Actively Recruiting

Phase 2
Phase 3
Age: 6Years +
All Genders
NCT05416307

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

Led by Electra Therapeutics Inc. · Updated on 2026-05-01

156

Participants Needed

40

Research Sites

367 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Hemophagocytic lymphohistiocytosis is a rare, aggressive and life-threatening syndrome of excessive immune activation. Secondary hemophagocytic lymphohistiocytosis (sHLH) is the most common form of this disease and is typically associated with several other clinical conditions (eg, malignancy associated HLH (mHLH), infection, or autoimmune disease). ELA026 is a fully human immunoglobulin G1 (IgG1) signal regulatory protein (SIRP)-directed monoclonal antibody designed to deplete the myeloid and T cells driving the inflammation. The purpose of this study is to assess the safety, efficacy pharmacokinetics and pharmacodynamics of ELA026 in participants with sHLH.

CONDITIONS

Official Title

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

Who Can Participate

Age: 6Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 12 years or older at diagnosis for Part 1 Cohort 1
  • 6 years or older at diagnosis for Part 1 Cohorts 2 and 3
  • Treatment-naive or relapsed/refractory status for Part 1 Cohorts 1 and 2
  • Treatment-naive or early refractory for Part 1 Cohort 3
  • Diagnosis of sHLH confirmed by meeting 5 of 8 HLH-2004 criteria
  • Adults with newly diagnosed, treatment-naive malignancy-associated sHLH for Part 2 Cohort A
  • Adults with newly diagnosed, treatment-naive non-malignancy-associated sHLH for Part 2 Cohort B
  • Adults with newly diagnosed, treatment-naive malignancy-associated sHLH diagnosed by biomarker criteria for Part 2 Cohort B
  • Participants aged 13 to 17 years with newly diagnosed, treatment-naive sHLH for Part 2 Cohort B
  • Participants aged 6 to 12 years with refractory sHLH in safety lead-in cohort for Part 2 Cohort B
  • Participants aged 6 to 12 years with newly diagnosed, treatment-naive sHLH after safety lead-in for Part 2 Cohort B
Not Eligible

You will not qualify if you...

  • Previous or known treatment for primary HLH
  • Any significant uncontrolled medical condition that contraindicates study participation
  • Unknown trigger for sHLH
  • Active relapsed/refractory malignancy without suitable therapies
  • Allogeneic hematopoietic stem cell transplant within 100 days before first ELA026 dose
  • Ongoing treatment for HLH except dexamethasone
  • Receipt of live or attenuated vaccine within 6 weeks or BCG vaccine within 12 weeks before screening
  • Refractory sHLH except safety lead-in 6-12 year olds in Part 2 Cohort B
  • Known or suspected primary or hereditary HLH
  • Severe organ dysfunction
  • End-stage malignancy without suitable therapies
  • Any other significant uncontrolled medical condition preventing study procedures completion

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 40 locations

1

University of Alabama at Birmingham School of Medicine

Birmingham, Alabama, United States, 35233

Actively Recruiting

2

Phoenix Children's Hospital

Phoenix, Arizona, United States, 85016

Active, Not Recruiting

3

University of California, Los Angeles

Los Angeles, California, United States, 90095

Active, Not Recruiting

4

MedStar Georgetown University Hospital

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

Actively Recruiting

5

Johns Hopkins All Children's Hospital

St. Petersburg, Florida, United States, 33701

Actively Recruiting

6

Children's Healthcare of Atlanta - Center for Advanced Pediatrics

Atlanta, Georgia, United States, 30322

Actively Recruiting

7

Emory University

Atlanta, Georgia, United States, 30322

Actively Recruiting

8

National Institute of Allergy and Infectious Diseases (NIAID)

Rockville, Maryland, United States, 20892

Actively Recruiting

9

Columbia University

New York, New York, United States, 10032

Actively Recruiting

10

Cornell University

New York, New York, United States, 10065

Actively Recruiting

11

Hackensack University Medical Center

New York, New York, United States, 10065

Actively Recruiting

12

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

13

Thomas Jefferson University

Philadelphia, Pennsylvania, United States, 19107

Actively Recruiting

14

Texas Children's Hospital

Houston, Texas, United States, 77030

Actively Recruiting

15

University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

16

Huntsman Cancer Institute

Salt Lake City, Utah, United States, 84112

Actively Recruiting

17

Fred Hutchinson Cancer Center - Seattle Cancer Care Alliance (SCCA) Location

Seattle, Washington, United States, 98109

Actively Recruiting

18

Medizinische Universität Innsbruck

Innsbruck, Austria

Withdrawn

19

Medical University of Vienna

Vienna, Austria

Completed

20

Universitätsklinikum Jena

Jena, Thuringia, Germany, 07747

Actively Recruiting

21

Schwarzwald-Baar Klinikum Villingen-Schwenningen

Villingen-Schwenningen, Germany, 78052

Actively Recruiting

22

Azienda Ospedaliero Universitaria Meyer

Florence, Italy, 50139

Actively Recruiting

23

IRCCS Istituto Giannina Gaslini

Genova, Italy, 16147

Actively Recruiting

24

Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

Milan, Italy

Completed

25

Fondazione IRCCS San Gerardo dei Tintori (Ospedale San Gerardo)

Monza, Italy, 20900

Actively Recruiting

26

Azienda Ospedale Università di Padova

Padova, Italy, 35128

Actively Recruiting

27

Bambino Gesu' Roma

Roma, Italy

Withdrawn

28

Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Materno-Infantile Burlo Garofolo

Trieste, Italy, 34137

Actively Recruiting

29

Amsterdam Universitair Medische Centra - Locatie Academisch Medisch Centrum

Amsterdam, Noord-Holland - NET, Netherlands, 1105 AZ

Actively Recruiting

30

Radboud Universitair Medisch Centrum

Nijmegen, Netherlands, 6525 GA

Actively Recruiting

31

Erasmus UMC

Rotterdam, Netherlands

Active, Not Recruiting

32

Wilhelmina Kinderziekenhuis

Utrecht, Netherlands, 3584 EA

Actively Recruiting

33

Clinica Universidad de Navarra - Madrid

Madrid, Madrid - SPA, Spain, 28027

Actively Recruiting

34

Clinica Universidad de Navarra - Pamplona

Pamplona, Navarre - SPA, Spain, 31008

Actively Recruiting

35

Hospital Universitario Virgen del Rocio

Seville, Sevilla - SPA, Spain, 41013

Actively Recruiting

36

Hospital Universitari i Politecnic La Fe

Valencia, Valencia - SPA, Spain, 46026

Actively Recruiting

37

Hospital 12 de Octubre, Madrid

Madrid, Spain

Withdrawn

38

Hospital Ramon y Cajal

Madrid, Spain

Completed

39

Hospital La Fe Valencia

Valencia, Spain

Withdrawn

40

University College London Hospitals NHS Foundation Trust

London, England - UK, United Kingdom, NW1 2PG

Actively Recruiting

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Research Team

C

Clinical Trials

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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