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RLYB116

Phase 1

Hematologic Diseases | Small molecule | Hematology |Rallybio Corporation|Trials Updated: Feb 27, 2026

Target and mechanism

Molecular targetC5
Target classComplement Protein
ModalitySmall molecule

Also known as RLYB116 for Injection

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment16

FDA Designations

No designations recorded

Clinical trial landscape

RLYB116 · 1 trial · 2 indications

Phase 1 1
NCT06797375Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of RLYB116 in Healthy ParticipantsHematologic Diseases
COMPLETED16 Analytics
PHASE1COMPLETED
Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of RLYB116 in Healthy Participants
Hematologic DiseasesUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants with treatment related adverse events as defined by CTCAE 5.0.
From baseline to Day 1, 2, 3, 4, 5, 8, 9, 15, 16, 22, 23, 29, 30, 32, 33, 36, 43, 57, 71, 99

Secondary Endpoints

Inhibition of complement activation measured by free/total C5 concentrations and hemolytic activity
Day 1, 2, 8, 15, 29, 20, 32, 33, 43, 57, 71, 99
Anti-RLYB116 antibodies measured in serum
Day 1, 29, 99
Exposure to RLYB116 as measured in serum
Day 1, 2, 3, 4, 5, 8, 15, 29, 53, 57, 71, 99
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RLYB116 Dose 1EXPERIMENTALRLYB116 for Injection Dose 1, weekly for 5 weeks
RLYB116 Dose 2EXPERIMENTALRLYB116 for Injection Dose 2, weekly for 5 weeks
Placebo for InjectionPLACEBO_COMPARATORSodium chloride injection, 0.9% saline (for both RLYB116 doses), weekly for 5 weeks

Interventions

NameTypeDescription
RLYB116 for InjectionDRUGRLYB116 is a small protein composed of an Affibody® Z-domain that binds with high affinity to C5, inhibiting terminal complement activation, and an albumin binding domain (ABD) that extends the effective plasma half-life of the protein by targeting serum albumin.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Male and female participants, 18 to 55 years of age. 2. Able to provide written informed consent. 3. Body mass index (BMI) of 18.0 to 32.0 kg/m2. 4. Must have been vaccinated against N. meningitidis and S. pneumoniae with approved vaccine according to product label. All parti...

Countries:Australia
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Frequently asked questions about RLYB116

What is RLYB116?

RLYB116 is an investigational small molecule being developed by Rallybio Corporation for hematologic diseases. It is also known as RLYB116 for Injection. It is designed to act on the complement system, a part of the immune system involved in blood and autoimmune disorders, and it is currently in Phase 1 clinical development.

What does RLYB116 target?

RLYB116 targets C5, a complement protein. C5 sits within the complement cascade, the immune signaling pathway that drives certain hematologic and autoimmune conditions. By binding C5, RLYB116 is intended to modulate complement activity. It is a small molecule rather than an antibody-based complement inhibitor.

Who makes RLYB116?

Rallybio Corporation develops RLYB116. Rallybio is a clinical-stage biotechnology company traded on the Nasdaq under the ticker RLYB. The company is the sponsor of the RLYB116 clinical program, including the Phase 1 study conducted in healthy participants.

What phase is RLYB116 in?

RLYB116 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. The Phase 1 program has completed one trial, a safety, tolerability, pharmacokinetics and pharmacodynamics study in healthy participants, and no trials are currently listed as active.

What clinical trials is RLYB116 in?

RLYB116 has been studied in one completed Phase 1 trial, NCT06797375, titled a Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of RLYB116 in Healthy Participants. The trial enrolled 16 participants in Australia, was randomized, double-blind and placebo-controlled, and included healthy volunteers aged 18 years and older.

Is RLYB116 the same as RLYB116 for Injection?

Yes. RLYB116 for Injection is an alternative name for RLYB116, the investigational small molecule developed by Rallybio Corporation. Both names refer to the same C5-targeting compound being evaluated in hematologic diseases, so searches for either name point to the same drug asset and clinical program.