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ESMO 2025 | IDH1-targeted therapy potential in advanced chondrosarcoma

Robin Jones, MBBS, MRCP, MD, Institute of Cancer Research, London, UK, discusses the potential of targeting IDH1 in advanced and metastatic chondrosarcoma, a rare bone tumor with limited treatment options. Mutations in IDH1 and IDH2 are present in approximately half of chondrosarcoma cases, making IDH1 inhibitors a promising therapeutic approach, with one trial assessing ivosidenib in this setting. This interview took place at the European Society for Medical Oncology (ESMO) 2025 Congress in Berlin, Germany.

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Transcript

So to give some context, chondrosarcomas are rare tumors of bone arising from the cartilage. They’re the second most common primary bone tumor. And in about 40 to 65% of cases, these tumors are characterized by mutations in either IDH1 and IDH2. Treatment options for patients with advanced or metastatic chondrosarcoma are limited. There are no effective systemic therapies...

So to give some context, chondrosarcomas are rare tumors of bone arising from the cartilage. They’re the second most common primary bone tumor. And in about 40 to 65% of cases, these tumors are characterized by mutations in either IDH1 and IDH2. Treatment options for patients with advanced or metastatic chondrosarcoma are limited. There are no effective systemic therapies. Therefore, targeting IDH1 in advanced and metastatic chondrosarcoma is a very attractive option. There are promising phase one data from two trials of IDH1 inhibitors in advanced or metastatic chondrosarcoma and these data support the rationale for the ongoing phase three trial of ivosidenib versus placebo in patients with advanced chondrosarcoma and that trial is currently recruiting.

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