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RecruitingNCT06021977Updated Nov 29, 2023

The Safety and Efficacy of Zanubrutinib in Refractory/Relapsed Autoimmune Hemolytic Anemia

A Phase 2 interventional study of Zanubrutinib in Refractory/Relapsed Autoimmune Hemolytic Anemia, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Recruiting at 1 site in China. Open to participants aged 6 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-11-29.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as recruiting.
  • Started Sep 2023; still recruiting 3 years 2 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
6 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Anemia, Hemolytic, Autoimmune by Institute of Hematology & Blood Diseases Hospital, China — 8 open to participants now, 12 under way, none of them phase 3. Anemia, Hemolytic, Autoimmune · Institute of Hematology & Blood Diseases Hospital, China.

Planned enrollment
2nd of 11
33 · median 12
Started
2023
with 1 other
Phase 2
3 of 15
1 open now
Primary completion
2025-09
later than 2 of 11 live
Registered
5th of 15
by date

Among the 15 studies in Anemia, Hemolytic, Autoimmune by Institute of Hematology & Blood Diseases Hospital, China, this one is the 2nd largest by planned enrollment of the 11 interventional ones that give a count, is one of 2 that started in 2023, is one of 3 in phase 2, reaches primary completion later than 2 of the 11 other live ones, and was the 5th 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

8 of the 15 studies in Anemia, Hemolytic, Autoimmune by Institute of Hematology & Blood Diseases Hospital, China are open now, in 1 country. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 8 open studies →

Where they have run

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: 6 Years to 70 Years · all sexes · no healthy volunteers.

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02

Study summary

The sample size of this study is calculated based on Simon's two-stage design. The first stage of the study enrolled a cohort of 12 patients. If after 12 weeks at least 6 patients achieved a response, then enrollment was expanded to a total of 26 patients. The null hypothesis was unaccepted if more than 14 of 26 patients achieved the response. Accounting for a 20% dropout rate, the estimated final sample size was 33 patients.

03

Conditions studied

  • Refractory/Relapsed Autoimmune Hemolytic Anemia
04

Who can participate

Ages eligible
6 Years to 70 Years
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

  • Age from 6 to 70
  • Diagnosis of Coombs-negative AIHA
  • Diagnosis of warm AIHA, mixed AIHA or Evans syndrome.
  • Meets the criteria of AIHA
  • ≤ 3
  • Willing and able to comply with the requirements for this study and written .

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of any of the following diseases: Cold agglutinin disease, cold agglutinin syndrome, mixed AIHA, paroxysmal cold hemoglobinuria (PCH).
  • Diagnosis of active stage of connective tissue disease.
  • History of lymphoproliferative tumors or any other malignant.
  • Diagnosis of other inherited or acquired hemolytic diseases.
  • Secondary AIHA caused by drugs or infection.
  • Previously received organ or stem cell transplantation.
  • History of thrombosis or organ infarction.
  • Received rituximab within 8 weeks before enrollment.
  • Previously treated with BTK inhibitor ≥ 2 weeks.
  • Received low-molecular-weight heparin or warfarin within 1 week before enrollment and need to continue the drug treatment.
  • Received Enzyme Inhibitors or Inducers within 1 week before enrollment and need to continue the drug treatment.
  • Uncontrolled systemic fungal, bacterial, or viral infection (defined as ongoing signs/symptoms related to the infection without improvement despite appropriate antibiotics, antiviral therapy, and/or other treatment), known (HIV), known evidence of active infectious , and/or known evidence of active .
  • Any severe and/or uncontrolled medical conditions: hypertension, cardiac diseases, renal diseases, liver diseases and metabolic diseases, etc.
  • History of mental illness.
  • Participation in another clinical trial within 4 weeks before the start of this trial.
  • Pregnant or breast-feeding patients.
  • Patients considered ineligible for the study by the investigator for reasons other than the above.
Terms in these criteria, in plain language(8)

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

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.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

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

Study arms

  • Experimental
    Zanubrutinib

    Each recruited subject will accept Zanubrutinib treatment.

    Drug: Zanubrutinib

Interventions

  • Zanubrutinib was specifically designed to deliver complete and sustained inhibition of the BTK protein by optimizing bioavailability, half-life, and selectivity.

06

What researchers measure

Primary outcomes

  1. Overall response rate

    The percentage of patients achieved complete response, complete response with incomplete hemolysis recovery, and partial response.

    Time frame: within 12 weeks

Secondary outcomes

  1. Incidence of adverse events and severe adverse events

    Time frame: within 24 weeks

  2. Relapse free survival rate

    Time frame: within 48 weeks

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2023 (actual). Primary completion is estimated for Sep 2025, 24 months after the start.

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

Registered
Aug 27, 2023
First posted
Sep 1, 2023
StartActual
Sep 1, 2023
Primary completionEst.
Sep 30, 2025
CompletionEst.
Dec 31, 2025
Last update
Nov 29, 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 Nov 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06021977
Responsible party
Fang Liwei (Principal Investigator of Regenerative Medical Center, Institute of Hematology & Blood Diseases Hospital, China) — Principal investigator
First posted
Sep 1, 2023
Start date
Sep 1, 2023
Primary completion
Sep 30, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Nov 29, 2023

Study contacts

Weiwang Li, PhD
Contact
liweiwang@ihcams.ac.cn
15332132036
Jingyu Zhao, MPH
Contact
zhaojingyu@ihcams.ac.cn
13752253515
Liwei Fang, MD
principal investigator · Institute of Hematology & Blood Diseases Hospital, China

Oversight

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

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