Status:

RECRUITING

Open-label Study of ELA026 in Participants With Secondary Hemophagocytic Lymphohistiocytosis (sHLH)

Lead Sponsor:

Electra Therapeutics Inc.

Conditions:

Secondary Hemophagocytic Lymphohistiocytosis (sHLH)

Eligibility:

All Genders

6+ years

Phase:

PHASE2

PHASE3

Brief Summary

Hemophagocytic lymphohistiocytosis is a rare, aggressive and life-threatening syndrome of excessive immune activation. Secondary hemophagocytic lymphohistiocytosis (sHLH) is the most common form of th...

Detailed Description

This study consists of two parts: Phase 1b (Part 1) and Phase 2/3 (Part 2). Part 1 is designed to evaluate the safety, efficacy, pharmacodynamics, and pharmacokinetics of ELA026 in pediatric and adul...

Eligibility Criteria

Inclusion

  • Key Inclusion Criteria for Part 1:
  • ≥12 years at the time of HLH diagnosis (Cohort 1).
  • ≥6 years at the time of HLH diagnosis (Cohort 2-3).
  • Treatment naïve or relapsed/refractory (Cohorts 1 and 2).
  • Treatment naïve or early refractory (Cohort 3).
  • Participant with sHLH confirmed criteria based on fulfilling 5 out of 8 HLH-2004 diagnostic criteria.
  • Key Inclusion Criteria for Part 2:
  • Cohort A: Adults with treatment-naïve, malignancy-associated sHLH.
  • Cohort B: Adults with treatment-naïve, non-malignancy-associated sHLH.
  • Cohort B: Adults with treatment-naïve, malignancy-associated sHLH, diagnosed by OHI index.
  • Cohort B: 13 to 17 years olds with treatment-naïve sHLH.
  • Cohort B: 6 to 12 year olds, with refractory sHLH (safety lead-in cohort).
  • Cohort B: 6 to 12 year olds, with treatment-naïve sHLH (after completion of safety lead-in cohort).
  • Key Exclusion Criteria for Part 1:
  • Known or previous treatment for primary HLH
  • Any other significant concurrent, uncontrolled medical condition that in the opinion of the Investigator contraindicates participation in this study
  • Unknown trigger for sHLH
  • Active, relapsed/refractory malignancy for which no suitable therapies are available to treat the malignancy triggering the HLH
  • Allogeneic hemopoietic stem cell transplant (HSCT) within 100 days of the first dose of ELA026.
  • Ongoing administration of any therapies used to treat HLH (excluding dexamethasone)
  • Live or attenuated vaccine received within 6 weeks or bacille Calmette-Guerin (BCG) vaccine within 12 weeks prior to Screening
  • Key Exclusion Criteria for Part 2:
  • Refractory sHLH (except for the safety lead-in cohort for 6-12 year olds in Cohort B).
  • Known or suspected primary or hereditary HLH.
  • Severe organ dysfunction.
  • Any other significant concurrent, uncontrolled medical condition that contraindicates participation in this study or prohibits completion of study procedures.
  • End-stage malignancy for which no suitable therapies are available to treat the malignancy triggering the HLH.
  • Allogeneic hemopoietic stem cell transplant within 100 days prior to the first dose of ELA026.

Exclusion

    Key Trial Info

    Start Date :

    May 19 2022

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    June 1 2029

    Estimated Enrollment :

    156 Patients enrolled

    Trial Details

    Trial ID

    NCT05416307

    Start Date

    May 19 2022

    End Date

    June 1 2029

    Last Update

    December 18 2025

    Active Locations (30)

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    Page 1 of 8 (30 locations)

    1

    University of Alabama at Birmingham School of Medicine

    Birmingham, Alabama, United States, 35233

    2

    Phoenix Children's Hospital

    Phoenix, Arizona, United States, 85016

    3

    University of California, Los Angeles

    Los Angeles, California, United States, 90095

    4

    MedStar Georgetown University Hospital

    Washington D.C., District of Columbia, United States, 20007