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The Safety and Efficacy of Ibrutinib in Refractory/Relapsed Autoimmune Hemolytic Anemia

Phase 2
Recruiting
Conditions
Refractory/Relapsed Autoimmune Hemolytic Anemia
Interventions
Registration Number
NCT04398459
Lead Sponsor
Institute of Hematology & Blood Diseases Hospital, China
Brief Summary

This is an open-label, single-arm study to evaluate the safety and efficacy of Ibrutinib in subjects with refractory/relapsed autoimmune hemolytic anemia.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
18
Inclusion Criteria
  • ECOG ≀ 3
  • Age from 6 to 70.
  • Diagnosed with WAIHA or MAIHA.
  • Meets the criteria of relapsed / refractory AIHA.
  • Meets the criteria of DAT-negative AIHA without any other inherited or acquired hemolytic diseases, and previously treated effectively with glucocorticoids and rituximab.
  • Signed informed consent.
  • Organs in good function.
Exclusion Criteria
  • Nursing woman
  • Active bacterial, virus, fungal or parasitic infection, including HIV infection, HbsAg and HBV DNA positive, HCV DNA positive, etc.
  • Diagnosed with cold agglutinin disease or cold agglutinin syndrome or paroxysmal cold hemoglobinuria.
  • Secondary AIHA caused by drugs or infection.
  • Received rituximab in 8 weeks before enrollment.
  • Previously received treatment with BTK inhibitor.
  • Previously received organ or stem cell transplantation.
  • Have a history of thrombosis or organ infarction.
  • Diagnosed with an active stage of connective tissue disease.
  • Have a history of lymphoproliferative tumors or any other malignant tumors.
  • Have other inherited or acquired hemolytic diseases.
  • Received low-molecular-weight heparin or warfarin within 1 week before enrollment or during the Ibrutinib treatment.
  • Received CYP3A4 Enzyme Inhibitors or Inducers within 1 week before enrollment or during the Ibrutinib treatment.
  • Have a history of mental illness.
  • Inability to understand or to follow study procedures.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
iBRIANIbrutinib-
Primary Outcome Measures
NameTimeMethod
Overall response ratewithin 12 weeks
Secondary Outcome Measures
NameTimeMethod
Incidence of adverse events and severe adverse eventswithin 48 weeks
Relapse free survival ratewithin 48 weeks

Trial Locations

Locations (3)

Zhoukou Central Hospital

πŸ‡¨πŸ‡³

Zhoukou, Henan, China

The Second Affilated Hospital of Shandong First Medical University

πŸ‡¨πŸ‡³

Tai'an, Shandong, China

Regenerative Medicine Center

πŸ‡¨πŸ‡³

Tianjin, Tianjin, China

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