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Transfusion Reaction, HemolyticPhase 2ChallengeNCT07152379

Challenge Transfusion of INTERCEPT Pathogen Reduced Red Blood Cells (RBCs) in Subjects With or Without Pre-existing Antibodies to INTERCEPT RBCs

A Phase 2 study testing 30-40 mL of INTERCEPT RBCs and ~30 mL of INTERCEPT RBCs plus plus 10 mL biotinylated INTERCEPT RBCs in people with Transfusion Reaction, Hemolytic, run by Cerus Corporation at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to determine whether transfusion of INTERCEPT RBCs into patients with pre-existing antibodies to INTERCEPT RBCs will result in increased antibody titer indicative of a secondary immune response, and whether these immune responses would be associated with clinical adverse events, increased RBC… Read more about this study

Who is it for?
Ages 4 years and older
Conditions the study is for
Transfusion Reaction, Hemolytic
What is being tested?
30-40 mL of INTERCEPT RBCs and ~30 mL of INTERCEPT RBCs plus plus 10 mL biotinylated INTERCEPT RBCs
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
1 siteUnited States
Study dates
10 Oct 2026to 30 Dec 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 4 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Age ≥4 years in children who meet the requirement of US Code of Federal Regulation (CFR) Title 21, §50.53 as determined by the local Institutional Review Board (IRB).
  • Control subjects shall have no current or previously documented antibodies to INTERCEPT RBC.
  • Test subjects shall have current or previously documented natural or treatment-emergent antibodies to INTERCEPT RBCs.
  • History of prior transfusion with allogeneic blood products (INTERCEPT or non-INTERCEPT treated).
  • >120 days from the subjects most recent exposure to Study RBCs (pathogen reduced or non-pathogen reduced - if any) prior to the planned study transfusion.
  • Signed and dated informed consent form

Who cannot join

  • Foreseeable active blood loss due to trauma, surgery, or pathologic condition during the study period.
  • Exposure to another interventional drug or device in a clinical study within 28 days prior to enrollment or concurrently during the study.
  • Positive Direct Antiglobulin Test (≥2+) at the time of screening, prior to the first study transfusion.
  • Current or historical medical conditions judged by the Investigator to significantly increase the risk of morbidity/mortality due to hemolysis or the medical management of acute hemolysis.
  • Treatment with any medication known to affect RBC viability at the time of enrollment (e.g., ribavirin, sulfa drugs, chemotherapy medications, methylene blue, dapsone, levodopa, methyldopa, nitrofurantoin and its derivatives, phenazopyridine, quinidine, and hydantoins)
  • History of or development of a drug-associated RBC antibody not associated with INTERCEPT RBCs.
Show all 12Show fewer
  • Congenital or acquired immunodeficiency judged by the Investigator to potentially impact the humoral immune response.
  • Immunosuppressive therapy within 1 month prior to enrollment or during the study period, including steroids and intravenous immunoglobulin.
  • Current or historical RBC alloantibodies that are judged by the Investigator to prevent selection of antigen-negative RBCs for transfusion.
  • History of immunoglobulin A (IgA) deficiency, severe allergic reaction to blood product(s), or clinical requirement to receive washed cellular products.
  • History of warm autoantibody with hemolysis.
  • Subjects who are pregnant, or biologically able to become pregnant and unwilling to remain on medically accepted contraception during this study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site
  • University of Colorado Hospital Anschutz

    Aurora, Colorado, 80045

    Nargis Kahlia, BDS, MPH, 303-724-0333, nargis.kalia@cuanschutz.edu

Other trials in United States

About this study

Official title: An Open-label, Controlled Phase 2 Study Assessing a Challenge Transfusion of INTERCEPT Pathogen Reduced Red Blood Cells (RBCs) in Subjects With or Without Pre-existing Antibodies to INTERCEPT RBCs

This study aims to determine whether transfusion of INTERCEPT RBCs into patients with pre-existing antibodies to INTERCEPT RBCs will result in increased antibody titer indicative of a secondary immune response, and whether these immune responses would be associated with clinical adverse events, increased RBC clearance, and/or evidence of hemolysis. Because the recovery and survival of fresh allogeneic INTERCEPT RBCs in patients with a diverse group of diseases is poorly characterized, a Control group of subjects without a history or evidence of antibodies to INTERCEPT RBCs may be evaluated as a comparator (Control group subjects may or may not have previously been transfused with INTERCEPT RBCs).

The study will also compare and correlate results from anti-human globulin (AHG) crossmatch using INTERCEPT RBCs prepared for transfusion, with results from indirect antiglobulin testing (IAT) with S 303 treated reagent RBCs (i.e., INTERCEPT RBC screening assay, as used in previous studies) to assess the utility of the AHG crossmatch to define the compatibility of transfused INTERCEPT RBCs

Read the detailed description

This is a prospective, open-label, controlled Phase 2 study. Consented subjects will be screened for currently detectable or previously documented allogeneic, autologous, and INTERCEPT RBC-specific antibodies, assigned to a study arm, then receive a small volume transfusion of fresh (≤14 days old) allogeneic INTERCEPT RBCs under careful clinical oversight for adverse events including evidence of hemolysis.

Subjects will have blood samples drawn pre-transfusion and over 90 days after transfusion (Days 0, 1, 7, 14, 30, 60, and 90) to detect evidence of primary or secondary immune responses to INTERCEPT RBCs (see Section 8.4.2), and to assess the in vivo post transfusion 24-hour recovery (PTR24) and survival assessed as the half-life [T50], predicted mean/median lifespan, and area-under-the-survival curve (AUC) of the transfused cells.

RBCs and plasma will be collected and stored frozen for further analysis. Specific studies will include gel card-based INTERCEPT RBC antibody screen assay and titer, AHG crossmatch using cells from INTERCEPT RBC units prepared for transfusion, as well as RBC flow cytometric analysis using an antibody specific for acridine to quantitate the proportion of circulating INTERCEPT RBCs and the acridine adduct surface density.

Clinical evidence of hemolysis will be evaluated using routine laboratory tests, including complete blood counts (CBC), chemistry tests and urinalysis.

Test and Control subjects may be recruited from other INTERCEPT RBC studies. Control subjects may be recruited from specific age groups (e.g., children, adults) with specific medical conditions that are known to impact RBC survival in vivo, particularly conditions that are shown to be present in Test subjects (e.g., sickle cell disease, thalassemia).

After an initial challenge dose of 30-40 ml total volume (appx 20 ml RBCs at 50-70% hematocrit), subjects may be consented and enrolled for second and third challenge doses after completion of all study requirements for the subject's prior dose as well as a 120-day minimum wash-out period since the previous study transfusion.

If a subject requires a therapeutic RBC transfusion, had no evidence of hemolysis with the previous challenge dose(s) and remains eligible for a subsequent challenge dose, they may be administered a challenge dose of one full unit volume. Prior to administering each full unit challenge dose, a Data Safety Monitoring Board (DSMB) must perform an interim safety analysis considering all available study data.

Subjects may receive up to three challenge doses of INTERCEPT RBCs.

Being tested
30-40 mL of INTERCEPT RBCs, ~30 mL of INTERCEPT RBCs plus plus 10 mL biotinylated INTERCEPT RBCs
Keywords
INTERCEPT, red blood cells, antibody
Medical subject headings
Transfusion Reaction

What participants receive

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

  • 30-40 mL of INTERCEPT RBCsDevice

    Transfusion of fresh (≤14 days old) allogeneic INTERCEPT RBCs, or

    ~30 mL of INTERCEPT RBCs plus 10 mL biotinylated INTERCEPT RBCs Transfusion of fresh (≤14 days old) allogeneic INTERCEPT RBCs, in subjects with a history of antibodies to INTERCEPT RBCs.

  • ~30 mL of INTERCEPT RBCs plus plus 10 mL biotinylated INTERCEPT RBCsDevice

    Transfusion of fresh (≤14 days old) allogeneic INTERCEPT RBCs, or

    ~30 mL of INTERCEPT RBCs plus 10 mL biotinylated INTERCEPT RBCs Transfusion of fresh (≤14 days old) allogeneic INTERCEPT RBCs, in subjects with a history of antibodies to INTERCEPT RBCs.

Study groups in NCT07152379
Study groupRoleWhat they receive
Subjects with Antibodies to INTERCEPT RBC Either Naturally Acquired or Treatment EmergentExperimentalTest subjects will be selected from the pool of subjects who have documented antibodies to INTERCEPT RBC either naturally acquired (e.g., detected during a pre-transfusion enrollment screening process) or treatment-emergent following an INTERCEPT RBC transfusion. Eligible subjects may have been enrolled in either the Test or Control arms of prior studies; subjects whose randomization status is still blinded may also be enrolled in this study if they have completed the study requirements of the prior study and >120 days have elapsed since exposure to a study RBC product.
Receives: Device: 30-40 mL of INTERCEPT RBCs; Device: ~30 mL of INTERCEPT RBCs plus plus 10 mL biotinylated INTERCEPT RBCs
Subjects with history of transfusion without INTERCEPT RBC antibodiesActive comparatorControl subjects will be identified by participating study sites as individuals with a history of allogeneic transfusion(s) without a history of or currently demonstrable INTERCEPT RBC antibodies.
Receives: Device: 30-40 mL of INTERCEPT RBCs; Device: ~30 mL of INTERCEPT RBCs plus plus 10 mL biotinylated INTERCEPT RBCs

What is being measured

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

  1. Acute or delayed hemolytic transfusion reactions

    Incidence of acute or delayed hemolytic transfusion reactions (AHTR or DHTR) attributed to the study INTERCEPT RBC transfusion, based upon clinical and/or laboratory findings, using Centers for Disease Control (CDC) Hemovigilance criteria.

    Measured: 90 days

  2. Clearance

    Incidence of rapid clearance (complete clearance by Day 30) of INTERCEPT RBCs assessed by flow cytometry.

    Measured: 30 days

Secondary outcomes (7)
  1. Increase in Antibody Titer

    Incidence of ≥4-fold increase in titer of INTERCEPT RBC antibodies from baseline (≥2 doubling dilution increase in titer), indicative of a secondary immune response.

    Measured: 90 days

  2. In vivo recovery and survival kinetics

    In vivo recovery and survival kinetics of INTERCEPT RBCs (PTR24, lifespan, T50 and AUC) in the presence and absence of INTERCEPT RBC antibodies.

    In vivo recovery and survival kinetics of INTERCEPT RBCs (PTR24, lifespan, T50 and AUC) in the presence and absence of INTERCEPT RBC antibodies.

    Measured: 90 days

  3. Immunoglobulin subclass of INTERCEPT RBC-bound antibodies

    Presence of and immunoglobulin subclass of INTERCEPT RBC-bound antibodies assessed by flow cytometry.

    Measured: 90 days

  4. RBC alloantibodies or autoantibodies

    RBC alloantibodies or autoantibodies not specific to INTERCEPT RBCs that develop during the study period.

    Measured: 90 Days

  5. Antibody Characterization

    Characterization of INTERCEPT RBC antibodies before and after challenge transfusion including: titer, binding specificity, immunoglobulin class, immunoglobulin subtype, and monocyte monolayer assay test result.

    Measured: 90 Days

  6. Characterization of membrane-bound acridine

    Characterization of membrane-bound acridine (acridine molecules per RBC) over the lifespan of transfused INTERCEPT RBCs in the presence and absence of INTERCEPT RBC antibodies.

    Measured: 90 Days

  7. Comparison of AHG Crossmatch and INTERCEPT RBC antibody indirect antiglobulin test

    Percent positive/negative agreement between pre-transfusion AHG crossmatch and INTERCEPT RBC antibody indirect antiglobulin test results with undiluted as well as serially diluted subject plasma.

    Measured: Day 0

Timeline

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

  1. First posted3 Sep 2025
  2. Study start10 Oct 2026 (estimated)
  3. Primary completion30 Sep 2030 (estimated)
  4. Study completion30 Dec 2030 (estimated)

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 2
Primary purpose
Screening
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
25 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07152379
Sponsor's protocol ID
CLI 00177
Other IDs
75A50124C00046
Acronym
Challenge
Status last verified
Oct 2026
First submitted
26 Aug 2025
Last updated
14 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 30-40 mL of INTERCEPT RBCs and ~30 mL of INTERCEPT RBCs plus plus 10 mL biotinylated INTERCEPT RBCs in people with Transfusion Reaction, Hemolytic, run by Cerus Corporation at 1 site in United States.

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 12 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: opening soon, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Jen Garcia (925-288-6000, JGarcia@cerus.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Acute or delayed hemolytic transfusion reactions (time frame: 90 days). The study lists 2 primary outcomes in all. 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 14 Oct 2026.

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