The Efficacy and Safety of Rilzabrutinib in Participants Aged 10 to 65 Years With Sickle-cell Disease
Recruiting · NCT06975865 · Interventional (participants receive a specific treatment) · Lead sponsor: Sanofi
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
This is a multicenter, randomized, double-blind, placebo-controlled, parallel-group, flexible-adaptive, group-sequential study (Part A), followed by an open-label LTE period (Part B) to investigate the efficacy, and safety of rilzabrutinib in participants with sickle-cell disease (SCD). Study details include: * Study duration: a 52-week double-blind period (Part A), followed by an open-label LTE period (Part B). Double-blind period has two parts, 50% (adult only) until the interim analysis (a proof-concept part analogous to a phase 2b study), and 50% (adult and children) after the interim analysis. Only the participants who complete double-blind treatment period (Part A) are eligible to continue to the LTE period. The duration of the LTE period (Part B) will be from the first-participant-in (FPI)-LTE (Part B) until the last participant who enters the LTE has completed 52 weeks. * Treatment duration: 52-week double-blind period (Part A); LTE period (Part B) from the (FPI until the last participant who enters the LTE has completed 52 weeks. * Visit frequency: Week visits based on the Schedule of Assessments.
Who can take part
Inclusion criteria
- Participants who have been diagnosed with SCD.
- Participants who have had between ≥2 and ≤10 episodes of documented clinical VOC within 12 months of the screening events.
- Participants who are either not on hydroxyurea and/or L-glutamine at the Screening Visit and does not plan to receive them during the course of the study or has received HU and/or L-glutamine for a minimum of 6 months. Participants on hydroxyurea and/or L-glutamine must have been on a stable weight-based dose level (mg/kg) for at least 3 months prior to the Screening Visit, with the intent to continue at the same weight-based dose level for the duration of the study, except for safety reasons.
- 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.
- For participants ≥10 to \<18 years of age: the parent(s)/legal guardian(s) must provide written informed consent prior to any study-related procedures being performed.
Exclusion criteria
- Participants are excluded from the study if any of the following criteria apply: 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.
- Clinically relevant cardiac abnormality, in the opinion of the Investigator or electrocardiogram (ECG) findings.
- Participants with history of stroke, or history of abnormal transcranial doppler.
- Participants with uncontrolled or active HBV infection and/or HCV infection including those receiving antiviral therapy at the time of screening.
- HIV infection.
- A history of active or latent tuberculosis (TB)
- Positive COVID-19 molecular test.
- Participant is taking or has received crizanlizumab (ADAKVEO®) within 90 days and/or voxelotor (OXBRYTA®) within 30 days prior to the Screening visit.
- The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Where it is running
53 locations listed across 14 US states.
- University of Alabama at Birmingham- Site Number : 8400003 - Birmingham, Alabama, United States
- Phoenix Children's Hospital- Site Number : 8400028 - Phoenix, Arizona, United States
- University of California San Francisco- Site Number : 8400040 - Fresno, California, United States
- Oncology & Hematology Associates of West Broward- Site Number : 8400029 - Coral Springs, Florida, United States
- Sylvester Comprehensive Cancer Center- Site Number : 8400020 - Miami, Florida, United States
- University of Illinois-Chicago - College of Medicine- Site Number : 8400054 - Chicago, Illinois, United States
- Indiana University Health Riley Hospital for Children- Site Number : 8400056 - Indianapolis, Indiana, United States
- Louisiana State University Health Sciences Center - Shreveport- Site Number : 8400037 - Shreveport, Louisiana, United States
- University of Maryland School of Medicine - Baltimore- Site Number : 8400041 - Baltimore, Maryland, United States
- University of Michigan Health System - Ann Arbor- Site Number : 8400035 - Ann Arbor, Michigan, United States
- Southern Specialty Research- Site Number : 8400059 - Flowood, Mississippi, United States
- Richmond University Medical Center- Site Number : 8400038 - Staten Island, New York, United States
- Montefiore Medical Center - Moses Campus- Site Number : 8400057 - The Bronx, New York, United States
- Prisma Health- Site Number : 8400051 - Greenville, South Carolina, United States
- Baylor College of Medicine- Site Number : 8400055 - Houston, Texas, United States
- VCU Massey Cancer Center: Dalton Oncology Clinic- Site Number : 8400012 - Richmond, Virginia, United States
- Investigational Site Number : 7920001 - Adana, Turkey (Türkiye)
- Investigational Site Number : 7920002 - Adana, Turkey (Türkiye)
- Investigational Site Number : 3760001 - Afula, Israel
- Investigational Site Number : 3760002 - Afula, Israel
- Investigational Site Number : 3000001 - Athens, Greece
- Investigational Site Number : 3000003 - Athens, Greece
- Investigational Site Number : 0560003 - Brussels, Belgium
- Investigational Site Number : 0560002 - Brussels, Belgium
- Investigational Site Number : 2500002 - Créteil, France
- Investigational Site Number : 2760002 - Essen, Germany
- Investigational Site Number : 3760005 - Haifa, Israel
- Investigational Site Number : 3760006 - Haifa, Israel
- Investigational Site Number : 0560001 - Leuven, Belgium
- Investigational Site Number : 7240002 - Madrid, Spain
- Investigational Site Number : 7240001 - Madrid, Spain
- Investigational Site Number : 2500005 - Marseille, France
- Investigational Site Number : 7920003 - Mersin, Turkey (Türkiye)
- Investigational Site Number : 5120001 - Muscat, Oman
- Azienda Ospedaliera Ospedali Riuniti Villa Sofia - Cervello-Site Number : 3800002 - Palermo, Italy
- Investigational Site Number : 2500001 - Paris, France
- Investigational Site Number : 3000002 - Pátrai, Greece
- Pontifícia Universidade Católica do Rio de Janeiro- Site Number : 0760009 - Rio de Janeiro, Brazil
- Investigational Site Number : 5280002 - Rotterdam, Netherlands
- Investigational Site Number : 2760004 - Stuttgart, Germany
- Hospital Samaritano De Sao Paulo- Site Number : 0760005 - São Paulo, Brazil
- Investigational Site Number : 2500004 - Toulouse, France
- Centro Ricerche Cliniche Verona s.r.l. presso Ospedale G.B. Rossi Borgo Roma-Site Number : 3800003 - Verona, Italy
- Hospital Santa Izabel- Site Number : 0760006 - Salvador, Estado de Bahia, Brazil
- Azienda Ospedaliero Universitaria Careggi SOD Ematologia-Site Number : 3800006 - Florence, Firenze, Italy
- Universidade Federal de Goias- Site Number : 0760002 - Goiânia, Goiás, Brazil
- Investigational Site Number : 8260002 - London, Harrow, United Kingdom
- Investigational Site Number : 8260001 - London, London, City of, United Kingdom
- Investigational Site Number : 3800004 - Milan, Milano, Italy
- Azienda Ospedaliera Universitaria, Università della Campania "Luigi Vanvitelli" Napoli-Site Number : 3800005 - Naples, Napoli, Italy
- IRCCS Ospedale Pediatrico Bambino Gesù-Site Number : 3800001 - Rome, Roma, Italy
- Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760001 - São José do Rio Preto, São Paulo, Brazil
- Azienda Ospedaliera Universitaria San Luigi Gonzaga, SSD Microcitemie Malattie Rare Ematologiche-Site Number : 3800007 - Orbassano, Torino, Italy