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Long-term safety and tolerability of iptacopan in patients with Paroxysmal Nocturnal Hemoglobinuria

An open label, multicenter roll-over extension program (REP) to characterize the long-term safety and tolerability of iptacopan (LNP023) in patients with Paroxysmal Nocturnal Hemoglobinuria (PNH) who have completed PNH Phase 2 and Phase 3 studies with iptacopan.

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-004385-19-LT
Enrollment
250
Registered
2021-04-20
Start date
2021-07-15
Completion date
Unknown
Last updated
2024-07-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Paroxysmal Nocturnal Hemoglobinuria (PNH) MedDRA version: 21.1 Level: PT Classification code 10034042 Term: Paroxysmal nocturnal haemoglobinuria System Organ Class: 10038359 - Renal and urinary disorders

Interventions

Product Name: iptacopan Product Code: LNP023 Pharmaceutical Form: Capsule, hard INN or Proposed INN: Iptacopan Current Sponsor code: LNP023 Other descriptive name: LNP023 HYDROCHLORIDE SALT Concentrat

Sponsors

Novartis Pharma AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Male and female participants = 18 years of age with a diagnosis of PNH who have completed the treatment extension period (without tapering down) of Phase II iptacopan studies (CLNP023X2204, CLNP023X2201),Period 4 of CLFGX2201 or completed any Phase III (eg. CLNP023C12302, CLNP023C12301,CLNP023C12303) clinical study at the time point of enrollment visit in this roll over extension study. - Prior vaccinations against Neisseria meningitidis, Streptococcus pneumoniae and Haemophilus influenzae infections - Per investigator's clinical judgement benefit from continued treatment with iptacopan and has been clinically stable on iptacopan monotherapy for at least 3 months Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 238 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 12

Exclusion criteria

Exclusion criteria: - Any comorbidity or medical condition (including but not limited to any active systemic bacterial, viral or fungal infection or malignancy) that, in the opinion of the investigator, could put the subject at increased risk or potentially confound study data. - History of recurrent invasive infections caused by encapsulated organisms, such as Neisseria meningitidis, Streptococcus pneumoniae or Haemophilus influenzae -Female participants who are pregnant or breastfeeding, or intending to conceive during the course of the study. -Women of childbearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during dosing of investigational drug and for 1 week after stopping investigational drug.

Design outcomes

Primary

MeasureTime frame
Main Objective: Safety evaluations including but not limited to adverse events/serious adverse events, safety laboratory parameters, vital signs, etc. through End of Study visit;Secondary Objective: 1. Proportion of participants achieving sustained hemoglobin levels = 12 g/dL in the absence of red blood cell transfusions evaluated over yearly intervals 2. Proportion of participants who remain free from transfusions evaluated over yearly intervals 3. Rate of breakthrough hemolysis (BTH) 4. Proportion of participants with Major Adverse Vascular Events MAVEs (incl. thrombosis) evaluated over yearly intervals;Primary end point(s): Proportion of participants with adverse events ;Timepoint(s) of evaluation of this end point: Time Frame: 60 months

Secondary

MeasureTime frame
Secondary end point(s): 1. Proportion of participants achieving sustained hemoglobin levels = 12 g/dL in the absence of red blood cell transfusions 2. Proportion of participants who remain free from transfusions 3. Rate of breakthrough hemolysis (BTH) 4. Proportion of participants with Major Adverse Vascular Events MAVEs ;Timepoint(s) of evaluation of this end point: Time Frame: 60 months

Countries

Brazil, China, Czech Republic, France, Italy, Japan, Korea, Republic of, Lithuania, Malaysia, Netherlands, Singapore, Spain, Taiwan, United States

Contacts

Public ContactClinical Trial Information Desk

SIA Novartis Baltics Lithuania Branch

dra.lithuania@novartis.com+37052691650

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026