Ianalumab: i.v. infusion, prepared from concentrate solution
Placebo: i.v. infusion, prepared from matching placebo
Study summary
The purpose of this study is to evaluate efficacy and safety of ianalumab compared to placebo in patients with warm autoimmune hemolytic anemia, who failed at least one line of treatment.
Eligibility
Sex
ALL
Min age
18 Years
Max age
100 Years
Healthy volunteers
No
Key Inclusion Criteria:
* 18 years and older at time of signing consent
* Patients with primary or secondary wAIHA documented by positive direct antiglobulin test specific for anti-IgG or anti-IgA, who had an insufficient response to, or relapsed after at least one line of treatment, including patients with steroid resistance, dependence or intolerance
* Hemoglobin concentration at screening and at Week 1 \>=5 g/dL and \<10 g/dL, associated with presence of symptoms related to anemia
* The dose of supportive care must be stable for at least 4 weeks prior to randomization into the study
Key Exclusion Criteria:
* wAIHA secondary to hematologic disease involving bone marrow (e.g., CLL) or another immunologic disease requiring prohibited medication as per protocol. Patients with autoimmune diseases after wash-out from the treatments are allowed.
* Presence of other forms of AIHA (cold or intermediate forms), Evans Syndrome or other cytopenias
* Prior use of B-cell depleting therapy (e.g., rituximab) within 12 weeks prior to randomization, or without hematological response to the last course of B-cell depleting therapy
* Neutrophils: \<1000/mm3
* Serum creatinine \>1.5 × upper limit of normal (ULN)
* Immunoglobulin G (IgG) \<5g/L
* Active viral, bacterial or other infections (including tuberculosis and SARS-CoV-2) requiring systemic treatment at time of screening, or history of recurrent clinically significant infection
* Positivity for hepatitis C virus, hepatitis B surface antigen (HBsAg), or hepatitis B core antibody (HBcAb). HBcAb positive patients can be enrolled if HBsAg negative, HBV DNA negative, no pre-existing liver fibrosis is present and antiviral prophylaxis is given.
* Known history of primary or secondary immunodeficiency, or a positive human immune deficiency virus (HIV) test result
* Live or live-attenuated vaccination within 4 weeks before randomization
* History of splenectomy
Other protocol-defined Inclusion/Exclusion may apply.
Primary outcome measure(s)
Binary variable indicating whether a patient achieves a durable response — Randomization to Week 25 Durable response: hemoglobin level ≥10 g/dL and ≥2 g/dL increase from baseline, for a period of at least eight consecutive weeks between W9 and W25, in the absence of rescue medication or prohibited treatment
Trial sites (53)
Facility
City
Region
Status
Michigan Center of Medical Research
Farmington Hills
Michigan
University of Minnesota Med Center
Minneapolis
Minnesota
Fred Hutchinson Cancer Center
Seattle
Washington
Novartis Investigative Site
CABA
Buenos Aires
Novartis Investigative Site
Buenos Aires
Argentina
Novartis Investigative Site
Caba
Argentina
Novartis Investigative Site
Garran
Australian Capital Territory
Novartis Investigative Site
Melbourne
Victoria
Novartis Investigative Site
Guangzhou
Guangdong
Novartis Investigative Site
Hangzhou
Zhejiang
Novartis Investigative Site
Dalian
China
Novartis Investigative Site
Tianjin
China
Novartis Investigative Site
Tianjin
China
Novartis Investigative Site
Créteil
France
Novartis Investigative Site
Lille
France
Novartis Investigative Site
Nantes
France
Novartis Investigative Site
Nice
France
Novartis Investigative Site
Dresden
Germany
Novartis Investigative Site
Essen
Germany
Novartis Investigative Site
Giessen
Germany
Novartis Investigative Site
Hanover
Germany
Novartis Investigative Site
Debrecen
Hajdu Bihar Megye
Novartis Investigative Site
New Delhi
National Capital Territory of Delhi
Novartis Investigative Site
Madurai
Tamil Nadu
Novartis Investigative Site
Hyderabad
Telangana
Novartis Investigative Site
Lucknow
Uttar Pradesh
Novartis Investigative Site
Kfar Saba
Israel
Novartis Investigative Site
Petah Tikva
Israel
Novartis Investigative Site
Milan
MI
Novartis Investigative Site
Milan
MI
Novartis Investigative Site
Bassano del Grappa
VI
Novartis Investigative Site
Novara
Italy
Novartis Investigative Site
Narita
Chiba
Novartis Investigative Site
Matsuyama
Ehime
Novartis Investigative Site
Gifu
Gifu
Novartis Investigative Site
Kobe
Hyōgo
Novartis Investigative Site
Isehara
Kanagawa
Novartis Investigative Site
Suita
Osaka
Novartis Investigative Site
Itabashi-ku
Tokyo
Novartis Investigative Site
Shinjuku Ku
Tokyo
+ 13 more sites — see the full list on the official registry below.
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.
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