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Phase 1b Long-term Extension Trial of RAY121 in Immunological Diseases (RAINBOW-LTE Trial)

Phase 1b Open-label, Long-term Extension Basket Trial of RAY121 to Inhibit Classical Complement Pathway in Immunological Diseases (RAINBOW-LTE Trial)

Status
Enrolling by invitation
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06723106
Enrollment
144
Registered
2024-12-09
Start date
2024-12-09
Completion date
2028-02-28
Last updated
2026-07-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Antiphospholipid Syndrome (APS), Behçet's Syndrome (BS), Bullous Pemphigoid (BP), Dermatomyositis (DM), Immune-mediated Necrotizing Myopathy (IMNM), Immune Thrombocytopenia (ITP)

Brief summary

This is a long-term extension trial of RAY121 in patients with immunological diseases such as antiphospholipid syndrome (APS), bullous pemphigoid (BP), Behçet's Syndrome (BS), dermatomyositis (DM), immune-mediated necrotizing myopathy (IMNM) and immune thrombocytopenia (ITP).

Interventions

DRUGRAY121

Injection

Sponsors

Chugai Pharmaceutical
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

1. Signed informed consent form 2. Have completed 4 doses of RAY121 administrations in RAY902CT trial and shown clinical responses 3. Ability to comply with the study protocol, in the investigator's judgment 4. For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use highly effective contraceptive methods during the treatment period and 20 weeks (140 days) after the last dose of RAY121 5. For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm

Exclusion criteria

1. History of anaphylaxis or hypersensitivity to a biologic agent 2. Known active infection with encapsuled bacteria 3. History of Neisseria meningitidis infection 4. Planned surgery 5. Pregnant or breastfeeding, or intending to become pregnant 6. Clinically significant electrocardiogram abnormalities 7. Illicit drug or alcohol abuse 8. Known or suspected immune deficiency 9. Treatment with investigational therapy other than RAY121 10. Vaccination with a live vaccine within 4 weeks

Design outcomes

Primary

MeasureTime frameDescription
Adverse events (AEs)Baseline to Week 52Incidence, severity, and causal relationship of AEs

Secondary

MeasureTime frameDescription
RAY121 concentrationBaseline to Week 52Serum RAY121 concentration
Change from baseline in active C1sBaseline to Week 52Concentration of active C1s will be measured and assessed against baseline values
Change from baseline in total C1sBaseline to Week 52Concentration of total C1s will be measured and assessed against baseline values
Change from baseline in complement activity (classical pathway)Baseline to Week 52Level of complement activity (classical pathway) will be measured and assessed against baseline values
Anti-RAY121 antibodiesBaseline to Week 52Titer of anti-RAY121 antibodies

Countries

Australia, Austria, Bulgaria, Canada, Croatia, Czechia, France, Germany, Hungary, Italy, Japan, Netherlands, Norway, Poland, Portugal, Romania, Spain, Taiwan, Turkey (Türkiye)

Contacts

STUDY_DIRECTORSponsor Chugai Pharmaceutical Co.Ltd

clinical-trials@chugai-pharm.co.jp

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 18, 2026