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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
90
Pharmaceutical form:tablet-Route of administration:oral
Pharmaceutical form:tablet-Route of administration:oral
Mayo Clinic- Site Number : 8400032
Phoenix, Arizona, United States
RECRUITINGNoble Clinical Research- Site Number : 8400003
Tucson, Arizona, United States
RECRUITINGCity of Hope- Site Number : 8400023
Duarte, California, United States
RECRUITINGUniversity of Southern California (USC)- Site Number : 8400007
Los Angeles, California, United States
Proportion of participants achieving DHR. DHR is defined as an increase of Hb by ≥2 g/dL from baseline on at least two thirds of evaluable scheduled visits between Week 12 and Week 24 (inclusive) in the PAP
DHR is defined as an increase of Hb by ≥2 g/dL from baseline on at least two thirds of evaluable scheduled visits between Week 12 and Week 24 (inclusive) in the PAP in the absence of rescue medication and transfusion.
Time frame: By Week 24
Proportion of participants achieving overall Hb response (response [R] or complete response [CR]) by Week 24 of treatment in the PAP
Response is defined as an increase in Hb by ≥2 g/dL from baseline in the absence of transfusion and rescue medication. Complete Response is defined as Hb ≥12 g/dL (women) or ≥13 g/dL (men) without evidence of hemolysis (ie, normal indirect bilirubin, lactate dehydrogenase \[LDH\], haptoglobin, and reticulocytes), in the absence of transfusion and rescue medication.
Time frame: By Week 24
The time taken (days) to achieve the first Hb increase by ≥2 g/dL from baseline during the PAP in the previous 14 days and in the absence of rescue medication in the previous 6 weeks
Time frame: Until Week 24
Change from baseline in fatigue total score as measured by Functional Assessment of Chronic Illness Therapy (FACIT) - fatigue at Week 24
Time frame: Baseline to Week 24
Change from baseline in levels of LDH at Week 24
Time frame: Baseline to Week 24
Proportion of participants requiring use of rescue therapy after Week 4 of treatment during the PAP
Time frame: Until Week 24
Change from baseline in dyspnea severity score as measured by FACIT-Dyspnea at Week 24
Time frame: Baseline to Week 24
Incidence of treatment-emergent adverse events (TEAE), treatment-emergent serious adverse events (SAEs), treatment-emergent adverse events of special interest, as well as clinical laboratory evaluations, vital sign, physical exam, and electrocardiograms
Time frame: Until Week 104
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The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center- Site Number : 8400006
Torrance, California, United States
RECRUITINGYale University School of Medicine- Site Number : 8400027
New Haven, Connecticut, United States
RECRUITINGBioresearch Partners- Site Number : 8400009
Hialeah, Florida, United States
RECRUITINGOncology and Hematology Associates of West Broward, PA- Site Number : 8400005
Tamarac, Florida, United States
RECRUITINGUniversity of Michigan- Site Number : 8400014
Ann Arbor, Michigan, United States
RECRUITINGMayo Clinic- Site Number : 8400008
Rochester, Minnesota, United States
RECRUITING...and 68 more locations