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Completed

NCT Number: NCT06100900

Dose Escalation of BCX10013 in Participants with Paroxysmal Nocturnal Hemoglobinuria (PNH)

This is a multicenter, open-label, intra-subject, dose escalation study to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and therapeutic potential of BCX10013 in participants with PNH. Approximately 8 participants will be enrolled in this study. Participants may receive treatment for up to 52 weeks.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

BioCryst Investigative Site, Ampang, Malaysia

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Male or non-pregnant, non-lactating female adults ≥ 18 years old.
  • Documented diagnosis of PNH confirmed by flow cytometry.
  • Body mass index (BMI) ≤ 40 kg/m^2.
  • Are either: (a) naïve to treatment with a complement inhibitor; or (b) have received no treatment with ravulizumab for at least 12 months prior to the screening visit and have received no treatment with eculizumab or pegcetacoplan for 6 months prior to the screening visit.
  • Documentation of current vaccinations against N. meningitidis, S. pneumoniae, and H. influenzae type B [Hib] or willingness to start vaccination series at least 14 days prior to Day 1.

Key Exclusion Criteria:

  • Known history of or existing diagnosis of hereditary complement deficiency.
  • History of hematopoietic cell transplant or solid organ transplant or anticipated candidate for transplantation during the study.
  • Myocardial infarction or cerebrovascular accident within 30 days prior to screening, or current and uncontrolled clinically significant cardiovascular or cerebrovascular condition, including unstable angina, severe congestive heart failure, unexplained syncope, arrhythmia, and critical aortic stenosis.
  • History of malignancy within 5 years prior to the screening visit.
  • Treatment with anti-thymocyte globulin within 180 days prior to the screening visit.
  • Initiation of treatment with an erythropoiesis-stimulating agent (eg, erythropoietin), a thrombopoietin receptor agonist (eg, eltrombopag), or danazol within 28 days prior to the screening visit.
  • Receiving iron with an unstable dose (ie, increasing or decreasing) in the 28 days prior to the screening visit.

Treatment and study plan

BCX10013

Drug

Multiple dose levels may be tested in this study.

Primary outcomes

  1. Number of Participants with Treatment-Emergent Adverse Events (TEAEs) and Graded Laboratory Abnormalities, and Changes From Baseline (CFB) in Laboratory Analytes, Vital signs, Electrocardiograms (ECGs), and Physical Examination Findings.

    Time frame: up to 52 weeks

Secondary outcomes

  1. CFB in Lactate Dehydrogenase

    Time frame: Baseline, Week 52

  2. CFB in the Ratio of Total PNH Red Blood Cell Clone Size to PNH White Blood Cell Clone Size

    Time frame: Baseline, Week 52

  3. CFB in Hemoglobin

    Time frame: Baseline, Week 52

  4. Percentage of Participants who are Transfusion-free

    Time frame: 52 weeks

  5. Percentage of Participants Achieving a Within-subject Clinically Meaningful CFB in the FACIT-Fatigue scale

    Time frame: 52 weeks

  6. CFB in Other Clinical Biomarkers of PNH Disease Activity including absolute reticulocyte count, total PNH red blood cell clone size, haptoglobin levels, total bilirubin, and aspartate transaminase

    Time frame: Baseline, Week 52

  7. Number of Participants with Clinical PNH Symptoms

    Time frame: up to 52 weeks

  8. Concentration of BCX10013 and its Metabolite(s) in Plasma

    Time frame: Pre-dose, 0.5, 1, 2, 4, and 6 hours post dose on Day 1, Week 2, and Week 4

  9. Concentration of BCX10013 and its Metabolite(s) in Urine (if applicable)

    Time frame: Pre-dose and all urine from 0 to 6 hours post dose on Day 1, Week 2, and Week 4

Sponsors and collaborators

Lead sponsor

BioCryst Pharmaceuticals

Industry

Registry information

Official study title

An Open-Label, Multicenter, Intra-Subject Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Therapeutic Potential of BCX10013 in Subjects with Paroxysmal Nocturnal Hemoglobinuria

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Oct 25, 2023
Registry last updated
Jan 8, 2025

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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