New hope for stem cell transplant patients with dangerous blood clotting disorder
NCT ID NCT04543591
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called ravulizumab in people aged 12 and older who developed a serious blood clotting condition (thrombotic microangiopathy) after a stem cell transplant. The goal was to see if the drug could prevent death or worsening of the condition over 26 weeks. Participants received either ravulizumab or a placebo, along with standard care.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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148 people
The number who actually took part.
- Started
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Dec 2020
- Finished
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Mar 2026
- 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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12 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: 1. 12 years of age or older at time of consent/assent. 2. Received HSCT within the past 12 months. 3. Diagnosis of TMA that persists for at least 72 hours after initial management of any triggering agent/condition. 4. A TMA diagnosis based on meeting the laboratory-based criteria during the Screening Period and/or ≤14 days prior to the Screening Period. 5. Body weight ≥ 30 kilograms at Screening or ≤7 days prior to the start of the Screening Period (date of consent). 6. Female participants of childbearing potential and male participants with female partners of childbearing potential must use highly effective contraception. 7. Participants must be vaccinated against meningococcal infections if clinically feasible. Participants who cannot receive meningococcal vaccine should receive antibiotic prophylaxis. Participants \<18 years of age must be re-vaccinated against Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae if clinically feasible. 8. Participants or their legally authorized representative must be capable of giving signed informed consent or assent. Exclusion Criteria: 1. Thrombotic thrombocytopenic purpura (TTP) evidenced by ADAMTS13 deficiency 2. Known Shiga toxin-related hemolytic uremic syndrome as demonstrated by positive test. 3. Positive direct Coombs test indicative of a clinically significant immune-mediated hemolysis not due to TMA. 4. Clinical diagnosis of disseminated intravascular coagulation (DIC). 5. Known bone marrow/graft failure for the current HSCT. 6. Diagnosis of veno-occlusive disease which is unresolved at the time of Screening. 7. Human immunodeficiency virus (HIV) infection. 8. Unresolved meningococcal disease. 9. Presence of sepsis requiring vasopressor support. 10. Pregnancy or breastfeeding. 11. Hypersensitivity to murine proteins or to one of the excipients of ravulizumab. 12. Any ongoing or history of medical or psychological conditions unrelated to HSCT-TMA that could increase the risk to the participant or confound the outcome of the study. 13. Respiratory failure requiring mechanical ventilation. 14. Acute and/or chronic heart failure with an ejection fraction ≤ 40%. 15. Previously or currently treated with a complement inhibitor. 16. Participation in an interventional treatment study of any therapy for TMA.
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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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Research Site
Tampa, Florida, 33612, United States
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Research Site
Grosse Pointe Farms, Michigan, 48236, United States
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Research Site
Durham, North Carolina, 27705, United States
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Research Site
Pittsburgh, Pennsylvania, 15232, United States
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Research Site
Seattle, Washington, 98109, United States
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Parkville, 3050, Australia
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Bruges, 8000, Belgium
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Brussels, 1200, Belgium
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Chênée, 4032, Belgium
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Yvoir, 5530, Belgium
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Cerqueira César, 05403-000, Brazil
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Research Site
Florianópolis, 88034-000, Brazil
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Jaú, 17210-080, Brazil
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Research Site
Porto Alegre, 90035-903, Brazil
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Porto Alegre, 90110-270, Brazil
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Rio de Janeiro, 20230-130, Brazil
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São José do Rio Preto, 15090-000, Brazil
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São Paulo, 05.403-010, Brazil
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Calgary, Alberta, T2N 4N1, Canada
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Research Site
Suzhou, 215006, China
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Tianjin, 300020, China
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Angers, 49033, France
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La Tronche, 38043, France
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Research Site
Nice, 06200, France
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Hamburg, 20246, Germany
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Ulm, 89081, Germany
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Research Site
Athens, 12462, Greece
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Pátrai, 26504, Greece
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Research Site
Thessaloniki, 57010, Greece
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Halfa, 31096, Israel
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Ramat Gan, 52621, Israel
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Research Site
Roma, 00168, Italy
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Research Site
Udine, 33100, Italy
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Research Site
Akita, 010-8543, Japan
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Research Site
Anjo, 446-8602, Japan
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Research Site
Chiba, 260-8677, Japan
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Research Site
Fukushima, 960-1295, Japan
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Research Site
Isehara-shi, 259-1193, Japan
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Research Site
Kurashiki-shi, 710-8602, Japan
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Research Site
Minatoku, 105-8470, Japan
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Okayama, 700-8558, Japan
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Osaka, 545-8586, Japan
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Research Site
Osakasayama-shi, 589-8511, Japan
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Research Site
Sapporo, 060-8638, Japan
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Research Site
Suita-shi, 565-0871, Japan
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Research Site
Tsukuba, 305-8576, Japan
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Research Site
Wakayama, 641-8510, Japan
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Groningen, 9713 GZ, Netherlands
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Research Site
Goyang-si, 10408, South Korea
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Research Site
Seoul, 03080, South Korea
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Research Site
Seoul, 03722, South Korea
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Research Site
Seoul, 06351, South Korea
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Research Site
Barcelona, 08036, Spain
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Research Site
Granada, 18014, Spain
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Research Site
L'Hospitalet de Llobregat, 08908, Spain
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Research Site
Madrid, 28007, Spain
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Research Site
Madrid, 28034, Spain
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Research Site
Madrid, 28040, Spain
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Madrid, 28046, Spain
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Research Site
Málaga, 29010, Spain
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Research Site
Pamplona, 31008, Spain
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Research Site
Salamanca, 37007, Spain
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Research Site
Seville, 41013, Spain
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Research Site
Huddinge, 141 57, Sweden
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Research Site
London, W12 0HS, United Kingdom
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Research Site
Nottingham, NG5 1PB, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Engineered immune cells take on tough autoimmune diseases
- New drug aimed at saving lives after stem cell transplants
- Cheap antioxidant could replace costly drugs for Post-Transplant blood disorder
- New drug shows promise for rare post-transplant complication in kids