IDH2

Chr 15

isocitrate dehydrogenase (NADP(+)) 2

Also known as: D2HGA2, ICD-M, IDH, IDH-2, IDHM, IDP, IDPM, mNADP-IDH

Isocitrate dehydrogenases catalyze the oxidative decarboxylation of isocitrate to 2-oxoglutarate. These enzymes belong to two distinct subclasses, one of which utilizes NAD(+) as the electron acceptor and the other NADP(+). Five isocitrate dehydrogenases have been reported: three NAD(+)-dependent isocitrate dehydrogenases, which localize to the mitochondrial matrix, and two NADP(+)-dependent isocitrate dehydrogenases, one of which is mitochondrial and the other predominantly cytosolic. Each NADP(+)-dependent isozyme is a homodimer. The protein encoded by this gene is the NADP(+)-dependent isocitrate dehydrogenase found in the mitochondria. It plays a role in intermediary metabolism and energy production. This protein may tightly associate or interact with the pyruvate dehydrogenase complex. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2014]

GeneReviewsOMIMResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

D-2-hydroxyglutaric aciduria 2MIM #613657
UniProtGlioma

Clinical highlights

Interpreting a novel variant
This gene is strongly intolerant of loss-of-function variation in the population, so LoF variants warrant close attention. No curated mechanism annotation is available — see the mechanism card for the computational prediction and its caveats.Based on population constraint only.
12
Active trials
376
Pubs (1 yr)
—
P/LP submissions
—
P/LP missense
0.38
LOEUF
—
Mechanism
📖
GeneReview available — IDH2
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint?
0.38LOEUF
pLI 0.883
Z-score 3.54
OE 0.15 (0.07–0.38)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint?
1.34Z-score
OE missense 0.76 (0.68–0.86)
191 obs / 250.8 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?
LoF OE?0.15 (0.07–0.38)
0≤0.351.4
Missense OE?0.76 (0.68–0.86)
0≤0.61.4
Synonymous OE?1.27
0≤1.21.6
LoF obs/exp: 3 / 20.2Missense obs/exp: 191 / 250.8Syn Z: -2.17

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

IDH2 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

GlioblastomaIDH1 Gene MutationIDH2 Gene Mutation

BGB-290 and Temozolomide in Treating Isocitrate Dehydrogenase (IDH)1/2-Mutant Grade I-IV Gliomas

ACTIVE NOT RECRUITING
NCT03749187Phase PHASE1University of California, San FranciscoStarted 2019-04-03
PARP Inhibitor BGB-290Temozolomide (TMZ)
Malignant Solid NeoplasmRefractory CholangiocarcinomaRefractory Malignant Solid Neoplasm

Testing Olaparib and AZD6738 in IDH1 and IDH2 Mutant Tumors

ACTIVE NOT RECRUITING
NCT03878095Phase PHASE2National Cancer Institute (NCI)Started 2020-01-30
Biopsy ProcedureBiospecimen CollectionBone Marrow Aspiration
Acute Myeloid Leukemia (AML)

A Study of Gilteritinib in Combination With Ivosidenib or Enasidenib in People With Acute Myeloid Leukemia (AML)

ACTIVE NOT RECRUITING
NCT05756777Phase PHASE1Memorial Sloan Kettering Cancer CenterStarted 2023-10-25
GilteritinibIvosidenibEnasidenib
Advanced Solid TumorNSCLC (Non-small Cell Lung Cancer)Renal Cancer

A Phase 1 Clinical Study of NXP900 in Subjects With Advanced Cancers

ACTIVE NOT RECRUITING
NCT05873686Phase PHASE1Nuvectis Pharma, Inc.Started 2023-10-26
NXP900
Acute Myeloid LeukemiaNPM1 MutationIDH1 Mutation

Study on the Efficacy and Safety of VA Regimen Compared to "3+7" Regimen in Newly Diagnosed AML With NPM1 or IDH1/IDH2 Mutations

NOT YET RECRUITING
NCT07664839Phase PHASE2Shen yangStarted 2026-07-01
VEN combined with azacitidineCytarabine plus Daunorubicin
ChondrosarcomasCartilage Tumours

Diagnostic and Therapeutic Targets in Cartilaginous Tumours

RECRUITING
NCT07315542St. Anne's University Hospital Brno, Czech RepublicStarted 2025-05-01
Tumour tissue analysisMolecular validationLiquid biopsy analysis
Acute Myeloid Leukemia

Comparing New Treatments for People With Newly Diagnosed Acute Myeloid Leukemia That Has an IDH2 Gene Change (A MyeloMATCH Treatment Trial)

RECRUITING
NCT06672146Phase PHASE2National Cancer Institute (NCI)Started 2025-05-16
Biospecimen CollectionBone Marrow AspirationBone Marrow Biopsy
Recurrent Malignant GliomaGlioblastomaAnaplastic Astrocytoma

Comprehensive Analysis of Chemotherapy and Targeted Therapy Outcomes in Recurrent Malignant Gliomas

ACTIVE NOT RECRUITING
NCT07448480Blokhin's Russian Cancer Research CenterStarted 2026-02-01
Bevacizumab-Containing RegimensNon-Bevacizumab RegimensBRAF ± MEK Targeted Therapy
Acute Myeloid LeukemiaBlasts 20-30 Percent of Bone Marrow Nucleated CellsChronic Myelomonocytic Leukemia

Azacitidine and Enasidenib in Treating Patients With IDH2-Mutant Myelodysplastic Syndrome

RECRUITING
NCT03383575Phase PHASE2M.D. Anderson Cancer CenterStarted 2018-01-17
AzacitidineEnasidenibQuality-of-Life Assessment
Metastatic ChondrosarcomaLocally Advanced ChondrosarcomaMetastatic Sinonasal Adenocarcinoma

Enasidenib in IDH2-Mutated Malignant Sinonasal and Skull Base Tumors

RECRUITING
NCT06176989Phase PHASE2National Cancer Institute (NCI)Started 2024-03-04
Enasidenib
Low-grade GliomaIDH2 Gene MutationRecurrent Glioma

Niraparib In Recurrent IDH 1/2 Gliomas

ACTIVE NOT RECRUITING
NCT05406700Phase EARLY_PHASE1Massachusetts General HospitalStarted 2023-05-18
NiraparibResection/Treatment with Niraparib
Acute Bilineal LeukemiaAcute Biphenotypic LeukemiaChronic Myelomonocytic Leukemia

Enasidenib and Azacitidine in Treating Patients With Recurrent or Refractory Acute Myeloid Leukemia and IDH2 Gene Mutation

RECRUITING
NCT03683433Phase PHASE2M.D. Anderson Cancer CenterStarted 2018-09-18
AzacitidineEnasidenib Mesylate