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Fostamatinib disodium

Phase 3

Warm Antibody Autoimmune Hemolytic Anemia | Small molecule | Hematology |Rigel Pharmaceuticals, Inc.|Last Updated: May 25, 2023

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_CONTROLLEDDMC
Total Trials2
Total Enrollment180
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04138927A Phase 3 Open Label Extension Study of Fostamatinib Disodium in the Treatment of Warm Antibody Autoimmune Hemolytic AnemiaPHASE3 ENROLLING BY_INVITATION 90Oct 30, 2019Apr 1, 2024Mar 17, 202237 United States, Australia +16
NCT03764618A Phase 3, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Study of Fostamatinib Disodium in the Treatment of wAIHAPHASE3 COMPLETED 90Apr 24, 2019Apr 11, 2022May 25, 2023102 United States, Australia +20
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Study Endpoints
Primary Endpoints
Adverse Events
104 weeks

Incidence, frequency, seriousness, and severity of adverse events that occurred during the current study

Blood Pressure
104 weeks

Change from baseline in blood pressure over time

Absolute Neutrophil Count (ANC)
104 weeks

Change from baseline in absolute neutrophil count (ANC) over time

Durable Hemoglobin Response
24 Weeks

Proportion of subjects achieving a hemoglobin level ≥ 10 g/dL with an increase from Baseline in hemoglobin level of ≥ 2 g/dL on 3 consecutive available visits during the 24-week treatment period.

Secondary Endpoints
Achievement of Durable Hemoglobin Response
24 weeks
Total Duration of Response
During the Intervention period up to 104 weeks
Corticosteroid dose
During the Intervention period up to 104 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
FostamatinibEXPERIMENTALSubjects who at any time during the C-935788-057 study achieved a hemoglobin response will continue at their dose and regimen from the Week 22 visit in the C-935788-057 study. All other subjects who enter the extension study will initially receive fostamatinib 100 mg PO bid. Starting at Week 4, the initial fostamatinib dose of 100 mg PO bid will be increased to fostamatinib 150 mg PO bid if subjects have adequately tolerated the study drug, based on the Investigator's judgment.
PlaceboPLACEBO_COMPARATORInitial dose is 100 mg by mouth (PO) twice a day (bid). At week 4 dose will be increased to placebo 150 mg PO bid if subjects have adequately tolerated the study drug in the opinion of the Investigator.
Interventions
NameTypeDescription
Fostamatinib disodiumDRUGFostamatinib is supplied in two (2) dosage strengths: 100 mg and 150 mg.
PlaceboDRUGPlacebo
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: 1. Subject must be willing and able to give written informed consent by signing an IRB approved Informed Consent Form prior to undergoing any study-specific procedures. 2. Subject must have completed all 24 weeks of participation in the study C-935788-057. Exclusion Criteria: ...

Countries:United StatesAustraliaAustriaBelarusBelgiumBulgariaCzechiaFranceGeorgiaGermanyItalyNetherlandsNorwayRussiaSerbiaSpainUkraineUnited KingdomCanadaDenmarkHungaryRomania
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04138927primaryCompletionDate: changed
LOWMay 24, 2026NCT04138927studyFirstPostDate: changed