Blood

Autoimmune Hemolytic Anemia

Also known as AIHA, warm AIHA, cold AIHA, Evans syndrome

Autoimmune hemolytic anemia is a heterogeneous group of acquired disorders in which autoantibodies directed against red blood cell surface antigens accelerate erythrocyte destruction by complement activation and phagocytosis in the reticulo

ORPHA:98375 ↗Prevalence 1-3 per 100,000 per yearOnset Any age; warm AIHA more common in adults; cold AIHA in older adults and post-infectious in childrenAcquired autoimmune

35

studies recruiting now

as of 7 Sept 2026

141

studies registered in total

as of 7 Sept 2026

21

countries with a recruiting site

as of 7 Sept 2026

5 Aug 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 35 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

AIHA Warriors FoundationPatient association
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About Autoimmune Hemolytic Anemia

Autoimmune hemolytic anemia is a heterogeneous group of acquired disorders in which autoantibodies directed against red blood cell surface antigens accelerate erythrocyte destruction by complement activation and phagocytosis in the reticuloendothelial system. Warm AIHA involves IgG autoantibodies reactive at 37 degrees Celsius and accounts for approximately 70-80% of cases, while cold agglutinin disease involves IgM autoantibodies and cold hemolysins (paroxysmal cold hemoglobinuria) account for the remainder. When AIHA occurs with concurrent immune thrombocytopenia, the condition is called Evans syndrome and carries a more guarded prognosis.

Common clinical features

Rapidly developing anemia with pallor and fatigueJaundice and dark urine from hemolysisSplenomegaly from splenic red cell sequestrationPositive direct antiglobulin test (DAT/Coombs test)Elevated LDH, indirect bilirubin, and reticulocyte countReduced or absent haptoglobinCold-triggered acrocyanosis and Raynaud phenomenon in cold AIHAThrombocytopenia if concurrent Evans syndrome

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

1 approved treatment and 23 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Sutimlimab (Enjaymo)
Phase 3Fostamatinib Disodium (Tavalisse)
Phase 3Cyclosporine (Capimune)
Phase 3Prednisolone (Cortalone)
Phase 3Ianalumab
Phase 3Parsaclisib
Phase 3Obexelimab
Phase 3Rilzabrutinib
Phase 3Rituximab (Blitzima)

+ 15 more in development

Before you apply

Things trial teams commonly ask about for Autoimmune Hemolytic Anemia. Not eligibility rules; those are set by each study.

  • Direct antiglobulin test (DAT) specificity (IgG, complement C3d, or both) and thermal amplitude of the causative antibody distinguish warm from cold AIHA and determine eligibility for specific trials targeting complement or B-cell pathways.
  • Primary versus secondary AIHA (secondary to lymphoma, SLE, or other autoimmune disease) affects eligibility; most trials require exclusion of active malignancy and documentation of underlying conditions.
  • Prior treatment history including corticosteroids, rituximab, splenectomy, and immunosuppressants with response assessment and duration is critical for second-line trial qualification.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).