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. 2021 Aug 5;196(2):288–303. doi: 10.1111/bjh.17753

Table III.

Complement inhibitors in clinical development for paroxysmal nocturnal haemoglobinuria.

Class Agent Target Clinical trial ID Design Patient population* Study treatment Results
Terminal inhibitors Ravulizumab C5 NCT02598583 Phase I/II, open‐label Untreated PNH Intra‐patient DE by IV infusions Yes 95
NCT02605993 Phase I/II, open‐label Untreated PNH MAD; IV infusions
NCT02946463 Phase III, randomized versus Ecu Untreated PNH IV infusions (every eight weeks) Yes 47 , 48 , 96
NCT03056040 Phase III, randomized versus Ecu Stable responders PNH IV infusions (every eight weeks) Yes 47 , 48 , 79
Crovalimab C5 NCT03157635 Phase I/II, multi‐part study Untreated PNH and stable responders PNH Intra‐patient DE by IV infusions, followed by SC injections Yes 83
LFG316 (tesidolumab) C5 NCT02534909 Phase II, open‐label Untreated PNH IV infusions Pending
REGN3918 (pozelimab) C5 NCT03946748 Phase II, open‐label, POC Untreated PNH IV and SC infusions Pending
NCT04162470 Phase II, open‐label, extension Pozelimab‐treated PNH IV and SC infusions Ongoing
ABP959 C5 NCT03818607 Phase III, randomized versus Ecu Stable responders PNH IV infusions Ongoing
Elizaria C5 NCT04463056 Phase III, randomized versus Ecu Untreated and eculizumab‐treated PNH IV infusions Pending
Proximal inhibitors Pegcetacoplan C3 NCT02264639 Phase Ib, open label, MAD, POC Poor responders PNH Daily, SC infusions Yes 86
NCT02588833 Phase Ib, open label, MAD, POC Untreated PNH Daily, SC infusions
NCT03531255 Phase III, open label, extension PNH exposed to APL‐2 Daily, SC infusions
NCT03500549 Phase III, randomized versus Ecu Poor responders PNH SC infusions, BIH Yes 87
Danicopan FD NCT03053102 Phase Ib, open label, MD, POC Untreated PNH Orally, TID Yes 89
NCT03181633 Phase II, open‐label, extension PNH exposed to ACH‐4471 Orally, TID Ongoing
NCT03472885 Phase II, open label, MD, POC Poor responders PNH Orally, TID Yes 90
NCT04469465 Phase III, randomized versus Ecu Phase III, randomized vs Ecu Orally, TID Ongoing
ACH5020 FD NCT04170023 Phase II, open label, POC Danicopan‐treated PNH, poor‐responders to anti‐C5 and untreated PNH Orally, BID Ongoing
BCX9930 FD NCT04330534 Phase I–II PNH untreated Orally, BID Pending
NCT04702568 Phase II, open label, extension PNH, BCX9930‐treated Orally, BID Ongoing
Iptacopan FB NCT03439839 Phase II, open label, POC Poor responders PNH Orally, BID Yes 93
NCT03896152 Phase II, open label, POC Untreated PNH Orally, BID Pending
NCT04558918 Phase III, randomized versus Ecu Poor responders PNH Orally, BID Ongoing

BID, bis in die (twice a day); BIH, bis in hebdomade (twice a week); DE, dose escalation; Ecu, eculizumab; IV, intravenous; LDH, lactate dehydrogenase; MAD, multiple ascending doses; MD, multiple doses; PNH, paroxysmal nocturnal haemoglobinuria; POC, proof‐of‐concept; SC, subcutaneous; TID, ter in die (thrice a day).

*

Stable or poor response is intended to standard eculizumab treatment.