Safusidenib Shows 44% Response Rate and Long-Term Disease Control in Nuvation Bio Phase 2 Study
Positive Results Highlight Potential to Delay Chemoradiation in Glioma Patients
Fresh results from Nuvation Bio’s Phase 2 study of safusidenib are putting the spotlight on new possibilities for treating grade 2 IDH1-mutant glioma—a challenging brain cancer most often diagnosed in adults in their 30s and 40s. The company has reported a robust objective response rate (ORR) of 44% and nearly 88% progression-free survival at two years, raising hope for a therapeutic approach that could postpone the need for traditional chemoradiation and its long-term toxicities.
Durable Responses Seen: Key Phase 2 Data at a Glance
| Study Population | ORR | 24-Month Progression-Free | Median Follow-Up (months) | Grade =3 Adverse Events |
|---|---|---|---|---|
| 27 (IDH1-mutant grade 2 glioma, no prior therapy except surgery/biopsy) | 44% | 87.9% | 28 | 18.5% |
The Phase 2 open-label, single-arm trial enrolled 27 patients who had not yet received chemotherapy or radiotherapy. Safusidenib—a novel, brain-penetrant oral inhibitor of mutant IDH1—was evaluated for its ability to control tumor progression and minimize the need for immediate chemoradiation. Notably, at the March 10, 2023 data cut-off, the median duration of response and progression-free survival (PFS) were not reached due to a lack of progression events, further underscoring the therapy’s long-term benefit.
Regulatory Progress and Upcoming Pivotal Phase 3 Trial
The results supported favorable interactions with the FDA, allowing Nuvation Bio to align on plans for converting the ongoing G203 trial into a pivotal Phase 3 study focused on high-grade gliomas. Importantly, the new protocol sets PFS as the primary endpoint, which could potentially serve as the basis for full approval in this setting. As of September 15, 2025, twelve patients from the initial cohort remained on safusidenib treatment, signaling lasting clinical benefit and paving the way for more mature long-term data.
Adverse Events: Safety Data Remain Manageable
Adverse events observed during the study were mostly mild or moderate, with just 18.5% of patients experiencing grade 3 or higher events. No fatal (grade 5) events were recorded. While a Good Clinical Practice noncompliance issue was identified in initial adverse event collection, the final safety analysis is based on a strict, protocol-adherent re-collection and re-evaluation, aiming for high data integrity.
Potential to Shift the Standard of Care for Glioma
Safusidenib’s ability to produce durable tumor responses and high progression-free rates could mark a step-change in treating IDH1-mutant gliomas. For many patients, delaying or even reducing exposure to chemoradiation could have major quality of life implications—especially given the risks associated with long-term adjuvant therapies. Experts, including Dana-Farber Cancer Institute’s Dr. David Reardon, highlight the need for options that go beyond existing IDH inhibitors, which still leave a gap in disease durability and patient outcomes.
What Comes Next?
With a pivotal global Phase 3 trial underway and further long-term data to come, investors and clinicians alike will be watching closely. Should results continue on this trajectory, safusidenib may soon provide an alternative pathway for those living with this tough-to-treat cancer. As always, ongoing data and regulatory updates will determine whether safusidenib fulfills its promise as a new standard for patients facing IDH1-mutant glioma.
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