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RUBY-4 Clinical Study

RUBY-4 is a clinical study for people with immune thrombocytopenia (ITP), warm autoimmune hemolytic anemia (wAIHA), or cold agglutinin disease (CAD).

RUBY-4 is a phase 1b/2 clinical study for patients whose autoimmune cytopenia is not well controlled with their current medication(s). RUBY-4 is exploring the safety and potential effectiveness of an investigational drug called povetacicept (ALPN-303) for people with ITP, wAIHA, or CAD.

All participants who enroll in RUBY-4 will receive treatment with povetacicept given as an injection under the skin. There is no placebo group in RUBY-4.

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Immune Thrombocytopenia

PHASE 1b/2

Participants must meet the following requirements:

  • 18 years of age or older
  • Diagnosed with ITP at least three months ago
  • Received at least two prior treatments for ITP
  • Currently have low platelet counts

Additional requirements apply. Our study doctors can help determine if you qualify.

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Warm Autoimmune Hemolytic Anemia

PHASE 1b/2

Participants must meet the following requirements:

  • 18 years of age or older
  • Diagnosed with wAIHA at least three months ago
  • Received at least two prior treatments for wAIHA
  • Currently experiencing symptoms from anemia

Additional requirements apply. Our study doctors can help determine if you qualify.

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Cold Agglutinin Disease

PHASE 1b/2

Participants must meet the following requirements:

  • 18 years of age or older
  • Diagnosed with CAD at least three months ago
  • Received at least one prior treatment for CAD
  • Currently experiencing symptoms from anemia

Additional requirements apply. Our study doctors can help determine if you qualify.

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Frequently Asked Questions

What is the study drug, povetacicept?

What is a clinical study?
learn more about clinical studies

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