drug and fast track designations from the U.S. FDA. Enasidenib mesylate is in phase II clinical trials for Solid tumours and phase III clinical trials for the treatment of acute myeloid leukaemia. — NCATS

Clinical trial activity

42 trials · 38 clinical orgs · 2 marketing orgs

Phase 1
25
Phase 2
24
Phase 3
2
Phase 4
0

Earliest trial started Aug 27, 2013 (NCT01915498)

Timeline

2010s

  1. Jan 1, 2013

    Celgene — Earliest Phase 1 Sponsor(trial)

  2. Jun 12, 2014

    Orphan Drug Designation

  3. Jan 1, 2015

    Celgene — Earliest Phase 3 Sponsor(trial)

  4. Aug 1, 2017

    Celgene — Earliest FDA Approval

  5. Aug 1, 2017

    Celgene — NDA Secondary Org

  6. Aug 1, 2017

    Bristol-Myers Squibb — Marketing Organization

  7. Aug 1, 2017

    Celgene — NDA Organization

  8. Aug 1, 2017

    Bristol-Myers Squibb — NDA Secondary Org

  9. Jan 1, 2018

    Earliest Phase 2 Sponsor(trial)

Indications

Mechanism of action

Approval history

  • approvedPriority reviewFast trackAug 1, 2017

Chemistry & pharmacology

Loading structure…

SMILES

CC(C)(O)CNc1nc(Nc2ccnc(C(F)(F)F)c2)nc(-c2cccc(C(F)(F)F)n2)n1
Mol. weight
473.38 g/mol
Lipinski Ro5
Pass
Rule of 3
No
Chirality
Achiral Molecule
Inorganic
No
Polymer
No
Delivery
Oral
Availability
Prescription Only

Oral

Yes

Parenteral

No

Topical

No

Black box warningFirst in class

Sources

Also known as

  • 2-methyl-1-(4-(6-(trifluoromethyl)pyridin-2-yl)-6-(2-(trifluoromethyl)pyridin-4-ylamino)-1,3,5-triazin-2-ylamino)propan-2-ol
  • 2-methyl-1-(4-(6-(trifluoromethyl)pyridin-2-yl)-6-(2-(trifluoromethyl)pyridin-4-ylamino)-1,3,5-triazin-2-ylamino)propan-2-ol
  • 2-propanol, 2-methyl-1-((4-(6-(trifluoromethyl)-2-pyridinyl)-6-((2-(trifluoromethyl)-4-pyridinyl)amino)-1,3,5-triazin-2-yl)amino)-
  • 2-propanol, 2-methyl-1-((4-(6-(trifluoromethyl)-2-pyridinyl)-6-((2-(trifluoromethyl)-4-pyridinyl)amino)-1,3,5-triazin-2-yl)amino)-
  • ag221
  • ag221
  • ag-221
  • ag-221
  • ag-221
  • enasidenib
  • enasidenib
  • enasidenib
  • enasidenib
  • enasidenib mesylate
  • enasidenib mesylate
  • enasidenib mesylate
  • idhifa
  • idhifa

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT06672146Phase 2Feb 3, 2025National Cancer Institute (NCI), SWOG Cancer Research Network
NCT06577441Phase 2Jan 17, 2025National Cancer Institute (NCI)
NCT06756308Phase 2Dec 24, 2024Bristol-Myers Squibb, Memorial Sloan-Kettering Cancer Center, The Leukemia and Lymphoma Society
NCT06240754Phase 2Oct 10, 2024Bristol-Myers Squibb, Damon Runyon Cancer Research Foundation, Washington University in St. Louis
NCT06176989Phase 2Jan 3, 2024National Cancer Institute (NCI)
NCT05756777Phase 1Jun 26, 2023Astellas, Memorial Sloan-Kettering Cancer Center
NCT05441514Phase 1Nov 3, 2022City of Hope National Medical Center, National Cancer Institute (NCI)
NCT05401097Phase 2Aug 1, 2022Ohio State University
NCT05282459Phase 1/Phase 2 (Phase 2)Jan 12, 2022Celgene, Stanford University
NCT04955938Phase 1Oct 29, 2021University of Chicago
NCT05010772Phase 1Oct 25, 2021National Cancer Institute (NCI), University of Texas at Houston
NCT05102370Phase 1Oct 6, 2021Memorial Sloan-Kettering Cancer Center
NCT04774393Phase 1/Phase 2 (Phase 2)May 24, 2021University of Texas at Houston
NCT04655391Phase 1Dec 15, 2020City of Hope National Medical Center, National Cancer Institute (NCI)
NCT04573582Phase 1Oct 1, 2020Bristol-Myers Squibb, Celgene
NCT04522895Phase 2Aug 27, 2020Celgene, University of Duesseldorf
NCT04281498Phase 2Mar 31, 2020Celgene, Icahn School of Medicine at Mount Sinai, Incyte, Myeloproliferative Neoplasms Research Consortium, National Cancer Institute (NCI), National Institutes of Health (NIH), University of Texas, San Antonio
NCT04203316Phase 2Jan 4, 2020National Cancer Institute (NCI)
NCT04092179Phase 1/Phase 2 (Phase 2)Dec 31, 2019AbbVie, Celgene, University of Toronto
NCT04075747Phase 1Oct 31, 2019Jazz Pharmaceuticals
Showing 20 of 42 trials
Page 1 / 3

Organizations

Research & Development (38)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
CelgeneFor profit211142013
National Cancer Institute (NCI)Government10422019
Agios Pharmaceuticals, Inc.For profit4222013
University of Texas at HoustonAcademic/Hospital4422018
Bristol-Myers SquibbFor profit3022020
City of Hope National Medical CenterAcademic/Hospital3312019
Memorial Sloan-Kettering Cancer CenterAcademic/Hospital3322021
AbbVieFor profit2012019
Jazz PharmaceuticalsFor profit2122019
AstellasFor profit1012023
Beat AMLAcademic/Hospital1112016
Damon Runyon Cancer Research FoundationAcademic/Hospital1012024
Deutsch-Österreichische Studiengruppe Akute Myeloische Leukämie (AMLSG)Academic/Hospital1012019
Eli LillyFor profit1012019
Erasmus University RotterdamAcademic/Hospital1012019
GenentechFor profit1012019
Groupe Francophone des MyelodysplasiesAcademic/Hospital1112019
Harvard UniversityAcademic/Hospital1112018
HOVON - Dutch Haemato-Oncology AssociationAcademic/Hospital1112019
Icahn School of Medicine at Mount SinaiAcademic/Hospital1112020
38 organizations
Page 1 / 2

Marketing (4)

OrganizationOrg typeRelationshipDate
Bristol-Myers SquibbFor profitMKTGAug 1, 2017
Bristol-Myers SquibbFor profitNDA2Aug 1, 2017
CelgeneFor profitNDA2Aug 1, 2017
CelgeneFor profitNDAAug 1, 2017