A Study to Investigate the Efficacy, Safety, and Pharmacokinetics of Oral Rilzabrutinib Compared With Placebo in Participants 18 Years of Age and Older With Warm Autoimmune Hemolytic Anemia
Sanofi · NCT07086976
Opens the official ClinicalTrials.gov record, with the study team’s contacts. Bored Studies doesn’t enroll anyone.
Key facts
- Compensation
- Not posted. Ask the study team before screening.
- Who can join
- Ages 18+ · All sexes
- Healthy volunteers
- Not accepted (a condition is required)
- Study type
- Interventional · Phase 3
- Target enrollment
- 90
- US sites recruiting
- 27
- Study start
- August 18, 2025
- Record last updated
- October 20, 2026
Status re-checked against ClinicalTrials.gov within the last 12 hours.
What the study is about
This is a parallel-group, Phase 3, double-blind, 2-arm study to investigate the efficacy, safety, PK and PD of oral rilzabrutinib in achieving durable Hb response (DHR) compared with placebo in approximately 90 male and female participants ≥ 18 years of age with a confirmed diagnosis of primary wAIHA.
Following a 4-week screening period, eligible participants will be randomized in a 2:1 ratio to receive rilzabrutinib or placebo in primary analysis period (PAP) for a duration of up to 24 weeks. All participants who completed PAP will then continue in open-label period (OLP) to receive rilzabrutinib for a duration of 28 weeks. Upon the completion of OLP, only participants who demonstrate Hb increase during the last 8 weeks of OLP per specified criteria in the protocol will be eligible to continue in long-term extension (LTE) of the study. The duration of the LTE period will be from the first-participant-in (FPI)-LTE until the last participant completes 52 weeks in LTE. The safety follow-up period of this study following treatment completion or discontinuation will be 2 weeks.
Being studied: rilzabrutinib; placebo
Conditions: Autoimmune Haemolytic Anaemia
Eligibility criteria
Copied from the official record. The study team makes the final decision at screening.
Show full criteria
Inclusion Criteria
- Male and female participants with a documented (confirmed) diagnosis of primary wAIHA for at least 6 months.
- Participants who have previously failed to maintain a sustained response after treatment with CS (CS-resistance [defined as failure to obtain hemoglobin response within 3 weeks on at least 1 mg/kg or 60 mg prednisone or equivalent per day], CS-dependent wAIHA [defined as need to continue on prednisone or equivalent at a dose of >10 mg/day to maintain a response]), or are intolerant or ineligible to CS (defined as with contraindications, pre-existing medical conditions or CS-related complications that may render CS intolerant or ineligible per the best clinical judgement of the investigators).
- Participants with Eastern Cooperative Oncology Group (ECOG) performance status Grade 2 or lower.
- Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
Exclusion Criteria
- Participants with 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.
- Participants with symptomatic herpes zoster within 3 months prior to screening.
- Participants with mixed wAIHA, or secondary wAIHA from any cause including drugs, Evans Syndrome, 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.
- Participants with history of myelodysplastic syndrome.
- Participants with uncontrolled or active HBV infection or Active HCV infection.
- HIV infection.
- Participants with history of solid organ transplant.
- Participants with a history of active or latent tuberculosis (TB).
- Splenectomy within 12 weeks before screening and planned surgery during the PAP.
- Concurrent treatment with other experimental/investigational drugs within 30 days or 5 half-lives, whichever is longer, prior to treatment start. Participants who previously received treatment with BTK inhibitors for wAIHA before Day 1 (randomization) are not eligible.
- Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator, contraindicates participation in the study.
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Recruiting US locations
Mayo Clinic in Arizona - Phoenix- Site Number : 8400032
Phoenix, AZ 85054
Noble Clinical Research- Site Number : 8400003
Tucson, AZ 85704
City of Hope Comprehensive Cancer Center- Site Number : 8400023
Duarte, CA 91010
Cancer and Blood Specialty Clinic - Los Alamitos- Site Number : 8400038
Los Alamitos, CA 90720
USC Norris Comprehensive Cancer Center- Site Number : 8400007
Los Angeles, CA 90033
Stanford University Medical Center- Site Number : 8400026
Stanford, CA 94305
Lundquist Institute for Biomedical Innovation at Harbor - UCLA Medical Center- Site Number : 8400006
Torrance, CA 90502
Yale University School of Medicine- Site Number : 8400027
New Haven, CT 06510
MedStar Georgetown University Hospital- Site Number : 8400004
Washington D.C., DC 20007
Hialeah Hospital- Site Number : 8400009
Hialeah, FL 33013
Sylvester Comprehensive Cancer Center- Site Number : 8400031
Miami, FL 33136
University Hospital and Medical Center- Site Number : 8400005
Tamarac, FL 33321
Tulane University School of Medicine- Site Number : 8400037
New Orleans, LA 70112
Massachusetts General Hospital- Site Number : 8400001
Boston, MA 02114
Beth Israel Deaconess Medical Center - Boston- Site Number : 8400034
Boston, MA 02215
University of Michigan Health System - Ann Arbor- Site Number : 8400014
Ann Arbor, MI 48109
Henry Ford Hospital- Site Number : 8400012
Detroit, MI 48202
Mayo Clinic in Rochester - Minnesota- Site Number : 8400008
Rochester, MN 55905
Montefiore Medical Center - Einstein Campus- Site Number : 8400011
The Bronx, NY 10461
Cleveland Clinic - Cleveland- Site Number : 8400029
Cleveland, OH 44195
Ohio State University Hospital East- Site Number : 8400020
Columbus, OH 43203
Fox Chase Cancer Center - Philadelphia- Site Number : 8400019
Philadelphia, PA 19111
Brown University Health - Rhode Island Hospital- Site Number : 8400028
Providence, RI 02903
Baptist Memorial Hospital- Site Number : 8400018
Memphis, TN 38120
UT Health - San Antonio- Site Number : 8400015
San Antonio, TX 78229
Fred Hutchinson Cancer Center- Site Number : 8400016
Seattle, WA 98109
Gundersen Health System - La Crosse Medical Center- Site Number : 8400033
La Crosse, WI 54601
Study contacts (from the official record)
- Trial Transparency email recommended (Toll free for US & Canada) · 800-633-1610 · contact-us@sanofi.com