Skip to main content
OpenTrials
Active, Not Recruiting

NCT Number: NCT05389449

A Long-term Safety and Efficacy Study of Danicopan as an Add-on Therapy to Complement Component 5 Inhibitor (C5i) in Participants With PNH

This is a single-arm long-term extension study that will enroll participants with PNH who have completed participation in Alexion-sponsored clinical studies with danicopan as an add on therapy to a C5i.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Research Site, Porto Alegre, Brazil

Loading trial locations.

About this study

The total duration of the study will be up to 3 years. Eligible participants must complete all study assessments on the parent protocol before starting this study. All participants entering this study will receive danicopan as an add-on to a background C5i therapy. The only allowed C5i therapies are eculizumab and ravulizumab.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • All participants who completed their participation in an Alexion sponsored clinical study with danicopan as an add on to a C5i treatment.
  • Patient is capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form and in this protocol.
  • Documentation of vaccination for Neisseria meningitidis: All participants must be revaccinated as per national vaccination guidelines or local practice for vaccination use with complement inhibitors.

Key Exclusion Criteria:

  • Any medical condition (for example, cardiac, pulmonary, renal, oncologic, or psychiatric) that, in the opinion of the Investigator, might interfere with participation in the study, pose any added risk to the participant, or confound the assessment of the participant.
  • Patient has been permanently discontinued from danicopan in the parent study for any reason other than enrollment into this LTE study.
  • Female participants who are pregnant, breastfeeding, or intending to conceive during the course of the study.

Treatment and study plan

Danicopan

Drug

Oral tablet

Other names: ALXN2040, ACH-0144471

Primary outcomes

  1. Participants Experiencing Treatment-emergent Adverse Events (TEAEs) And Serious TEAEs

    Time frame: Up to 3 years

Secondary outcomes

  1. Change In Hemoglobin Values

    Time frame: Up to 3 years

  2. Proportion of patients with Hgb increase ≥ 2g/dL in the absence of transfusion over time

    Time frame: Up to 3 years

  3. Change In Absolute Reticulocyte Count

    Time frame: Up to 3 years

  4. Change In Lactate Dehydrogenase (LDH)

    Time frame: Up to 3 years

  5. Proportion Of Participants With LDH ≤ 1.5 × Upper Limit Of Normal

    Time frame: Up to 3 years

  6. Proportion Of Participants With Transfusion Avoidance

    Time frame: Up to 3 years

  7. Change In Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scores

    Time frame: Up to 3 years

    Total scores range from 0 to 52, with higher scores indicating better QoL.

  8. Change In The European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 Scale (QLQ-C30) Scores

    Time frame: Up to 3 years

    Thirty questions related to QoL, with the first 28 questions scored on a 4-point scale (1 = not at all to 4 = very much) and the final 2 questions that probe the participant's overall health and QoL scored on a scale of 1 (very poor) to 7 (excellent).

  9. Participants Experiencing TEAEs Leading To Discontinuation

    Time frame: Up to 3 years

Sponsors and collaborators

Lead sponsor

Alexion Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Long-term Extension (LTE) Study to Characterize the Safety and Efficacy of Danicopan as an Add-on Therapy to a Complement Component 5 Inhibitor (C5i) in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Previously Treated With Danicopan in an Alexion-sponsored Clinical Study

Important dates

Study start
2022
Primary completion
2026
Study completion
2026
First posted
May 25, 2022
Registry last updated
Jun 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.