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CID-103

Phase 1

Chronic Immune Thrombocytopenia | Small molecule | Hematology |CASI Pharmaceuticals, Inc.|Last Updated: Jun 12, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment75
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07017725A Dose-escalation Study Followed by a Dose Optimal Study to Evaluate the Safety and Efficacy of CID-103 in Adults With Chronic Immune ThrombocytopeniaPHASE1 RECRUITING 75Jan 3, 2025Dec 30, 2026Jun 12, 20256 China
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Study Endpoints
Primary Endpoints
Safety and tolerability of CID-103
10 months

* Occurrence of DLTs (Part A only) * Frequency of TEAEs * Related AEs * Grade 3/4 AEs * Serious adverse events (SAEs) * Fatal AEs * AEs leading to CID-103 discontinuation up to Week 12 * Percentage of subjects with at least one treatment-related Grade ≥ 3 TEAE, SAE or AE leading to CID-103 discontinuation up to Week 12 (Part B only)

Platelet response
12 weeks

A platelet count ≥ 50 x 10\^9/L and ≥ 20 x 10\^9/L above baseline achieved on at least two consecutive measurements at least seven days apart.

Secondary Endpoints
Platelet count
12 weeks
Complete platelet response
12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part B (Randomized Dose Exploration) high-dose cohortEXPERIMENTALEach participant will receive selected high-dose. Once approximately 8 evaluable subjects per arm have completed approximately six weeks of treatment, an initial review of safety and efficacy will be conducted by the SMC to determine if there is one or more sub-optimal dose(s) that should be closed to further recruitment or if dose / regimens require adjustment.
Part B (Randomized Dose Exploration) intermediate-dose cohortEXPERIMENTALEach participant will receive selected intermediate-dose. Once approximately 8 evaluable subjects per arm have completed approximately six weeks of treatment, an initial review of safety and efficacy will be conducted by the SMC to determine if there is one or more sub-optimal dose(s) that should be closed to further recruitment or if dose / regimens require adjustment.
Part B (Randomized Dose Exploration) low-dose cohortEXPERIMENTALEach participant will receive selected low-dose. Once approximately 8 evaluable subjects per arm have completed approximately six weeks of treatment, an initial review of safety and efficacy will be conducted by the SMC to determine if there is one or more sub-optimal dose(s) that should be closed to further recruitment or if dose / regimens require adjustment.
Part A (Dose Escalation) Cohort 1- 30 mg/30 mgEXPERIMENTALThis is the initial dose cohort with accelerated dose escalation design. If a Grade ≥ 2 AE is reported in the cohort, the cohort will expand to three subjects and the study will then convert to a standard 3+3 design.
Part A (Dose Escalation) Cohort 1- 30 mg/150 mgEXPERIMENTALThis is the second dose cohort with accelerated dose escalation design. If a Grade ≥ 2 AE is reported in the cohort, the cohort will expand to three subjects and the study will then convert to a standard 3+3 design.
Part A (Dose Escalation) Cohort 1- 150 mg/300 mgEXPERIMENTALThis is the third dose cohort with accelerated dose escalation design. If a Grade ≥ 2 AE is reported in the cohort, the cohort will expand to three subjects and the study will then convert to a standard 3+3 design.
Part A (Dose Escalation) Cohort 1- 150 mg/600 mgEXPERIMENTALThis is the fourth dose cohort with standard 3+3 design.
Part A (Dose Escalation) Cohort 1- 150 mg/900 mgEXPERIMENTALThis is the fifth dose cohort with standard 3+3 design.
Interventions
NameTypeDescription
CID-103DRUGStrength:20 mg/mL. Route of administration: IV infusion. Treatment duration: QW for 6 weeks, then at the same dose Q2W up to Week 12. If treatment continues after Week 12, dosing will occur monthly for up to a maximum treatment duration of six months.
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: 1. Male or female individuals aged 18 to 65 years at time of signing of ICF. Disease-related. 2. Diagnosed with ITP that has persisted for ≥ 3 months, diagnosed in accordance with The American Society of Hematology 2019 Guidelines for Immune Thrombocytopenia or the Updated Inter...

Countries:China
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07017725primaryCompletionDate: changed
LOWMay 24, 2026NCT07017725studyFirstPostDate: changed