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Ianalumab

Phase 3

Primary Immune Thrombocytopenia (ITP) | Monoclonal antibody | Hematology |Novartis AG|Last Updated: May 8, 2026

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment431
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05653349Study of Ianalumab Versus Placebo in Addition to First-line Corticosteroids in Primary Immune Thrombocytopenia (ITP)PHASE3 ACTIVE NOT_RECRUITING 226Feb 3, 2023Dec 6, 2028Apr 22, 2026114 United States, Argentina +23
NCT07421167A Study to Assess the Tolerability of Ianalumab (VAY736) With Investigator's Choice Thrombopoietin Receptor Agonist (IC TPO-RA) in Patients With Primary Immune Thrombocytopenia (ITP)PHASE2 RECRUITING 164Nov 11, 2026Mar 31, 2027May 8, 20262 United States
NCT05885555A Study of Ianalumab (VAY736) in Patients With Primary Immune Thrombocytopenia (ITP) Previously Treated With at Least Two Lines of TherapiesPHASE2 ACTIVE NOT_RECRUITING 41Aug 16, 2023Mar 19, 2029Apr 13, 202624 United States, Argentina +11
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Study Endpoints
Primary Endpoints
Time from randomization to treatment failure (TTF)
Randomization to end of study (up to 39 months after randomization of last patient)

Time from randomization until platelet count below 30 G/L, need for a rescue treatment or start of a second-line therapy or death.

(Main cohort: Primary immune thrombocytopenia (ITP)): Percentages of participants who are tolerable to ianalumab (9 mg/kg)
Up to Week 16

The proportion of participants who tolerate ianalumab (9 mg/kg) is defined as those who do not experience any of the following events during the combination treatment period (up to Week 16): * Discontinuation due to an adverse event (AE) unrelated to efficacy * Adverse events leading to dose reduction or dose rate reduction * Adverse events resulting in study drug interruption.

Confirmed response
Between Week 1 Day 1 and Week 25 Day 1

Confirmed response is defined as a platelet count of equal or above 50 G/L at two (or more) consecutive assessments at least 7 days apart, in the absence of: * Rescue treatment for ≥4 weeks prior to the assessment of the platelet count, and * New immune thrombocytopenia (ITP) treatment before reaching a confirmed response.

Secondary Endpoints
Complete Response (CR) rate in each treatment group
Randomization to end of study (up to 39 months after randomization of last patient)
Response (R) rate in each treatment group
Randomization to end of study (up to 39 months after randomization of last patient)
Time to complete response in each treatment group
Randomization to end of study (up to 39 months after randomization of last patient)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ianalumab Lower doseEXPERIMENTALLower dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified)
Ianalumab Higher doseEXPERIMENTALHigher dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified)
PlaceboPLACEBO_COMPARATORPlacebo administered intravenously with corticosteroids oral or parental (if clinically justified)
Main cohort: Primary immune thrombocytopenia (ITP)EXPERIMENTALAll participants will be assigned to ianalumab 9 mg/kg plus investigator's choice thrombopoietin receptor agonist (IC TPO-RA).
Exploratory cohort: Primary Evans syndrome (ES)EXPERIMENTALAll participants will be assigned to ianalumab 9 mg/kg plus investigator's choice thrombopoietin receptor agonist (IC TPO-RA).
Single-armEXPERIMENTALAll eligible participants will receive ianalumab at the same dose.
Interventions
NameTypeDescription
IanalumabBIOLOGICALIntravenous infusion, prepared from concentrate solution
PlaceboDRUGIntravenous infusion, prepared from matching placebo
CorticosteroidsDRUGOral or parental (if clinically justified)
thrombopoietin receptor agonist (TPO-RA)DRUGIC TPO-RAs will be administered according to the respective United States Prescribing Information (USPIs)
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites114

Inclusion Criteria: * Signed informed consent prior to participation in the study. * Male or female participants aged 18 years and older on the day of signing informed consent * Primary ITP diagnosed within 3 months before initiating first-line ITP therapy (corticosteroids, IVIG) * Platelet count b...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBulgariaChinaCzechiaFranceGermanyHong KongHungaryIndiaItalyJapanMalaysiaMexicoNorwayRomaniaSingaporeSpainThailandTurkey (Türkiye)United KingdomVietnamPolandSouth Korea
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07421167Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 26, 2026NCT05885555primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT05653349primaryCompletionDate: changed
LOWMay 24, 2026NCT07421167studyFirstPostDate: changed
LOWMay 24, 2026NCT05885555studyFirstPostDate: changed
LOWMay 24, 2026NCT05653349studyFirstPostDate: changed