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Trial · NCT03985423

A Study to Evaluate the Efficacy, Safety and Pharmacokinetics of Emapalumab in Adult Patients With HLH

NCT03985423, Phase 2, Phase 3, Terminated, Swedish Orphan Biovitrum; results first posted 2023-10-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Efficacy, Safety and Pharmacokinetics of Emapalumab in Adult Patients With HLH. Trials, record NCT03985423. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03985423

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Evaluate the Efficacy, Safety and Pharmacokinetics of Emapalumab in Adult Patients With HLH
NCT number
NCT03985423
Status
Terminated
Phases
Phase 2, Phase 3
Enrollment
7 participants, actual
Lead sponsor
Swedish Orphan Biovitrum
Conditions
Hemophagocytic Lymphohistiocytoses
Interventions
Emapalumab-Lzsg
First posted
2019-06-13
Last updated
2023-10-06
Results first posted
2023-10-06
Limitations and caveats
Since the study was prematurely terminated, and considering the low number of patients enrolled, no analysis related to primary and secondary efficacy endpoints and no Pharmacokinetic and Pharmacodynamic summary statistics were performed. Accordingly, no conclusion on the efficacy of emapalumab on this patient population could be withdrawn from the study.

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall ResponseWeek 4
Achievement of either a Complete or Partial Response Complete Response is adjudicated if the following are observed: * No fever = body temperature \<37.5°C * Normal spleen size * No cytopenia = Absolute Neutrophil Counts \>=1.0x10\^9/L and platelet count \>=100x10\^9/L \[absence of G-CSF and transfusion support must be documented for at least 4 days to report no cytopenia\] * No hyperferritinemia = serum level is \<2000 µg/L * No evidence of coagulopathy, i.e., normal D-Dimer and/or normal (\>150 mg/dL) fibrinogen levels * No neurological and CSF abnormalities attributed to HLH * No sustained worsening of sCD25 (as indicated by at least two consecutive measurements that are \>2-fold higher than baseline) Partial Response is adjudicated if there is an improvement (\>50% change from baseline or normalization) of at least 3 HLH clinical and laboratory criteria (including Central Nervous System abnormalities).
SecondaryBest Response on TreatmentWeek 4; End of Treatment Visit (on average of 12 weeks)As no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondaryOverall ResponseEnd of Treatment Visit (on average of 12 weeks)As no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondaryOverall SurvivalEnd of Treatment Visit (on average of 12 weeks)As no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondaryTime to Complete Response or Partial ResponseWeek 4; End of Treatment visit (on average of 12 weeks)As no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondaryDuration of ResponseUp to 1 year after last emapalumab administrationAs no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondaryHemophagocytic Lymphohistiocytosis RelapseUp to 1 year after last emapalumab administrationAs no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondaryIncidence, Severity, Causality and Outcomes of Serious Adverse Events and Non-serious Adverse EventsUp to 1 year after last emapalumab administrationAs no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondarySerum Concentrations of EmapalumabUp to 1 year after last emapalumab administrationAs no data are reported for this outcome measure, additional method is not applicable in the outcome measure description.
SecondarySerum Biomarker LevelsUp to 1 year after last emapalumab administrationLevels of interferon-gamma, C-X-C chemokine ligand 9, soluble CD25, interleukin-6.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall ResponseWeek 4Since the study was prematurely terminated, no data was collected for the primary efficacy endpoint.
SECONDARYBest Response on TreatmentWeek 4; End of Treatment Visit (on average of 12 weeks)Since the study was prematurely terminated, no data was collected for the secondary efficacy endpoints.
SECONDARYOverall ResponseEnd of Treatment Visit (on average of 12 weeks)Since the study was prematurely terminated, no data was collected for the secondary efficacy endpoints.
SECONDARYOverall SurvivalEnd of Treatment Visit (on average of 12 weeks)Since the study was prematurely terminated, no data was collected for the secondary efficacy endpoints.
SECONDARYTime to Complete Response or Partial ResponseWeek 4; End of Treatment visit (on average of 12 weeks)Since the study was prematurely terminated, no data was collected for the secondary efficacy endpoints.
SECONDARYDuration of ResponseUp to 1 year after last emapalumab administrationSince the study was prematurely terminated, no data was collected for the secondary efficacy endpoints.
SECONDARYHemophagocytic Lymphohistiocytosis RelapseUp to 1 year after last emapalumab administrationSince the study was prematurely terminated, no data was collected for the secondary efficacy endpoints.
SECONDARYIncidence, Severity, Causality and Outcomes of Serious Adverse Events and Non-serious Adverse EventsUp to 1 year after last emapalumab administrationSince the study was prematurely terminated, no data was collected for the secondary safety endpoints.
SECONDARYSerum Concentrations of EmapalumabUp to 1 year after last emapalumab administrationSince the study was prematurely terminated, no data was collected for the secondary Pharmacokinetic endpoints.
SECONDARYSerum Biomarker LevelsUp to 1 year after last emapalumab administrationSince the study was prematurely terminated, no data was collected for the secondary Pharmacodynamic endpoints.

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEmapalumab7
Overall StudyCOMPLETEDEmapalumab0
Overall StudyNOT COMPLETEDEmapalumab7

Adverse events77

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHypercoagulationBlood and lymphatic system disordersEmapalumab171
otherSplenomegalyBlood and lymphatic system disordersEmapalumab171
otherSinus tachycardiaCardiac disordersEmapalumab272
otherTachycardiaCardiac disordersEmapalumab171
otherConstipationGastrointestinal disordersEmapalumab171
otherDiarrhoeaGastrointestinal disordersEmapalumab171
otherDiverticulum intestinalGastrointestinal disordersEmapalumab171
otherHaematocheziaGastrointestinal disordersEmapalumab171
otherHaemorrhoidsGastrointestinal disordersEmapalumab171
otherLip disorderGastrointestinal disordersEmapalumab171

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEmapalumab47
Total, other adverse eventsEmapalumab77
Total, serious adverse eventsEmapalumab57

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03985423

GET https://conductscience.org/api/trials/v1/NCT03985423/events?page=2