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Active, not recruitingNCT04458272Updated Oct 6, 2026

A Study of DS-1001b in Patients With Chemotherapy- and Radiotherapy-Naive IDH1 Mutated WHO Grade II Glioma

A Phase 2 interventional study of DS-1001b in WHO Grade II Glioma, sponsored by Daiichi Sankyo Co., Ltd.. Active, not recruiting at 11 sites in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by Daiichi Sankyo Co., Ltd. · Phase 2, Interventional, and Treatment

Updated Oct 6, 2026Study completion movedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
20 Years and older
Sex
All
01

Study summary

This Phase 2 study is conducted to assess the efficacy and safety of DS-1001b in patients with chemotherapy- and radiotherapy-naive IDH1 mutated WHO grade II glioma.

02

Conditions studied

  • WHO Grade II Glioma

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Keywords

  • DS-1001
  • IDH1
  • Glioma
  • IDH-mutant glioma
  • WHO grade II glioma
  • Low-grade glioma
03

In context

Glioma

1,452 studies on the registry are indexed under Glioma; 349 are open to participants now.

This study's planned enrollment of 25 is below the median of 32 across 1,075 interventional studies indexed under Glioma.

Browse Glioma studies →

Lead sponsor

Daiichi Sankyo Co., Ltd. is the lead sponsor of 73 studies on the registry; none are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Has a histopathologically documented IDH1 mutated WHO grade II glioma according to the 2016 WHO classification.
  • Has confirmed IDH1 mutation at the R132 locus by testing at the central laboratory conducted during the screening period.
  • Has no prior anticancer treatment (including chemotherapy and radiotherapy) for glioma except craniotomy or .
  • Has at least 1 measurable and non-enhancing lesion.
  • Has an interval of at least 90 days from the latest surgery.
  • Has no sign of malignant transformation including the appearance of enhancing lesions and/or rapid growth of non-enhancing lesions.
  • Has an (ECOG) performance status (PS) of 0 to 1.

Exclusion criteria

Exclusion Criteria:

  • Has had a histopathological diagnosis of WHO grade III or IV glioma.
  • Has had a contrast enhancing lesion on brain MRI.
  • Has received a prior treatment with any mutant IDH1 inhibitor.
  • Has received other products within 28 days before the start of the study drug treatment.
  • Has an active infection requiring systemic treatment.
  • Has multiple primary .
  • Has a history of cardiac disease.
  • Is a pregnant or lactating woman.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    DS-1001b

    Drug: DS-1001b

Interventions

  • 250 mg, twice daily, continuous oral administration

06

What researchers measure

Primary outcomes

  1. Overall response rate (ORR) assessed by Independent Efficacy Review Committee

    Time frame: Up to 24 months

  2. Number of participants with treatment-emergent adverse events (TEAEs) during the study

    Time frame: Up to 24 months

Secondary outcomes

  1. Clinical benefit rate

    Time frame: Through the end of the study (up to approximately 6 years)

  2. Percentage change in tumor volume

    Time frame: Through the end of the study (up to approximately 6 years)

  3. Time to response

    Time frame: Through the end of the study (up to approximately 6 years)

  4. Duration of response

    Time frame: Through the end of the study (up to approximately 6 years)

  5. Time to treatment failure

    Time frame: Through the end of the study (up to approximately 6 years)

  6. Progression-free survival

    Time frame: Through the end of the study (up to approximately 6 years)

  7. Overall survival

    Time frame: Through the end of the study (up to approximately 6 years)

  8. Area under the concentration curve (AUC) for DS-1001a

    Time frame: Cycle 1 Day 1 to Cycle 13 Day 1 (each cycle is 28 days)

  9. Maximum plasma concentration (Cmax) for DS-1001a

    Time frame: Cycle 1 Day 1 to Cycle 13 Day 1 (each cycle is 28 days)

  10. Time to maximum plasma concentration (Tmax) for DS-1001a

    Time frame: Cycle 1 Day 1 to Cycle 13 Day 1 (each cycle is 28 days)

  11. Change from baseline in 2-hydroxyglutarate (2-HG) concentration in patient specimens after treatment with DS-1001b

    Time frame: Through the end of the study (up to approximately 6 years)

07

Study locations

11 sites
08

References and documents

Publications

  • Arakawa Y, Saito R, Kanemura Y, Mishima K, Koriyama S, Narita Y, Kumabe T, Motomura K, Sugiyama K, Yamasaki F, Mukasa A, Kanamori M, Kuga D, Nagane M, Kakurai Y, Isobe K, Nakamura H. Phase II study of safusidenib erbumine in patients with chemotherapy- and radiotherapy-naive isocitrate dehydrogenase 1-mutated WHO grade 2 gliomas. Neuro Oncol. 2026 Mar 1;28(3):717-727. doi: 10.1093/neuonc/noaf258. PubMed 41206766 ↗
  • Natsume A, Arakawa Y, Narita Y, Sugiyama K, Hata N, Muragaki Y, Shinojima N, Kumabe T, Saito R, Motomura K, Mineharu Y, Miyakita Y, Yamasaki F, Matsushita Y, Ichimura K, Ito K, Tachibana M, Kakurai Y, Okamoto N, Asahi T, Nishijima S, Yamaguchi T, Tsubouchi H, Nakamura H, Nishikawa R. The first-in-human phase I study of a brain-penetrant mutant IDH1 inhibitor DS-1001 in patients with recurrent or progressive IDH1-mutant gliomas. Neuro Oncol. 2023 Feb 14;25(2):326-336. doi: 10.1093/neuonc/noac155. PubMed 35722822 ↗

Individual participant data

Plan to share: Yes — De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Studies for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.

Access criteria: Formal request from qualified scientific and medical researchers on IPD and clinical study documents from clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent.

Data sharing details ↗ · vivli.org

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2020 to primary completion in Mar 2023, 32 months.

Of 131 phase 2 interventional studies under Glioma, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 40 and three quarters within 88. This study's 32 months is below that.

Completion moved once since we started tracking on Sep 25, 2026: Aug 2026 → Feb 2027, on Oct 6, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jun 29, 2020
First posted
Jul 7, 2020
StartActual
Jul 8, 2020
Primary completionActual
Mar 10, 2023
CompletionEst.
Feb 28, 2027was Aug 2026
Last update
Oct 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Study completion
Aug 31, 2026→Feb 28, 2027
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    Study completion Aug 31, 2026→Feb 28, 2027
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04458272
Responsible party
Sponsor
First posted
Jul 7, 2020
Start date
Jul 8, 2020
Primary completion
Mar 10, 2023
Completion
Feb 28, 2027 (estimated)
Last update
Oct 6, 2026

Study contacts

Clinical Study Leader
study director · Daiichi Sankyo

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Safusidenib

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