ClinicalTrials.gg
RecruitingNCT05694312Updated Dec 1, 2023

Ibrutinib for the Treatment of AIHA in Patients With CLL/SLL or CLL-like MBL

A Phase 2 interventional study of Ibrutinib 420 mg in Autoimmune Hemolytic Anemia, Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma, sponsored by Gruppo Italiano Malattie EMatologiche dell'Adulto. Recruiting at 3 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-01.

Sponsored by Gruppo Italiano Malattie EMatologiche dell'Adulto · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 6 months ago, but the record still lists the study as recruiting.
  • Started Nov 2023; still recruiting 2 years 11 months later.

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Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 22 studies in Anemia, Hemolytic, Autoimmune with a site in Italy — 4 open to participants now, 9 under way, 5 of them phase 3. Anemia, Hemolytic, Autoimmune · Italy.

Planned enrollment
7th of 20
45 · median 25
Started
2023
with 2 others
Phase 2
7 of 22
1 open now
Registered
17th of 22
by date
Lead sponsor
2 of 22
Gruppo Italiano Malattie EMatologiche dell'Adulto

Among the 22 studies in Anemia, Hemolytic, Autoimmune with a site in Italy, this one is the 7th largest by planned enrollment of the 20 interventional ones that give a count, is one of 3 that started in 2023, is one of 7 in phase 2, and was the 17th registered.

Anemia, Hemolytic, Autoimmune

103 studies on the registry are indexed under Anemia, Hemolytic, Autoimmune; 39 are open to participants now.

Browse Anemia, Hemolytic, Autoimmune studies →

Open to participants now

4 of the 22 studies in Anemia, Hemolytic, Autoimmune with a site in Italy are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 24 Anemia, Hemolytic, Autoimmune studies recruiting now, 12 (50%) set no upper age limit and 10 (42%) stop at 75 or younger; 5 take children under 18; none take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is a multicenter, single arm, phase II study aimed at evaluating ibrutinib therapy for the treatment of AIHA in patients with CLL/SLL or CLL-like MBL.

Read the detailed description

This is a multicenter, phase II study to assess the efficacy of ibrutinib for the treatment of AIHA in adult patients with CLL/SLL or CLL-like MBL.

Patients will receive ibrutinib 420 mg/day PO for up to 12 cycles of 28 days in the absence of CLL progression or unacceptable toxicity. Every patient will be followed-up for 1 year after the completion of study treatment.

03

Conditions studied

  • Autoimmune Hemolytic Anemia
  • Chronic Lymphocytic Leukemia
  • Small Lymphocytic Lymphoma
  • Monoclonal B-Cell Lymphocytosis CLL-Type
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Diagnosis of CLL/small lymphocytic lymphoma (SLL) or CLL-like monoclonal B-cell lymphocytosis (MBL) according to IWCLL guidelines.
  2. Patients >18 years old
  3. Active AIHA (wAIHA or CAD) that i) is after previous treatment with (with or without rituximab), or ii) is steroid-resistant (failure to obtain hematologic response within 3 weeks on at least 1 mg/kg predniso(lo)ne), or iii) is steroid-dependent (need to continue on predniso(lo)ne at a dose of >10 mg/day to maintain a response). AIHA is defined as: anemia ( ≤10 g/dL; or hemoglobin >10 g/dL dependent on transfusions to maintain this level of hemoglobin) and laboratory evidence of hemolysis (presence of 3 of 4 markers: increased reticulocyte count, increased indirect , increased lactate dehydrogenase, decreased haptoglobin) and positive DAT (either IgG DAT, C3 DAT or both).
  4. Eligibility of patients with DAT-negative active AIHA should be confirmed by the Principal Investigator and co-Principal Investigator for the trial.
  5. Signed written according to ICH/EU/GCP and national local laws.

Exclusion criteria

Exclusion Criteria:

  1. to ibrutinib therapy as per treating physician's discretion.
  2. Contraindication to ibrutinib therapy as per ibrutinib data sheet (severe hepatic impairment, known allergy to the drug or to one of the , concomitant treatment with warfarin or other vitamin K antagonists).
  3. Previous exposure to ibrutinib as CLL-directed therapy.
  4. Other CLL/SLL- or AIHA-directed treatment at the time of enrollment in the study, other than .
  5. Female patients who are currently in pregnancy or are willing to be pregnant or are lactating.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    Ibrutinib

    Patients will receive ibrutinib 420 mg/day orally for up to 12 cycles of 28 days.

    Drug: Ibrutinib 420 mg

Interventions

  • Patients will receive ibrutinib orally on days 1-28. Treatment repeats every 28 days for up to 12 cycles in the absence of CLL progression or unacceptable toxicity.

06

What researchers measure

Primary outcomes

  1. Ibrutinib efficacy in terms of Overall response rate

    Evaluation of the efficacy of ibrutinib therapy for the treatment of AIHA in patients with CLL/SLL or CLL-like MBL in terms of percentage of patients who achieved response (CR + PR)

    Time frame: at month 6

07

Study locations

3 of 3 sites recruiting
  • Ematologia Osp Careggi
    Firenze, Italy
    Recruiting
    • Alessandro Sanna · Contact
  • Ematologia Osp Maggiore della Carità
    Novara, Italy
    Recruiting
    • Riccardo Moia · Contact
  • Ematologia Osp Molinette
    Torino, Italy
    Recruiting
    • Marta Coscia · Contact
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2023 (actual). Primary completion is estimated for May 2025, 18 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 12, 2023
First posted
Jan 23, 2023
StartActual
Nov 24, 2023
Primary completionEst.
May 2025
CompletionEst.
Nov 2026
Last update
Dec 1, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05694312
Responsible party
Sponsor
First posted
Jan 23, 2023
Start date
Nov 24, 2023
Primary completion
May 2025 (estimated)
Completion
Nov 2026 (estimated)
Last update
Dec 1, 2023

Study contacts

Paola Fazi
Contact
p.fazi@gimema.it
0670390528
Enrico Crea
Contact
e.crea@gimema.it
0670390514

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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