Rigel begins fostamatinib Phase 2 trial for treatment of patients with autoimmune hemolytic anemia

Rigel Pharmaceuticals Inc. (Nasdaq: RIGL) today announced that it has initiated a Phase 2 clinical trial to evaluate fostamatinib, its oral SYK inhibitor, as a potential treatment for autoimmune hemolytic anemia (AIHA). The purpose of this clinical trial is to evaluate the safety and efficacy of fostamatinib in patients with chronic AIHA. This disorder affects an estimated 40,000 Americans, for whom no approved treatment options currently exist.

"This autoimmune hemolytic anemia program represents an exciting opportunity to evaluate fostamatinib in an underserved patient group and build upon the synergies that exist between AIHA and our Phase 3 ITP program," said Raul Rodriguez, president and chief executive officer of Rigel. "We believe fostamatinib, if approved by the FDA for the treatment of AIHA, will be the first marketed treatment for patients with this rare hematological disorder," he added.

Fostamatinib in AIHA Study Design

The trial is a Phase 2 open-label, multi-center, two-stage study that will evaluate the efficacy and safety of fostamatinib in patients with warm antibody AIHA who have previously received treatment for the disorder, but have relapsed.

Stage 1 will enroll 17 patients who will receive 150 mg of fostamatinib orally twice a day for a period of 12 weeks. The patients will return to the clinic every two weeks for blood draws and medical assessment.

The primary efficacy endpoint of this study is to achieve increased hemoglobin levels by week 12 of greater than 10 g/dL, and greater than or equal to 2 g/dL higher than baseline. Rigel expects to have results of the Stage 1 segment of the trial by year-end 2016.

Stage 2 will begin after enrollment in Stage 1 has been completed and will include an additional 20 patients who will receive the same treatment protocol as Stage 1.

Autoimmune Hemolytic Anemia
AIHA is a rare, serious blood disorder where the immune system produces antibodies that result in the destruction of the body's own red blood cells. Symptoms can include fatigue, shortness of breath, rapid heartbeat, jaundice or enlarged spleen. While no medical treatments are currently approved for AIHA, physicians generally treat acute and chronic cases of the disorder with corticosteroids, other immuno-suppressants, or splenectomy. Research has shown that inhibiting spleen tyrosine kinase (SYK) with fostamatinib may reduce the destruction of red blood cells.

SOURCE Rigel Pharmaceuticals, Inc.