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The Efficacy and Safety of Rilzabrutinib in Participants Aged 10 to 65 Years With Sickle-cell Disease

RecruitingPhase 3

A 52-week, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Flexible-adaptive, Group Sequential Study to Evaluate the Efficacy and Safety of Rilzabrutinib in Participants Aged 10 to 65 Years With Sickle-cell Disease

Who can join

Ages 10 to 65 · All sexes

Full eligibility criteria
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.

About the study

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.

What is being tested

Sponsor: Sanofi · Participants: 192 · Started: Aug 12, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06975865

Locations in the U.S.

AlabamaUniversity of Alabama at Birmingham- Site Number : 8400003, Birmingham
ArizonaPhoenix Children's Hospital- Site Number : 8400028, Phoenix
CaliforniaUniversity of California San Francisco- Site Number : 8400040, Fresno
FloridaOncology & Hematology Associates of West Broward- Site Number : 8400029, Coral Springs
Sylvester Comprehensive Cancer Center- Site Number : 8400020, Miami
IllinoisUniversity of Illinois-Chicago - College of Medicine- Site Number : 8400054, Chicago
IndianaIndiana University Health Riley Hospital for Children- Site Number : 8400056, Indianapolis
LouisianaLouisiana State University Health Sciences Center - Shreveport- Site Number : 8400037, Shreveport
MarylandUniversity of Maryland School of Medicine - Baltimore- Site Number : 8400041, Baltimore
MichiganUniversity of Michigan Health System - Ann Arbor- Site Number : 8400035, Ann Arbor
MississippiSouthern Specialty Research- Site Number : 8400059, Flowood
New YorkRichmond University Medical Center- Site Number : 8400038, Staten Island
Montefiore Medical Center - Moses Campus- Site Number : 8400057, The Bronx
South CarolinaPrisma Health- Site Number : 8400051, Greenville
TexasBaylor College of Medicine- Site Number : 8400055, Houston
VirginiaVCU Massey Cancer Center: Dalton Oncology Clinic- Site Number : 8400012, Richmond

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.