New pill could help patients with rare blood disorder
NCT ID NCT05002777
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests an experimental drug called rilzabrutinib in 22 adults with warm autoimmune hemolytic anemia (wAIHA), a condition where the immune system attacks red blood cells. Participants take the drug daily for up to 24 weeks, with an option to continue longer. The main goal is to see if it raises hemoglobin levels and reduces the need for blood transfusions or rescue medications.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rilzabrutinib (a drug taken as a tablet by mouth)
- What this could lead to
- If it works, this could offer a new oral treatment option for people with warm autoimmune hemolytic anemia who have not responded well to steroids.
- What could go wrong
- This is a small, early-phase (Phase 2) study with only 22 participants, so results may not apply to everyone. The drug may not work as hoped or could have 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
-
22 people
The number who actually took part.
- Started
-
Dec 2021
- Expected to finish
-
Dec 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
-
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 and female patients with a confirmed diagnosis of primary wAIHA or systemic lupus erythematosus (SLE)-associated wAIHA (without other SLE-related manifestations apart from cutaneous and musculoskeletal manifestations) * Participants who have previously failed to maintain a sustained response after treatment with corticosteroids. * Eastern Cooperative Oncology Group (ECOG) performance status grade 2 or lower. * Up-to-date vaccination status as per local guidelines. * Body mass index (BMI) \>17.5 and \<40 kg/m2 * All contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Core Part B * Evidence of treatment efficacy to rilzabrutinib as defined by achieving overall response during Part A. * Completion of Part A treatment period (24 weeks). Extended Part B * Completion of Core Part B period. Exclusion Criteria: * Clinically significant medical history or ongoing chronic illness that would jeopardize the safety of the participant or compromise the quality of the data derived from his or her participation in the study as determined by the Investigator. * Participants with medical history of lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for the past 3 years. * Secondary wAIHA from any cause including drugs, lymphoproliferative disorders (low-count monoclonal B-cell lymphocytosis is allowed), infectious or autoimmune disease, or active hematologic malignancies. Participants with positive antinuclear antibodies but without a definitive diagnosis of an autoimmune disease are allowed. * Myelodysplastic syndrome. * Uncontrolled or active HBV infection: Patients with positive HBsAg and/or HBV DNA. * HIV infection. * Concurrent treatment with other experimental drugs or participation in another clinical trial with any investigational drug within 30 days or 5 half-lives, whichever is greater, prior to treatment start. * Known allergy to any of the study medications, their analogues, or excipients in the various formulations of any agent. Part B only * Participants who receive any therapy during Part A known to be active in wAIHA. * Presence of unacceptable side effect(s) or toxicity associated with rilzabrutinib such that there is an unfavorable risk-benefit assessment for continued treatment with rilzabrutinib in the opinion of the Investigator and/or Sponsor. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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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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Barts Health NHS Trust_Investigational Site Number: 8260005
London, E1 2ES, United Kingdom
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Fejer Varmegyei Szent Gyorgy Egyetemi Oktato Korhaz_Investigational Site Number: 3480001
Székesfehérvár, 8000, Hungary
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Georgetown University Hospital_Investigational Site Number: 8400003
Washington D.C., District of Columbia, 20007, United States
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Hanush-Krankenhaus_Investigational Site Number: 0400001
Vienna, 1140, Austria
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Hospital Clinic de Barcelona_Investigational Site Number: 7240001
Barcelona, 08036, Spain
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Hospital Universitario La Paz_Investigational Site Number: 7240003
Madrid, 28046, Spain
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Hospital Universitario Virgen del Rocío_Investigational Site Number: 7240002
Seville, 41013, Spain
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Hospital Universitario de Cruces_Investigational Site Number: 7240004
Barakaldo, 48093, Spain
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Imperial College Healthcare NHS Trust_Investigational Site Number: 8260002
London, W2 1NY, United Kingdom
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Institute of hematology&blood diseases hospital_Investigational Site Number: 1560003
Tianjin, 300020, China
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Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori"_Investigational Site Number: 3800003
Meldola, 47014, Italy
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Klinik für Hämatologie und Stammzellentransplantation_Investigational Site Number: 2760001
Essen, 45147, Germany
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Leeds Teaching Hospitals NHS Trust_Investigational Site Number: 8260001
Leeds, LS9 7TF, United Kingdom
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Massachusetts General Hospital_Investigational Site Number: 8400001
Boston, Massachusetts, 02114, United States
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Odense Universitetshospital Hæmatologisk Forskningsenhed_Investigational Site Number: 2080001
Odense, 5000, Denmark
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Oncology & Hematology Associates of West Broward_Investigational Site Number: 8400002
Tamarac, Florida, 33321, United States
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Ospedale Giuseppe Moscati_Investigational Site Number: 3800002
Avellino, 83100, Italy
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Ospedale Maggiore Policlinico_Investigational Site Number: 3800001
Milan, 20149, Italy
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Peking Union Medical College Hospital_Investigational Site Number: 1560002
Beijing, 100005, China
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TOI Clinical Research LLC_ Cerritos_Investigational Site Number: 8400006
Cerritos, California, 90703, United States
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TOI Clinical Research LLC_ Whittier_Investigational Site Number: 8400006
Whittier, California, 90602, United States
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TOI Clinical Research LLC_Glendale_Investigational Site Number: 8400006
Glendale, California, 91204, United States
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TOI Clinical Research LLC_Long Beach_Investigational Site Number: 8400006
Long Beach, California, 90805, United States
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TOI Clinical Research LLC_Santa Ana_Investigational Site Number: 8400006
Santa Ana, California, 92705, United States
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The Lundquist Institute_Investigational Site Number: 8400005
Torrance, California, 90502, United States
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The Oncology Institute of Hope & Innovation Site Number : 8400006
Cerritos, California, 90703, United States
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University of Southern California_Investigational Site Number: 8400009
Los Angeles, California, 90033, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can engineered immune cells calm autoimmune blood disorders?
- Can a bispecific antibody tame two autoimmune blood disorders?
- Can a new drug calm the immune System's attack on blood cells?
- Experimental drug ANX005 targets blood cell destruction in autoimmune anemia
- New drug IASO-782 aims to tame immune attacks on blood cells
- Experimental immune therapy for stubborn anemia shows early promise but trial stalls