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NCT05757570Phase 1Phase 2Completed

An Open-label Study of Povetacicept in Participants With Autoimmune Cytopenias (RUBY-4)

Study Summary

The goal of this clinical study is to evaluate povetacicept in adults with autoimmune cytopenias of immune thrombocytopenia, autoimmune hemolytic anemia, and cold agglutinin disease to determine if povetacicept is safe and potentially beneficial in treating these diseases. During the study treatment period participants will receive povetacicept approximately every 4 weeks for 6 months, with the possibility of participating in a 6-month study treatment extension period.

Interventions / Drugs
View on ClinicalTrials.gov ↗
Study Details
Enrollment30 participants
Primary Completion2026-08-12
Lead SponsorAlpine Immune Sciences Inc, A Subsidiary of Vertex
Data Retrieved2026-10-14
What This Trial Means for Biotech Investors
Trial Phase Context

Phase 1 trials primarily test safety and dosing in a small number of participants (typically 20–100). Results do not yet speak to efficacy. FDA approval is typically many years away from this stage.

Phase 2 trials begin testing efficacy in a larger patient group (100–300). This is often where biotech binary events occur — positive Phase 2 data can significantly advance a company's pipeline narrative, while failures can be terminal for a program.

Status & Expected Data

This trial has completed. Results may be available via ClinicalTrials.gov or peer-reviewed publications.

Primary completion: 2026-08-12
Enrolled: 30 participants
Sponsor Catalyst Profile

Alpine Immune Sciences (ALPN) is the sponsoring company for this trial. BiotechSign currently grades this company F (27/100) based on composite catalyst signals across its full pipeline. This trial is one data point in that overall catalyst picture.

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