Study Description
The purpose of this study is to evaluate efficacy and safety of ianalumab compared to placebo in patients with warm autoimmune hemolytic anemia, who failed at least one line of treatment. The primary objective is to demonstrate that either dose of ianalumab induces a durable hemoglobin response compared to placebo in patients with wAIHA.
The key secondary objective is to demonstrate that either dose of ianalumab maintains a durable hemoglobin response that is sustained beyond end of the treatment period, compared to placebo.
Participants are randomized to two different doses of ianalumab or placebo. Participants who were assigned to placebo arm and not responding to treatment may be treated with open label ianalumab using the higher dose.
The investigational treatment will be supplied in a double-blinded manner. For the open label period, ianalumab will be provided in an open label manner.
In addition to the randomized treatment (ianalumab or placebo), specific supportive care medication as defined in the protocol is allowed. If clinically indicated (e.g., to ensure patient safety), the treating physician may also administer rescue medication.
The study consists of the treatment period, efficacy and safety follow-up periods. The visit frequency will be every other week during the treatment and primary endpoint follow up period; for safety monitoring monthly during the first 20 weeks after last dose and afterwards quarterly up to 2 years from the last dose. For participants in durable response, additional visits for efficacy will occur monthly during the first 2 years after the last dose, and afterwards quarterly until loss of response or end of study, latest until up to 39 months post randomization of the last participant.
Interventions
Ianalumab
Placebo
Eligibility Criteria
Key Inclusion Criteria:
* 18 years and older at time of signing consent
* Patients with primary or secondary wAIHA documented by positive direct antiglobulin test specific for anti-IgG or anti-IgA, who had an insufficient response to, or relapsed after at least one line of treatment, including patients with steroid resistance, dependence or intolerance
* Hemoglobin concentration at screening and at Week 1 \>=5 g/dL and \<10 g/dL, associated with presence of symptoms related to anemia
* The dose of supportive care must be stable for at least 4 weeks prior to randomization into the study
Key Exclusion Criteria:
* wAIHA secondary to hematologic disease involving bone marrow (e.g., CLL) or another immunologic disease requiring prohibited medication as per protocol. Patients with autoimmune diseases after wash-out from the treatments are allowed.
* Presence of other forms of AIHA (cold or intermediate forms), Evans Syndrome or other cytopenias
* Prior use of B-cell depleting therapy (e.g., rituximab) within 12 weeks prior to randomization, or without hematological response to the last course of B-cell depleting therapy
* Neutrophils: \<1000/mm3
* Serum creatinine \>1.5 × upper limit of normal (ULN)
* Immunoglobulin G (IgG) \<5g/L
* Active viral, bacterial or other infections (including tuberculosis and SARS-CoV-2) requiring systemic treatment at time of screening, or history of recurrent clinically significant infection
* Positivity for hepatitis C virus, hepatitis B surface antigen (HBsAg), or hepatitis B core antibody (HBcAb). HBcAb positive patients can be enrolled if HBsAg negative, HBV DNA negative, no pre-existing liver fibrosis is present and antiviral prophylaxis is given.
* Known history of primary or secondary immunodeficiency, or a positive human immune deficiency virus (HIV) test result
* Live or live-attenuated vaccination within 4 weeks before randomization
* History of splenectomy
Other protocol-defined Inclusion/Exclusion may apply.
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Caba,Buenos Aires,C1414drk,Argentina
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Ciudad Autonoma de Bs As,Buenos Aires,C1015abo,Argentina
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Buenos aires,C1039aac,Argentina
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Canberra,Australian Capital Territory,2605,Australia
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Melbourne,Victoria,3004,Australia
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Tianjin,300020,China
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Guangzhou,Guangdong,510515,China
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Tianjin,300052,China
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Wuhan,Hubei,430022,China
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Suzhou,Jiangsu,215004,China
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Kunming,Yunnan,650101,China
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Hangzhou,Zhejiang,310003,China
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Dalian,116000,China
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Nantes Cedex 1,44093,France
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Nice,06202,France
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Blois Cedex,41000,France
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Toulouse,31059,France
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Caen,14033,France
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Vandoeuvre Les Nancy,54511,France
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Creteil,94010,France
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Le Mans,72000,France
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Lille,59037,France
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Frankfurt,60590,Germany
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Giessen,35392,Germany
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Hannover,30161,Germany
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Dresden,01307,Germany
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Essen,45147,Germany
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Debrecen,4032,Hungary
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New Delhi,110029,India
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Madurai,TamilNadu,625107,India
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Hyderabad,Telangana,500082,India
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Afula,1834111,Israel
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Kfar Saba,44281,Israel
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Petach Tikva,4941492,Israel
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Zerifin,7030000,Israel
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Bassano Del Grappa,Vicenza,36061,Italy
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Bari,BA,70124,Italy
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Novara,28100,Italy
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Milano,MI,20100,Italy
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Milano,MI,20122,Italy
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Avellino,AV,83100,Italy
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Isehara,Kanagawa,259-1193,Japan
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Suita,Osaka,565 0871,Japan
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Narita,Chiba,286-8523,Japan
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Itabashi-ku,Tokyo,173-8610,Japan
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Matsuyama-city,Ehime,790-0024,Japan
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Shinjuku Ku,Tokyo,160-0023,Japan
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Fukuoka city,Fukuoka,812-8582,Japan
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Aomori,030 8553,Japan
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Gifu-city,Gifu,501-1194,Japan
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Yamagata,990 9585,Japan
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Kobe,Hyogo,650-0047,Japan
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Kuching,Sarawak,93586,Malaysia
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Johor Bahru,80100,Malaysia
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Penang,10050,Malaysia
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Pulau Pinang,10990,Malaysia
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Selangor,68000,Malaysia
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Murcia,30008,Spain
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Taoyuan,33305,Taiwan
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London,E1 1bb,United Kingdom
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London,W12 0hs,United Kingdom
Parkview Research Center
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Fort Wayne,Indiana,46845,United States
Jeffrey Letzer
Inspira Medical Cent Mullica Hill
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Mullica Hill,New Jersey,08062,United States
Erev Tubb
NorthShore University Health System
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Evanston,Illinois,60201,United States
Amy Wang
Fred Hutchinson Cancer Center
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Seattle,Washington,98109,United States
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Montefiore Medical Center
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Bronx,New York,10461,United States
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Michigan Center of Medical Research
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Farmington Hills,Michigan,48334,United States
Faisal Musa
University of Colorado Anschutz
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Aurora,Colorado,80045,United States
George Gemlyn
University of Minnesota Med Center
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Minneapolis,Minnesota,55455,United States
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Marshall Mazepa
STAT Research Inc
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Dayton,Ohio,45402,United States
Charles Bane
Napa Research
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Margate,Florida,33063,United States
Emilio Araujo-Mino
Maria Marin
Texas Oncology-Baylor Scott and White
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Dallas,Texas,75231,United States
Moshe Yair Levy
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