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Phase 3 N=136 Randomized Treatment

Ravulizumab Subcutaneous (SC) Versus Ravulizumab Intravenous (IV) in Adults With Paroxysmal Nocturnal Hemoglobinuria (PNH) Currently Treated With Eculizumab

Paroxysmal Nocturnal Hemoglobinuria

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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