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NCT Number: NCT07154745

A Study to Evaluate How Pozelimab + Cemdisiran Combination Therapy Works in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Whose Current Treatment is Not Working Efficiently

This study is researching a treatment combination with two experimental drugs called pozelimab and cemdisiran referred to as "study drugs". Researchers are looking for a better way to treat Paroxysmal Nocturnal Hemoglobinuria (PNH).

The aim of the study is to see how well the pozelimab and cemdisiran combination works to lower hemolysis in participants whose PNH has been not well controlled even after taking other complement component 5 (C5) inhibitors, eculizumab/eculizumab biosimilar, ravulizumab or crovalimab.

The study is looking at several other research questions, including:

* What side effects may happen from taking the study drugs? * How much of the study drugs are in the blood at different times? * Whether the body makes antibodies against the study drug (which could make the study drugs not work as well or could lead to side effects)

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Hospital das Clinicas da FMRP USP, Ribeirão Preto, São Paulo, Brazil

Loading trial locations.

About this study

The treatment period has two parts, a Treatment Period (TP, 28 weeks) and an Extension treatment Period (EP, 52 weeks).

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Diagnosis of PNH confirmed by a history of high-sensitivity flow cytometry from prior testing
  • Currently treated with marketed eculizumab, ravulizumab, or crovalimab at the labeled dose for at least 6 months
  • LDH persistently > 1.5 × Upper Limit of Normal (ULN) in the previous 6 months that the Principal Investigator (PI) attributes is due to intravascular hemolysis
  • At least 2 screening LDH values from different visits as described in the protocol
  • Willing and able to comply with clinic/remote visits and study-related procedures, including completion of the full series of meningococcal vaccinations required per protocol and agreement to continue to remain up to date with these vaccinations during the study

Key Exclusion Criteria:

  • Receipt of an organ transplant, history of bone marrow transplantation or other hematologic transplants
  • Body weight <40 kilograms at screening visit
  • Patients with a known or suspected C5 mutation that is refractory to their current C5i treatment as described in the protocol
  • Any active or ongoing infection within 2 weeks of screening or during the screening period or any recent infection as described in the protocol
  • Known hereditary complement deficiency

Note: Other protocol-defined Inclusion/ Exclusion Criteria apply

Treatment and study plan

Pozelimab

Drug

Administered per the protocol

Other names: REGN3918

Cemdisiran

Drug

Administered per the protocol

Other names: ALN-CC5

Primary outcomes

  1. Percent change in Lactate Dehydrogenase (LDH) during TP

    Time frame: From baseline to week 28

Secondary outcomes

  1. Normalization of LDH

    Time frame: Through week 52

  2. Adequate control of hemolysis (LDH ≤1.5 × ULN)

    Time frame: Through week 52

  3. Transfusion avoidance

    Time frame: Through week 52

    Not requiring a Red Blood Cell (RBC) transfusion as per protocol algorithm based on hemoglobin values

  4. Hemoglobin stabilization

    Time frame: Through week 52

    Participants who do not receive an RBC transfusion and have no decrease in hemoglobin level of ≥2 g/dL

  5. Change in hemoglobin from baseline

    Time frame: Through week 52

  6. Change in fatigue

    Time frame: Through week 52

    As measured by the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale.

    The FACIT-Fatigue assesses the level of fatigue using a 5-point Likert scale ranging from 0 (not at all) to 4 (very much). Scores range from 0 to 52, with higher scores indicating a higher quality of life

  7. Occurrence of all Adverse Events (AEs)

    Time frame: Through week 52

  8. Severity of all AEs

    Time frame: Through week 52

  9. Occurrence of all Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Through week 52

  10. Severity of all TEAEs

    Time frame: Through week 52

  11. Change from baseline in Total Complement Hemolytic Activity Assay (CH50)

    Time frame: Through week 52

  12. Concentrations of total pozelimab

    Time frame: Through week 52

  13. Concentrations of cemdisiran

    Time frame: Through week 52

  14. Concentrations of total C5

    Time frame: Through week 52

  15. Incidence of Anti-Drug Antibody (ADA) to pozelimab

    Time frame: Through week 52

  16. Magnitude of ADA to pozelimab

    Time frame: Through week 52

  17. Incidence of ADA to cemdisiran

    Time frame: Through week 52

  18. Magnitude of ADA to cemdisiran

    Time frame: Through week 52

  19. Percent change in LDH during EP

    Time frame: From baseline to week 24 and week 52

Study contacts

Contact information is provided by the study sponsor or research team.

Clinical Trials Administrator

CONTACT

[email protected]

844-734-6643

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

A Single Arm Study to Evaluate the Efficacy and Safety of Pozelimab and Cemdisiran Combination Therapy in Patients With Paroxysmal Nocturnal Hemoglobinuria With Inadequate Control of Intravascular Hemolysis on Currently Available C5 Inhibitor Therapy

Important dates

Study start
2026
Primary completion
2030
Study completion
2031
First posted
Sep 4, 2025
Registry last updated
Jul 9, 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.

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