ClinicalTrials.gg
Enrolling by invitationNCT06723106Updated Jul 17, 2026

Phase 1b Long-term Extension Trial of RAY121 in Immunological Diseases (RAINBOW-LTE Trial)

A Phase 1 interventional study of RAY121 in Antiphospholipid Syndrome (APS), Bullous Pemphigoid (BP) and Behçet's Syndrome (BS), sponsored by Chugai Pharmaceutical. Enrolling by invitation at 62 sites in 19 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-07-17.

Sponsored by Chugai Pharmaceutical (part of Hoffmann-La Roche) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
144
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
All
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Study summary

This is a long-term extension trial of RAY121 in patients with immunological diseases such as antiphospholipid syndrome (APS), bullous pemphigoid (BP), Behçet's Syndrome (BS), dermatomyositis (DM), immune-mediated necrotizing myopathy (IMNM) and immune thrombocytopenia (ITP).

02

Conditions studied

  • Antiphospholipid Syndrome (APS)
  • Bullous Pemphigoid (BP)
  • Behçet's Syndrome (BS)
  • Dermatomyositis (DM)
  • Immune-mediated Necrotizing Myopathy (IMNM)
  • Immune Thrombocytopenia (ITP)
03

In context

Antiphospholipid Syndrome

121 studies on the registry are indexed under Antiphospholipid Syndrome; 52 are open to participants now.

This study's planned enrollment of 144 is above the median of 41 across 65 interventional studies indexed under Antiphospholipid Syndrome.

Browse Antiphospholipid Syndrome studies →

Lead sponsor

Chugai Pharmaceutical is the lead sponsor of 63 studies on the registry; 7 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

First submitted after Chugai Pharmaceutical became part of Hoffmann-La Roche.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 85 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

  1. Signed form
  2. Have completed 4 doses of RAY121 administrations in RAY902CT trial and shown clinical responses
  3. Ability to comply with the study protocol, in the investigator's judgment
  4. For women of : agreement to remain abstinent (refrain from heterosexual intercourse) or use highly effective methods during the treatment period and 20 weeks (140 days) after the last dose of RAY121
  5. For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm

Exclusion criteria

Exclusion Criteria:

  1. History of anaphylaxis or to a biologic agent
  2. Known active infection with encapsuled bacteria
  3. History of Neisseria meningitidis infection
  4. Planned surgery
  5. Pregnant or breastfeeding, or intending to become pregnant
  6. abnormalities
  7. Illicit drug or alcohol abuse
  8. Known or suspected immune deficiency
  9. Treatment with therapy other than RAY121
  10. Vaccination with a within 4 weeks
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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
144 participants (estimated)

Study arms

  • Experimental
    RAY121

    All enrolled patients will receive RAY121 multiple dose

    Drug: RAY121

Interventions

  • DrugRAY121

    Injection

06

What researchers measure

Primary outcomes

  1. Adverse events (AEs)

    Incidence, severity, and causal relationship of AEs

    Time frame: Baseline to Week 52

Secondary outcomes

  1. RAY121 concentration

    Serum RAY121 concentration

    Time frame: Baseline to Week 52

  2. Change from baseline in active C1s

    Concentration of active C1s will be measured and assessed against baseline values

    Time frame: Baseline to Week 52

  3. Change from baseline in total C1s

    Concentration of total C1s will be measured and assessed against baseline values

    Time frame: Baseline to Week 52

  4. Change from baseline in complement activity (classical pathway)

    Level of complement activity (classical pathway) will be measured and assessed against baseline values

    Time frame: Baseline to Week 52

  5. Anti-RAY121 antibodies

    Titer of anti-RAY121 antibodies

    Time frame: Baseline to Week 52

07

Study locations

62 sites
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers may request access to individual patient level data through the clinical study data request platform. For further details on Chugai's Data Sharing Policy and how to request access to related clinical study documents, see here (www.chugai-pharm.co.jp/english/profile/rd/ctds_request.html).

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06723106
Responsible party
Sponsor
First posted
Dec 9, 2024
Start date
Dec 9, 2024
Primary completion
Feb 28, 2028 (estimated)
Completion
Feb 28, 2028 (estimated)
Last update
Jul 17, 2026

Study contacts

Sponsor Chugai Pharmaceutical Co.Ltd
study director · clinical-trials@chugai-pharm.co.jp

Oversight

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

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No contact was published for this record. The registry link below has the sponsor’s details.

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