ClinicalTrials.gg
RecruitingNCT07712562BMFUpdated Nov 4, 2026

A Phase 1/2 Study to Evaluate the Safety and Efficacy of Dibotatug (DR-01) in Adults With Bone Marrow Failure Syndromes

A Phase 1/2 interventional study of Dibotatug (DR-01) in Bone Marrow Failure Syndromes, Aplastic Anemias and Severe Aplastic Anemia (SAA), sponsored by Dren Bio. Recruiting at 10 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-04.

Primary conditionAnemia, AplasticRegistry: Bone Marrow Failure DisordersReclassifiedWhy we changed it
Registry
Bone Marrow Failure Disorders — the first condition term the registry derived for this study.
ClinicalTrials.gg
Anemia, Aplastic
Why
  1. The study's listed conditions name Anemia, Aplastic, a narrower term within Bone Marrow Failure Disorders.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Dren Bio · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Updated Nov 4, 2026Now RecruitingSite recruiting status changedGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, open-label, Phase 1/2 basket study to evaluate the safety and efficacy of Dibotatug (DR-01) in adults with Bone Marrow Failure syndromes.

Read the detailed description

Study DR-01-HEM-001 is an open-label Phase 1/2 study evaluating the safety and efficacy of dibotatug in adult patients with BMF syndromes. Participants will be enrolled across three cohorts. Cohort A includes refractory Severe Aplastic Anemia participants, Cohort B includes relapsed Severe Aplastic Anemia participants, and Cohort C includes relapsed or refractory transfusion dependent Nonsevere Aplastic Anemia participants. Stage 1 will evaluate the safety and preliminary efficacy in at least 12 evaluable participants, and if deemed appropriate by a Safety Review Committee, the study will continue to enroll in Stage 2 for a total of up to 60 total participants (approximately 20 in each cohort).

02

Conditions studied

  • Bone Marrow Failure Syndromes
  • Aplastic Anemias
  • Severe Aplastic Anemia (SAA)
  • Severe Aplastic Anemia, Relapse
  • Severe Aplastic Anemia, Refractory
  • Non-severe Aplastic Anemia

Keywords

  • DR-01
  • Dibotatug
  • aplastic anemia
  • transfusion dependent
  • hematologic diseases
  • hematology
  • Blood disorder
  • pancytopenia
  • stem cell disorder
  • red blood cell disease
  • white blood cell disease
03

In context

Anemia, Aplastic Reclassified

371 studies on the registry are indexed under Anemia, Aplastic; 98 are open to participants now.

This study's planned enrollment of 60 is above the median of 37 across 281 interventional studies indexed under Anemia, Aplastic.

Browse Anemia, Aplastic studies →

Lead sponsor

Dren Bio is the lead sponsor of 7 studies on the registry; 4 are open to participants now.

Compared within Anemia, Aplastic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Bone Marrow Failure Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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

  • Age ≥ 18 years old
  • Women of and males must agree to use 2 methods of effective , with at least 1 method being highly effective.

Inclusion Criteria for Severe Aplastic Anemia (SAA) (Cohorts A and B):

  • Participants with SAA must have a current or prior diagnosis of SAA or very SAA.

Inclusion Criteria for Severe Aplastic Anemia (Cohort A) Participants with refractory SAA must have:

  • Received one ≥ 3-month course of ATG and/or CSA-based IST.
  • Refractory SAA, defined as failure to achieve CR or PR ≥ 3 months after starting ATG and/or CSA-based IST.

Inclusion Criteria for Relapsed Severe Aplastic Anemia (Cohort B):

  • Relapsed SAA, defined as relapse following a CR or PR that was achieved ≥ 3 months after starting ATG- and/or cyclosporine A (CSA)-based IST.

Inclusion Criteria for Relapsed or Refractory Transfusion-Dependent Non-Severe Aplastic Anemia (Cohort C):

  • Current or prior diagnosis of NSAA
  • No current or prior diagnosis of SAA.
  • Received at least 1 prior course of IST such as ATG- or CSA, with or without a TPO-R agonist (lasting ≥ 3 months).
  • Meets criteria for transfusion dependence (either RBC or ):
  • RBC transfusion dependence: transfusion of ≥ 2 units of RBCs in the past 56 days
  • Platelet transfusion dependence: transfusion of ≥ 1 unit of apheresis platelets in the past 28 days

Participants entering the Extension Treatment Period must meet the following criteria:

  • Signed form (ICF) for the Extension Treatment Period.
  • CR or PR by Week 24 during the Main Treatment Period

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of Fanconi anemia, dyskeratosis congenita, or other congenital BMF syndrome.
  • Prior HCT.
  • Planning to receive HCT as treatment for AA.
  • Evidence of a clonal disorder with poor risk cytogenetics per Revised International Prognostic Scoring System (IPSS-R) for MDS.
  • Diagnosis of PNH or a clonal hematologic bone marrow disorder such as LGLL. Existence of PNH clones, LGLL cells, or clonal hematopoiesis of indeterminate potential (CHIP) clones without a clinical diagnosis is not exclusionary.
  • Use of a T-cell depleting agent (e.g., ATG, alemtuzumab, thymoglobulin) within 3 months prior to Day 1.
  • Use of a B-cell depleting agent (e.g., rituximab, ocrelizumab, ofatumumab, ublituximab) within 28 days prior to Day 1.
  • Use of any of the following within 14 days of Day 1, unless used as an established therapy at screening and there is evidence of either progressive cytopenia or lack of count improvement over the 3 months before screening:
  • Calcineurin inhibitor (e.g., cyclosporine), TPO-R agonist (e.g., eltrombopag), Androgen (e.g., danazol), Oral Janus kinase (JAK) inhibitor
  • Regardless of their use as an established therapy at screening, use of the above medications is prohibited for all participants from 3 months after Day 1.
  • Current infection not adequately responding to appropriate therapy or requiring hospitalization.
  • Current uncontrolled or invasive infection with cytomegalovirus (CMV), Epstein Barr virus (EBV), varicella zoster virus (VZV), herpes simplex virus (HSV), or human T-lymphotropic virus-1 (HTLV-1), defined by polymerase chain reaction (PCR) at screening. Note that low level CMV, EBV, or VZV viremia is not exclusionary.
  • (HIV) infection.
  • Current or prior infection with virus (HBV)
  • Current virus (HCV) infection
  • Latent tuberculosis (TB) infection as indicated by IFN-γ release assay without documentation of appropriate treatment (appropriate therapy as defined by the World Health Organization [WHO] and/or the United States Centers for Disease Control and Prevention).
  • Estimated \< 30 mL/min/1.73 m2 at screening (using the Chronic Kidney Disease Epidemiology Collaboration formula; Levey 2009).
  • Total > 1.5 × (ULN) (> 3 × ULN if known Gilbert's disease).
  • or alanine aminotransferase > 2.5 × ULN (except in participants with known iron overload).
Terms in these criteria, in plain language(12)

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.

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.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Dibotatug (DR-01)

    Subjects in this arm will receive 20 weeks of dosing with dibotatug. Subjects with a CR or PR by Week 24 have the option to continue dosing through Week 48; Dibotatug will be administered via IV infusion.

    Drug: Dibotatug (DR-01)

Interventions

06

What researchers measure

Primary outcomes

  1. Overall Response Rate of Dibotatug (defined as proportion of subjects with a Complete Response or Partial Response) [Efficacy]

    Overall Response Rate (ORR), defined as the proportion of subjects with Complete Response (CR) or Partial Response (PR) based on disease-specific response criteria.

    Time frame: By 6 months

  2. Incidence and severity of adverse events as assessed by CTCAE v6.0 [Safety and Tolerability]

    Incidence and severity of adverse events as assessed by CTCAE v6.0.

    Time frame: 52 weeks

07

Study locations

2 of 10 sites recruiting
  • Dren Investigational Site
    Duarte, California 91010, United States
    Not yet recruiting
  • Dren Investigational Site
    Palo Alto, California 94304, United States
    Not yet recruiting
  • Dren Investigational Site
    Miami, Florida 33136, United States
    Not yet recruiting
  • Dren Investigational Site
    Atlanta, Georgia 30342, United States
    Recruiting
  • Dren Investigational Site
    New York, New York 10065, United States
    Recruiting
  • Dren Investigational Site
    Cleveland, Ohio 44195, United States
    Not yet recruiting
  • Dren Investigational Site
    Columbus, Ohio 43210, United States
    Not yet recruiting
  • Dren Investigational Site
    Houston, Texas 77030, United States
    Not yet recruiting
  • Dren Investigational Site
    Fairfax, Virginia 22031, United States
    Not yet recruiting
  • Dren Investigational Site
    Seattle, Washington 98109, United States
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Aug 2026 (actual). Primary completion is estimated for Apr 2029, 32 months after the start.

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

Registered
Jul 14, 2026
First posted
Jul 17, 2026
StartActual
Aug 14, 2026
Primary completionEst.
Apr 2029
CompletionEst.
Oct 2030
Last update
Nov 4, 2026
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.
Status
Not yet recruiting→Recruiting
changed Nov 4, 2026
Sites
10 sites changed recruiting status (8 now not yet recruiting, 2 now recruiting)
Show 10 sites
  • Dren Investigational Site · Duarte, United Statesno status→Not yet recruiting
  • Dren Investigational Site · Palo Alto, United Statesno status→Not yet recruiting
  • Dren Investigational Site · Miami, United Statesno status→Not yet recruiting
  • Dren Investigational Site · Atlanta, United Statesno status→Recruiting
  • Dren Investigational Site · New York, United Statesno status→Recruiting
  • Dren Investigational Site · Cleveland, United Statesno status→Not yet recruiting
  • Dren Investigational Site · Columbus, United Statesno status→Not yet recruiting
  • Dren Investigational Site · Houston, United Statesno status→Not yet recruiting
  • Dren Investigational Site · Fairfax, United Statesno status→Not yet recruiting
  • Dren Investigational Site · Seattle, United Statesno status→Not yet recruiting
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    Not yet recruiting→Recruiting
    10 sites changed recruiting status (8 now not yet recruiting, 2 now recruiting)
    Show 10 sites
    • Dren Investigational Site · Duarte, United Statesno status→Not yet recruiting
    • Dren Investigational Site · Palo Alto, United Statesno status→Not yet recruiting
    • Dren Investigational Site · Miami, United Statesno status→Not yet recruiting
    • Dren Investigational Site · Atlanta, United Statesno status→Recruiting
    • Dren Investigational Site · New York, United Statesno status→Recruiting
    • Dren Investigational Site · Cleveland, United Statesno status→Not yet recruiting
    • Dren Investigational Site · Columbus, United Statesno status→Not yet recruiting
    • Dren Investigational Site · Houston, United Statesno status→Not yet recruiting
    • Dren Investigational Site · Fairfax, United Statesno status→Not yet recruiting
    • Dren Investigational Site · Seattle, United Statesno status→Not yet recruiting
    + 3 other changes: verification date, date precision and description

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07712562
Lead sponsor
Dren Bio
Responsible party
Sponsor
First posted
Jul 17, 2026
Start date
Aug 14, 2026
Primary completion
Apr 2029 (estimated)
Completion
Oct 2030 (estimated)
Last update
Nov 4, 2026

Study contacts

Dren Bio Central Contact
Contact
DR-01-HEM-001_inquiries@drenbio.com
415-737-5277
Wan-Jen Hong, MD
study director · Dren Bio

Oversight

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

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Studies of the drug tested here: Dibotatug

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