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Monoclonal Antibodies
Daratumumab for Hemolytic Anemia (DARA-AIHA Trial)
Phase 1
Waitlist Available
Led By Matthew Sullivan, MD
Research Sponsored by Dartmouth-Hitchcock Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age must be 18 years or older
Patients must have confirmed autoimmune hemolytic anemia based on specific laboratory criteria
Must not have
Patients with a serious uncontrolled medical disorder, active infection, or significant cardiac disease
Patients with active Systemic Lupus Erythematosus with systemic organ involvement requiring treatment
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through study completion, an average of 1 year
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new way to give daratumumab to people who have anemia that does not respond to other treatments.
Who is the study for?
Adults with confirmed autoimmune hemolytic anemia who have tried steroids and rituximab without success are eligible for this trial. They must not have severe kidney failure, recent heart issues, uncontrolled medical conditions, active infections like HIV or Hepatitis B/C, certain lung diseases, end-stage liver disease, active lupus with systemic involvement, or untreated lymphoid malignancy.
What is being tested?
The study is testing the safety of Daratumumab/Hyaluronidase injection in patients with refractory Autoimmune Hemolytic Anemia. It's a single-arm trial where all participants receive the same treatment to see how well it works when other treatments haven't helped.
What are the potential side effects?
Potential side effects of Daratumumab can include infusion reactions (like fever or chills), fatigue, nausea, back pain, cough and shortness of breath. Since it affects the immune system's cells there might also be a higher risk of infections.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 years old or older.
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I have been diagnosed with autoimmune hemolytic anemia.
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I have been treated with steroids and rituximab before.
Select...
I am able to get out of my bed or chair and move around.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I do not have any serious uncontrolled illnesses, infections, or major heart problems.
Select...
I have active Lupus affecting my organs and need treatment.
Select...
My liver is in its final stage of disease.
Select...
I have active HIV, Hepatitis B, or C with a detectable viral load.
Select...
I have previously been treated with daratumumab or other anti-CD38 therapies.
Select...
I have a specific lung condition or kidney failure.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ through study completion, an average of 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through study completion, an average of 1 year
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Determine dose-limiting toxicities
Determine safety of treatment
Secondary study objectives
Determine the overall response rate (ORR) of daratumumab in patients with relapsed/refractory AIHA
Determine the time to next treatment (TTNT)
Other study objectives
Assess the change or elimination of anti-Red Blood Cell (RBC) antibody production
Trough Plasma Concentration (Cmin)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Arm 1Experimental Treatment1 Intervention
Six weekly doses of subcutaneous daratumumab 1,800mg and hyaluronidase 30,000U.
Find a Location
Who is running the clinical trial?
Dartmouth-Hitchcock Medical CenterLead Sponsor
539 Previous Clinical Trials
2,539,763 Total Patients Enrolled
Matthew Sullivan, MDPrincipal InvestigatorDartmouth-Hitchcock Medical Center
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have active Lupus affecting my organs and need treatment.I am taking steroids as part of my standard treatment.I am 18 years old or older.I do not have any serious uncontrolled illnesses, infections, or major heart problems.My blood cells continue to break down despite treatment or while on Prednisone.My liver is in its final stage of disease.I have active HIV, Hepatitis B, or C with a detectable viral load.I have been diagnosed with autoimmune hemolytic anemia.I have an active blood cancer other than the exceptions listed.I have previously been treated with daratumumab or other anti-CD38 therapies.I have been treated with steroids and rituximab before.I have a specific lung condition or kidney failure.I am able to get out of my bed or chair and move around.
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Research Study Groups:
This trial has the following groups:- Group 1: Arm 1
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.