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
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
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
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

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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