New drug crovalimab aims to control rare blood disorder PNH
NCT ID NCT04654468
First seen Jun 25, 2026 · Last updated Aug 27, 2026 · Updated 3 times
Summary
This phase 3 trial tests crovalimab in about 50 people with PNH who have not used similar drugs before. PNH causes red blood cells to break apart, leading to fatigue, pain, and need for transfusions. Crovalimab is given as an IV infusion and then as injections under the skin to block part of the immune system and prevent red blood cell destruction. The study measures how well the drug controls hemolysis and reduces transfusion needs over 24 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Crovalimab (a drug given by IV and injection under the skin)
- What this could lead to
- If successful, crovalimab could offer a new treatment option to control PNH, reducing red blood cell destruction and the need for blood transfusions.
- What could go wrong
- This is a single-arm, open-label trial with only 51 participants, so results may not apply broadly. Risks include infections and breakthrough hemolysis.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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51 people
The number who actually took part.
- Started
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Mar 2021
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Body weight ≥ 40 kg at screening * Willingness and ability to comply with all study visits and procedures * Documented diagnosis of PNH, confirmed by high sensitivity flow cytometry * LDH Levels ≥ 2x the ULN at screening * Participants who have at least four transfusions during 12 months prior to screening (documented in the medical record) * Presence of one or more of the PNH-related signs or symptoms within 3 months of screening * Vaccination against Neisseria meningitidis serotypes A, C, W, and Y \< 3 years prior to initiation of study treatment (Day 1) * Vaccination against Haemophilius influenzae type B and Streptococcus pneumonia according to national vaccination recommendations * For participants receiving other therapies (e.g., immunosuppressants, corticosteroids): stable dose for ≥ 28 days prior to screening and up to the first drug administration * Adequate hepatic and renal function * Women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraception during the treatment period and for 46 weeks (approximately 10.5 months) after the final dose of crovalimab * Platelet count ≥30,000 per cubic millimeter (mm\^3) at screening * ANC \> 500/microlitres (μl) at screening Exclusion Criteria: * Current or previous treatment with a complement inhibitor * History of allogeneic bone marrow transplantation * History of Neisseria meningitidis infection within 6 months prior to screening and up to first drug administration * Known or suspected immune or hereditary complement deficiency * Known HIV infection with cluster of differentiation 4 (CD4) count \< 200 cells/µl within 24 weeks prior to screening * Infection requiring hospitalization or treatment with IV antibiotics within 28 days prior to screening and up to the first drug administration, or oral antibiotics within 14 days prior to screening and up to the first drug administration * Active systemic bacterial, viral, or fungal infection within 14 days before first drug administration * Presence of fever (≥ 38˚C) within 7 days before the first drug administration * Splenectomy \< 6 months before screening * History of malignancy within 5 years prior to screening and up to the first drug administration * Pregnant or intending to become pregnant during the study or within 46 weeks (10.5 months) after the final dose of study treatment * Participation in another interventional treatment study with an investigational agent or use of any experimental therapy within 28 days of screening or within 5 half-lives of that investigational product, whichever is greater
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Guangdong General Hospital
Guangzhou, 510115, China
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Institute of Hematology and Hospital of Blood Disease
Tianjin, 300020, China
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Tianjin Medical University General Hospital
Tianjin, 300052, China
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, 430022, China
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West China Hospital, Sichuan University
Chengdu, 610041, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Hidden blood disorder may explain mysterious strokes in young adults
- A pill that could replace infusions for a rare blood disease?
- Every-8-Week shot could simplify PNH treatment
- Real-World test: can a targeted drug keep PNH in check for years?
- New transplant method aims to reduce complications in bone marrow failure patients
- No treatment, just observation: large study looks at PNH blood cells