The purpose of this study was to determine the safety and efficacy of ACH-0144471 (also known as danicopan and ALXN2040) in currently untreated participants with PNH.
After 12 weeks of treatment, participants deriving clinical benefit were offered enrollment in a separate long-term extension study (ACH471-103, NCT03181633).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Danicopan was administered as multiple oral doses over a period of at least 28 days.
Clinical Trial Site
Florence, Italy
Clinical Trial Site
Naples, Italy
Clinical Trial Site
Auckland, New Zealand
Clinical Trial Site
Seoul, South Korea
Clinical Trial Site
London, United Kingdom
Change From Baseline In Serum LDH Levels At Day 28
Change from Baseline = Serum LDH levels on Day 28 - Baseline Serum LDH levels.
Time frame: Baseline, Day 28
Change From Baseline In Hemoglobin (Hgb) At Days 28 And 84
Change from Baseline = Hgb levels on Days 28 or 84 - Baseline Hgb levels.
Time frame: Baseline, Days 28 and 84
Change From Baseline In Serum LDH Levels At Day 84
Change from Baseline = Serum LDH levels on Day 84 - Baseline Serum LDH levels.
Time frame: Baseline, Day 84
Paroxysmal Nocturnal Hemoglobinuria (PNH) Type III Red Blood Cell (RBC) Clone Size
PNH RBC, summed type III, clone size levels were assessed from Baseline to Day 28 and Day 84. The PNH clone size refers to the percentage of PNH-affected cells versus normal cells within the total cell population.
Time frame: Baseline, Day 28, and Day 84
Serious Adverse Events (SAEs), Grade 3 And Grade 4 Treatment-emergent Adverse Events (TEAEs), And Adverse Events (AEs) Leading To Discontinuation
An AE was as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An SAE was an AE that met at least 1 of the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization for the AE, persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug), important medical event or reaction. The intensity of an AE was graded according to the Common Terminology Criteria for Adverse Events (CTCAE) Adverse Event Severity Grading Table. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
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Time frame: After the first dose of study medication (Day 1) through 14 days after the last dose of study drug (up to Day 104)
Grade 3 And Grade 4 Laboratory Abnormalities
Laboratory abnormalities were determined from laboratory measurements analyzed at the central or local laboratories, and were graded using CTCAE.
Time frame: After the first dose of study medication (Day 1) through 14 days after the last dose of study drug (up to Day 104).
Pharmacokinetics (PK): Area Under The Plasma Concentration-time Curve From Time Of Administration To 8 Hours Post-dose (AUC0-8)
Serial blood samples were collected predose and up to 8 hours postdose.
Time frame: Days 6 and 20
PK: Maximum Plasma Concentration (Cmax)
Serial blood samples were collected predose and up to 12 hours postdose.
Time frame: Days 6 and 20
PK: Time To Maximum Concentration (Tmax)
Serial blood samples were collected predose and up to 12 hours postdose.
Time frame: Days 6 and 20
Complement Alternative Pathway (AP) Functional Activity
Serum AP functional activity was measured by the Wieslab functional immunoassay method.
Time frame: Baseline and Day 28
Complement Bb
Plasma Bb was measured by enzyme-linked immunosorbent assay (ELISA).
Time frame: Baseline and Day 28