New drug targets deadly immune overreaction in rare disease
NCT ID NCT05416307
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new drug, ELA026, for people with secondary hemophagocytic lymphohistiocytosis (sHLH), a rare and life-threatening condition where the immune system becomes dangerously overactive. The drug aims to calm this overreaction by removing certain immune cells. The trial will check if ELA026 is safe and helps people survive longer, involving about 156 participants aged 6 and older.
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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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 156 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2022
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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6 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.
Key Inclusion Criteria for Part 1: 1. ≥12 years at the time of HLH diagnosis (Cohort 1). 2. ≥6 years at the time of HLH diagnosis (Cohort 2-3). 3. Treatment naïve or relapsed/refractory (Cohorts 1 and 2). 4. Treatment naïve or early refractory (Cohort 3). 5. Participant with sHLH confirmed criteria based on fulfilling 5 out of 8 HLH-2004 diagnostic criteria. Key Inclusion Criteria for Part 2: 1. Cohort A: Adults with newly diagnosed, treatment-naïve, malignancy-associated sHLH. 2. Cohort B: Adults with newly diagnosed, treatment-naïve, non-malignancy-associated sHLH. 3. Cohort B: Adults with newly diagnosed, treatment-naïve, malignancy-associated sHLH, diagnosed by OHI index. 4. Cohort B: 13 to 17 years olds with newly diagnosed, treatment-naïve sHLH. 5. Cohort B: 6 to 12 year olds, with refractory sHLH (safety lead-in cohort). 6. Cohort B: 6 to 12 year olds, with newly diagnosed, treatment-naïve sHLH (after completion of safety lead-in cohort). Key Exclusion Criteria for Part 1: 1. Known or previous treatment for primary HLH 2. Any other significant concurrent, uncontrolled medical condition that in the opinion of the Investigator contraindicates participation in this study 3. Unknown trigger for sHLH 4. Active, relapsed/refractory malignancy for which no suitable therapies are available to treat the malignancy triggering the HLH 5. Allogeneic hemopoietic stem cell transplant (HSCT) within 100 days of the first dose of ELA026. 6. Ongoing administration of any therapies used to treat HLH (excluding dexamethasone) 7. Live or attenuated vaccine received within 6 weeks or bacille Calmette-Guerin (BCG) vaccine within 12 weeks prior to Screening Key Exclusion Criteria for Part 2: 1. Refractory sHLH (except for the safety lead-in cohort for 6-12 year olds in Cohort B). 2. Known or suspected primary or hereditary HLH. 3. Severe organ dysfunction. 4. Any other significant concurrent, uncontrolled medical condition that contraindicates participation in this study or prohibits completion of study procedures. 5. End-stage malignancy for which no suitable therapies are available to treat the malignancy triggering the HLH. 6. Allogeneic hemopoietic stem cell transplant within 100 days prior to the first dose of ELA026.
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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
31 sites in 6 countries. 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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Amsterdam Universitair Medische Centra - Locatie Academisch Medisch Centrum
RECRUITINGAmsterdam, Noord-Holland - NET, 1105 AZ, Netherlands
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Azienda Ospedale Università di Padova
RECRUITINGPadova, 35128, Italy
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Azienda Ospedaliero Universitaria Meyer
RECRUITINGFlorence, 50139, Italy
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Bambino Gesu' Roma
WITHDRAWNRoma, Italy
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Children's Healthcare of Atlanta - Center for Advanced Pediatrics
RECRUITINGAtlanta, Georgia, 30322, United States
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Cleveland Clinic Main Campus
RECRUITINGCleveland, Ohio, 44195, United States
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Clinica Universidad de Navarra - Madrid
RECRUITINGMadrid, Madrid - SPA, 28027, Spain
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Clinica Universidad de Navarra - Pamplona
RECRUITINGPamplona, Navarre - SPA, 31008, Spain
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Columbia University
RECRUITINGNew York, New York, 10032, United States
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Cornell University
RECRUITINGNew York, New York, 10065, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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Erasmus UMC
ACTIVE_NOT_RECRUITINGRotterdam, Netherlands
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Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
COMPLETEDMilan, Italy
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Fondazione IRCCS San Gerardo dei Tintori (Ospedale San Gerardo)
RECRUITINGMonza, 20900, Italy
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Fred Hutchinson Cancer Center - Seattle Cancer Care Alliance (SCCA) Location
RECRUITINGSeattle, Washington, 98109, United States
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Hackensack University Medical Center
RECRUITINGNew York, New York, 10065, United States
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Hospital 12 de Octubre, Madrid
WITHDRAWNMadrid, Spain
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Hospital La Fe Valencia
WITHDRAWNValencia, Spain
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Hospital Ramon y Cajal
COMPLETEDMadrid, Spain
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Hospital Universitari i Politecnic La Fe
RECRUITINGValencia, Valencia - SPA, 46026, Spain
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Hospital Universitario Virgen del Rocio
RECRUITINGSeville, Sevilla - SPA, 41013, Spain
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Huntsman Cancer Institute
RECRUITINGSalt Lake City, Utah, 84112, United States
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IRCCS Istituto Giannina Gaslini
RECRUITINGGenova, 16147, Italy
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Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Materno-Infantile Burlo Garofolo
RECRUITINGTrieste, 34137, Italy
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Johns Hopkins All Children's Hospital
RECRUITINGSt. Petersburg, Florida, 33701, United States
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MedStar Georgetown University Hospital
RECRUITINGWashington D.C., District of Columbia, 20007, United States
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Medical University of Vienna
COMPLETEDVienna, Austria
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Medizinische Universität Innsbruck
WITHDRAWNInnsbruck, Austria
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Memorial Sloan Kettering Cancer Center
RECRUITINGNew York, New York, 10065, United States
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National Institute of Allergy and Infectious Diseases (NIAID)
RECRUITINGRockville, Maryland, 20892, United States
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Phoenix Children's Hospital
ACTIVE_NOT_RECRUITINGPhoenix, Arizona, 85016, United States
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Radboud Universitair Medisch Centrum
RECRUITINGNijmegen, 6525 GA, Netherlands
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Schwarzwald-Baar Klinikum Villingen-Schwenningen
RECRUITINGVillingen-Schwenningen, 78052, Germany
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Texas Children's Hospital
RECRUITINGHouston, Texas, 77030, United States
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Thomas Jefferson University
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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University College London Hospitals NHS Foundation Trust
RECRUITINGLondon, England - UK, NW1 2PG, United Kingdom
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University of Alabama at Birmingham School of Medicine
RECRUITINGBirmingham, Alabama, 35233, United States
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University of California, Los Angeles
ACTIVE_NOT_RECRUITINGLos Angeles, California, 90095, United States
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University of Texas MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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Universitätsklinikum Jena
RECRUITINGJena, Thuringia, 07747, Germany
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Wilhelmina Kinderziekenhuis
RECRUITINGUtrecht, 3584 EA, Netherlands