Clinical trial • Phase II | Phase IV • Immunology
RILZABRUTINIB for Warm autoimmune hemolytic anemia
Phase II | Phase IV trial of RILZABRUTINIB for Warm autoimmune hemolytic anemia. open-label, none/not specified-controlled. 13 participants.
Overview
- Trial Therapeutic Area
- Immunology
- Trial Disease
- Warm autoimmune hemolytic anemia
- Trial Stage
- Phase II | Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 22-01-2024
- First CTIS Authorization Date
- 27-02-2024
Trial design
open-label, none/not specified-controlled Phase II | Phase IV trial in Denmark, Spain, Italy.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 13
- Trial Duration For Participant
- 1193
Eligibility
Recruits 13 Vulnerable population selected (isVulnerablePopulationSelected = true). Subject information and informed consent forms are provided (patient ICFs and partner/pregnancy ICFs are listed in the documents). Consent is to be provided by adult participants; no paediatric consent/assent procedures are described in the available record..
- Vulnerable Population
- Vulnerable population selected (isVulnerablePopulationSelected = true). Subject information and informed consent forms are provided (patient ICFs and partner/pregnancy ICFs are listed in the documents). Consent is to be provided by adult participants; no paediatric consent/assent procedures are described in the available record.
Inclusion criteria
- {"criterion_text":"- Male and female patients with a confirmed diagnosis of primary wAIHA or systemic lupus erythematosus (SLE)-associated wAIHA (without other SLE-related manifestations apart from cutaneous and musculoskeletal manifestations)\n- Participants who have previously failed to maintain a sustained response after treatment with corticosteroids\n- Eastern Cooperative Oncology Group (ECOG) performance status grade 2 or lower\n- Up-to-date vaccination status as per local guideline\n- Body mass index (BMI) >17.5 and <40 kg/m2\n- All contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies\n- Core Part B: Evidence of treatment efficacy to rilzabrutinib as defined by achieving overall response during Part A\n- Core Part B: -\tCompletion of Part A treatment period (24 weeks)\n- Extended Part B: Completion of Core Part B period."}
Exclusion criteria
- {"criterion_text":"- 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\n- Part B only: Presence of unacceptable side effect(s) or toxicity associated with rilzabrutinib such that there is an unfavorable risk-benefit assessment for continued treatment with rilzabrutinib in the opinion of the Investigator and/or Sponsor\n- 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\n- Secondary wAIHA from any cause including drugs, 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\n- Myelodysplastic syndrome\n- Uncontrolled or active HBV infection: Patients with positive HBsAg and/or HBV DNA\n- HIV infection\n- Concurrent treatment with other experimental drugs or participation in another clinical trial with any investigational drug within 30 days or 5 half-lives, whichever is greater, prior to treatment start\n- Known allergy to any of the study medications, their analogues, or excipients in the various formulations of any agent\n- Part B only: Participants who receive any therapy during Part A known to be active in wAIHA"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Proportion of participants with overall hemoglobin response","definition_or_measurement_approach":""}
- {"endpoint_text":"- Proportion of participants who maintain durable response achieved during Part A or achieve a durable response during Part B and have a hemoglobin response","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- Proportion of participants with durable hemoglobin response","definition_or_measurement_approach":""}
- {"endpoint_text":"- Median time from baseline to first hemoglobin response","definition_or_measurement_approach":"Median time measured from baseline to first hemoglobin response (time-to-event)."}
- {"endpoint_text":"- Frequency of rescue therapy (any wAIHA-directed therapy other than predniso[lo]ne or transfusion) received","definition_or_measurement_approach":"Count/frequency of any wAIHA-directed rescue therapy excluding predniso[lo]ne and transfusion."}
- {"endpoint_text":"- Change from baseline in FACIT-Fatigue scale score","definition_or_measurement_approach":"Change from baseline in FACIT-Fatigue questionnaire score."}
- {"endpoint_text":"- Safety assessments","definition_or_measurement_approach":"Standard safety and tolerability assessments as per protocol (not further specified in the record)."}
Recruitment
- Planned Sample Size
- 13
- Recruitment Window Months
- 99
- Consent Approach
- Informed consent and subject information materials are provided (subject information and ICF documents are listed). Consent is provided by adult participants. Dedicated partner/pregnancy ICFs are present. Available ICF document language versions in the public documents include Danish (da), Spanish (es) and multiple Italian (it) versions; patient ICFs for the relevant countries are provided.
Geography
- Total Number Of Sites
- 8
- Total Number Of Participants
- 13
Denmark
- Earliest CTIS Part Ii Submission Date
- 07-02-2024
- Latest Decision Or Authorization Date
- 27-02-2024
- Processing Time Days
- 20
- Number Of Sites
- 1
- Number Of Participants
- 3
Sites
- Site Name
- Odense University Hospital
- Department Name
- Hæmatologisk Forskningsenhed
- Principal Investigator Name
- Henrik Frederiksen
- Principal Investigator Email
- henrik.frederiksen@rsyd.dk
- Contact Person Name
- Henrik Frederiksen
- Contact Person Email
- henrik.frederiksen@rsyd.dk
- Number Of Participants
- 3
Spain
- Earliest CTIS Part Ii Submission Date
- 07-02-2024
- Latest Decision Or Authorization Date
- 01-03-2024
- Processing Time Days
- 23
- Number Of Sites
- 4
- Number Of Participants
- 6
Sites
- Site Name
- University Hospital Virgen Del Rocio S.L.
- Department Name
- Hematology
- Principal Investigator Name
- Maria Eva Mingot Castellano
- Principal Investigator Email
- mariae.mingot.sspa@juntadeandalucia.es
- Contact Person Name
- Maria Eva Mingot Castellano
- Contact Person Email
- mariae.mingot.sspa@juntadeandalucia.es
- Site Name
- Hospital Universitario De Cruces
- Department Name
- Hematology and Hemotherapy
- Principal Investigator Name
- Miriam Vara Pampliega
- Principal Investigator Email
- miriam.varapampliega@osakidetza.eus
- Contact Person Name
- Miriam Vara Pampliega
- Contact Person Email
- miriam.varapampliega@osakidetza.eus
- Site Name
- Hospital Universitario La Paz
- Department Name
- Hematology
- Principal Investigator Name
- Marta Morado Arias
- Principal Investigator Email
- marta.morado@salud.madrid.org
- Contact Person Name
- Marta Morado Arias
- Contact Person Email
- marta.morado@salud.madrid.org
- Site Name
- Hospital Clinic De Barcelona
- Department Name
- Hematology y Hemostasis
- Principal Investigator Name
- Joan Cid Vidal
- Principal Investigator Email
- jcid@clinic.cat
- Contact Person Name
- Joan Cid Vidal
- Contact Person Email
- jcid@clinic.cat
Italy
- Earliest CTIS Part Ii Submission Date
- 07-02-2024
- Latest Decision Or Authorization Date
- 28-02-2024
- Processing Time Days
- 21
- Number Of Sites
- 3
- Number Of Participants
- 4
Sites
- Site Name
- AORN San Giuseppe Moscati Avellino
- Department Name
- Ematologia UOC
- Principal Investigator Name
- Antonio Risitano
- Principal Investigator Email
- amrisita@unina.it
- Contact Person Name
- Antonio Risitano
- Contact Person Email
- amrisita@unina.it
- Site Name
- Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
- Department Name
- Onco-Ematologia
- Principal Investigator Name
- Alessandro Lucchesi
- Principal Investigator Email
- alessandro.lucchesi@irst.emr.it
- Contact Person Name
- Alessandro Lucchesi
- Contact Person Email
- alessandro.lucchesi@irst.emr.it
- Site Name
- Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
- Department Name
- UOC Ematologia
- Principal Investigator Name
- Bruno Fattizzo
- Principal Investigator Email
- bruno.fattizzo@policlinico.mi.it
- Contact Person Name
- Bruno Fattizzo
- Contact Person Email
- bruno.fattizzo@policlinico.mi.it
Sponsor
Primary sponsor
- Full Name
- Sanofi-Aventis Recherche & Developpement
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- France
Contract research organisations
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- sponsorDuties code 4
- Name
- Nuvisan GmbH
- Responsibilities
- sponsorDuties code 4
- Name
- Wuxi Apptec Co. Ltd.
- Responsibilities
- sponsorDuties code 4
Third parties
- {"country":"Spain","full_name":"Alcura Health Espana S.A.","duties_or_roles":"sponsorDuties code 14","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"sponsorDuties code 4","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Nuvisan GmbH","duties_or_roles":"sponsorDuties code 4","organisation_type":"Pharmaceutical company"}
- {"country":"China","full_name":"Wuxi Apptec Co. Ltd.","duties_or_roles":"sponsorDuties code 4","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"ESMS Global Limited","duties_or_roles":"sponsorDuties code 15 (Centralized 24-Hour Emergency system)","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Rilzabrutinib
- Active Substance
- RILZABRUTINIB
- Modality
- Small molecule
- Routes Of Administration
- oral
- Route
- oral
- Authorisation Status
- Authorised
- Maximum Dose
- 800 mg
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