This is a Phase 3b, open-label, single-arm, multicenter study to evaluate the efficacy and safety of eculizumab in participants with atypical hemolytic uremic syndrome (aHUS) in China
This is a Phase 3b, open-label, single-arm, multicenter study to evaluate the efficacy and safety of eculizumab in participants with aHUS in China. The study will be conducted in participants of any age who weigh ≥ 5 kg and who previously have not been treated with complement inhibitors. The study consists of an up to 7-day Screening Period and a 26-week Treatment Period. An 8-week Safety Follow-up Phone Call will be required only for participants who discontinue eculizumab treatment during the study or for participants who will not receive continued access to eculizumab after completing study treatment. Approximately 25 eligible participants in China will be enrolled.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Weight-based doses of Eculizumab will be administered intravenously as an induction dose followed by maintenance dose at Day 8, 15, or 29 depending on weight; then every 2 or 3 weeks, depending upon weight.
Research Site
Beijing, China
Research Site
Beijing, China
Research Site
Changsha, China
Research Site
Qingdao, China
Research Site
Taiyuan, China
Percentage of Participants With a Complete Thrombotic Microangiopathy (TMA) Response
The criteria for complete TMA response were: 1. Normalization of platelet count (defined as platelet count ≥ 150000/microliter (ul). 2. Normalization of lactate dehydrogenase (LDH, defined as LDH ≤ upper limit of normal \[ULN\]). 3. ≥ 25% improvement in serum creatinine from baseline.
Time frame: Up to Week 26
Number of Participants With an Adverse Event (AE)
An AE was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which did not necessarily have a causal relationship with this treatment. A serious AE (SAE) was defined as any untoward medical occurrence that, at any dose: * resulted in death, * was life-threatening, * required inpatient hospitalization or prolongation of existing hospitalization, * resulted in persistent disability/incapacity, * was a congenital anomaly/birth defect, or * was an important medical event. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Adverse Events' Section.
Time frame: Up to Week 34
Mean Serum Concentration of Eculizumab
Time frame: Pre-dose and post-dose at Days 1, 8, 29, 85, and 141; Pre-dose at Day 183
Change From Baseline in Serum Free Complement 5 (C5)
Time frame: Baseline (Day 1 pre-dose) to Days 1, 8, 29, 85 and 141 (pre-dose and post-dose) and pre-dose at Day 183
Change From Baseline in Serum Total C5
Time frame: Baseline (Day 1 pre-dose) to Days 1, 8, 29, 85 and 141 (pre-dose and post-dose) and pre-dose at Day 183
Number of Participants With an Anti-drug Antibody (ADA) Response
An ADA response was defined as a positive ADA sample at any time during the study.
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Research Site
Wuhan, China
Time frame: Up to Week 26
Time to Complete TMA Response
Time to complete TMA response was defined as the time from first infusion to the first time point at which all criteria for complete TMA response was met. The criteria for complete TMA response were: 1. Normalization of platelet count (defined as platelet count ≥ 150000/ul. 2. Normalization of LDH, defined as LDH ≤ ULN). 3. ≥ 25% improvement in serum creatinine from baseline. Participants who did not have a response were censored at the date of last visit or study discontinuation at the time when the analysis was performed.
Time frame: Up to Week 26
Proportion of Participants On or Off Dialysis at Each Timepoint
Participants were considered as 'off' dialysis at a specific time point if they were dialysis free for more than 5 days prior to that time point. Participants were considered as 'on' dialysis at a specific time point if they were dialysis free to 5 days or less up prior to that time point.
Time frame: Baseline and Days 22, 43, 71, 99, 113, 127, 155 and 183
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Each Scheduled Visit
Expressed in milliliters per minute per 1.73 square meters of body surface area.
Time frame: Baseline, Days 22, 43, 71, 99, 113, 127, 155 and 183
Proportion of Participants With a Chronic Kidney Disease (CKD) Stage Shift Categorized as "Improved", "Stable", or "Worsened" at Each Scheduled Visit Compared to Baseline
CKD stage was classified based on the National Kidney Foundation Chronic Kidney Disease Stage where Stage 5 represents the most severe disease and Stage 1 represents the least severe disease. "Improved" excluded participants with Stage 1 at baseline as there was no room for improvement. "Worsened" excludes participants with Stage 5 at baseline as there was no room to worsen.
Time frame: Baseline to Days 22, 43, 71, 99, 113, 127, 155 and 183
Change From Baseline in Platelets
Platelet values obtained from the day of a blood transfusion of platelets through 3 days after the transfusion are excluded from all analysis.
Time frame: Baseline, Days 22, 43, 71, 99, 113, 127, 155, and 183
Change From Baseline in LDH
Time frame: Baseline, Days 22, 43, 71, 99, 113, 127, 155, and 183
Change From Baseline in Hemoglobin
Hemoglobin values obtained from the day of a blood transfusion of either whole blood or packed red blood cells through 7 days after the transfusion are excluded from all analysis.
Time frame: Baseline, Days 22, 43, 71, 99, 113, 127, 155, and 183