Phase 3
N=136
Ravulizumab Subcutaneous (SC) Versus Ravulizumab Intravenous (IV) in Adults With Paroxysmal Nocturnal Hemoglobinuria (PNH) Currently Treated With Eculizumab
Paroxysmal Nocturnal Hemoglobinuria
Bottom Line
View on ClinicalTrials.gov: NCT03748823 ↗Enrolled (actual)
136
Serious AEs
35.7%
Results posted
Oct 2022
Primary outcome: Primary: Ctrough Serum Concentration of Ravulizumab — 457.58; 578.70 micrograms/milliliter (µg/mL) — p=<0.0001
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Ravulizumab OBDS (Combination_product); Ravulizumab (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Alexion Pharmaceuticals, Inc.
- Primary completion
- Feb 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Ctrough Serum Concentration of Ravulizumab |
457.58; 578.70 | <0.0001 sig |
| SECONDARY Ctrough Serum Concentration of Ravulizumab at Day 351 |
712.79; 737.65 | — |
| SECONDARY Free Serum Complement Component 5 (C5) Concentrations at Day 71 |
0.072193; 0.059458 | — |
| SECONDARY Free Serum Complement Component 5 (C5) Concentrations at Day 351 |
0.071627; 0.069711 | — |
| SECONDARY Percent Change From Baseline in Lactate Dehydrogenase (LDH) Levels at Day 71 |
5.73; 2.57 | — |
| SECONDARY Percent Change From Baseline in LDH Levels at Day 351 |
-0.83; 1.74 | — |
| SECONDARY Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Subscale Version 4 Score at Day 71 |
-0.83; 1.21 | — |
| SECONDARY Change From Baseline in FACIT-Fatigue Scale Version 4 Score at Day 351 |
2.57 | — |
| SECONDARY Change From Baseline in Treatment Administration Satisfaction Questionnaire (TASQ) Score at Day 71 |
-7.00; -70.54 | — |
| SECONDARY Change From Baseline in Treatment Administration Satisfaction Questionnaire (TASQ) Score at Day 351 |
-69.29 | — |
| SECONDARY Percentage of Participants Who Experienced Breakthrough Hemolysis up to Day 71 |
2.2; 1.2 | — |
| SECONDARY Percentage of Participants Who Experienced Breakthrough Hemolysis up to Day 351 |
4.5; 3.6 | — |
| SECONDARY Percentage of Participants Who Achieved Transfusion Avoidance up to Day 71 |
86.7; 94.0 | — |
| SECONDARY Percentage of Participants Who Achieved Transfusion Avoidance up to Day 351 |
79.5; 85.7 | — |
| SECONDARY Percentage of Participants Who Maintained Stabilized Hemoglobin (SHg) up to Day 71 |
81.8; 93.6 | — |
| SECONDARY Percentage of Participants Who Maintained SHg up to Day 351 |
72.7; 83.5 | — |
Summary
The primary objective of this study is to evaluate pharmacokinetics (PK) of ravulizumab administered subcutaneously via an on-body delivery system (OBDS) compared with intravenously administered ravulizumab in adult participants with PNH who are clinically stable on eculizumab for at least 3 months prior to study entry.
Eligibility Criteria
Inclusion Criteria
- Male or female ≥18 years of age
- Treated with eculizumab for PNH for at least 3 months prior to Day 1
- LDH level ≤1.5 × upper limit of normal (ULN) at screening
- PNH diagnosis confirmed by documented high-sensitivity flow cytometry.
- Documented meningococcal vaccination not more than 3 years prior to, or at the time of, initiating study treatment.
- Body weight ≥40 to 2 × ULN within the 3 months prior to study entry
- History of bone marrow transplantation.
- History of or ongoing major cardiac, pulmonary, renal, endocrine, or hepatic disease that, in the opinion of the Investigator or Sponsor, would preclude participation.
- Unstable medical conditions (for example, myocardial ischemia, active gastrointestinal bleed, severe congestive heart failure, anticipated need for major surgery within 6 months of randomization, coexisting chronic anemia unrelated to PNH).
- Females who are pregnant, breastfeeding or who have a positive pregnancy test at screening or Day 1.
- Participation in another interventional clinical study or use of any experimental therapy within 30 days before initiation of study drug on Day 1 in this study or within 5 half-lives of that investigational product, whichever is greater.
Data sourced from ClinicalTrials.gov (NCT03748823). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.