New hope for ITP patients: experimental drug aims to boost platelets
NCT ID NCT05885555
First seen Jun 26, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This phase 2 trial tests an experimental drug called ianalumab in 41 adults with primary immune thrombocytopenia (ITP), a condition where the immune system destroys platelets, causing bleeding. Participants have already tried steroids and another standard treatment. The study measures whether ianalumab can safely raise platelet counts to a safe level.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ianalumab (a biologic drug given by IV infusion)
- What this could lead to
- If successful, this could offer a new treatment option for people with ITP whose disease hasn't responded well to standard therapies.
- What could go wrong
- This is a small, early-phase trial with only 41 participants, so results may not apply to everyone. The drug may not work or could cause side effects.
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
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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41 people
The number who actually took part.
- Started
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Aug 2023
- Expected to finish
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Mar 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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18 to 100 years
- 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: * Signed informed consent obtained prior to participation in the study. * Male or female participants aged 18 years and older on the day of signing informed consent. * Confirmed diagnosis of primary ITP. * Prior treatment with at least a corticosteroid (±IVIG) and a TPO-RA: * Prior additional therapies are allowed; the corticosteroid or the TPO-RA do not need to be the last treatment. * Prior response to IVIG/anti-D or a corticosteroid (platelet count ≥50 G/L) that was not maintained. * At last ITP treatment, loss of response, insufficient response, no response or intolerance. * Platelet count \<30 G/L and assessed as needing treatment (per physician's discretion) at screening. If concomitant ITP medication is clinically indicated, the platelet assessment showing a value \<30 G/L must be performed after at least 14 days on a stable dose of a corticosteroid or/and a TPO-RA (less than 10% variation from current dose) and continue stable thereafter. Key exclusion criteria: * Diagnosis of secondary thrombocytopenia. * Platelet or whole blood transfusion, plasmapheresis, or use of any other rescue medications within 14 days before first ianalumab infusion. * Participants with the following conditions at screening: * Neutrophils \<1000/mm3. * Immunoglobulin G (IgG) \<5 g/L * Treatment with a B-cell depleting therapy (e.g., rituximab) or anti-B-cell Activating Factor of the TNF Family (BAFF) (e.g., belimumab) within 12 weeks prior to the first administration of ianalumab. * Immunosuppressant drugs other than corticosteroids within 5 times the elimination half-life of the drug or 14 days before first ianalumab infusion, whichever is longer. * Prior splenectomy. Other protocol-defined inclusion/exclusion criteria may apply.
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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.
Contacts and locations
Locations
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Beth Israel Deaconess Med Center
Boston, Massachusetts, 02215, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Novartis Investigative Site
CABA, C1181ACH, Argentina
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Novartis Investigative Site
Garran, Australian Capital Territory, 2605, Australia
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Novartis Investigative Site
Melbourne, Victoria, 3004, Australia
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Novartis Investigative Site
Wuhan, Hubei, 430022, China
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Novartis Investigative Site
Beijing, 100730, China
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Novartis Investigative Site
Jinan, 250012, China
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Novartis Investigative Site
Toulouse, 31059, France
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Novartis Investigative Site
Dresden, Saxony, 01307, Germany
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Novartis Investigative Site
Jena, Thuringia, 07740, Germany
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Novartis Investigative Site
Giessen, 35392, Germany
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Novartis Investigative Site
Torino, TO, 10126, Italy
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Novartis Investigative Site
Johor Bahru, 80100, Malaysia
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Novartis Investigative Site
Katowice, 40-519, Poland
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Novartis Investigative Site
Seoul, 06591, South Korea
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Novartis Investigative Site
Barcelona, Catalonia, 08003, Spain
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Novartis Investigative Site
Aydin, Efeler, 09100, Turkey (Türkiye)
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Novartis Investigative Site
Istanbul, Fatih, 34098, Turkey (Türkiye)
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Novartis Investigative Site
Edirne, Merkez, 22030, Turkey (Türkiye)
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Novartis Investigative Site
Izmir, 35100, Turkey (Türkiye)
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Novartis Investigative Site
Kocaeli, 41380, Turkey (Türkiye)
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Novartis Investigative Site
Glasgow, G31 2ER, United Kingdom
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Novartis Investigative Site
London, W12 0HS, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New hope for kids with ITP: drug combo aims to control bleeding
- New pill could help adults with low platelet disorder
- New drug combo aims to boost platelet counts in immune disorder
- New combo aims to boost platelets in stubborn ITP
- New hope for ITP patients: switching drugs after failed treatment
- New shot aims to boost platelets in ITP patients