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Extension Study of Eculizumab in Patients With Transfusion Dependent Paroxysmal Nocturnal Hemoglobinuria (PNH)

Phase 3
Completed
Conditions
Paroxysmal Hemoglobinuria, Nocturnal
Interventions
Registration Number
NCT00122317
Lead Sponsor
Alexion Pharmaceuticals, Inc.
Brief Summary

The purpose of this study is to evaluate the long-term safety of eculizumab in patients with transfusion dependent hemolytic PNH.

Detailed Description

An open-label extension study to evaluate long-term safety of eculizumab in PNH patients who had completed the TRIUMPH (C04-001), SHEPHERD (C04-002), and X03-001 studies.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
187
Inclusion Criteria
  • Patients who have fully completed the TRIUMPH, SHEPHERD, or X03-001 studies
  • TRIUMPH patients who have discontinued receiving investigational drug prior to the last visit of the study due to lack of efficacy or exacerbation of symptoms of PNH and have completed all monthly safety and efficacy procedures
  • Patient must be willing and able to give written informed consent
  • Patient must avoid conception during the trial
Exclusion Criteria
  • Patients who have terminated early from the SHEPHERD or X03-001 studies
  • Patients who have terminated early from the TRIUMPH study due to an adverse event
  • Female who is pregnant, breast feeding, or intending to conceive during the course of the study
  • Any condition that could increase the patient's risk by participating in the study or could confound the outcome of the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Eculizumabeculizumab600 mg intravenous infusion every week x 4 then 900 mg iv every two weeks
Primary Outcome Measures
NameTimeMethod
Incidence of Treatment-emergent Adverse EventsFrom time of consent to a maximum of 2.5 years of study treatment
Secondary Outcome Measures
NameTimeMethod
Hemolysis as Measured by Change From Baseline in LDH Area Under the CurveFrom time of first infusion through 24 months of study treatment
Incidence of Thrombosis After Eculizumab InfusionFrom time of first ever dose through last dose (up to 24 months of study treatment)

Thrombosis was defined as occurrence of major adverse vascular events

Quality of Life as Measured by FACIT-Fatigue Scale Change From BaselineFrom time of first infusion through 24 months of study treatment

The FACIT-Fatigue scale is a collection of quality of life questionnaires pertaining to the management of fatigue symptoms due to a chronic illness. The FACIT-Fatigue is a 13-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function over the preceding 7 days. Patients score each item on a 5-point scale: 0 (Not at all) to 4 (Very much). Total scores range from 0 to 52, with higher score indicating better quality of life.

Trial Locations

Locations (40)

Hartford Hospital, Cancer Clinical Research Office

🇺🇸

Hartford, Connecticut, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

The Royal Perth Hospital, Department of Haematology/Level 2

🇦🇺

Perth, Western Australia, Australia

Ucl St. Luc, Hematology Department

🇧🇪

Brussels, Belgium

NYU Clinical Cancer Center

🇺🇸

New York, New York, United States

Royal Melbourne Hospital, Department of Clinical Haematology & Medical Oncology

🇦🇺

Parkville, Australia

National Heart, Lung, and Blood Institute, National Institutes of Health

🇺🇸

Bethesda, Maryland, United States

Universitatskliniken des Saarlandes, Innere Medizin 1

🇩🇪

Homburg/Saar, Germany

Hospital Clinic i Provincial, Servicio de Hematologia

🇪🇸

Barcelona, Spain

The Queen Elizabeth Hospital, Haematology/Oncology Department

🇦🇺

Woodville South, South Australia, Australia

Presbyterian Medical Center, PENN Comprehensive Hemophilia & Thombosis Program

🇺🇸

Philadelphia, Pennsylvania, United States

Medizinische Hochschule Hannover, Abt. Hamatologie/Onkologie, Zentrum fur Innere Medizin

🇩🇪

Hannover, Germany

Hopital Saint Louis, Centre d'investigation Clinique

🇫🇷

Paris, Cedex, France

Princess Alexandra Hospital, Oncology Haematology Radiation Department

🇦🇺

Woolloongabba, Queensland, Australia

Johns Hopkins University Medical Center

🇺🇸

Baltimore, Maryland, United States

Duke University Medical Center, Division Cell Therapy, Heme Malignancies Program

🇺🇸

Durham, North Carolina, United States

UMC St. Radboud, Department of Hematology

🇳🇱

Nijmegen, GA, Netherlands

Azienda Ospedaliera Universitaria Careggi, Dipartimento di area critica medico-chirurgica

🇮🇹

Firenze, Italy

Stockholm South Hospital, Division of Hematology

🇸🇪

Stockholm, Sweden

Ospedale San Martino, Department of Hematology

🇮🇹

Genova, Italy

Hospital Universitario Germans Trias I Pujol, Servicio de Hematologia

🇪🇸

Barcelona, Spain

Ospedale San Bortolo, Divisione di Ematologia

🇮🇹

Vicenza, Italy

University of Alberta, Cross Cancer Institute

🇨🇦

Edmonton, Alberta, Canada

London Regional Cancer Centre, Clinical Research Unit Room C3080

🇨🇦

London, Ontario, Canada

Leeds General Infirmary, D Floor Brotherton Wing

🇬🇧

Leeds, United Kingdom

Institut fur Klinische Transfusionmedizin und Immunogenetik, Abtlg. Transfusionmedizin des Univ. Ulm

🇩🇪

Ulm, Germany

Hospital De La Paz, Servicio de Hematologia

🇪🇸

Madrid, Spain

Stanford University Medical Center, Division of Hematology

🇺🇸

Stanford, California, United States

Mayo Clinic, Divison of Hematology

🇺🇸

Rochester, Minnesota, United States

Indianapolis University Cancer Center

🇺🇸

Indianapolis, Indiana, United States

Washington University, Department of Internal Medicine/Division of Hematology

🇺🇸

Saint Louis, Missouri, United States

Cleveland Clinic Florida, Department of Clinical Research

🇺🇸

Weston, Florida, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Universitatsklinikum Essen, Zentrum fur Innere Medizin

🇩🇪

Essen, Germany

Ospedale Maggiore di Milano, Divisione di Ematologia

🇮🇹

Milano, Italy

Universita degli Studi di Napoli, Divisione di Ematologia, Azienda Universitar Policlinico

🇮🇹

Napoli, Italy

St. George's Hospital, Department of Haematology

🇬🇧

London, United Kingdom

Royal North Shore Hospital, Haematology Department

🇦🇺

Saint Leonards, New South Wales, Australia

St. James's Hospital, Cancer Clinical Trial Office

🇮🇪

Dublin, Ireland

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