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临床试验/NL-OMON54475
NL-OMON54475尚未招募2 期

An Open-Label, Single-Arm, Phase 2 Study to Evaluate the Safety, Pharmacokinetics, and Biologic Activity of Pegcetacoplan in Pediatric Patients with Paroxysmal Nocturnal Hemoglobinuria - APL2

Apellis0 个研究点目标入组 1 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
尚未招募
发起方
入组人数
1

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
12 至 17(—)

入选标准

  • 1. Between the ages of 12 and 17, inclusive, at time of study entry. 2. A
  • diagnosis of PNH, confirmed by high-sensitivity flow cytometry (granulocyte or
  • monocyte clone >10%). 3. Be either a nai*ve patient or a switch patient, as
  • defined below. a. A nai*ve patient must: i. Not be currently receiving an
  • approved complement inhibitor, and must not have received a complement
  • inhibitor within at least 5 half-lives of that drug prior to starting
  • pegcetacoplan ii. Have evidence of a hemolytic anemia based on a hemoglobin
  • less than the lower limit of the normal range (LLN), and LDH >1.5 × ULN. b. A
  • switch patient must: i. Be currently receiving treatment with an approved
  • complement inhibitor, and the dose of that inhibitor must have been stable for
  • at least 5 half-lives of that drug ii. Have evidence of anemia based on a
  • hemoglobin less than the LLN. iii. Have ARC > ULN. 4. Platelet count
  • >75,000/mm3. 5. Absolute neutrophil count >1000/mm3. 6. Weigh at least 20 kg.
  • 7. Have a body mass index (BMI) that is less than the 95th percentile for their
  • age. 8. Either not receiving the following medications, or on a stable regimen
  • for at least the minimum time period indicated below, prior to the first
  • screening visit, with no anticipated changes to the regimen over the course of
  • the study: a. Erythropoietin: 8 weeks b. Systemic corticosteroids: 4 weeks c.
  • Immunosuppressants (other than steroids): 8 weeks d. Vitamin K antagonists (eg,
  • warfarin): 4 weeks, with a stable international normalized ratio (INR) over
  • that period e. Iron supplements, vitamin B12, or folic acid: 4 weeks f.
  • Low-molecular weight heparin or direct oral anticoagulants (DOACs): 4 weeks 9.
  • Have received vaccinations against Neisseria meningitidis (types A, C, W, Y,
  • and B), Streptococcus pneumoniae, and Haemophilus influenzae (type B) prior to
  • dosing on Day 1, or agree to receive vaccinations within 14 days after starting
  • treatment with pegcetacoplan. Vaccination is mandatory, unless there is
  • documented evidence of titers within acceptable local limits, or documented
  • evidence of nonresponse to vaccination based on titers. Subjects receiving
  • vaccinations after starting pegcetacoplan must be willing to take prophylactic
  • antibiotics from the first day of treatment with pegcetacoplan until at least 2
  • weeks after vaccination as described in Section 8.2.1. 10. Female subjects of
  • childbearing potential must have a negative blood pregnancy test at screening
  • (and negative urine pregnancy test on Day 1) and must agree to practice
  • abstinence or to use another protocol-defined method of contraception, as
  • described in Section 10.3.5.1, from screening through at least 90 days after
  • receiving the last dose of pegcetacoplan. 11. Male subjects who have reached
  • sexual maturity must agree to practice abstinence or to use another
  • protocol-defined method of contraception, as described in Section 10.3.5.1, and
  • agree to refrain from donating semen from screening through at least 90 days
  • after receiving the last dose of pegcetacoplan. 12. Willing and able to
  • self-administer pegcetacoplan or has a caregiver who is willing and able to do
  • so. 13. The subject or their legally authorized representative must be willing
  • and able to provide written informed consent as described in Section 12.1.2,
  • including compliance with the requirements and rest

排除标准

  • 1. Known or suspected hereditary fructose intolerance (HFI).
  • 2. Active bacterial infection that has not resolved within at least 1 week
  • before the first dose of pegcetacoplan.
  • 3. Hereditary complement deficiency.
  • 4. History of bone marrow transplantation.
  • 5. History or presence of hypersensitivity or idiosyncratic reaction to
  • compounds related to the formulation or SC administration of pegcetacoplan.
  • 6. Participation in another investigational drug trial or exposure to another
  • investigational agent, device, or procedure within 30 days or 5 half-lives
  • (whichever is longer) from the last dose of investigational agent prior to
  • screening period.
  • 7. Planning to become pregnant during study participation, or currently
  • breastfeeding.
  • 8. History of meningococcal disease.
  • 9. Inability to cooperate, or any condition that, in the opinion of the
  • investigator makes the subject inappropriate for the study or could confound
  • the outcome of the study.

研究者

发起方
Apellis

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