Clinical trial Recruiting at 63 sites Phase 3 Interventional Ages 10 to 65

Evaluating Rilzabrutinib for Sickle Cell Disease in Patients Aged 10 to 65

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

Run by Sanofi · NCT06975865 · Data updated 2026-11-12

This study is testing a new medication called rilzabrutinib to see if it can help people aged 10 to 65 with sickle cell disease have fewer pain crises and improve their overall health.

Quick facts

PhasePhase 3
Study typeInterventional
Ages10 Years to 65 Years
SexAll
Enrollment192 (estimated)
SponsorSanofi
Industry-sponsored
Drugs / interventionscrizanlizumab, rilzabrutinib
Locations63 sites (Birmingham, Alabama and 62 other locations)
StatusRecruiting
StartedAugust 12, 2025
Main results expectedJuly 23, 2027
Study endsDecember 29, 2028
Registry record updatedOctober 15, 2026
Trial IDNCT06975865 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals aged 10 to 65 years diagnosed with sickle cell disease who have experienced between 2 to 10 vaso-occlusive crises in the past year.

Probably not a fit

Patients who are currently on hydroxyurea or L-glutamine and do not meet the study's specific treatment criteria may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 clinical trial investigates the efficacy and safety of rilzabrutinib in patients aged 10 to 65 years with sickle cell disease. The study consists of a 52-week double-blind period, where participants are randomly assigned to receive either the drug or a placebo, followed by an open-label long-term extension period for those who complete the initial phase. The trial aims to assess the frequency of vaso-occlusive crises and overall health outcomes in participants. It includes both adults and children, with specific eligibility criteria regarding previous treatments and health status.

Why it matters

Potential benefit: If successful, this treatment could significantly reduce the frequency of painful crises and improve the quality of life for patients with sickle cell disease.

How similar studies have gone: Previous studies have shown promise in treating sickle cell disease with novel therapies, but this specific approach with rilzabrutinib is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants who have been diagnosed with SCD.
* Participants who have had between ≥2 and ≤10 episodes of documented clinical VOC within 12 months of the screening events.
* 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.

Where it's running

  • University of Alabama at Birmingham- Site Number : 8400003
    Birmingham, Alabama, United States
    Recruiting
  • Phoenix Children's Hospital- Site Number : 8400028
    Phoenix, Arizona, United States
    Recruiting
  • University of California San Francisco- Site Number : 8400040
    Clovis, California, United States
    Recruiting
  • David Geffen School of Medicine at UCLA- Site Number : 8400032
    Los Angeles, California, United States
    Recruiting
  • MedStar Georgetown University Hospital- Site Number : 8400036
    Washington D.C., District of Columbia, United States
    Recruiting
  • Oncology & Hematology Associates of West Broward- Site Number : 8400029
    Coral Springs, Florida, United States
    Recruiting
Show 44 more locations
  • Sylvester Comprehensive Cancer Center- Site Number : 8400020
    Miami, Florida, United States
    Recruiting
  • University of Illinois-Chicago - College of Medicine- Site Number : 8400054
    Chicago, Illinois, United States
    Recruiting
  • Indiana University Health Riley Hospital for Children- Site Number : 8400056
    Indianapolis, Indiana, United States
    Recruiting
  • Louisiana State University Health Sciences Center - Shreveport- Site Number : 8400037
    Shreveport, Louisiana, United States
    Recruiting
  • University of Maryland School of Medicine - Baltimore- Site Number : 8400041
    Baltimore, Maryland, United States
    Recruiting
  • University of Michigan Health System - Ann Arbor- Site Number : 8400035
    Ann Arbor, Michigan, United States
    Recruiting
  • Southern Specialty Research- Site Number : 8400059
    Flowood, Mississippi, United States
    Recruiting
  • Richmond University Medical Center- Site Number : 8400038
    Staten Island, New York, United States
    Recruiting
  • Montefiore Medical Center - Moses Campus- Site Number : 8400057
    The Bronx, New York, United States
    Recruiting
  • Oregon Health & Science University (OHSU)- Site Number : 8400043
    Portland, Oregon, United States
    Recruiting
  • Prisma Health- Site Number : 8400051
    Greenville, South Carolina, United States
    Recruiting
  • University of Tennessee Health Science Center- Site Number : 8400045
    Memphis, Tennessee, United States
    Recruiting
  • Baylor College of Medicine- Site Number : 8400055
    Houston, Texas, United States
    Recruiting
  • UT Physicians - Memorial Hermann- Site Number : 8400052
    Houston, Texas, United States
    Recruiting
  • VCU Massey Cancer Center: Dalton Oncology Clinic- Site Number : 8400012
    Richmond, Virginia, United States
    Recruiting
  • Investigational Site Number : 0560003
    Brussels, Belgium
    Recruiting
  • Investigational Site Number : 0560002
    Brussels, Belgium
    Recruiting
  • Investigational Site Number : 0560001
    Leuven, Belgium
    Recruiting
  • Investigational Site Number : 0560004
    Liège, Belgium
    Recruiting
  • Hospital Santa Izabel- Site Number : 0760006
    Salvador, Estado de Bahia, Brazil
    Recruiting
  • Fundação Bahiana de Infectologia- Site Number : 0760009
    Salvador, Estado de Bahia, Brazil
    Recruiting
  • Universidade Federal de Goias- Site Number : 0760002
    Goiânia, Goiás, Brazil
    Recruiting
  • Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760001
    São José do Rio Preto, São Paulo, Brazil
    Recruiting
  • Hospital Samaritano De Sao Paulo- Site Number : 0760005
    São Paulo, Brazil
    Recruiting
  • Investigational Site Number : 2500002
    Créteil, France
    Recruiting
  • Investigational Site Number : 2500005
    Marseille, France
    Recruiting
  • Investigational Site Number : 2500001
    Paris, France
    Recruiting
  • Investigational Site Number : 2500004
    Toulouse, France
    Recruiting
  • Investigational Site Number : 2760005
    Berlin, Germany
    Recruiting
  • Investigational Site Number : 2760002
    Essen, Germany
    Recruiting
  • Investigational Site Number : 2760004
    Stuttgart, Germany
    Recruiting
  • Investigational Site Number : 3000001
    Athens, Greece
    Recruiting
  • Investigational Site Number : 3000003
    Athens, Greece
    Recruiting
  • Investigational Site Number : 3000002
    Pátrai, Greece
    Recruiting
  • Investigational Site Number : 3760001
    Afula, Israel
    Recruiting
  • Investigational Site Number : 3760002
    Afula, Israel
    Recruiting
  • Investigational Site Number : 3760005
    Haifa, Israel
    Recruiting
  • Investigational Site Number : 3760006
    Haifa, Israel
    Recruiting
  • Investigational Site Number : 3800006
    Florence, Firenze, Italy
    Recruiting
  • Investigational Site Number : 3800008
    Genoa, Genova, Italy
    Recruiting
  • Investigational Site Number : 3800004
    Milan, Milano, Italy
    Recruiting
  • Investigational Site Number : 3800005
    Naples, Napoli, Italy
    Recruiting
  • Investigational Site Number : 3800001
    Rome, Roma, Italy
    Recruiting
  • Investigational Site Number : 3800007
    Orbassano, Torino, Italy
    Recruiting

+13 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Rilzabrutinib in adults with severe kidney impairment vs. normal kidney function

    This study tests how rilzabrutinib behaves in the body and its safety in adults with severe kidney impairment compared to healthy adults.

    Recruiting Phase 1 Sanofi · Hialeah, Florida · NCT07853131

  • Cerebrovascular Reactivity Testing with HD-DOT in Sickle Cell Patients

    This study tests whether high-density diffuse optical tomography can measure brain blood flow and oxygen use in people with sickle cell disease, to see how these signals relate to stroke risk.

    Recruiting Washington University School of Medicine · St Louis, Missouri · NCT07776444

  • Adapting and testing PEN-Plus in Zambian primary care

    Aiming to see if the PEN-Plus package can be adapted and used in two Zambian hospitals to better manage chronic diseases like heart disease, diabetes, hypertension, and sickle cell in primary care.

    Recruiting Centre for Infectious Disease Research in Zambia · Lusaka, Lusaka Province · NCT07753681

  • Newborn Sickle Cell Screening in Mozambique

    We’re testing a three-part plan to help babies in Mozambique get diagnosed early for sickle cell disease and start care quickly.

    Recruiting St. Jude Children's Research Hospital · Nhamatanda, Sofala · NCT07719972

  • Optimizing Hydroxyurea in Children with Sickle Cell in Africa

    This study tests whether raising hydroxyurea to a maximum tolerated dose is safe and beneficial for Ugandan children with sickle cell anemia already taking a fixed daily dose.

    Recruiting Phase 1/2 Children's Hospital Medical Center, Cincinnati · Kampala · NCT07708714

  • Hematopoietic stem cell editing to treat sickle cell disease

    This study tests whether a patient’s own blood stem cells can be edited to remove the sickle cell triggering gene and then returned to the patient.

    Recruiting Phase 1 Boston Children's Hospital · Boston, Massachusetts · NCT07708350

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.