TheraRadar
Data updated: May 26, 2026

VORANIGO (vorasidenib)

Isocitrate Dehydrogenase 1 Inhibitors Genetically Validated Trial Activity: Growth 8 active trials
Orphan Drug Breakthrough Therapy Priority Review Fast Track
Oncology Approved 2024-08-06

Voranigo helps patients 12 years and older who have specific types of brain tumors known as Grade 2 astrocytoma or oligodendroglioma. It is used for individuals whose tumors carry a susceptible IDH1 or IDH2 mutation, which is identified through specialized testing. This medication is typically prescribed after a patient has undergone a surgical procedure,

Source: FDA Label • SERVIER • Isocitrate Dehydrogenase 1 Inhibitor

Development Insights

Institut de Recherches Internationales Servier conducting 4 trials (40%)
14 indications explored (Broad Platform)
idh1-mutant glioma (1 trials)
idh2-mutant glioma (1 trials)
idh-mutant grade 2 or 3 astrocytoma (1 trials)
1
Indication
--
Phase 3 Trials
1
Priority Reviews
1
Years on Market

Details

Status
Prescription
First Approved
2024-08-06
Patent Cliff
2039

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: VORASIDENIB

VORANIGO Approval History

2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2024 to 2025
Apr 2025 SUPPL
Label · Labeling
Aug 2024 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What VORANIGO Treats

2 indications

VORANIGO is approved for 2 conditions since its original approval in 2024. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Astrocytoma
  • Oligodendroglioma
Source: FDA Label

VORANIGO Target & Pathway

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Target

IDH1 (Isocitrate Dehydrogenase 1) Metabolic Enzyme

VORANIGO Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

MoA expansion candidates

2

Same target(s), different indications — where else is this mechanism being explored?

Indication competitors

2

Same indication, different mechanism — what else might this patient receive?

Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to VORANIGO

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

BICNU
CARMUSTINE
1 shared
AVET LIFESCIENCES
Shared indications:
Astrocytoma
CARMUSTINE
CARMUSTINE
1 shared
MEITHEAL
Shared indications:
Astrocytoma
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Clinical Trial Registry

10 trials
Trial Sponsor ID Phase Status Title
NCT07235774 S095032-234 Ph 1 completed A Drug-drug Interaction Study of Vorasidenib and a Combined Oral Contraceptive in Healthy Female Participants
NCT06478212 S095032-211 Ph 1, Ph 2 active not recruiting Vorasidenib in Combination With Temozolomide (TMZ) in IDH-mutant Glioma
NCT06809322 VIGOR EORTC -2427-BTG 2024-519404-27-00, CE.10 Ph 3 recruiting Vorasidenib Maintenance for IDH Mutant Astrocytoma
NCT05484622 CL1-95032-005 MK-3475-B39 Ph 1 active not recruiting Study of Vorasidenib and Pembrolizumab Combination in Recurrent or Progressive IDH-1 Mutant Glioma
NCT07235748 S095032-230 Ph 1 completed Drug-drug Interaction Study of Vorasidenib With Bupropion, Repaglinide, Flurbiprofen, Omeprazole, Midazolam, and Rosuvastatin in Healthy Adult Participants
NCT06780930 CL3-95032-016 Ph 3 active not recruiting Phase 3 Study of Vorasidenib (S095032/AG-881) in Asian Participants With Residual or Recurrent Grade 2 Glioma With an IDH1 orIDH2 Mutation
NCT07286292 S095032-236 Ph 2 not yet recruiting Vorasidenib Study in Pediatric Participants With Grade 2 Astrocytoma or Oligodendroglioma With an IDH1 or IDH2 Mutation
NCT07215910 A072301 Ph 3 not yet recruiting Testing Addition of an Anti-cancer Drug, Vorasidenib to Temozolomide, After Radiation for Advanced Brain Cancer
NCT04164901 results posted AG881-C-004 2019-002481-13, 2024-512961-15-00 Ph 3 active not recruiting Study of Vorasidenib (AG-881) in Participants With Residual or Recurrent Grade 2 Glioma With an IDH1 or IDH2 Mutation (INDIGO)
NCT05674474 PKH-95032-008 Ph 1 completed A Study of Vorasidenib in Participants With Moderate or Mild Hepatic Impairment and Matched Participants With Normal Hepatic Function
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

VORANIGO FDA Label Details

Indications & Usage

FDA Label (PDF)

VORANIGO is indicated for the treatment of Astrocytoma; Oligodendroglioma.

View full patent landscape →
5 OB patents · 3 families · 138 international docs across 41 countries

VORANIGO Patents & Exclusivity

Latest Patent: Jan 2039
Exclusivity: Aug 2031

Patents (5 active)

US11345677 Expires Jan 16, 2039
US11844758 Expires Dec 4, 2035
US12433895 Expires Jul 11, 2034
US9579324 Expires Jul 11, 2034
US10172864 Expires Jul 11, 2034

Exclusivity

NCE Until Aug 2029
ODE-491 Until Aug 2031
NCE Until Aug 2029
ODE-491 Until Aug 2031
NCE Until Aug 2029
ODE-491 Until Aug 2031
NCE Until Aug 2029
ODE-491 Until Aug 2031
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for VORANIGO

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2039
  • 20 active patents

Trial Analysis

  • 10 total trials
  • Stage: Growth

Competitive Landscape

  • 2 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment