Table III.
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.