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A Phase 3 Study of Danicopan (ALXN2040) as Add-on Therapy to a C5 Inhibitor (Eculizumab or Ravulizumab) in Patients with Paroxysmal Nocturnal Hemoglobinuria Who Have Clinically Evident Extravascular Hemolysis (EVH)

A Phase 3 Study of Danicopan (ALXN2040) as Add-on Therapy to a C5 Inhibitor (Eculizumab or Ravulizumab) in Patients with Paroxysmal Nocturnal Hemoglobinuria Who Have Clinically Evident Extravascular Hemolysis (EVH) - ALXN2040-PNH-301

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON55171
Enrollment
5
Registered
2020-10-07
Start date
2021-05-21
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

Paroxysmal Nocturnal Hemoglobinuria PNH

Interventions

Treatment Period 1 * The patient will receive either placebo or ALXN2040 (1:2 chance) orally three times a day for 12 weeks. Treatment Period 2 * The patient will receive ALXN2040 orally three times

Sponsors

Alexion Pharmaceuticals
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: * Diagnosis of PNH * Clinically Evident EVH defined by: - Anemia (Hgb *9.5 gram/deciliter) with absolute reticulocyte count * 120 x 10^9/liter. - At least 1 packed red blood cell or whole blood transfusion within 6 months prior to the start of the study. * Receiving a C5 inhibitor for at least 6 months prior to Day 1 * Platelet count *30,000/microliters (*L) * Absolute neutrophil counts *750/*L. * Documentation of/or willingness to receive vaccinations and prophylactic antibiotics as required.

Exclusion criteria

Exclusion criteria: * History of a major organ transplant or hematopoietic stem cell transplantation (HSCT). * Known aplastic anemia or other bone marrow failure that requires HSCT or other therapies including anti-thymocyte globulin and/or immunosuppressants. * Known or suspected complement deficiency. * Laboratory abnormalities at screening, including: - Alanine aminotransferase >2 x ULN. - Direct bilirubin >2 x ULN (unless due to EVH or documented Gilbert's Syndrome. * Current evidence of biliary cholestasis. * Estimated glomerular filtration rate

Design outcomes

Primary

MeasureTime frame
Change From Baseline In Hemoglobin (Hgb)

Secondary

MeasureTime frame
* Percentage Of Participants With Transfusion Avoidance * Change From Baseline In Functional Assessment Of Chronic Illness Therapy (FACIT) Fatigue Scores; Scoring 0-52 * Change From Baseline In Absolute Reticulocyte Count

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)