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Completed

NCT Number: NCT02598583

Dose-Escalation Study of ALXN1210 IV in Participants With Paroxysmal Nocturnal Hemoglobinuria (PNH)

This study evaluated the safety, tolerability, efficacy, pharmacokinetics, pharmacodynamics, and immunogenicity of multiple intravenous (IV) doses of ALXN1210 administered to participants with PNH who have not previously been treated with complement inhibitor.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Clinical Trial Site, Liverpool, New South Wales, Australia

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About this study

The data presented is up to the Primary Completion date of the study and is for the 24-week Primary Evaluation period. The study also includes an Extension Period of up to 5 years.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female ≥18 years of age
  • PNH diagnosis confirmed by documented high-sensitivity flow cytometry
  • Documented meningococcal vaccination not more than 3 years prior to dosing
  • Female participants of childbearing potential used highly effective contraception starting at screening and continuing until at least 24-weeks after the last dose of ALXN1210
  • Willing and able to give written informed consent and comply with the study visit schedule

Exclusion criteria

  • Treatment with a complement inhibitor at any time
  • Females who were pregnant, breastfeeding or who had a positive pregnancy test at screening or Day 1
  • Participation in an interventional clinical study within 30 days before initiation of dosing on Day 1, or use of any experimental therapy within 30 days prior to dosing on Day 1, or within 5 half-lives of the product, whichever is greater
  • History of allergy to excipients of ALXN1210 or known allergy to Chinese hamster ovary cell proteins
  • Inability to comply with study requirements
  • History of any clinically significant cardiac, hepatic, immunologic, pulmonary, or rheumatoid disease that, in the Investigator's judgment, would preclude participation
  • Other unspecified reasons that, in the opinion of the Investigator or Sponsor, made the participant unsuitable for enrollment

Treatment and study plan

ALXN1210

Biological

Participants were administered ravulizumab as an IV infusion every 4 weeks.

Primary outcomes

  1. Percent Change In Lactate Dehydrogenase (LDH) Levels From Baseline To Day 169

    Time frame: Baseline, Day 169

    Baseline was defined as the average of all available assessments prior to first ALXN1210 infusion.

Secondary outcomes

  1. Percent Change In Free Hemoglobin Levels From Baseline To Day 169 And Day 1821

    Time frame: Baseline, Day 169, Day 1821

    Baseline was defined as the last non-missing assessment value prior to the first ALXN1210 infusion.

  2. Percent Change In Haptoglobin Levels From Baseline To Day 169 And Day 1821

    Time frame: Baseline, Day 169, Day 1821

    Baseline was defined as the last non-missing assessment value prior to the first ALXN1210 infusion.

  3. Percent Change In Reticulocyte/Erythrocyte Count From Baseline To Day 169 And Day 1821

    Time frame: Baseline, Day 169, Day 1821

    Baseline was defined as the last non-missing assessment value prior to the first ALXN1210 infusion.

  4. Percent Change In Paroxysmal Nocturnal Hemoglobinuria (PNH) Red Blood Cell (RBC) Clones From Baseline To Day 169 And Day 1933

    Time frame: Baseline, Day 169, Day 1933

    Baseline was defined as the last non-missing assessment value prior to the first ALXN1210 infusion.

  5. Percent Change In D-dimer Levels From Baseline To Day 169 And Day 1821

    Time frame: Baseline, Day 169, Day 1821

    Baseline was defined as the last non-missing assessment value prior to the first ALXN1210 infusion.

  6. Change In Clinical Manifestations Of PNH From Baseline To Day 169 And Day 1821

    Time frame: Baseline, Day 169, Day 1821

    Clinical manifestations are defined as fatigue, abdominal pain, dyspnea, dysphagia, chest pain, and erectile dysfunction (ED) by cohort. Improvement is defined as present at baseline and absent at Day 169 endpoint. Worsening is defined as absent at Baseline and present at Day 169 endpoint.

  7. Area Under The Serum Concentration-versus-time-curve From Time 0 (Dosing) To The Last Quantifiable Concentration (AUCt) At Day 1

    Time frame: Day 1

    AUCt reported in hours*microgram/milliliter (h*ug/mL).

  8. AUCt/ Dose-normalized (D) At Day 1

    Time frame: Day 1

  9. Area Under The Serum Concentration-versus-time-curve From Time 0 (Dosing) To The End Of The Dosing Interval (AUCtau) At Day 141

    Time frame: Day 141

  10. AUCtau/D At Day 141

    Time frame: Day 141

  11. Maximum Observed Serum Concentration (Cmax) At Day 1 And Day 141

    Time frame: Day 1 and Day 141

  12. Cmax/D At Day 1 And Day 141

    Time frame: Day 1 and Day 141

  13. Concentration At The End Of The Dosage Interval (Ctrough) At Day 1 And At Day 141

    Time frame: Day 1 and Day 141

  14. Time To Maximum Observed Serum Concentration (Tmax) At Day 1 And Day 141

    Time frame: Day 1 and Day 141

  15. Percent Change In Chicken Red Blood Cell (cRBC) Hemolysis From Baseline To Day 1709

    Time frame: Baseline, Day 1709

  16. Percent Change In Free Complement Component 5 (C5) Concentration From Baseline To Day 1709

    Time frame: Baseline, Day 1709

  17. Percent Change In Total C5 Concentration From Baseline To Day 1709

    Time frame: Baseline, Day 1709

  18. Participants Experiencing Antidrug Antibodies (ADAs)

    Time frame: Day 1821

Sponsors and collaborators

Lead sponsor

Alexion Pharmaceuticals, Inc.

Industry

Registry information

Official study title

An Open-Label, Intrapatient, Dose-Escalation Study to Evaluate the Safety, Tolerability, Efficacy, Pharmacokinetics, and Pharmacodynamics of ALXN1210 Administered Intravenously to Patients With Paroxysmal Nocturnal Hemoglobinuria

Important dates

Study start
2015
Primary completion
2016
Study completion
2021
First posted
Nov 6, 2015
Registry last updated
May 16, 2022

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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