PNHA Phase 2 Open-label Study of ACH-0144471 in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Who Have an Inadequate Response to Eculizumab Monotherapy
Danicopan
+ Eculizumab
Anemia+4
+ Anemia Hemolítica
+ Enfermedades de la Médula Ósea
Estudio de Tratamiento
Resumen
Fecha de inicio: 8 de mayo de 2018
Fecha en la que se inscribió al primer participante.The purpose of this study is to determine the effectiveness of danicopan in improving anemia, as measured by increased blood hemoglobin, when given with eculizumab (a drug commonly used for treatment of PNH) for 24 weeks in participants with PNH. The 24-week treatment period was followed by a long-term extension phase. In the extension phase, participants received the same danicopan dose plus eculizumab as they were receiving at the end of 24-week treatment phase. Results are reported for the 24-week treatment period.
Protocolo
Esta sección proporciona detalles del plan del estudio, incluyendo cómo está diseñado y qué se está evaluando.Se reclutarán 12 pacientes
Número total de participantes que el ensayo clínico espera reclutar.Estudio de Tratamiento
Elegibilidad
Los investigadores buscan pacientes que cumplan ciertos criterios, conocidos como criterios de elegibilidad: estado general de salud o tratamientos previos.Cualquier sexo
Sexo biológico de los participantes elegibles para inscribirse.De 18 a 65 años
Rango de edades de los participantes que pueden unirse al estudio.Voluntarios sanos no permitidos
Indica si personas sanas, sin la condición que se estudia, pueden participar.Condiciones
Patología
Criterios
Key Inclusion Criteria: * Diagnosed with PNH * Have received at least one red blood cell transfusion within last 12 weeks * Anemia with adequate reticulocytosis * Must be on a stable regimen of eculizumab * Platelet count ≥ 40,000/microliter without the need for platelet transfusions * Documentation of vaccination for Neisseria meningitidis, Haemophilus influenza, and Streptococcus pneumoniae or willingness to receive vaccinations based on local guidelines * Willingness to receive antibiotic prophylaxis * Female participants must use highly effective birth control to prevent pregnancy during the clinical trial and for 30 days after their last dose of study drug * Male participants must use a highly effective birth control with a female partner to prevent pregnancy during the clinical trial and for 90 days after the last dose of study drug Key Exclusion Criteria: * Current evidence of bone marrow failure or aplastic anemia requiring treatment * History of a major organ transplant or hematopoietic stem cell/marrow transplant * Received another investigational agent within 30 days or 5 half-lives of the investigational agent prior to study entry, whichever is greater * Documented C5 complement protein mutations * Known or suspected complement deficiency * Contraindication to any of the required vaccinations * Active bacterial infection or clinically significant active viral infection, a body temperature \>38°C, or other evidence of infection * History of meningococcal infection, or a first-degree relative or household contact with a history of meningococcal infection * History of hypersensitivity reactions to commonly used antibacterial agents Note: Additional inclusion/exclusion criteria may apply, per protocol.
Plan de Estudio
Conoce todos los tratamientos administrados en este estudio, su descripción detallada y en qué consisten.4 grupos de intervención están designados en este estudio
0% de probabilidad de ser asignado al grupo placebo
Grupos de Tratamiento
Grupo I
ExperimentalGrupo II
ExperimentalGrupo III
ExperimentalGrupo IV
ExperimentalObjetivos del Estudio
Objetivos Primarios
Objetivos Secundarios
Centros del Estudio
Estos son los hospitales, clínicas o centros de investigación donde se lleva a cabo el estudio. Puedes encontrar la ubicación más cercana a ti y su estado de reclutamiento.Este estudio tiene 5 ubicaciones
Clinical Study Site
Cleveland, United StatesClinical Study Site
Florence, ItalyClinical Study Site
Naples, Italy