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Translational Medicine / 转化医学IDH-Mutant Glioma

Ingo K. Mellinghoff

MD

🏢Memorial Sloan Kettering Cancer Center🌐USA

Chief, Department of Neurology; Chair, Brain Tumor Center; Member, Human Oncology and Pathogenesis Program

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Ingo K. Mellinghoff, MD is Chief of the Department of Neurology, Chair of the Brain Tumor Center, and Member of the Human Oncology and Pathogenesis Program at Memorial Sloan Kettering Cancer Center. He is internationally recognized as a leading expert in IDH-mutant glioma biology and therapy, and led the pivotal INDIGO trial that established vorasidenib as the first targeted therapy to demonstrate clinical benefit specifically in IDH-mutant diffuse glioma. His research bridges signal transduction biology, cancer genetics, and clinical trial science. Dr. Mellinghoff's laboratory has made seminal contributions to understanding the molecular basis of glioma, including the mechanistic characterization of IDH1/2 mutations in glioma pathogenesis—particularly the oncometabolite 2-hydroxyglutarate and its effects on epigenetic reprogramming. He has led translational studies of IDH inhibitors from preclinical development through early-phase clinical trials, culminating in leading the INDIGO phase III trial. Published in the New England Journal of Medicine in 2023, INDIGO demonstrated that vorasidenib—a brain-penetrant dual IDH1/2 inhibitor—significantly improved progression-free survival in patients with residual or recurrent grade 2 IDH-mutant glioma following surgery, representing the most important advance in lower-grade glioma treatment in decades. Prior to his focus on IDH-mutant glioma, Dr. Mellinghoff contributed foundational work on PTEN loss and PI3K/AKT/mTOR pathway activation as mechanisms of EGFR inhibitor resistance in GBM. He trained at UCLA and UCSF before joining MSKCC, where he has been a central figure in the neuro-oncology program. He serves on the editorial board of Cancer Cell and has received numerous honors for his contributions to glioma biology and translational oncology.

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🧪Research Fields 研究领域

IDH Inhibitors in Glioma
Vorasidenib (AG-881)
INDIGO Trial
Glioma Targeted Therapy
PI3K Signaling in Cancer

🎓Key Contributions 主要贡献

Vorasidenib and the INDIGO Phase III Trial

Led the INDIGO phase III trial that established vorasidenib (AG-881), a brain-penetrant dual IDH1/2 inhibitor, as the first approved targeted therapy for grade 2 IDH-mutant diffuse glioma, demonstrating significantly improved PFS (27.7 vs. 11.1 months) and delayed time to next intervention.

IDH Mutation Oncometabolite Biology

Contributed to elucidating the mechanism by which IDH1/2 mutations produce the oncometabolite 2-hydroxyglutarate, which inhibits α-KG-dependent dioxygenases including TET2 and histone demethylases, leading to epigenetic reprogramming and the G-CIMP phenotype in glioma.

PTEN Loss and PI3K Pathway as EGFR Resistance Mechanism

Demonstrated in a landmark study that coexpression of EGFRvIII with retained PTEN was required for sensitivity to EGFR kinase inhibitors in GBM, establishing PTEN as a critical determinant of targeted therapy response and advancing our understanding of pathway redundancy in GBM.

IDH Inhibitor Clinical Development

Led early-phase clinical trials of ivosidenib and enasidenib in IDH-mutant gliomas, generating pharmacodynamic data on 2-HG suppression and establishing proof of concept for IDH inhibition as a therapeutic strategy prior to the INDIGO trial.

Representative Works 代表性著作

[1]

Vorasidenib in IDH1- or IDH2-mutant low-grade glioma (INDIGO)

New England Journal of Medicine (2023)

Phase III trial demonstrating vorasidenib improved PFS from 11.1 to 27.7 months and significantly delayed next intervention in grade 2 IDH-mutant glioma, establishing the first targeted therapy for this disease.

[2]

Molecular determinants of the response of glioblastomas to EGFR kinase inhibitors

New England Journal of Medicine (2005)

Landmark study identifying that GBM cells required coexpression of EGFRvIII and intact PTEN for sensitivity to EGFR inhibitors, fundamentally shaping the field's approach to targeted therapy in GBM.

[3]

IDH mutation impairs histone demethylation and results in a block to cell differentiation

Nature (2012)

Mechanistic study demonstrating that IDH1/2 mutations and consequent 2-HG production block TET2-mediated DNA demethylation and histone demethylation, impairing cell differentiation and contributing to gliomagenesis.

[4]

Phase I study of AG-120, an IDH1 mutant enzyme inhibitor: results from the glioma expanded cohort

Journal of Clinical Oncology (2020)

Clinical pharmacodynamic study demonstrating sustained 2-HG suppression and encouraging disease control with ivosidenib in IDH1-mutant gliomas, supporting further development of IDH inhibitors.

🏆Awards & Recognition 奖项与荣誉

🏆Damon Runyon Cancer Research Foundation Scholar Award
🏆Doris Duke Distinguished Clinical Scientist Award
🏆American Association for Cancer Research (AACR) Team Science Award — TCGA Research Network
🏆MSKCC Investigator of the Year

📄Data Sources 数据来源

Last updated: 2026-04-05 | All information from publicly available academic sources

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