The Efficacy and Safety of Rilzabrutinib in Patients Aged 10 to 65 Years With Sickle-cell Disease

Last updated: April 1, 2026
Sponsor: Sanofi
Overall Status: Active - Recruiting

Phase

3

Condition

Sickle Cell Disease

Red Blood Cell Disorders

Treatment

Rilzabrutinib

Placebo

Clinical Study ID

NCT06975865
EFC17872
2024-518645-17
U1111-1311-1896
  • Ages 10-65
  • All Genders

Study Summary

This is a multicenter, randomized, double-blind, placebo-controlled, parallel-group, group-sequential study (Part A), followed by an open-label LTE period (Part B) to investigate the efficacy, and safety of rilzabrutinib in participants with sickle-cell disease (SCD).

Study details include:

  • Study duration: a 52-week double-blind period (Part A), followed by an open-label LTE period (Part B). Double-blind period has two parts, 50% (adult only) until the interim analysis (a proof-concept part analogous to a phase 2b study), and 50% (adult and children) after the interim analysis. Only the participants who complete double-blind treatment period (Part A) are eligible to continue to the LTE period. The duration of the LTE period (Part B) will be from the first-participant-in (FPI)-LTE (Part B) until the last participant who enters the LTE has completed 52 weeks.

  • Treatment duration: 52-week double-blind period (Part A); LTE period (Part B) from the (FPI until the last participant who enters the LTE has completed 52 weeks.

  • Visit frequency: Week visits based on the Schedule of Assessments.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participants who have been diagnosed with SCD.

  • Participants who have had between ≥2 to ≤10 episodes of documented acute clinicalVOC within 12 months of the screening visit.

  • Participants who are either not on hydroxyurea and/or L-glutamine at the ScreeningVisit and does not plan to receive them during the course of the study or hasreceived HU and/or L-glutamine for a minimum of 6 months. Participants onhydroxyurea and/or L-glutamine must have been on a stable weight-based dose level (mg/kg) for at least 3 months prior to the Screening Visit, with the intent tocontinue at the same weight-based dose level for the duration of the study, exceptfor safety reasons.

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

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

  • For participants ≥10 to <18 years of age: the parent(s)/legal guardian(s) mustprovide written informed consent prior to any study-related procedures beingperformed.

Exclusion

Exclusion Criteria:

  • Participants are excluded from the study if any of the following criteria apply: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.

  • Clinically relevant cardiac abnormality, in the opinion of the Investigator orelectrocardiogram (ECG) findings.

  • Participants with history of stroke, or history of abnormal transcranial doppler.

  • Participants with uncontrolled or active HBV infection and/or HCV infectionincluding those receiving antiviral therapy at the time of screening.

  • HIV infection.

  • A history of active or latent tuberculosis (TB)

  • Positive COVID-19 molecular test.

  • Participant is taking or has received crizanlizumab (ADAKVEO®) within 90 days and/orvoxelotor (OXBRYTA®) within 30 days prior to the Screening visit.

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: 192
Treatment Group(s): 2
Primary Treatment: Rilzabrutinib
Phase: 3
Study Start date:
August 12, 2025
Estimated Completion Date:
December 29, 2028

Connect with a study center

  • Investigational Site Number : 0560002

    Brussels, 1070
    Belgium

    Active - Recruiting

  • Investigational Site Number : 0560003

    Brussels, 1020
    Belgium

    Active - Recruiting

  • Investigational Site Number : 0560002

    Brussels 2800866, 1070
    Belgium

    Site Not Available

  • Investigational Site Number : 0560003

    Brussels 2800866, 1020
    Belgium

    Active - Recruiting

  • Investigational Site Number : 0560001

    Leuven, 3000
    Belgium

    Active - Recruiting

  • Investigational Site Number : 0560001

    Leuven 2792482, 3000
    Belgium

    Site Not Available

  • Hospital Santa Izabel- Site Number : 0760006

    Salvador, Estado de Bahia 40050-410
    Brazil

    Active - Recruiting

  • Hospital Santa Izabel / Santa Casa de Misericordia da Bahia- Site Number : 0760006

    Salvador 3450554, Estado de Bahia 3471168 40050-410
    Brazil

    Active - Recruiting

  • Hospital Santa Izabel- Site Number : 0760006

    Salvador 3450554, Estado de Bahia 3471168 40050-410
    Brazil

    Site Not Available

  • Universidade Federal da Bahia - Site Number : 0760009

    Salvador 3450554, Estado de Bahia 3471168 40210-720
    Brazil

    Active - Recruiting

  • Universidade Federal de Goias- Site Number : 0760002

    Goiânia, Goiás 74605-020
    Brazil

    Active - Recruiting

  • EBSERH Hospital das Clínicas da Universidade Federal de Goiás- Site Number : 0760002

    Goiânia 3462377, Goiás 3462372 74605-020
    Brazil

    Active - Recruiting

  • Universidade Federal de Goias- Site Number : 0760002

    Goiânia 3462377, Goiás 3462372 74605-020
    Brazil

    Site Not Available

  • Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760001

    São José do Rio Preto, São Paulo 15090-000
    Brazil

    Active - Recruiting

  • Fund. Faculdade Reg de Medicina de SJRP- Site Number : 0760001

    São José do Rio Preto 3448639, São Paulo 3448433 15090-000
    Brazil

    Active - Recruiting

  • Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760001

    São José do Rio Preto 3448639, São Paulo 3448433 15090-000
    Brazil

    Site Not Available

  • Pontifícia Universidade Católica do Rio de Janeiro- Site Number : 0760009

    Rio de Janeiro, 22451-900
    Brazil

    Active - Recruiting

  • Hospital Samaritano De Sao Paulo- Site Number : 0760005

    São Paulo, 01232-010
    Brazil

    Active - Recruiting

  • Hospital Samaritano De Sao Paulo- Site Number : 0760005

    São Paulo 3448439, 01232-010
    Brazil

    Site Not Available

  • Hospital Samaritano- Site Number : 0760005

    São Paulo 3448439, 01232-010
    Brazil

    Active - Recruiting

  • Investigational Site Number : 2500002

    Créteil, 94010
    France

    Active - Recruiting

  • Investigational Site Number : 2500002

    Créteil 3022530, 94010
    France

    Site Not Available

  • Investigational Site Number : 2500005

    Marseille, 13885
    France

    Active - Recruiting

  • Investigational Site Number : 2500005

    Marseille 2995469, 13385
    France

    Site Not Available

  • Investigational Site Number : 2500001

    Paris, 75015
    France

    Active - Recruiting

  • Investigational Site Number : 2500001

    Paris 2988507, 75015
    France

    Site Not Available

  • Investigational Site Number : 2500004

    Toulouse, 31100
    France

    Active - Recruiting

  • Investigational Site Number : 2500004

    Toulouse 2972315, 31100
    France

    Site Not Available

  • Investigational Site Number : 2760002

    Essen, 45147
    Germany

    Active - Recruiting

  • Investigational Site Number : 2760004

    Stuttgart, 70736
    Germany

    Active - Recruiting

  • Investigational Site Number : 2880004

    Kintampo,
    Ghana

    Site Not Available

  • Investigational Site Number : 2880004

    Kintampo 2299625,
    Ghana

    Site Not Available

  • Investigational Site Number : 2880002

    Navrongo, UK-0043-7777
    Ghana

    Site Not Available

  • Investigational Site Number : 2880002

    Navrongo 2297505, UK-0043-7777
    Ghana

    Site Not Available

  • Investigational Site Number : 3000001

    Athens, 115 27
    Greece

    Active - Recruiting

  • Investigational Site Number : 3000003

    Athens, 115 27
    Greece

    Active - Recruiting

  • Investigational Site Number : 3000001

    Athens 264371, 115 27
    Greece

    Site Not Available

  • Investigational Site Number : 3000003

    Athens 264371, 115 27
    Greece

    Active - Recruiting

  • Investigational Site Number : 3000002

    Pátrai, 265 04
    Greece

    Active - Recruiting

  • Investigational Site Number : 3000002

    Pátrai 255683, 265 04
    Greece

    Site Not Available

  • Investigational Site Number : 3760001

    Afula, 1834111
    Israel

    Active - Recruiting

  • Investigational Site Number : 3760002

    Afula, 1834111
    Israel

    Active - Recruiting

  • Investigational Site Number : 3760001

    Afula 295740, 18101
    Israel

    Site Not Available

  • Investigational Site Number : 3760002

    Afula 295740, 1834111
    Israel

    Active - Recruiting

  • Investigational Site Number : 3760005

    Haifa, 3109601
    Israel

    Active - Recruiting

  • Investigational Site Number : 3760006

    Haifa, 3109601
    Israel

    Active - Recruiting

  • Investigational Site Number : 3760005

    Haifa 294801, 3109601
    Israel

    Active - Recruiting

  • Investigational Site Number : 3760006

    Haifa 294801, 3109601
    Israel

    Site Not Available

  • Azienda Ospedaliero Universitaria Careggi SOD Ematologia-Site Number : 3800006

    Florence, Firenze 50134
    Italy

    Active - Recruiting

  • Azienda Ospedaliero Universitaria Careggi SOD Ematologia-Site Number : 3800006

    Florence 3176959, Firenze 50134
    Italy

    Site Not Available

  • Investigational Site Number : 3800004

    Milan, Milano 20122
    Italy

    Active - Recruiting

  • Investigational Site Number : 3800004

    Milan 3173435, Milano 20122
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria, Università della Campania "Luigi Vanvitelli" Napoli-Site Number : 3800005

    Naples, Napoli 80138
    Italy

    Active - Recruiting

  • Azienda Ospedaliera Universitaria, Università della Campania "Luigi Vanvitelli" Napoli-Site Number : 3800005

    Naples 3172394, Napoli 80138
    Italy

    Site Not Available

  • IRCCS Ospedale Pediatrico Bambino Gesù-Site Number : 3800001

    Rome, Roma 00165
    Italy

    Active - Recruiting

  • IRCCS Ospedale Pediatrico Bambino Gesù-Site Number : 3800001

    Rome 3169070, Roma 00165
    Italy

    Site Not Available

  • Azienda Ospedaliera Universitaria San Luigi Gonzaga, SSD Microcitemie Malattie Rare Ematologiche-Site Number : 3800007

    Orbassano, Torino 10043
    Italy

    Active - Recruiting

  • Azienda Ospedaliera Universitaria San Luigi Gonzaga, SSD Microcitemie Malattie Rare Ematologiche-Site Number : 3800007

    Orbassano 3171986, Torino 10043
    Italy

    Site Not Available

  • Investigational Site Number : 3800007

    Orbassano 3171986, Torino 10043
    Italy

    Active - Recruiting

  • Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello-Site Number : 3800002

    Palermo, 90146
    Italy

    Active - Recruiting

  • Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello-Site Number : 3800002

    Palermo 2523920, 90146
    Italy

    Site Not Available

  • IRCCS Ospedale Pediatrico Bambino Gesù-Site Number : 3800001

    Roma 8957247, 00146
    Italy

    Site Not Available

  • Investigational Site Number : 3800001

    Roma 8957247, 00146
    Italy

    Active - Recruiting

  • Centro Ricerche Cliniche Verona s.r.l. presso Ospedale G.B. Rossi Borgo Roma-Site Number : 3800003

    Verona, 37134
    Italy

    Active - Recruiting

  • Centro Ricerche Cliniche Verona s.r.l. presso Ospedale G.B. Rossi Borgo Roma-Site Number : 3800003

    Verona 3164527, 37134
    Italy

    Site Not Available

  • Investigational Site Number : 3800003

    Verona 3164527, 37134
    Italy

    Active - Recruiting

  • Investigational Site Number : 5280002

    Rotterdam, 3015 CE
    Netherlands

    Active - Recruiting

  • Investigational Site Number : 5280002

    Rotterdam 2747891, 3015 GD
    Netherlands

    Site Not Available

  • Investigational Site Number : 5120001

    Muscat, 123
    Oman

    Active - Recruiting

  • Investigational Site Number : 5120001

    Muscat 287286, 123
    Oman

    Site Not Available

  • Investigational Site Number : 7240002

    Madrid / Madrid, Madrid, Comunidad de 28007
    Spain

    Site Not Available

  • Investigational Site Number : 7240001

    Madrid, 28046
    Spain

    Active - Recruiting

  • Investigational Site Number : 7240002

    Madrid, 28007
    Spain

    Active - Recruiting

  • Investigational Site Number : 7240001

    Madrid 3117735, 28046
    Spain

    Site Not Available

  • Investigational Site Number : 7240002

    Madrid 3117735, 28007
    Spain

    Active - Recruiting

  • Investigational Site Number : 8340003

    Mwanza, 1462
    Tanzania

    Site Not Available

  • Investigational Site Number : 8340003

    Mwanza 152224, 1462
    Tanzania

    Site Not Available

  • Investigational Site Number : 7920001

    Adana, 01330
    Turkey (Türkiye)

    Active - Recruiting

  • Investigational Site Number : 7920002

    Adana, 01330
    Turkey (Türkiye)

    Active - Recruiting

  • Investigational Site Number : 7920001

    Adana 325363, 01330
    Turkey (Türkiye)

    Active - Recruiting

  • Investigational Site Number : 7920002

    Adana 325363, 01330
    Turkey (Türkiye)

    Site Not Available

  • Investigational Site Number : 7920002

    Balcali Adana, 01330
    Turkey (Türkiye)

    Site Not Available

  • Investigational Site Number : 7920003

    Mersin, 33330
    Turkey (Türkiye)

    Active - Recruiting

  • Investigational Site Number : 7920003

    Mersin 304531, 33330
    Turkey (Türkiye)

    Site Not Available

  • Investigational Site Number : 8260002

    London, Harrow NW10 7NS
    United Kingdom

    Active - Recruiting

  • Investigational Site Number : 8260002

    London 2643743, Harrow NW10 7NS
    United Kingdom

    Active - Recruiting

  • Investigational Site Number : 8260001

    London, London, City of SE5 9RL
    United Kingdom

    Active - Recruiting

  • Investigational Site Number : 8260001

    London 2643743, London, City of SE5 9RL
    United Kingdom

    Site Not Available

  • University of Alabama at Birmingham- Site Number : 8400003

    Birmingham, Alabama 35233
    United States

    Active - Recruiting

  • The University of Alabama at Birmingham- Site Number : 8400003

    Birmingham 4049979, Alabama 4829764 35233
    United States

    Site Not Available

  • University of Alabama at Birmingham- Site Number : 8400003

    Birmingham 4049979, Alabama 4829764 35233
    United States

    Active - Recruiting

  • Phoenix Children's Hospital- Site Number : 8400028

    Phoenix, Arizona 85016
    United States

    Active - Recruiting

  • University of California San Francisco- Site Number : 8400040

    Fresno, California 93701
    United States

    Active - Recruiting

  • Oncology & Hematology Associates of West Broward- Site Number : 8400029

    Coral Springs, Florida 33065
    United States

    Active - Recruiting

  • Bioresearch Partners- Site Number : 8400005

    Hialeah, Florida 33013
    United States

    Site Not Available

  • Sylvester Comprehensive Cancer Center- Site Number : 8400020

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Oncology & Hematology Associates of West Broward- Site Number : 8400029

    Coral Springs 4151909, Florida 4155751 33065
    United States

    Active - Recruiting

  • Oncology and Hematology Associates of West Broward, PA- Site Number : 8400029

    Coral Springs 4151909, Florida 4155751 33065
    United States

    Site Not Available

  • Bioresearch Partners- Site Number : 8400005

    Hialeah 4158476, Florida 4155751 33013
    United States

    Site Not Available

  • Hialeah Hospital- Site Number : 8400005

    Hialeah 4158476, Florida 4155751 33013
    United States

    Site Not Available

  • Randomize Now- Site Number : 8400002

    Riverdale, Georgia 30295
    United States

    Site Not Available

  • University of Illinois-Chicago - College of Medicine- Site Number : 8400054

    Chicago, Illinois 60612
    United States

    Active - Recruiting

  • Indiana University Health Riley Hospital for Children- Site Number : 8400056

    Indianapolis, Indiana 46202
    United States

    Active - Recruiting

  • Indiana University School of Medicine - Riley Hospital for Children- Site Number : 8400056

    Indianapolis 4259418, Indiana 4921868 46202
    United States

    Site Not Available

  • Louisiana State University Health Sciences Center - Shreveport- Site Number : 8400037

    Shreveport, Louisiana 71130
    United States

    Active - Recruiting

  • LSU Health Sciences Center- Site Number : 8400037

    Shreveport 4341513, Louisiana 4331987 71130
    United States

    Active - Recruiting

  • Louisiana State University Health Sciences Center - Shreveport- Site Number : 8400037

    Shreveport 4341513, Louisiana 4331987 71130
    United States

    Site Not Available

  • University of Michigan Health System - Ann Arbor- Site Number : 8400035

    Ann Arbor, Michigan 48109
    United States

    Active - Recruiting

  • University of Michigan Health System - Ann Arbor- Site Number : 8400035

    Ann Arbor 4984247, Michigan 5001836 48109
    United States

    Active - Recruiting

  • University of Michigan- Site Number : 8400035

    Ann Arbor 4984247, Michigan 5001836 48109
    United States

    Site Not Available

  • Southern Specialty Research- Site Number : 8400059

    Flowood, Mississippi 39232
    United States

    Active - Recruiting

  • Southern Specialty Research- Site Number : 8400059

    Flowood 4426822, Mississippi 4436296 39232
    United States

    Site Not Available

  • Richmond University Medical Center- Site Number : 8400038

    Staten Island, New York 10310
    United States

    Active - Recruiting

  • Richmond University Medical Center- Site Number : 8400038

    Staten Island 5139568, New York 5128638 10310
    United States

    Site Not Available

  • Baylor College of Medicine- Site Number : 8400055

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Baylor College of Medicine- Site Number : 8400055

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

  • VCU Massey Cancer Center: Dalton Oncology Clinic- Site Number : 8400012

    Richmond, Virginia 23298
    United States

    Active - Recruiting

  • VCU Massey Cancer Center: Dalton Oncology Clinic- Site Number : 8400012

    Richmond 4781708, Virginia 6254928 23298
    United States

    Site Not Available

  • Virginia Commonwealth University- Site Number : 8400012

    Richmond 4781708, Virginia 6254928 23298
    United States

    Active - Recruiting

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