Myelodysplastic Syndrome Clinical Trial
Efficacy and Safety of the Combination of Pozelimab and Cemdisiran Versus Continued Eculizumab or Ravulizumab Treatment in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria
Summary
The primary objective of the study is:
To evaluate the effect of pozelimab and cemdisiran combination therapy on hemolysis, as assessed by lactate dehydrogenase (LDH), after 36 weeks of treatment, in patients with PNH who switch from eculizumab or ravulizumab therapy versus patients who continue their eculizumab or ravulizumab therapy
The secondary objectives of the study are to:
Evaluate the effect of pozelimab and cemdisiran combination treatment versus anti-C5 standard-of-care treatment (eculizumab or ravulizumab) on the following:
Transfusion requirements and transfusion parameters
Measures of hemolysis: LDH control, breakthrough hemolysis, and inhibition of CH50
Hemoglobin levels
Fatigue as assessed by Clinical Outcome Assessments (COAs)
Health-related quality of life (HRQoL) as assessed by COAs
Safety and tolerability
To assess the concentrations of total pozelimab and either total eculizumab or total ravulizumab in serum and total cemdisiran and total C5 protein in plasma
To assess the immunogenicity of pozelimab and cemdisiran
Eligibility Criteria
Key Inclusion Criteria:
Diagnosis of PNH confirmed by a history of high-sensitivity flow cytometry from prior testing
Treated with eculizumab or ravulizumab prior to screening visit as described in the protocol Note: Biosimilars are not permitted, unless approved by the Sponsor
Key Exclusion Criteria:
Patients with a screening LDH >1.5 × ULN who have not taken their C5 inhibitor within the labeled dose interval at the dose prior to the screening LDH assessment
Receipt of an organ transplant, history of bone marrow transplantation or other hematologic transplant
Body weight < 40 kilograms at screening visit
Any use of complement inhibitor therapy other than eculizumab or ravulizumab in the 26 weeks prior to the screening visit or planned use during the study with the exception of study treatments
Not meeting meningococcal vaccination requirements for eculizumab or ravulizumab according to the current local prescribing information (where available) and at a minimum documentation of meningococcal vaccination within 5 years prior to screening visit.
Any contraindication for receiving Neisseria meningitidis vaccination.
Positive for hepatitis B, and/ or hepatitis C as described in the protocol
History of cancer within the past 5 years, except for adequately treated basal cell skin cancer, squamous cell skin cancer, or in situ cervical cancer
Participation in another interventional clinical study (except R3918-PNH-2021) or use of any experimental therapy within 30 days before screening visit or within 5 half-lives of that investigational product, whichever is greater, with the exception of eculizumab or ravulizumab.
Patients with functional or anatomic asplenia
Note: Other protocol-defined Inclusion/ Exclusion Criteria apply
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There is 1 Location for this study
Whittier California, 90603, United States
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