Can a cancer drug disarm Hemophilia's hidden enemy?
NCT ID NCT07788469
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This trial tests whether elranatamab, a drug used in cancer, can safely and effectively eliminate factor VIII inhibitors in adults with moderate-to-severe hemophilia A. Participants receive weekly injections for three weeks, with a follow-up period to monitor changes in inhibitor levels. The goal is to see if this approach can help patients who have a poor prognosis for inhibitor eradication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- elranatamab
- What this could lead to
- If successful, this could offer a new way to eliminate factor VIII inhibitors in hemophilia A, potentially improving treatment options and quality of life.
- What could go wrong
- This is an early, small exploratory study (15-20 patients). It may not work for everyone, and elranatamab can cause side effects, including immune-related reactions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 20 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female patients with moderate-to-severe hemophilia A (factor VIII activity \<2%). * Aged 18 to 65 years, inclusive. * Positive factor VIII inhibitor detected on at least two consecutive occasions (inhibitor titer \>0.6 BU/mL). * Baseline factor VIII inhibitor titer \>10 BU/mL at the time of enrollment. Exclusion Criteria: * Known hypersensitivity to Elranatamab or any of its excipients. * Presence of other autoimmune diseases or a need for immunosuppressive therapy for reasons unrelated to this study. * History of malignancy within 5 years prior to screening, with the exception of adequately treated carcinoma in situ of the cervix or non-metastatic cutaneous squamous cell carcinoma or basal cell carcinoma. * History of severe recurrent or chronic infections, or acute infection requiring systemic treatment with antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungal agents within 4 weeks before the first dose or during the screening period, or superficial skin infection requiring systemic therapy within 1 week before the first dose. * Clinically significant laboratory abnormalities at screening, including: 1. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>3 × the upper limit of normal (ULN). 2. Total bilirubin \>1.5 × ULN (subjects with documented Gilbert syndrome are not excluded based on this criterion); 3. Absolute neutrophil count \<1,500/mm³; 4. Hemoglobin \<9 g/dL or immunoglobulin G (IgG) \<500 mg/dL; 5. Absolute lymphocyte count \<500/mm³; 6. Creatinine clearance (CrCl) \<30 mL/min. * Positive test for HIV antibody or syphilis antibody. * Positive hepatitis B surface antigen (HBsAg); or positive hepatitis B core antibody (anti-HBc) with detectable HBV DNA by polymerase chain reaction (PCR). Subjects positive for hepatitis C virus (HCV) antibody are excluded. * Women who are pregnant or breastfeeding, or who plan to become pregnant or breastfeed during the study; men whose partners plan to become pregnant during the study. * Subjects with psychiatric disorders that impair their ability to provide informed consent or comply with study procedures and follow-up. * Subjects with unresolved toxicities from prior therapies before study participation. * Any other condition that, in the opinion of the investigator, would make the subject unsuitable for participation in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chinese Academy of Medical Science and Blood Disease Hospital
Tianjin, China