Clinical trial Recruiting at 36 sites Phase 3 Interventional Ages 18 and up

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.

More Immune Thrombocytopenia trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment60 (estimated)
SponsorSanofi
Industry-sponsored
Drugs / interventionsrilzabrutinib
Locations36 sites (Clovis, California and 35 other locations)
StatusRecruiting
StartedOctober 24, 2025
Main results expectedNovember 5, 2027
Study endsDecember 30, 2028
Registry record updatedJune 22, 2026
Trial IDNCT07007962 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

  • 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
  • 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

Similar studies

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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.