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RECRUITINGPhase 3INTERVENTIONAL

The Efficacy and Safety of Rilzabrutinib in Patients Aged 10 to 65 Years With Sickle-cell Disease

A 52-week, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Group Sequential Study to Evaluate the Efficacy and Safety of Rilzabrutinib in Patients Aged 10 to 65 Years With Sickle-cell Disease

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This is a multicenter, randomized, double-blind, placebo-controlled, parallel-group, group-sequential study (Part A), followed by an open-label LTE period (Part B) to investigate the efficacy, and safety of rilzabrutinib in participants with sickle-cell disease (SCD). Study details include: * Study duration: a 52-week double-blind period (Part A), followed by an open-label LTE period (Part B). Double-blind period has two parts, 50% (adult only) until the interim analysis (a proof-concept part analogous to a phase 2b study), and 50% (adult and children) after the interim analysis. Only the participants who complete double-blind treatment period (Part A) are eligible to continue to the LTE period. The duration of the LTE period (Part B) will be from the first-participant-in (FPI)-LTE (Part B) until the last participant who enters the LTE has completed 52 weeks. * Treatment duration: 52-week double-blind period (Part A); LTE period (Part B) from the (FPI until the last participant who enters the LTE has completed 52 weeks. * Visit frequency: Week visits based on the Schedule of Assessments.

Who May Be Eligible (Plain English)

Who May Qualify: - Participants who have been diagnosed with SCD. - Participants who have had between ≥2 to ≤10 episodes of documented acute clinical VOC within 12 months of the screening visit. - Participants who are either not on hydroxyurea and/or L-glutamine at the Screening Visit and does not plan to receive them during the course of the study or has received HU and/or L-glutamine for a minimum of 6 months. Participants on hydroxyurea and/or L-glutamine must have been on a stable weight-based dose level (mg/kg) for at least 3 months prior to the Screening Visit, with the intent to continue at the same weight-based dose level for the duration of the study, except for safety reasons. - Participants with Eastern Cooperative Oncology Group (ECOG) performance status grade 2 or lower. - Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. - For participants ≥10 to \<18 years of age: the parent(s)/legal guardian(s) must provide written willing to sign a consent form prior to any study-related procedures being performed. Who Should NOT Join This Trial: - Participants are excluded from the study if any of the following criteria apply: Participants with medical history of lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for the past 3 years. - Clinically relevant cardiac abnormality, in the opinion of the Investigator or electrocardiogram (ECG) findings. - Participants with history of stroke, or history of abnormal transcranial doppler. - Participants with uncontrolled or active HBV infection and/or HCV infection including those receiving antiviral therapy at the time of screening. - HIV infection. - A history of active or latent tuberculosis (TB) - Positive COVID-19 molecular test. ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Participants who have been diagnosed with SCD. * Participants who have had between ≥2 to ≤10 episodes of documented acute clinical VOC within 12 months of the screening visit. * Participants who are either not on hydroxyurea and/or L-glutamine at the Screening Visit and does not plan to receive them during the course of the study or has received HU and/or L-glutamine for a minimum of 6 months. Participants on hydroxyurea and/or L-glutamine must have been on a stable weight-based dose level (mg/kg) for at least 3 months prior to the Screening Visit, with the intent to continue at the same weight-based dose level for the duration of the study, except for safety reasons. * Participants with Eastern Cooperative Oncology Group (ECOG) performance status grade 2 or lower. * Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. * For participants ≥10 to \<18 years of age: the parent(s)/legal guardian(s) must provide written informed consent prior to any study-related procedures being performed. Exclusion Criteria: * Participants are excluded from the study if any of the following criteria apply: Participants with medical history of lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for the past 3 years. * Clinically relevant cardiac abnormality, in the opinion of the Investigator or electrocardiogram (ECG) findings. * Participants with history of stroke, or history of abnormal transcranial doppler. * Participants with uncontrolled or active HBV infection and/or HCV infection including those receiving antiviral therapy at the time of screening. * HIV infection. * A history of active or latent tuberculosis (TB) * Positive COVID-19 molecular test. * Participant is taking or has received crizanlizumab (ADAKVEO®) within 90 days and/or voxelotor (OXBRYTA®) within 30 days prior to the Screening visit. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatments Being Tested

DRUG

Rilzabrutinib

Pharmaceutical form:Tablet -Route of administration:Oral

DRUG

Placebo

Pharmaceutical form:Tablet -Route of administration:Oral

Locations (20)

University of Alabama at Birmingham- Site Number : 8400003
Birmingham, Alabama, United States
Phoenix Children's Hospital- Site Number : 8400028
Phoenix, Arizona, United States
University of California San Francisco- Site Number : 8400040
Fresno, California, United States
Oncology & Hematology Associates of West Broward- Site Number : 8400029
Coral Springs, Florida, United States
Sylvester Comprehensive Cancer Center- Site Number : 8400020
Miami, Florida, United States
University of Illinois-Chicago - College of Medicine- Site Number : 8400054
Chicago, Illinois, United States
Indiana University Health Riley Hospital for Children- Site Number : 8400056
Indianapolis, Indiana, United States
Louisiana State University Health Sciences Center - Shreveport- Site Number : 8400037
Shreveport, Louisiana, United States
University of Michigan Health System - Ann Arbor- Site Number : 8400035
Ann Arbor, Michigan, United States
Southern Specialty Research- Site Number : 8400059
Flowood, Mississippi, United States
Richmond University Medical Center- Site Number : 8400038
Staten Island, New York, United States
Baylor College of Medicine- Site Number : 8400055
Houston, Texas, United States
VCU Massey Cancer Center: Dalton Oncology Clinic- Site Number : 8400012
Richmond, Virginia, United States
Investigational Site Number : 0560003
Brussels, Belgium
Investigational Site Number : 0560002
Brussels, Belgium
Investigational Site Number : 0560001
Leuven, Belgium
Hospital Santa Izabel- Site Number : 0760006
Salvador, Estado de Bahia, Brazil
Universidade Federal de Goias- Site Number : 0760002
Goiânia, Goiás, Brazil
Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760001
São José do Rio Preto, São Paulo, Brazil
Pontifícia Universidade Católica do Rio de Janeiro- Site Number : 0760009
Rio de Janeiro, Brazil