A Phase 3, Randomized, Multicenter, Open-label, Active-comparator Controlled Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients with Paroxysmal Nocturnal Hemoglobinuria (PNH)

JRCT ID: jRCT2031210645

Registered date:04/03/2022

Basic Information

• Recruitment status: Complete
• Health condition(s) or Problem(s) studied: Paroxysmal Nocturnal Hemoglobinuria (PNH)
• Date of first enrollment: 04/03/2022
• Target sample size: 8
• Countries of recruitment: the U.S.,Japan,Korea,Japan,Australia,Japan,Canada,Japan,Belgium,Japan,France,Japan,Germany,Japan,Russia,Japan,Spain,Japan,the United Kingdom,Japan
• Study type: Interventional
• Intervention(s): A subcutaneous dose of pegcetacoplan (APL-2) 1080 mg twice weekly (or change to a dose of 1080 mg every 3 days as necessary).

Outcome(s)

• Primary Outcome: Change from baseline to Week 16 in hemoglobin level

Key inclusion & exclusion criteria

• Age minimum: >= 18age old
• Age maximum: Not applicable
• Gender: Both

Include criteria

1. At least 18 years of age
2. Primary diagnosis of PNH confirmed by high-sensitivity flow cytometry
3. On treatment with eculizumab. Dose of eculizumab must have been stable for at least 3 months prior to the screening visit
4. Hb <10.5 g/dL at the screening visit
5. Absolute reticulocyte count >1.0 x ULN at the screening visit
6. Platelet count of >50,000/mm3 at the screening visit
7. Absolute neutrophil count >500/mm3 at the screening visit
8. Vaccination against Neisseria meningitidis types A, C, W, Y and B, Streptococcus pneumoniae and Haemophilus influenzae Type B (Hib) either within 2 years prior to Day 1 dosing, or within 14 days after starting treatment with pegcetacoplan. Unless documented evidence exists that subjects are non-responders to vaccination as evidenced by titers or display titer levels within acceptable local limits
9. Women of child-bearing potential (WOCBP) must have a negative pregnancy test at the screening and Day -28 visit (run-in period) and must agree to use protocol defined methods of contraception for the duration of the study and 90 days after their last dose of study drug
10. Males must agree to use protocol defined methods of contraception and agree to refrain from donating sperm for the duration of the study and 90 days after their last dose of study drug
11. Willing and able to give informed consent
12. Willing and able to self-administer pegcetacoplan (administration by caregiver will be allowed)
13. Have a body mass index (BMI) <35.0 kg/m2

Exclude criteria

1. Active bacterial infection that has not resolved within 1 week of Day -28 (first dose of pegcetacoplan)
2. Receiving iron, folic acid, vitamin B12 and EPO, unless the dose is stable, in the 4 weeks prior to screening
3. Hereditary complement deficiency
4. History of bone marrow transplantation
5. History or presence of hypersensitivity or idiosyncratic reaction to compounds related to the investigational product or SC administration
6. Participation in any other investigational drug trial or exposure to other investigational agent within 30 days or 5 half-lives (whichever is longer)
7. Currently breast-feeding women
8. Inability to cooperate or any condition that, in the opinion of the investigator, could increase the subjects risk of participating in the study or confound the outcome of the study
This study includes cardiac safety evaluations. The following cardiac eligibility criteria are necessary to avoid confounding the cardiac safety outcomes:
9. History or family history of Long QT Syndrome or torsade de pointes, unexplained syncope, syncope from an uncorrected cardiac etiology, or family history of sudden death
10. Myocardial infarction, CABG, coronary or cerebral artery stenting and /or angioplasty, stroke, cardiac surgery, or hospitalization for congestive heart failure within 3 months or greater than Class 2 Angina Pectoris or NYHA Heart Failure Class >2
11. QTcF >470 ms, PR >280 ms
12. Mobitz II 2nd degree AV Block, 2:1 AV Block, High Grade AV Block, or Complete Heart Block unless the patient has an implanted pacemaker or implantable cardiac defibrillator (ICD) with backup pacing capabilities
13. Receiving Class 1 or Class 3 antiarrhythmic agents, or arsenic, methadone, ondansetron or pentamidine at screening
14. Receiving any other QTc-prolonging drugs (see Appendix 4), at a stable dose for less than 3 weeks prior to dosing
15. Receiving prophylactic ciprofloxacin, erythromycin or azithromycin for less than one week prior to the first dose of study medication (must have a repeat screening ECG after one week of prophylactic antibiotics with QTcF <470 ms)

Related Information

• Primary Sponsor: Machaidze Zurab
• Secondary ID(s): NCT03500549