SIGMA Study: Safusidenib for IDH1-Mutant Glioma

This study, called SIGMA, is testing a drug called safusidenib for people with certain types of glioma (a brain tumor) that have a specific genetic change called an IDH1 mutation. The study aims to see how safe and effective safusidenib is. Part 1, which is fully enrolled, looked at different doses of safusidenib. Part 2 will compare safusidenib to a placebo (an inactive substance) in about 300 participants who have already received standard treatments like radiation or chemotherapy. Researchers will measure how long people live without their cancer getting worse and how many people see their tumors shrink. You may be eligible if you are 18 or older and have a Grade 2, 3, or 4 IDH1-mutant astrocytoma.

Study design
This is a multi-part study. Part 2, which is currently recruiting, is a randomized, double-blind (meaning neither you nor your doctor will know if you're getting the study drug or placebo) study comparing safusidenib to placebo in about 300 participants.
What's involved
You would take safusidenib or placebo orally every day in 28-day cycles. Treatment continues until your disease progresses or you experience side effects that make you stop.
Compensation
Not stated in the trial record.
Follow-up
Your health will be monitored for an average of 2 years to track side effects and disease progression. Long-term survival follow-up will also be conducted.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05303519

SIGMA (Safusidenib in IDH1 Mutant Glioma Maintenance)

Recruiting
PHASE3Ages 18+InterventionalTreatment
Nuvation Bio Inc.
~365 participants
Updated 2026-08-28 on ClinicalTrials.gov
What's tested:safusidenibPlacebo

At a glance

Recruiting sites
57 of 61 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Part 1: Incidence of adverse events (AEs) and serious adverse events (SAEs)
Measured over From participants sign ICF to 30 days after last dose,average 2 years
+2 more outcomes measured
Glioma
Astrocytoma, Grade IV
IDH1-mutant Glioma
Astrocytoma, IDH-Mutant, Grade 3
Astrocytoma, IDH-Mutant, Grade 4
Astrocytoma, IDH-Mutant, Grade 2
Oligodendroglioma
Oligodendroglioma, IDH-Mutant and 1p/19q-Codeleted
61 sites across 38 states
California5
New York5
Florida4
Beijing Municipality4
Texas3
Arizona2
Massachusetts2
North Carolina2

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  • Part 1: Incidence of adverse events (AEs) and serious adverse events (SAEs)From participants sign ICF to 30 days after last dose,average 2 years

    calculate Percentage and numbers of participants with treatment emergent adverse events (TEAEs) and serious adverse events (SAEs) assessed by CTCAE 5.0

  • Part 2: Progression-free survival (PFS) assessed by Blinded Independent Central Review (BICR) per Response Assessment in Neuro-Oncology (RANO) 2.0From randomization until the date of first documented disease progression, average 2 years

    PFS is defined as the time from randomization to the date of the first documented disease progression assessed by BICR per RANO 2.0 or death (by any cause in the absence of disease progression).

  • Part 3 Objective Response Rate (ORR) (Complete Response (CR), Partial Response (PR) and Minor Response (MR)) assessed by Blinded Independent Central Review (BICR) per Response Assessment in Neuro-Oncology (RANO) 2.0From the first dose of study drug until the date of first documented disease progression, average 18 months