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E07-001: Safety and Efficacy Extension Study of Eculizumab in Paroxysmal Nocturnal Hemoglobinuria Patients

Phase II Clinical Study of Eculizumab (h5G1.1-mAb) in Hemolytic Paroxysmal Nocturnal Hemoglobinuria (PNH) Patients: Extension Study to C07-001 Protocol

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01194804
Enrollment
27
Registered
2010-09-03
Start date
2008-04-30
Completion date
2011-03-31
Last updated
2019-09-17

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

Conditions

Paroxysmal Nocturnal Hemoglobinuria

Keywords

Hemolytic Paroxysmal Nocturnal Hemoglobinuria, Eculizumab, PNH

Brief summary

The objective of this study was to assess the long-term safety and efficacy of eculizumab in hemolytic PNH patients who completed the 4-week screening and 12-week treatment period of the C07-001 study. In addition, pharmacokinetic and pharmacodynamic assessments of eculizumab were conducted.

Interventions

DRUGEculizumab

Each vial contains 30 mL of 10 mg/mL eculizumab; dose of 900 mg intravenous every 14 days.

Sponsors

CMIC Co, Ltd. Japan
CollaboratorINDUSTRY
Alexion Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients must have fully completed C07-001 study 12-week treatment period

Exclusion criteria

* Patients who terminated early from the C07-001 study

Design outcomes

Primary

MeasureTime frame
Change From Baseline in Lactate Dehydrogenase52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)

Secondary

MeasureTime frameDescription
Change From Baseline in FACIT-Fatigue Scale Total Score52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)The FACIT-Fatigue scale, Version 4.0, is a collection of quality of life questionnaires pertaining to the management of fatigue symptoms due to a chronic illness. The FACIT-Fatigue is a 13-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function over the preceding 7 days. Patients score each item on a 5-point scale: 0 (Not at all) to 4 (Very much). Total scores range from 0 to 52, with higher score indicating better quality of life.
Change From Baseline in PNH Red Blood Cell (RBC) Count52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)
Change From Baseline in Number of Units of Packed RBCs Transfused52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)Baseline is defined as the number of units transfused in 3 months prior to baseline
Change From Baseline in Plasma Free Hemoglobin52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)

Participant flow

Participants by arm

ArmCount
Eculizumab
Treatment with eculizumab for patients with PNH who have successfully completed the C07-001 protocol 900 mg intravenous every 14 days.
27
Total27

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyWithdrawal by Subject1

Baseline characteristics

CharacteristicEculizumab
Age, Continuous48.3 years
STANDARD_DEVIATION 12.35
Race/Ethnicity, Customized
Japanese
27 Participants
Region of Enrollment
Japan
27 Participants
Sex: Female, Male
Female
14 Participants
Sex: Female, Male
Male
13 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 27
other
Total, other adverse events
26 / 27
serious
Total, serious adverse events
12 / 27

Outcome results

Primary

Change From Baseline in Lactate Dehydrogenase

Time frame: 52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)

ArmMeasureValue (MEAN)Dispersion
EculizumabChange From Baseline in Lactate Dehydrogenase-15.9 Units/LiterStandard Error 1.2
p-value: <0.001Sign test
Secondary

Change From Baseline in FACIT-Fatigue Scale Total Score

The FACIT-Fatigue scale, Version 4.0, is a collection of quality of life questionnaires pertaining to the management of fatigue symptoms due to a chronic illness. The FACIT-Fatigue is a 13-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function over the preceding 7 days. Patients score each item on a 5-point scale: 0 (Not at all) to 4 (Very much). Total scores range from 0 to 52, with higher score indicating better quality of life.

Time frame: 52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)

ArmMeasureValue (MEAN)Dispersion
EculizumabChange From Baseline in FACIT-Fatigue Scale Total Score8.0 units on a scaleStandard Error 1.95
Secondary

Change From Baseline in Number of Units of Packed RBCs Transfused

Baseline is defined as the number of units transfused in 3 months prior to baseline

Time frame: 52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)

ArmMeasureValue (MEAN)Dispersion
EculizumabChange From Baseline in Number of Units of Packed RBCs Transfused-3.5 unitsStandard Error 1.43
Secondary

Change From Baseline in Plasma Free Hemoglobin

Time frame: 52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)

ArmMeasureValue (MEAN)Dispersion
EculizumabChange From Baseline in Plasma Free Hemoglobin-13.5 mg/dLStandard Error 8.55
Secondary

Change From Baseline in PNH Red Blood Cell (RBC) Count

Time frame: 52 weeks (includes 12 weeks of eculizumab treatment in the parent study and 40 weeks in the extension study)

ArmMeasureValue (MEAN)Dispersion
EculizumabChange From Baseline in PNH Red Blood Cell (RBC) Count0.51 cellsx10^12/LStandard Error 0.129

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026