AzTrials
AzTrials

Warm Antibody Autoimmune Hemolytic AnemiaPhase 3NCT03764618

A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Study of Fostamatinib Disodium in the Treatment of wAIHA

A Phase 3 study testing Fostamatinib disodium in people with Warm Antibody Autoimmune Hemolytic Anemia, run by Rigel Pharmaceuticals at 102 sites in 22 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objective of this study is to assess the efficacy of fostamatinib in subjects with warm antibody autoimmune hemolytic anemia (wAIHA). Read more about this study

Who is it for?
Ages 18 to 100 years
What is being tested?
Fostamatinib disodium
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
90 participants
Where
102 sitesin 22 countries
Study dates
24 Apr 2019to 11 Apr 2022
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject must have a diagnosis of primary or secondary warm Antibody Autoimmune Hemolytic Anemia (wAIHA) as documented by a positive direct antiglobulin test (DAT) specific for anti-IgG or anti-IgA.
  • Have failed or not tolerated at least one prior wAIHA treatment regimen, including steroids, rituximab, azathioprine, cyclophosphamide, cyclosporine, MMF, danazol, vincristine, ESA or splenectomy (folate, iron or other supplements do not fulfill this criterion).
  • Have haptoglobin <LLN or total bilirubin >ULN or lactate dehydrogenase (LDH) >ULN.
  • At screening, subject's hemoglobin level must be ≤9 g/dL OR if hemoglobin value >9 g/dL and <10 g/dL, subject must be on an allowed wAIHA treatment AND the subject must have documented symptoms related to anemia (e.g., weakness, dizziness, fatigue, shortness of breath, chest pain).
  • Karnofsky performance status (KPS) ≥70.
  • Subject's concurrent treatment for wAIHA may consist of no more than two of any of the following agents: azathioprine, steroids, ESAs, mycophenolate mofetil, dapsone or danazol at a stable dose

Who cannot join

  • Subject with other types of Antibody Autoimmune Hemolytic Anemia (AIHA) (e.g., cold antibody AIHA, cold agglutinin syndrome, mixed type AIHA, or paroxysmal cold hemoglobinuria).
  • Subject has AIHA secondary to autoimmune disease, including systemic lupus erythematosus (SLE), or lymphoid malignancy if the underlying disease is not stable or is not well-controlled on current therapy, per investigator medical judgement.
  • Subject has uncontrolled or poorly controlled hypertension, defined as systolic blood pressure ≥135 mmHg or diastolic blood pressure ≥85 mmHg, whether or not the subject is receiving anti-hypertensive treatment.
  • Subject has one or more of the following laboratory abnormalities at screening: neutrophil count of <1,000/μL or platelet count of <30,000/μL, unless due to Evans syndrome; transaminase levels (i.e., alanine aminotransferase [ALT] or aspartate aminotransferase [AST]) >1.5 x ULN.
  • Has documented active hepatitis B or hepatitis C infection or HIV infection.

Trial locations and contacts

102 sites in 22 countries.

102 sites in 22 countries

United States26 sites
  • Piedmont Cancer Institute

    Atlanta, Georgia, 30318

  • John Hopkins Bayview Medical Center

    Baltimore, Maryland, 21205

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Affiliated Oncologists

    Chicago Ridge, Illinois, 60415

  • Duke Cancer Network

    Clayton, North Carolina, 27520

  • Texas Oncology - Baylor Research Institute

    Dallas, Texas, 75246

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona, 85234

  • Banner MD Anderson Cancer Center at North Colorado Medical Center

    Greeley, Colorado, 80538

  • Cancer Specialists of North Florida

    Jacksonville, Florida, 32256

  • Moores UC San Diego Cancer Center

    La Jolla, California, 92037

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89169

  • University of Southern California

    Los Angeles, California, 90033

  • Versiti Wisconsin, Inc.

    Milwaukee, Wisconsin, 53226

  • Rutgers - Robert Wood Johnson Medical School

    New Brunswick, New Jersey, 08901

  • American Oncology Network Vista Oncology Division

    Olympia, Washington, 98506

  • Mayo Clinic Hospital

    Phoenix, Arizona, 85054

  • Swedish Cancer Institute

    Seattle, Washington, 98104

  • University of Washington

    Seattle, Washington, 98109

  • Marshfield Clinic Cancer Center - Stevens Point

    Stevens Point, Wisconsin, 54482

  • Montefiore Medical Center

    The Bronx, New York, 10461

  • Harbor UCLA - Lundquist Institute

    Torrance, California, 90502

  • Arizona Oncology Associates, PC--HOPE Division

    Tucson, Arizona, 85711

  • Georgetown University - Lombardi Comprehensive Cancer Center

    Washington D.C., District of Columbia, 20007

  • Clear Lake Specialties, Research Dept.

    Webster, Texas, 77598

  • The Oncology Institute of Hope and Innovation

    Whittier, California, 90603

Other trials in United States

France7 sites
  • CHU Angers

    Angers, 49100

  • Institut d'hématologie de Basse Normandie, CHU Caen

    Caen, 14033

  • CHU Estaing - Chirurgie digestive et Médecine interne

    Clermont-Ferrand, 63003

  • CHU Henri Mondor

    Créteil, 94000

  • Hôpital Saint Antoine

    Paris, 75012

  • CHU de Bordeaux - GH Sud- Hôpital Haut Lévêque Service Médecine Interne et Maladies Infectieuses

    Pessac, 33603

  • CHU Toulouse, IUCT Oncopôle

    Toulouse, 31100

Other trials in France

Russia6 sites
  • National Research Center for Hematology

    Moscow, 125167

  • Botkin Moscow City Clinical Hospital

    Moscow, 125284

  • State Budgetary Healthcare Institution of Moscow city "City Clinical Hospital No 40 Department of Healthcare of Moscow city"

    Moscow, 129301

  • State Budgetary Healthcare Institution of Novosibirsk Region "City Clinical Hospital №2"

    Novosibirsk, Russian Federation, 630051

  • State Budgetary Healthcare Institution Oncology Dispensary No. 2 of the Ministry of Health of the Krasnodar Territory

    Sochi, 354057

  • Regional State Autonomous Healthcare Institution "Tomsk Regional Clinical Hospital"

    Tomsk, 634063

Other trials in Russia

Spain6 sites
  • Hospital Vall d'Hebron

    Barcelona, 08035

  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Hospital Universitario Gregorio Marañón

    Madrid, 28009

  • Hospital Universitario Puerta de Hierro de Majadahonda

    Madrid, 28222

  • Hospital Universitario Virgen del Rocio

    Seville, 41013

  • Hospital Universitario y Politecnico La Fe - Servicio de Hematología

    Valencia, 46026

Other trials in Spain

Bulgaria5 sites
  • University Multiprofile Hospital for Active Treatment - Dr Georgi Stranski EAD, Pleven, Clinic of Clinical Haematology

    Pleven, 5800

  • University Multiprofile Hospital for Active Treatment 'Alexandrovska' EAD, Clinic of Clinical Haematology

    Sofia, 1431

  • University Multiprofile Hospital for Active Treatment 'Sv. Ivan Rilski' EAD, Clinic of Clinical Hematology, Department of Clinical Hematology

    Sofia, 1431

  • Specialized Hospital for Active Treatment of Hematological Diseases EAD, Sofia, Clinic of Clinical Haematology

    Sofia, 1756

  • University Multiprofile Hospital for Active Treatment 'Sveta Marina' EAD, Varna, Clinic of Clinical Haematology

    Varna, 9010

Other trials in Bulgaria

Italy5 sites
  • ASST degli Spedali Civili di Brescia, Ematologia UOC

    Brescia, 25123

  • Fondazione IRCCS Ca'Granda - Ospedale Maggiore Policlinico di Milano - UO Ematologia

    Milan, 20122

  • SCDU Ematologia AOU "Maggiore della Carità"

    Novara, 28100

  • Ospedale Maggiore, SC Ematologia - Azienda Sanitaria Universitaria Giuliano Isontina

    Trieste, 34125

  • ULSS8 Berica Ospedale San Bortolo - Unità Operativa Complessa di Ematologia

    Vicenza, 36100

Other trials in Italy

United Kingdom5 sites
  • East Kent Haemophilia Centre, Kent and Canterbury Hospital

    Canterbury, Kent, CT1 3NG

  • Roald Dahl Haemostasis and Thrombosis Centre, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust

    Liverpool, L7 8XP

  • Hammersmith Hospital

    London

  • The Royal London Hospital, Bart's Health NHS Trust

    London

  • Sandwell and West Birmingham NHS Trust

    West Bromwich, B71 4HJ

Other trials in United Kingdom

Australia4 sites
  • Princess Alexandra Hospital - Cancer Trials Unit

    Brisbane, Queensland, 4201

  • The Alfred Hospital

    Melbourne, Victoria, 3004

  • Royal Perth Hospital

    Perth, Western Australia, 6000

  • Concord Repatriation General Hospital

    Sydney, New South Wales, 2139

Other trials in Australia

Austria4 sites
  • Universitätsklinik Innsbruck - Innere Medizin V

    Innsbruck, 6020

  • Universitätsklinikum Salzburg, 3.Medizin/Onkologie

    Salzburg, 5020

  • Medizinsche Universität Wien

    Vienna, 1090

  • Hanusch-Krankenhaus

    Vienna, 1140

Other trials in Austria

Belgium3 sites
  • Ziekenhuis Network Antwerp, Stuivenberg

    Antwerp, 2060

  • Universitair Ziekenhuis Antwerpen - Hematologie

    Edegem, 2650

  • AZ Nikolaas

    Sint-Niklaas, 9100

Other trials in Belgium

Canada3 sites
  • Hamilton Health Sciences- McMaster University Medical Centre

    Hamilton, Ontario, L8S 4K1

  • The Ottawa Hospital

    Ottawa, Ontario, K1H8L6

  • St. Michael's Hospital

    Toronto, Ontario, M5B 1W8

Other trials in Canada

Czechia3 sites
  • Fakultni nemocnice Brno Interni hematologicka a onkologicka klinika

    Brno, 625 00

  • Fakultni nemocnice Ostrava Klinika hematoonkologie

    Ostrava, 70852

  • Ustav Hematologie a Krevni Transfuze

    Prague, 128 00

Other trials in Czechia

Denmark3 sites
  • Aalborg University Hopital

    Aalborg, 9000

  • Aarhus University Hospital - Dept of Hematology

    Aarhus N, 8200

  • Herlev and Gentofte Hospital

    Herlev, DK-2730

Other trials in Denmark

Hungary3 sites
  • Semmelweis Egyetem, Általános Orvostudományi Kar, I.sz. Belgyógyászati Klinika, Haematológiai Osztály,

    Budapest, 1083

  • Szabolcs-Szatmár- Bereg Megyei Kórházak és Egyetemi Oktatókórház, Jósa András Oktatókórház

    Nyíregyháza, 4400

  • Pécsi Tudományegyetem, Klinikai Központ, I.számú Belgyógyászati Klinikai, Hematológiai Tanszék

    Pécs, 7624

Other trials in Hungary

Norway3 sites
  • Ålesund Hospital

    Ålesund, 6017

  • Haukeland University Hospital

    Bergen, 5021

  • Østfold Hopital

    Grålum, 1714

Other trials in Norway

Romania3 sites
  • Coltea Clinical Hospital

    Bucharest, 030171

  • Emergency University Hospital Bucharest

    Bucharest, 050098

  • "Prof. Dr. Ion Chiricuta" Institute of Oncology Cluj-Napoca

    Cluj-Napoca, 400015

Other trials in Romania

Serbia3 sites
  • University Hospital Medical Center "Bezanijska Kosa", Department of Hematology

    Belgrade, 11080

  • Clinical Center Nis, Clinic for Hematology

    Niš, 18000

  • Clinical Centre of Vojvodina, Clinic for Hematology

    Novi Sad, 21000

Other trials in Serbia

Ukraine3 sites
  • Cherkasy Regional Oncology Dispensary, Hematology Center

    Cherkasy, 18009

  • City Clinical Hospital № 4, Hematology Center

    Dnipro, 49102

  • Kyiv City Clinical Hospital №9, hematology department №1

    Kyiv, 04112

Other trials in Ukraine

Belarus2 sites
  • Vitebsk Regional Clinical Hospital

    Vitebsk, 210037

  • Vitebsk Regional Clinical Oncology Dispensary

    Vitebsk, 210603

Other trials in Belarus

Georgia2 sites
  • M. Zodelava Hematology Centre, Tbilisi

    Tbilisi, 0112

  • LTD Multiprofile Clinic Consilium Medulla

    Tbilisi, 0186

Other trials in Georgia

Germany2 sites
  • Universitätsklinikum Essen

    Essen, 45147

  • University of Leipzig Medical Center, Medical Department I - Haematology and Cell Therapy, Medical Oncology, Hemophilia

    Leipzig, 04103

Other trials in Germany

Netherlands1 site
  • Academisch Medisch Centrum

    Amsterdam

Other trials in Netherlands

About this study

Official title: A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Study of Fostamatinib Disodium in the Treatment of Warm Antibody Autoimmune Hemolytic Anemia

The primary objective of this study is to assess the efficacy of fostamatinib in subjects with warm antibody autoimmune hemolytic anemia (wAIHA).

Being tested
Fostamatinib disodium, Placebo
Keywords
wAIHA, Warm Antibody Autoimmune Hemolytic Anemia, Warm Autoimmune Hemolytic Anemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fostamatinib disodiumDrug

    Also called R935788, Fostamatinib

    Fostamatinib (100mg PO bid or 150 mg PO bid)

    The dose may be reduced at any time to a dose as low as fostamatinib 100 mg PO qd or matching placebo if dose limiting adverse events are observed.

  • PlaceboDrug

    Placebo

Study groups in NCT03764618
Study groupRoleWhat they receive
FostamatinibExperimentalInitial dose is 100 mg by mouth (PO) twice a day (bid). At week 4 dose will be increased to fostamatinib 150 mg PO bid if subjects have adequately tolerated the study drug in the opinion of the Investigator.
Receives: Drug: Fostamatinib disodium
PlaceboPlacebo comparatorInitial dose is 100 mg by mouth (PO) twice a day (bid). At week 4 dose will be increased to placebo 150 mg PO bid if subjects have adequately tolerated the study drug in the opinion of the Investigator.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Durable Hemoglobin Response

    Proportion of subjects achieving a hemoglobin level ≥ 10 g/dL with an increase from Baseline in hemoglobin level of ≥ 2 g/dL on 3 consecutive available visits during the 24-week treatment period.

    Measured: 24 Weeks

Secondary outcomes (5)
  1. A Hemoglobin Response by Week 24

    Proportion of subjects with a hemoglobin response by Week 24.

    Measured: 24 weeks

  2. Change From Baseline in Hemoglobin Level of 2 g/dL or Greater

    Proportion of subjects with change from baseline in hemoglobin level of 2 g/dL or greater.

    Measured: 24 weeks

  3. Change in Hemoglobin From Baseline to End of Treatment

    Change in mean hemoglobin from baseline to end of treatment.

    Measured: 24 weeks

  4. Use of Rescue Antibody Autoimmune Hemolytic Anemia (AIHA) Regimens Use After Week 4

    Proportion of subjects free of rescue AIHA regimens used after Week 4.

    Measured: 24 weeks

  5. Change in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-F)

    Change from Baseline to Week 24 in Functional Assessment of Chronic Illness Therapy - Fatigue scale (FACIT-F). The FACIT-F scale is a short, 13-item, easy to administer tool that measures an individual's level of fatigue during their usual daily activities over the past week. Each item is rated using a 5-point Likert-type scale. The scale range is 0 to 52, with 0 being the worst possible score and 52 being the best possible score indicating no fatigue. Total Score = [Sum of item scores] x [N of items in subscale] ÷ [N of items answered].

    Measured: 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Dec 2018
  2. Study start24 Apr 2019
  3. Primary completion11 Apr 2022
  4. Study completion11 Apr 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03764618
Sponsor's protocol ID
C-935788-057
Status last verified
May 2023
First submitted
3 Dec 2018
Last updated
25 May 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Fostamatinib disodium in people with Warm Antibody Autoimmune Hemolytic Anemia, run by Rigel Pharmaceuticals at 102 sites in 22 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 102 sites in United States, France, Russia, Spain, Bulgaria and 17 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 May 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Durable Hemoglobin Response (time frame: 24 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2023.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in