New drug aims to control rare blood disorders without lifelong steroids
NCT ID NCT07104565
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 10 times
Summary
This study tests a drug called tafasitamab in adults with two rare autoimmune blood disorders: immune thrombocytopenia (ITP) and warm autoimmune hemolytic anemia (wAIHA). The goal is to see if it can safely raise blood cell counts and reduce the need for other treatments. About 56 participants will receive the drug and be monitored for up to 48 weeks.
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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About 56 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Mar 2028
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 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: \- Ability to comprehend and willingness to sign a written ICF for the study. * Aged ≥ 18 years. * Confirmed historical diagnosis of one of the following autoimmune blood disorders: * Primary ITP. * Primary wAIHA. * No history of splenectomy. * Confirmed transient response to at least 1 prior early-line treatment (eg, corticosteroids, IVIG, rituximab): * Primary ITP: Increase in platelet count to ≥ 30 × 109/L with at least a 2-fold increase of baseline platelet count. * Primary wAIHA: Increase in hemoglobin to ≥ 10 g/dL with an increase of at least 2 g/dL from baseline. * Received ≥ 1 standard course of rituximab (375 mg/kg × 4 weekly doses or 2 doses of 1000 mg flat dose every 2 weeks) with last dose given at least 6 months prior to initiation of study treatment. Note: If rituximab was the only prior therapy, individuals with NR to rituximab will not be eligible. * Primary ITP: a PR (platelet count ≥ 30 × 109/L with at least a 2-fold increase of baseline platelet count) within 6 months of the last administered dose followed by relapse OR a CR (platelet count \> 100 × 109/L) lasting \< 48 weeks OR NR (platelet count \< 30 × 109/L or less than 2-fold increase of baseline platelet count or bleeding) within 6 months of the last administered dose. * Primary wAIHA: a PR with hemoglobin ≥ 10 g/dL and with an increase of at least 2 g/dL from baseline OR a CR (hemoglobin ≥ 12 g/dL and normalization of hemolytic markers) OR NR (hemoglobin \< 10 g/dL or \< 2 g/dL increase of baseline hemoglobin). * Persistent or chronic active primary ITP or active primary wAIHA with indication for treatment at the time of inclusion. * Primary ITP: platelet count \< 30 × 109/L within the 15 days before treatment is scheduled to begin (Day 1). Note: Participants treated with a rescue therapy during screening in response to a documented platelet count \< 30 × 109/L are eligible, irrespective of platelet count within 15 days of Day 1. • Primary wAIHA: hemoglobin \< 10 g/dL documented with DAT result positive for IgG, with or without C3d, and evidence of hemolysis based on low haptoglobin, elevated LDH, and/or indirect bilirubin. * ECOG performance status of 0 to 2. * Willingness to avoid pregnancy or fathering children. * Further inclusion criteria apply. Exclusion Criteria: * Clinical manifestations typical for cold agglutinin disease. * Life-threatening bleeding or urgent need to elevate the platelet count for primary ITP or hemodynamic instability or hemoglobin \< 6 g/dL with urgent need to elevate hemoglobin for primary wAIHA within 2 weeks prior to Day 1. * Prior treatment with anti-CD19 therapy (eg, mAb, bispecific T-cell engager, or CAR T cell) for any indication. * Previous severe allergic reaction to a mAb or known allergy to any component/excipient of tafasitamab. * Changes in doses (\> 10%) of permitted disease-related therapies, including oral corticosteroids and TPO-RA (primary ITP participants) within 2 weeks prior to Day 1, or change in ESA (primary wAIHA participants) dose within 2 weeks prior to Day 1. * Evidence of hypogammaglobulinemia during screening (IgA \< 70 mg/dL, IgG \< 700 mg/dL, and/or IgM \< 40 mg/dL) and frequent and/or severe infections. * Women who are pregnant or breastfeeding. * History of malignancy except for the following: * Malignancy treated with curative intent with no evidence of active disease for more than 2 years before screening. * Adequately treated lentigo maligna melanoma without current evidence of disease or adequately controlled nonmelanoma skin cancer. * Adequately treated carcinoma in situ without current evidence of disease. * Congestive heart failure (left ventricular ejection fraction of \< 50%, assessed by 2 dimensional echocardiography or a multigated acquisition scan). * Participants with: * Known positive test result for HCV (with HCV antibody serology testing) and a positive test for HCV RNA. Note: Participants with positive serology must have been tested for HCV RNA and are eligible only in the case of negative HCV RNA test result. • Known positive test result for chronic HBV infection (defined by HBsAg positivity or positive HBV DNA test result). Note: Participants with occult or prior HBV infection (defined as negative HBsAg and positive total HBcAb) may be included if HBV DNA was undetectable, provided that they are willing to undergo monthly ongoing DNA testing. Antiviral prophylaxis may be administered as per institutional guidelines. Note: Participants who have protective titers of HBsAb (HBsAb positive, HBcAb negative, and HBsAg negative) after vaccination or prior HBV infection are eligible. • Seropositivity for or history of active viral infection with HIV. * Active systemic infection (including infection with SARS-CoV-2). * Participants in a severely immunocompromised state, per investigator's clinical assessment. * Receipt of a live-attenuated vaccine within 4 weeks prior to the first infusion of tafasitamab (inactivated and killed vaccines are acceptable). * Coagulation or platelet function abnormality. * An active medical condition with a strong indication for treatment with anticoagulation agents (eg, intracoronary stent within 12 months). * Any condition that would, in the investigator's judgment, interfere with full participation in the study, including administration of study treatment and attending required study visits; pose a significant risk to the participant; or interfere with interpretation of study data. * Toxicities related to prior therapies must be CTCAE (v5.0) ≤ Grade 1 at the time of study treatment/enrollment (except for chronic toxicities \[≤ Grade 2\] not expected to resolve). * Chronic infectious disease requiring systemic antibiotics or antifungal or antiviral medications. * Unwillingness to undergo transfusion with blood components. * Current use of prohibited medication as described in the protocol. * Inadequate recovery from toxicity and/or complications from a major surgery before starting therapy. * Further exclusion criteria 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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
39 sites in 7 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
Show contact details
Enter your email to view the contact information for this study.
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Study contacts
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Contact
Email: •••••@•••••
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Contact
Email: •••••@•••••
Locations
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Amsterdam Umc, Locatie Vumc
RECRUITINGAmsterdam, 1105 AZ, Netherlands
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Azienda Ospedale Universita Di Padova
RECRUITINGPadova, 35128, Italy
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Azienda Ospedaliera Universitaria Federico Ii
RECRUITINGNaples, 80131, Italy
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Azienda Ospedaliero-Universitaria Orsola-Malpighi - Universita Degli Studi Di Bologna
RECRUITINGBologna, 40138, Italy
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Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia (Presidio Montichiari)
RECRUITINGBrescia, 25123, Italy
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Barts Hospital
RECRUITINGLondon, E1 2ES, United Kingdom
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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02215, United States
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Box Hill Hospital
RECRUITINGBox Hill, Victoria, 03128, Australia
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Castle Hill Hospital
RECRUITINGCottingham, HU16 5JQ, United Kingdom
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Chru de Nancy- Hopital de Brabois
RECRUITINGVandœuvre-lès-Nancy, 54500, France
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Chu Angers - Hôpital Hôtel Dieu
RECRUITINGAngers, 49933, France
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Chu Bordeaux - Hôpital Haut-Lévêque
RECRUITINGPessac, 33604, France
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Chu Caen - Hôpital de La Côte de Nacre
RECRUITINGCaen, 14033, France
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Chu Dijon - Hopital Du Bocage
RECRUITINGDijon, 21079, France
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Erasmus Medisch Centrum
RECRUITINGRotterdam, 3015 GD, Netherlands
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Fondazione Irccs Ca' Granda - Ospedale Maggiore Policlinico
RECRUITINGMilan, 20122, Italy
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Fondazione Policlinico Universitario Agostino Gemelli Irccs
RECRUITINGRoma, 00136, Italy
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Fred Hutchinson Cancer Center
NOT_YET_RECRUITINGSeattle, Washington, 98109, United States
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Gnp Research
RECRUITINGCooper City, Florida, 33024, United States
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Hopital Purpan
RECRUITINGToulouse, 31059, France
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Hospital Universitario La Paz
RECRUITINGMadrid, 28046, Spain
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Hôpital Henri Mondor
RECRUITINGCréteil, 94010, France
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Ico Badalona. Hospital Universitario Germans Trias I Pujol
RECRUITINGBadalona, 08916, Spain
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Inova Schar Cancer Institute
RECRUITINGFairfax, Virginia, 22031, United States
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Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori
RECRUITINGMeldola, 47014, Italy
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Monash Medical Centre Clayton
RECRUITINGClayton, Victoria, 03168, Australia
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10461, United States
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Ospedale San Raffaele
RECRUITINGMilan, 20132, Italy
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Palo Verde Cancer Specialists Palo Verde Hematology Oncology, Ltd Glendale
RECRUITINGGlendale, Arizona, 85304, United States
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Plymouth Hospitals Nhs Trust
RECRUITINGPlymouth, PL6 8DH, United Kingdom
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Princess Alexandra Hospital Australia
RECRUITINGWoolloongabba, Queensland, 04102, Australia
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Radboudumc
RECRUITINGNijmegen, 6500 HB, Netherlands
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Rocky Mountain Cancer Centers
RECRUITINGLone Tree, Colorado, 80124, United States
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St Vincent'S Hospital Sydney
RECRUITINGDarlinghurst, New South Wales, 02010, Australia
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The Alfred Hospital
RECRUITINGMelbourne, Victoria, 03004, Australia
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Townsville University Hospital
RECRUITINGDouglas, Queensland, 04814, Australia
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University Medical Center Utrecht
RECRUITINGUtrecht, 3584 CX, Netherlands
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Usc Norris Comprehensive Cancer Center
RECRUITINGLos Angeles, California, 90033, United States
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Yale New Haven Hospital
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Real-World data may reveal which ITP treatments work best
- A diet tweak may boost platelets in a bleeding disorder
- What Trade-Offs are ITP patients willing to make for better treatment?
- Can a new drug calm the immune System's attack on blood cells?
- Experimental injection aims to boost platelets in chronic blood disorder
- New combo therapy aims to boost platelets in immune disorder