Oral rilzabrutinib for adults with immune thrombocytopenia after first-line treatment fails.
Official title: A Multi-center, Open-label, Single-arm Study to Evaluate the Efficacy and Safety of Oral Rilzabrutinib in Adults With Immune Thrombocytopenia (ITP) Who Failed First-line Treatment
Run by Sanofi · NCT07007962 · Data updated 2026-11-12
This study will test whether the oral drug rilzabrutinib can raise and keep platelet counts up in adults with ITP who did not have lasting benefit from first-line therapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Sanofi Industry-sponsored |
| Drugs / interventions | rilzabrutinib |
| Locations | 36 sites (Clovis, California and 35 other locations) |
| Status | Recruiting |
| Started | October 24, 2025 |
| Main results expected | November 5, 2027 |
| Study ends | December 30, 2028 |
| Registry record updated | June 22, 2026 |
| Trial ID | NCT07007962 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with primary ITP who responded to first-line treatment but later relapsed, lost response, or are steroid-dependent and who have not received advanced ITP therapies or undergone splenectomy are the intended candidates.
✕Probably not a fit
Patients with secondary ITP, Evans syndrome, recent malignancy, prior splenectomy or advanced ITP therapy, other clotting disorders, or who are pregnant or nursing are unlikely to be eligible and may not benefit from this treatment.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multinational, open-label, single-arm Phase 3 study gives oral rilzabrutinib to adults with primary ITP who relapsed, lost response, or are steroid-dependent after first-line treatment. After a screening period of up to 8 weeks, participants enter a primary analysis period of up to 28 weeks to monitor platelet responses and safety, with a selected long-term extension of 28 weeks and a 24-week follow-up for eligible participants. Key exclusions include secondary ITP, Evans syndrome, prior splenectomy, prior advanced ITP therapy, certain recent malignancies, and pregnancy or nursing. The trial is sponsored by Sanofi and is being conducted at several academic medical centers in the United States.
Why it matters
Potential benefit: If successful, rilzabrutinib could become an effective oral option to increase platelet counts and reduce bleeding risk for adults with ITP who fail first-line therapy.
How similar studies have gone: Earlier-phase studies of rilzabrutinib and other Bruton tyrosine kinase inhibitors have shown platelet count improvements in some patients with ITP, but confirmatory phase 3 evidence is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Male or female participants aged 18 years and older with a documented diagnosis of primary ITP in the medical history * Participant received at least one course of first-line therapy and had a history of response while on treatment * Participant has loss of response, relapse, or steroid dependency Key Exclusion Criteria: * Participants with Secondary ITP * Participants with Evans syndrome or history of myelodysplastic syndrome * Participants with history of lymphoma, leukemia, or any malignancy within the past 5 years except for non-melanoma skin malignancy. * Participants with history of solid organ transplant * Participants with history of coagulation or bleeding disorders other than ITP, including genetic conditions, other than ITP * Participant received advanced therapy for ITP or was splenectomized * Pregnancy or nursing The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Where it's running
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Community Health Partners (CHP) - Community Medical Oncology Specialists (University Oncology Associates)
Clovis, California, United States Recruiting -
University of Southern California (USC)
Los Angeles, California, United States Recruiting -
Tulane University Health Sciences Center - Tulane Avenue-Investigational Site Number: 8400011
New Orleans, Louisiana, United States Recruiting -
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, United States Recruiting -
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States Recruiting -
Mass General Brigham Cancer Institute
Danvers, Massachusetts, United States Recruiting
Show 30 more locations
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University of Michigan Health - Michigan Medicine - University Hospital-Investigational Site Number: 8400001
Ann Arbor, Michigan, United States Recruiting -
Mayo Clinic_Investigational Site Number: 8400009
Rochester, Minnesota, United States Recruiting -
New York Oncology Hematology-Investigational Site Number: 8400010
Albany, New York, United States Recruiting -
Montefiore Medical Center-Investigational Site Number: 8400012
The Bronx, New York, United States Recruiting -
Oregon Health and Sciences University
Portland, Oregon, United States Recruiting -
Community Cancer Trials of Utah-Investigational Site Number: 8400002
Ogden, Utah, United States Recruiting -
Investigational Site Number : 0400001
Vienna, Austria Recruiting -
Investigational Site Number : 2030002
Prague, Czechia Recruiting -
Investigational Site Number: 2500003
Créteil, France Recruiting -
Investigational Site Number : 2500001
Dijon, France Recruiting -
Investigational Site Number : 2500002
Pessac, France Recruiting -
Investigational Site Number : 2500004
Toulouse, France Recruiting -
Investigational Site Number : 2760004
Leipzig, Germany Recruiting -
Investigational Site Number : 3480001
Budapest, Hungary Recruiting -
Investigational Site Number : 3480002
Kaposvár, Hungary Recruiting -
Investigational Site Number : 3800002
Meldola, Italy Recruiting -
Investigational Site Number : 3800004
Milan, Italy Recruiting -
Investigational Site Number : 3800006
Naples, Italy Recruiting -
Investigational Site Number : 3800007
Torino, Italy Recruiting -
Investigational Site Number : 3800003
Vicenza, Italy Recruiting -
Investigational Site Number : 6160002
Gdansk, Poland Recruiting -
Investigational Site Number : 6160003
Skorzewo, Poland Recruiting -
Investigational Site Number : 6160004
Słupsk, Poland Recruiting -
Investigational Site Number : 7240001
Barcelona, Spain Recruiting -
Investigational Site Number : 7240002
Burgos, Spain Recruiting -
Investigational Site Number : 7240007
Madrid, Spain Recruiting -
Investigational Site Number : 7240008
Madrid, Spain Recruiting -
Investigational Site Number : 7240005
Murcia, Spain Recruiting -
Investigational Site Number : 7240003
San Cristóbal de La Laguna, Spain Recruiting -
Investigational Site Number : 7240004
Seville, Spain Recruiting
Study contacts
- Study coordinator: Trial Transparency email recommended (Toll free for US & Canada)
- Email: contact-us@sanofi.com
- Phone: 800-633-1610
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.
-
Sirolimus added to standard therapy for adults with SLE-associated immune thrombocytopenia
This trial tests whether adding sirolimus to usual treatment helps adults with SLE-related immune thrombocytopenia see their platelet counts improve.
-
GL-2045 safety and blood-count help for adults with ITP
GL-2045 is being tested in adults with immune thrombocytopenia to see if it can safely raise platelet counts like IVIg does.
-
Eltrombopag use in adults with primary ITP: real-world patterns and outcomes
This study looks at how eltrombopag is used in adult patients with primary ITP and what outcomes are seen in routine care.
-
Daratumumab versus rituximab for children with primary immune thrombocytopenia
This study will test whether daratumumab works better than rituximab to increase platelet counts in children aged 6–17 with primary ITP who did not respond to or relapsed after steroid treatment.
-
Daratumumab plus rituximab for adults with relapsed or refractory immune thrombocytopenia
This treatment combines daratumumab (an anti‑CD38 antibody) with rituximab to see if it raises platelet counts in adults with ITP who haven't responded to steroids and other therapies.
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.