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Obexelimab

Phase 3

Warm Autoimmune Hemolytic Anemia | Small molecule | Hematology |Zenas BioPharma, Inc.|Last Updated: Jun 25, 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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment134
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05786573A Study of Obexelimab in Patients With Warm Autoimmune Hemolytic Anemia (SApHiAre)PHASE3 ACTIVE NOT_RECRUITING 134Sep 25, 2023Aug 31, 2026Jun 25, 20257 Italy, Poland +3
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Study Endpoints
Primary Endpoints
Safety and Dose Confirmation Run-in Period (SRP)
24 weeks

Proportion of participants with hemoglobin (Hgb) ≥ 10 g/dL and ≥ 2 g/dL increase from Baseline with no use of blood transfusion or glucocorticoid (GC) rescue therapy.

Randomized Control Period (RCP)
24 weeks

Proportion of participants who achieve a durable Hgb response (defined as Hgb ≥ 10 g/dL and ≥ 2 g/dL increase from Baseline on at least 3 of 4 consecutive available visits), at the earliest on or after Week 12, with no use of blood transfusion or GC rescue therapy prior to attaining durable response through Week 24.

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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Safety and Dose Confirmation Run-in Period (SRP): ObexelimabEXPERIMENTALObexelimab will be administered as an SC injection for 24 weeks.
Randomized Control Period (RCP): ObexelimabEXPERIMENTALObexelimab will be administered as an SC injection for 24 weeks.
Randomized Control Period (RCP): PlaceboPLACEBO_COMPARATORPlacebo will be administered as an SC injection for 24 weeks
Interventions
NameTypeDescription
ObexelimabDRUGObexelimab is a monoclonal antibody that simultaneously binds CD19 and FcγRIIb, resulting in down regulation of B cell activity.
PlaceboOTHERPlacebo
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: 1. Males and females, ≥ 18 years of age 2. Clinically diagnosed with wAIHA for at least 3 months and currently receiving treatment for wAIHA or have previously received treatment for wAIHA. 3. Diagnosis of primary or secondary wAIHA documented by a positive direct antiglobulin t...

Countries:ItalyPolandSpainTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT05786573primaryCompletionDate: changed
LOWMay 24, 2026NCT05786573studyFirstPostDate: changed