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A randomized, multicenter, active-comparator controlled, open-label trial to evaluate efficacy and safety of oral, twice daily LNP023 in adult patients with PNH and residual anemia, despite treatment with an intravenous anti-C5 antibody

A randomized, multicenter, active-comparator controlled, open-label trial to evaluate efficacy and safety of oral, twice daily LNP023 in adult patients with PNH and residual anemia, despite treatment with an intravenous anti-C5 antibody - CLNP023C12302

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON51938
Enrollment
2
Registered
2020-11-02
Start date
2021-01-25
Completion date
Unknown
Last updated
2024-04-09

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

Conditions

hemolysis red blood cells PNH

Interventions

LNP023 200mg bid

Sponsors

Novartis
Lead Sponsor

Eligibility

Age
18 Years to 64 Years

Inclusion criteria

Inclusion criteria: - Male and female participants >= 18 years of age with a diagnosis of PNH confirmed by high-sensitivity flow cytometry with RBCs and WBCs granulocyte/monocyte clone size >= 10% - Stable regimen of anti-C5 antibody treatment (either eculizumab or ravulizumab) for at least 6 months prior to randomization - Mean hemoglobin level

Exclusion criteria

Exclusion criteria: - Participants on a stable eculizumab dose but with a dosing interval of 11 days or less - Known or suspected hereditary complement deficiency at screening - History of hematopoietic stem cell transplantation - Patients with laboratory evidence of bone marrow failure (reticulocytes

Design outcomes

Primary

MeasureTime frame
Endpoint(s) for primary objective(s) • Response defined as having an increase from baseline in Hb >= 2 g/dL assessed between Day 126 and Day 168, in the absence of packed red blood cell transfusions between Day 14 and Day 168 • Response defined as having Hb >= 12 g/dL between Day 126 and Day 168 in the absence of packed-red blood cell transfusions between Day 14 and Day 168

Secondary

MeasureTime frame
Endpoint(s) for secondary objective(s) • Absence of administration of packed-red blood cell transfusions between Day 14 and Day 168 • Change from baseline in hemoglobin (g/dL) as mean of visits between Day 126 and Day 168 • Change from baseline in FACIT-Fatigue scores as mean of visits between Day 126 and Day 168 • Change from baseline in reticulocyte count (109/L) as mean of visits between Day 126 and Day 168 • Percent change from baseline in LDH levels (U/L) as mean of visits between Day 126 and Day 168 • Occurrences of breakthrough hemolysis reported between Day 1 and Day 168 • Occurrences of MAVEs occurring between Day 1 and Day 168

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)