Efficacy, Safety and Pharmacokinetics of Rilzabrutinib in Patients With Warm Autoimmune Hemolytic Anemia (wAIHA)

Last updated: May 19, 2025
Sponsor: Sanofi
Overall Status: Active - Not Recruiting

Phase

2

Condition

Anemia

Treatment

rilzabrutinib

Clinical Study ID

NCT05002777
ACT17209
2023-509441-13
U1111-1262-2929
2021-001671-16
2023-509441-13-00
  • Ages > 18
  • All Genders

Study Summary

All participants will receive rilzabrutinib orally. The screening period is up to 28 days, followed by a treatment period of 24 weeks for Part A. Participants who complete Part A and are deemed eligible for Part B can continue in the Core Part B period followed by an Extended Part B period for up to 253 weeks.

There will be a 7-day safety follow-up period after receiving the last dose of study medication either in Part A (for those not eligible for Part B or early terminated) or Part B. In addition, each participant will be asked to attend an EOT-Core Part B visit when the last participant completes 52 weeks in Core Part B. The Extended Part B period will last for up to 253 weeks.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male and female patients with a confirmed diagnosis of primary wAIHA or systemiclupus erythematosus (SLE)-associated wAIHA (without other SLE-related manifestationsapart from cutaneous and musculoskeletal manifestations)

  • Participants who have previously failed to maintain a sustained response aftertreatment with corticosteroids.

  • Eastern Cooperative Oncology Group (ECOG) performance status grade 2 or lower.

  • Up-to-date vaccination status as per local guidelines.

  • Body mass index (BMI) >17.5 and <40 kg/m2

  • All contraceptive use by men and women should be consistent with local regulationsregarding the methods of contraception for those participating in clinical studies.

Core Part B

  • Evidence of treatment efficacy to rilzabrutinib as defined by achieving overallresponse during Part A.

  • Completion of Part A treatment period (24 weeks). Extended Part B

  • Completion of Core Part B period.

Exclusion

Exclusion Criteria:

  • Clinically significant medical history or ongoing chronic illness that wouldjeopardize the safety of the participant or compromise the quality of the dataderived from his or her participation in the study as determined by theInvestigator.

  • Participants with medical history of lymphoma, leukemia, or any malignancy withinthe past 5 years except for basal cell or squamous epithelial carcinomas of the skinthat have been resected with no evidence of metastatic disease for the past 3 years.

  • Secondary wAIHA from any cause including drugs, lymphoproliferative disorders (low-count monoclonal B-cell lymphocytosis is allowed), infectious or autoimmunedisease, or active hematologic malignancies. Participants with positive antinuclearantibodies but without a definitive diagnosis of an autoimmune disease are allowed.

  • Myelodysplastic syndrome.

  • Uncontrolled or active HBV infection: Patients with positive HBsAg and/or HBV DNA.

  • HIV infection.

  • Concurrent treatment with other experimental drugs or participation in anotherclinical trial with any investigational drug within 30 days or 5 half-lives,whichever is greater, prior to treatment start.

  • Known allergy to any of the study medications, their analogues, or excipients in thevarious formulations of any agent.

Part B only

  • Participants who receive any therapy during Part A known to be active in wAIHA.

  • Presence of unacceptable side effect(s) or toxicity associated with rilzabrutinibsuch that there is an unfavorable risk-benefit assessment for continued treatmentwith rilzabrutinib in the opinion of the Investigator and/or Sponsor.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study Design

Total Participants: 22
Treatment Group(s): 1
Primary Treatment: rilzabrutinib
Phase: 2
Study Start date:
December 07, 2021
Estimated Completion Date:
December 31, 2029

Connect with a study center

  • Hanush-Krankenhaus_Investigational Site Number: 0400001

    Vienna, 1140
    Austria

    Site Not Available

  • Investigational Site Number 1560002

    Beijing, 100005
    China

    Active - Recruiting

  • Peking Union Medical College Hospital_Investigational Site Number: 1560002

    Beijing, 100005
    China

    Site Not Available

  • Institute of hematology&blood diseases hospital_Investigational Site Number: 1560003

    Tianjin, 300020
    China

    Site Not Available

  • Investigational Site Number 2080001

    Odense, 5000
    Denmark

    Active - Recruiting

  • Odense Universitetshospital Hæmatologisk Forskningsenhed_Investigational Site Number: 2080001

    Odense, 5000
    Denmark

    Site Not Available

  • Klinik für Hämatologie und Stammzellentransplantation_Investigational Site Number: 2760001

    Essen, 45147
    Germany

    Site Not Available

  • Fejer Varmegyei Szent Gyorgy Egyetemi Oktato Korhaz_Investigational Site Number: 3480001

    Szekesfehervar, 8000
    Hungary

    Site Not Available

  • Investigational Site Number 3800002

    Avellino, 83100
    Italy

    Site Not Available

  • Ospedale Giuseppe Moscati_Investigational Site Number: 3800002

    Avellino, 83100
    Italy

    Site Not Available

  • Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori"_Investigational Site Number: 3800003

    Meldola, 47014
    Italy

    Site Not Available

  • Investigational Site Number 3800001

    Milan, 20149
    Italy

    Active - Recruiting

  • Ospedale Maggiore Policlinico_Investigational Site Number: 3800001

    Milan, 20149
    Italy

    Site Not Available

  • Hospital Universitario de Cruces_Investigational Site Number: 7240004

    Barakaldo, 48093
    Spain

    Site Not Available

  • Hospital Clinic de Barcelona_Investigational Site Number: 7240001

    Barcelona, 08036
    Spain

    Site Not Available

  • Investigational Site Number 7240001

    Barcelona, 08036
    Spain

    Active - Recruiting

  • Hospital Universitario La Paz_Investigational Site Number: 7240003

    Madrid, 28046
    Spain

    Site Not Available

  • Investigational Site Number 7240003

    Madrid, 28046
    Spain

    Active - Recruiting

  • Hospital Universitario Virgen del Rocío_Investigational Site Number: 7240002

    Sevilla, 41013
    Spain

    Site Not Available

  • Investigational Site Number 7240002

    Sevilla, 41013
    Spain

    Active - Recruiting

  • Investigational Site Number 8260001

    Leeds, LS9 7TF
    United Kingdom

    Site Not Available

  • Leeds Teaching Hospitals NHS Trust_Investigational Site Number: 8260001

    Leeds, LS9 7TF
    United Kingdom

    Site Not Available

  • Barts Health NHS Trust_Investigational Site Number: 8260005

    London, E1 2ES
    United Kingdom

    Site Not Available

  • Imperial College Healthcare NHS Trust_Investigational Site Number: 8260002

    London, W2 1NY
    United Kingdom

    Site Not Available

  • Investigational Site Number 8260002

    London, E1 2ES
    United Kingdom

    Site Not Available

  • Investigational Site Number 8260005

    London, E1 1BB
    United Kingdom

    Active - Recruiting

  • TOI Clinical Research LLC_ Cerritos_Investigational Site Number: 8400006

    Cerritos, California 90703
    United States

    Site Not Available

  • The Oncology Institute of Hope & Innovation Site Number : 8400006

    Cerritos, California 90703
    United States

    Site Not Available

  • TOI Clinical Research LLC_Glendale_Investigational Site Number: 8400006

    Glendale, California 91204
    United States

    Site Not Available

  • TOI Clinical Research LLC_Long Beach_Investigational Site Number: 8400006

    Long Beach, California 90805
    United States

    Site Not Available

  • University of Southern California_Investigational Site Number: 8400009

    Los Angeles, California 90033
    United States

    Site Not Available

  • TOI Clinical Research LLC_Santa Ana_Investigational Site Number: 8400006

    Santa Ana, California 92705
    United States

    Site Not Available

  • The Lundquist Institute_Investigational Site Number: 8400005

    Torrance, California 90502
    United States

    Site Not Available

  • TOI Clinical Research LLC_ Whittier_Investigational Site Number: 8400006

    Whittier, California 90602
    United States

    Site Not Available

  • Georgetown University Hospital_Investigational Site Number: 8400003

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • Investigational Site Number 8400003

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • Investigational Site Number 8400002

    Tamarac, Florida 33321
    United States

    Active - Recruiting

  • Oncology & Hematology Associates of West Broward_Investigational Site Number: 8400002

    Tamarac, Florida 33321
    United States

    Site Not Available

  • Investigational Site Number 8400001

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Massachusetts General Hospital_Investigational Site Number: 8400001

    Boston, Massachusetts 02114
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.