New Insights on the Long-Term Safety of ENJAYMO® in Cold Agglutinin Disease Presented at ASH 2025

Long-Term Safety of ENJAYMO® in Cold Agglutinin Disease



Recordati Rare Diseases Inc. shared significant findings regarding sutimlimab, marketed as ENJAYMO®, during a presentation at the 67th American Society of Hematology (ASH) Annual Meeting in Orlando. This innovative treatment aims to address hemolysis in Cold Agglutinin Disease (CAD). Recent results from the CADENCE registry provide valuable real-world data regarding the long-term safety profile of this FDA-approved drug.

Key Findings from the CADENCE Registry



The CADENCE registry stands out as the first multinational, prospective study focused on patients with CAD and its related condition, Cold Agglutinin Syndrome (CAS). Presenting these findings, Dr. Catherine M. Broome, a prominent investigator and Professor of Medicine at Georgetown University, emphasized the significance of these insights. The registry gathered safety data from 63 patients treated with sutimlimab, all of whom were followed for an average duration exceeding two years.

Throughout the trial period, a total of 159 adverse events (AEs) were reported among 33 patients (52.4%). Importantly, only six AEs (9.5%) were deemed related to sutimlimab, marking a reassuring indicator of the drug's safety. Out of 37 serious adverse events, the majority were not associated with the treatment, further substantiating the long-term tolerability of ENJAYMO.

Safety Monitoring and Potential Risks



The data revealed serious adverse events such as chest pain/stable angina, deemed unexpected but related to sutimlimab. Additionally, three serious infections were noted along with cases of arterial hypertension. Despite these observations, no new safety signals emerged after extended treatment duration, aligning with prior clinical trial results in CAD patients.

Dr. Broome elaborated on the demographics of those studied, noting an average age of 72.7 years and 76.2% of participants being female. The treatments focused primarily on CAD, while noting that sutimlimab is not approved for CAS. This distinction is critical as the efficacy of the drug in the CAS population remains unverified by health authorities.

Understanding Cold Agglutinin Disease



CAD is an atypical form of autoimmune hemolytic anemia, characterized by autoantibodies that lead to the destruction of red blood cells at lower temperatures. Patients typically experience debilitating symptoms such as severe fatigue and dyspnea. Onset usually occurs around the age of 60, but cases have been documented in younger individuals.

Future of ENJAYMO® and Recordati’s Commitment



Dr. Alessandro Albuquerque, Chief Medical Officer at Recordati, expressed that the findings from the CADENCE registry fortify the growing body of real-world evidence supporting sutimlimab's application in managing CAD. He reaffirmed the company’s ongoing commitment to deliver innovative solutions to those grappling with rare diseases. Recordati Rare Diseases is proactively working to ensure that they continue addressing the specialized needs of rare disorder communities worldwide.

As research settings evolve, further updates from the CADENCE registry remain on the horizon, aiming to provide a clearer snapshot of long-term therapeutic benefits and safety profiles associated with ENJAYMO. These advances spotlight the importance of collaborative efforts in the field of rare disease management, leveraging data to inform treatment strategies that can ultimately improve patient outcomes.

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