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
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 10 Years to 65 Years |
| Sex | All |
| Enrollment | 192 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Drugs / interventions | crizanlizumab, rilzabrutinib |
| Locations | 63 sites (Birmingham, Alabama and 62 other locations) |
| Status | Recruiting |
| Started | August 12, 2025 |
| Main results expected | July 23, 2027 |
| Study ends | December 29, 2028 |
| Registry record updated | October 15, 2026 |
| Trial ID | NCT06975865 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
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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
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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
- Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)
- Email: contact-us@sanofi.com
- Phone: 800-633-1610
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Other studies for the same condition or treatment. Recruiting studies are listed first.
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Rilzabrutinib in adults with severe kidney impairment vs. normal kidney function
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-
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.
-
Adapting and testing PEN-Plus in Zambian primary care
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-
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.
-
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.
-
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.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.