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Hemophagocytic syndrome (HPS) is a rare immune disease and a potentially life-threatening disorder characterized by cytokine storm and overwhelming inflammation causing fever, hepatosplenomegaly, cytopenia, hypertriglyceridemia, hyperferritinemia, and hemophagocytosis in bone marrow, liver, spleen or lymph nodes. It can be either primary due to a genetic defect (primary hemophagocytic lymphohistiocytosis), or secondary to malignancies, to infections, most commonly with viruses such as Epstein-Barr virus or cytomegalovirus, human immunodeficiency virus, or to autoimmune disorders such as systemic lupus erythematosus or adult-onset Still disease (secondary hemophagocytic lymphohistiocytosis).
Biomarker and diagnostic research for hemophagocytic syndrome has been reported in the published literature.
1 FDA-approved treatment is available for hemophagocytic syndrome, including EMAPALUMAB-LZSG (GAMIFANT, approved 2018). An additional 3 compounds hold orphan drug designation.
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
Estimated prevalence: Unknown (Unknown prevalence).
25 clinical trials registered, 7 recruiting. Interventions under study include drug therapy, other interventions, biologic therapy, and gene therapy. Pipeline includes 1 PHASE4, 3 PHASE3, 4 PHASE2. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT05416307](https://clinicaltrials.gov/study/NCT05416307) |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 2:54 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
GAMIFANT |
EMAPALUMAB-LZSG |
— |
2018 |
Available |
The following drugs have received orphan drug designation from the FDA for hemophagocytic syndrome. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
fully human IgG1 monoclonal antibody directed against human signal regulatory protein (SIRP)alpha, SIRPbeta1, and SIRPgamma | fully human IgG1 monoclonal antibody directed against human signal regulatory protein (SIRP)alpha, SIRPbeta1, and SIRPgamma | Electra Therapeutics, Inc. | 2024 | — | Designated |
human monoclonal antibody based on an IgG1 lambda framework against human interferon gamma | human monoclonal antibody based on an IgG1 lambda framework against human interferon gamma | Elixiron Immunotherapeutics (Hong Kong) Limited | 2022 | — | Designated |
tadekinig alfa | tadekinig alfa | AB2 Bio Ltd | 2017 | — | Designated |
Gene therapy approaches for hemophagocytic syndrome have been reported in the published literature.
25 trials found
Open-label Study of ELA026 in Participants With Secondary Hemophagocytic Lymphohistiocytosis (sHLH) |
PHASE2 |
Electra Therapeutics Inc. |
RECRUITING |
[NCT06339177](https://clinicaltrials.gov/study/NCT06339177) | Hemophagocytic Lymphohistiocytosis (HLH) Evaluation and Research of Clinical, ImmUnoLogic and TranscriptomE Study | — | National Institute of Allergy and Infectious Diseases (NIAID) | RECRUITING |
[NCT01793168](https://clinicaltrials.gov/study/NCT01793168) | Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford | — | Sanford Health | RECRUITING |
[NCT07270835](https://clinicaltrials.gov/study/NCT07270835) | Zanubrutinib Combined With Rituximab in the Treatment of Secondary HLH in B-cell Lymphoma | PHASE4 | The First Affiliated Hospital of Soochow University | RECRUITING |
[NCT05882175](https://clinicaltrials.gov/study/NCT05882175) | Prospective Validation of the OHI Index | — | Meir Medical Center | RECRUITING |
259 publications have been identified in PubMed for hemophagocytic syndrome. Kisho has analyzed 164 by research type. Research spans Case Report / Case Series (55%), Review / Meta-Analysis (16%), and Epidemiology / Natural History (11%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 91 | 55% |
Research summaries | 26 | 16% |
Disease patterns and progression | 18 | 11% |
Clinical study results | 9 | 5% |
Other research | 7 | 4% |
Testing and diagnosis research | 7 | 4% |
Laboratory research | 4 | 2% |
New treatment approaches | 2 | 1% |
Al-Mashdali AF (2026). [PMID: 42038293](https://pubmed.ncbi.nlm.nih.gov/42038293/). *Front Pharmacol*. [Review / Meta-Analysis]
Fakhri NEH (2026). [PMID: 42005194](https://pubmed.ncbi.nlm.nih.gov/42005194/). *Cureus*. [Case Report / Case Series]
Chen C (2026). [PMID: 42063782](https://pubmed.ncbi.nlm.nih.gov/42063782/). *Front Med (Lausanne)*. [Epidemiology / Natural History]
Jin F (2026). [PMID: 41906362](https://pubmed.ncbi.nlm.nih.gov/41906362/). *Am J Case Rep*. [Review / Meta-Analysis]
Cao JW (2026). [PMID: 41986127](https://pubmed.ncbi.nlm.nih.gov/41986127/). *Zhonghua Yi Xue Za Zhi*. [Epidemiology / Natural History]
Mayor-Vázquez E (2026). [PMID: 40946001](https://pubmed.ncbi.nlm.nih.gov/40946001/). *Med Intensiva (Engl Ed)*. [Review / Meta-Analysis]
Das S (2026). [PMID: 42268550](https://pubmed.ncbi.nlm.nih.gov/42268550/). *Indian J Pediatr*. [Other]
Huang L (2026). [PMID: 42078810](https://pubmed.ncbi.nlm.nih.gov/42078810/). *Front Oncol*. [Case Report / Case Series]
Roman Delgado FD (2026). [PMID: 42220663](https://pubmed.ncbi.nlm.nih.gov/42220663/). *Cureus*. [Case Report / Case Series]
Lv H (2026). [PMID: 41851643](https://pubmed.ncbi.nlm.nih.gov/41851643/). *BMC Pediatr*. [Case Report / Case Series]