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Clinical Trials in China / NCT07086976
Recruiting Phase 3

A Study to Investigate the Efficacy, Safety, and Pharmacokinetics of Oral Rilzabrutinib Compared With Placebo in Participants 18 Years of Age and Older With Warm Autoimmune Hemolytic Anemia

NCT07086976 · tracked via the Priya Life Science China tracker
Sponsor
Sanofi
Phase
Phase 3
Started
2025-08-18
Last updated
2026-09-22

Condition(s) studied

Autoimmune Haemolytic Anaemia

Investigational drug(s) / intervention(s)

rilzabrutinib →placebo

rilzabrutinib: Pharmaceutical form:tablet-Route of administration:oral

placebo: Pharmaceutical form:tablet-Route of administration:oral

Study summary

This is a parallel-group, Phase 3, double-blind, 2-arm study to investigate the efficacy, safety, PK and PD of oral rilzabrutinib in achieving durable Hb response (DHR) compared with placebo in approximately 90 male and female participants ≥ 18 years of age with a confirmed diagnosis of primary wAIHA.

Following a 4-week screening period, eligible participants will be randomized in a 2:1 ratio to receive rilzabrutinib or placebo in primary analysis period (PAP) for a duration of up to 24 weeks. All participants who completed PAP will then continue in open-label period (OLP) to receive rilzabrutinib for a duration of 28 weeks. Upon the completion of OLP, only participants who demonstrate Hb increase during the last 8 weeks of OLP per specified criteria in the protocol will be eligible to continue in long-term extension (LTE) of the study. The duration of the LTE period will be from the first-participant-in (FPI)-LTE until the last participant completes 52 weeks in LTE. The safety follow-up period of this study following treatment completion or discontinuation will be 2 weeks.

Eligibility

Sex
ALL
Min age
18 Years
Max age
Healthy volunteers
No
Inclusion Criteria: * Male and female participants with a documented (confirmed) diagnosis of primary wAIHA for at least 6 months. * Participants who have previously failed to maintain a sustained response after treatment with CS (CS-resistance \[defined as failure to obtain hemoglobin response within 3 weeks on at least 1 mg/kg or 60 mg prednisone or equivalent per day\], CS-dependent wAIHA \[defined as need to continue on prednisone or equivalent at a dose of \>10 mg/day to maintain a response\]), or are intolerant or ineligible to CS (defined as with contraindications, pre-existing medical conditions or CS-related complications that may render CS intolerant or ineligible per the best clinical judgement of the investigators). * Participants with Eastern Cooperative Oncology Group (ECOG) performance status Grade 2 or lower. * Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Exclusion Criteria: * Participants with clinically significant medical history or ongoing chronic illness that would jeopardize the safety of the participant or compromise the quality of the data derived from his or her participation in the study as determined by the Investigator. * Participants with medical history of lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for the past 3 years. * Participants with symptomatic herpes zoster within 3 months prior to screening. * Participants with mixed wAIHA, or secondary wAIHA from any cause including drugs, Evans Syndrome, lymphoproliferative disorders (low count monoclonal B-cell lymphocytosis is allowed), infectious or autoimmune disease, or active hematologic malignancies. Participants with positive antinuclear antibodies but without a definitive diagnosis of an autoimmune disease are allowed. * Participants with history of myelodysplastic syndrome. * Participants with uncontrolled or active HBV infection or Active HCV infection. * HIV infection. * Participants with history of solid organ transplant. * Participants with a history of active or latent tuberculosis (TB). * Splenectomy within 12 weeks before screening and planned surgery during the PAP. * Concurrent treatment with other experimental/investigational drugs within 30 days or 5 half-lives, whichever is longer, prior to treatment start. Participants who previously received treatment with BTK inhibitors for wAIHA before Day 1 (randomization) are not eligible. * Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator, contraindicates participation in the study. The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.

Primary outcome measure(s)

Trial sites (99)

FacilityCityRegionStatus
Mayo Clinic in Arizona - Phoenix- Site Number : 8400032 Phoenix Arizona Recruiting
Noble Clinical Research- Site Number : 8400003 Tucson Arizona Recruiting
City of Hope Comprehensive Cancer Center- Site Number : 8400023 Duarte California Recruiting
Cancer and Blood Specialty Clinic - Los Alamitos- Site Number : 8400038 Los Alamitos California Recruiting
USC Norris Comprehensive Cancer Center- Site Number : 8400007 Los Angeles California Recruiting
Stanford University Medical Center- Site Number : 8400026 Stanford California Recruiting
Lundquist Institute for Biomedical Innovation at Harbor - UCLA Medical Center- Site Number : 8400006 Torrance California Recruiting
Yale University School of Medicine- Site Number : 8400027 New Haven Connecticut Recruiting
MedStar Georgetown University Hospital- Site Number : 8400004 Washington D.C. District of Columbia Recruiting
Hialeah Hospital- Site Number : 8400009 Hialeah Florida Recruiting
Sylvester Comprehensive Cancer Center- Site Number : 8400031 Miami Florida Recruiting
University Hospital and Medical Center- Site Number : 8400005 Tamarac Florida Recruiting
Massachusetts General Hospital- Site Number : 8400001 Boston Massachusetts Recruiting
University of Michigan Health System - Ann Arbor- Site Number : 8400014 Ann Arbor Michigan Recruiting
Henry Ford Hospital- Site Number : 8400012 Detroit Michigan Recruiting
Mayo Clinic in Rochester - Minnesota- Site Number : 8400008 Rochester Minnesota Recruiting
Montefiore Medical Center - Einstein Campus- Site Number : 8400011 The Bronx New York Recruiting
Cleveland Clinic - Cleveland- Site Number : 8400029 Cleveland Ohio Recruiting
Ohio State University Hospital East- Site Number : 8400020 Columbus Ohio Recruiting
Fox Chase Cancer Center - Philadelphia- Site Number : 8400019 Philadelphia Pennsylvania Recruiting
Brown University Health - Rhode Island Hospital- Site Number : 8400028 Providence Rhode Island Recruiting
Baptist Memorial Hospital- Site Number : 8400018 Memphis Tennessee Recruiting
UT Health - San Antonio- Site Number : 8400015 San Antonio Texas Recruiting
Fred Hutchinson Cancer Center- Site Number : 8400016 Seattle Washington Recruiting
Gundersen Health System - La Crosse Medical Center- Site Number : 8400033 La Crosse Wisconsin Recruiting
Investigational Site Number : 0320001 Rosario Santa Fe Province Recruiting
Investigational Site Number : 0320003 Buenos Aires Argentina Recruiting
Investigational Site Number : 0320002 Buenos Aires Argentina Recruiting
Investigational Site Number : 0400001 Vienna Austria Recruiting
Investigational Site Number : 0400002 Vienna Austria Recruiting
Hemoes - Centro Estadual de Hemoterapia e Hematologia Marcos Daniel Santos- Site Number : 0760002 Vitória Espírito Santo Recruiting
Universidade Federal de Goias- Site Number : 0760001 Goiânia Goiás Recruiting
Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo- Site Number : 0760003 São Paulo Brazil Recruiting
Investigational Site Number : 1560001 Beijing China Recruiting
Investigational Site Number : 1560007 Chengde China Recruiting
Investigational Site Number : 1560011 Guangzhou China Recruiting
Investigational Site Number : 1560005 Guangzhou China Recruiting
Investigational Site Number : 1560009 Hohhot China Recruiting
Investigational Site Number : 1560003 Nanchang China Recruiting
Investigational Site Number : 1560012 Nanchang China Recruiting

+ 59 more sites — see the full list on the official registry below.

More Sanofi trials in China

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07086976 on ClinicalTrials.gov ↗ ← All trials in China