For Healthcare Professionals

Danicopan as Add-on Therapy to a C5 Inhibitor in Paroxysmal Nocturnal Hemoglobinuria (PNH) Participants Who Have Clinically Evident Extravascular Hemolysis (EVH)(ALPHA)

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About the study

The main objective of this study is to evaluate the efficacy of danicopan as add-on therapy to a complement component 5 (C5) inhibitor (eculizumab or ravulizumab) in participants with PNH who have clinically evident EVH.
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Who can take part

You may be eligible to participate in the study if you meet the following criteria:

INCLUSION CRITERIA

Inclusion Criteria:


Diagnosis of PNH


Clinically Evident EVH defined by:


  1. Anemia (Hgb ≤9.5 gram/deciliter) with absolute reticulocyte count ≥120 x 10^9/liter
  2. Receiving an approved C5 inhibitor for at least 6 months prior to Day 1
  3. Platelet count ≥30,000/microliters (µL)
  4. Absolute neutrophil counts ≥500/μL
  5. Documentation of/or willingness to receive vaccinations for N. meningiditis and prophylactic antibiotics as required

EXCLUSION CRITERIA

Exclusion Criteria:


  1. History of a major organ transplant or hematopoietic stem cell transplantation (HSCT)
  2. Participants with known aplastic anemia or other bone marrow failure that requires HSCT or other therapies including anti-thymocyte globulin and/or immunosuppressants
  3. Known or suspected complement deficiency

Laboratory abnormalities at screening, including:


Alanine aminotransferase >2 x ULN (>3 x ULN in case of patients with documented liver iron overload defined by serum ferratin values


  1. 500 ng/ML)
  2. Direct bilirubin >2 x ULN (unless due to EVH or documented Gilbert's Syndrome)
  3. Current evidence of biliary cholestasis
  4. Estimated glomerular filtration rate of <30 milliliters/minute/1.73 meter squared and/or are on dialysis
  5. Evidence of human immunodeficiency virus, hepatitis B, or active hepatitis C infection at screening

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Study Locations

Enter your ZIP code/Postal code/PIN code to locate study sites near you:

How to Apply


Contact the study center to learn if this study is a good match for you.

Study’s details


Contition

Paroxysmal Nocturnal Hemoglobinuria

Age (in years)

18+

Phase

Phase 3

Participants needed

86

Est. Completion Date

Dec 31, 2023

Treatment type

Interventional


Sponsor

Alexion Pharmaceuticals, Inc.

ClinicalTrials.gov identifier

NCT04469465

Study number

ALXN2040-PNH-301

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