A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy and Safety of Sutimlimab in Patients With Primary Cold Agglutinin Disease Without a Recent History of Blood Transfusion

Who is this study for? Adult patients with Cold Agglutinin Disease
What treatments are being studied? Sutimlimab
Status: Completed
Location: See all (53) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 3
SUMMARY

The purpose of Part A was to determine whether sutimlimab administration resulted in a greater than or equal to (\>=)1.5 grams per deciliter (g/dL) increase in hemoglobin (Hgb) level and avoidance of transfusion in participants with primary cold agglutinin disease (CAD) without a recent history of blood transfusion. The purpose of Part B was to evaluate the long-term safety and tolerability of sutimlimab in participants with primary CAD.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Body weight of \>=39 kg at screening.

• Confirmed diagnosis of primary CAD based on the following criteria: a) Chronic hemolysis, b) Polyspecific direct antiglobulin test (DAT) positive, c) Monospecific DAT strongly positive for C3d, d) Cold agglutinin titer \>= 64 at 4 degree Celsius, and e) Immunoglobulin G DAT less than or equal to (\<=) 1+, and, f) No overt malignant disease.

• Hemoglobin level \<= 10.0 g/dL.

• Bilirubin level above the normal reference range, including participants with Gilbert's Syndrome.

Locations
United States
Arizona
Arizona Oncology Associates PC
Tucson
California
USC/Keck School of Medicine
Los Angeles
Washington, D.c.
Georgetown University Medical Center
Georgetown
Florida
Cleveland Clinic Florida
Weston
Massachusetts
Brigham and Women's Hospital
Boston
Massachusetts General Hospital
Boston
Missouri
Washington University School of Medicine
Saint Louis
North Carolina
East Carolina University
Greenville
New York
Montefiore Medical Center
New York
New York Medical College at Westchester Medical Center
Valhalla
Ohio
Cleveland Clinic
Cleveland
Pennsylvania
Hospital of the University of Pennsylvania
Philadelphia
University of Pittsburgh Medical Center
Pittsburgh
Wisconsin
UW Hospitals and Clinics
Madison
Other Locations
Australia
Ballarat Oncology & Haematology
Ballarat
USC Health Clinics
Buderim
Monash Medical Centre
Clayton
Perth Blood Institute
West Perth
Austria
Medical University of Vienna
Vienna
Belgium
ZNA Stuivenberg
Antwerpen
University Hospitals Leuven
Leuven
Canada
McGill University Health Center
Montréal
St. Michael's Hospital
Toronto
France
CHU d'Angers
Angers Cedex 9
Hôpital de Caen
Caen
Centre Hospitalier Henri Mondor
Créteil
Centre Hospitalier Lyon Sud
Pierre-bénite
Germany
Gemeinschaftspraxis Hämatologie-Onkologie
Dresden
Universitätsklinikum Essen
Essen
Univ Ulm, Inst Klin. Transfusions. Immungen
Ulm
Israel
Hadassah Medical Center
Jerusalem
Laniado Hospital
Netanya
Italy
A. O. Spedali Civili di Brescia
Brescia
Fondazione IRCSS Ca' Granda Ospedale Maggiore Policlinico
Milan
U.O.C. Ematologia- Policlinico A. Gemelli
Rome
U.O.C. Ematologia Ospedale San Bortolo
Vicenza
Japan
Japanese Red Cross Society Himeji Hospital
Himeji
Saitama Medical University Hospital
Iruma-gun
Tokai University Hospital
Isehara
Ishikawa Prefectural Central Hospital
Kanazawa
Aichi Medical University Hospital
Nagakute
Osaka University Hospital
Suita
Netherlands
Academisch Medisch Centrum
Amsterdam
Leids Universitair Medisch Centrum
Leiden
Norway
Haukeland University Hospital
Bergen
St Olavs Hospital, Avdeling for blodsykdommer
Trondheim
Spain
Hospital Clinci i Provincial de Barcelona
Barcelona
Hospital Universitario Puerta de Hierro
Majadahonda
Hospital Universitario Virgen del Rocio
Sevilla
Hospital Universitario Dr. Peset
Valencia
United Kingdom
St James Hospital, Leeds
Leeds
Imperial College Healthcare NHS Trust, Hammersmith Hospital
London
University College London
London
Time Frame
Start Date: 2018-03-17
Completion Date: 2021-12-03
Participants
Target number of participants: 42
Treatments
Experimental: BIVV009/BIVV009
Participants with primary CAD and without a recent history of blood transfusion during the last 6 months prior to enrollment in this study, received an intravenous (IV) infusion of BIVV009 6.5 g (for participants less than \[\<\]75 kilograms \[kg\]) or 7.5 g dose (for participants greater than or equal to \[\>=\]75 kg) on Day 0 and Day 7 and every 14 days thereafter in Part A up to Week 25. Participants who completed Part A per protocol through the end of treatment visit (Week 26), received placebo on Week 26 and continued to receive BIVV009 6.5 or 7.5 g in Part B, every 2 weeks starting at Week 27 for up to an additional 149 weeks (for 6.5 g) or 121 weeks (for 7.5 g). All participants who completed Part A elected to continue in Part B.
Experimental: Placebo/BIVV009
Participants with primary CAD and without a recent history of blood transfusion during the last 6 months prior to enrollment in this study, received an IV infusion of placebo matched to BIVV009 on Day 0 and Day 7 and every 14 days thereafter in Part A up to Week 25. Participants who completed Part A per protocol through the end of treatment visit (Week 26) received BIVV009 6.5 (if \<75 kg) or 7.5 g (if \>=75 kg) in Part B, on Week 26 and Week 27 and every 2 weeks thereafter for up to an additional 123 weeks (for 6.5 g) or 137 weeks (for 7.5 g). All participants who completed Part A elected to continue in Part B.
Sponsors
Leads: Bioverativ, a Sanofi company

This content was sourced from clinicaltrials.gov