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Clinical Trials in the USA / NCT05648968
Active, not recruiting Phase 3

A Study of Efficacy and Safety of Ianalumab in Previously Treated Patients With Warm Autoimmune Hemolytic Anemia

NCT05648968 · tracked via the Priya Life Science USA tracker
Sponsor
Novartis Pharmaceuticals
Phase
Phase 3
Started
2022-12-30
Last updated
2026-09-11

Condition(s) studied

Warm Autoimmune Hemolytic Anemia (wAIHA)

Investigational drug(s) / intervention(s)

IanalumabPlacebo

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)

Trial sites (53)

FacilityCityRegionStatus
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.

View NCT05648968 on ClinicalTrials.gov ↗ ← All trials in the USA