Hope for kids with rare blood disease: new pill under study
NCT ID NCT06934967
First seen Jun 27, 2026 · Last updated Aug 07, 2026 · Updated 1 time
Summary
This study tests a medicine called iptacopan in children aged 2 to under 18 who have a rare blood disease called PNH. The goal is to see how the drug works in their bodies and if it is safe. About 12 children will take the medicine, and doctors will monitor side effects and blood changes. This is not a cure, but aims to control the disease.
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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About 12 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Nov 2031
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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2 to 18 years
- 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: * Male and female participants 2 to \< 18 years of age with a diagnosis of PNH confirmed by high-sensitivity flow cytometry with red blood cells (RBCs) and with white blood cells granulocytes/monocytes clone size ≥ 10%. The minimum body weight for patients in Cohort 1 is 35 kg. * Patients being treated with anti-C5 therapy and who have been on a stable regimen (dose and interval) for at least 6 months prior to enrollment, may be screened and enrolled in the study and switched to iptacopan irrespective of their anemia and hemolysis status, at the discretion of the Principal Investigator. * Patients who are anti-C5 treatment naive: mean hemoglobin level \< 10 g/dL confirmed by central laboratory assessment during screening. * Patients who are anti-C5 treatment naive: lactate dehydrogenase (LDH) \> 1.5 × upper limit of normal (ULN) documented by at least 2 laboratory measurements 2 to 6 weeks apart during the screening period, one of which is to be done by the central lab. * Vaccination against Neisseria meningitidis and Streptococcus pneumoniae infection is required prior to the start of study treatment. If the participant has not been previously vaccinated, or if a booster is required, vaccine should be given according to local guidelines at least 2 weeks prior to first study drug administration. If study treatment has to start earlier than 2 weeks post-vaccination, prophylactic antibiotic treatment should be initiated. * Vaccination against Haemophilus influenzae is recommended, according to local guidelines, at least 2 weeks before iptacopan. Exclusion Criteria: * History of hypersensitivity to the study drug or its excipients or to drugs of similar chemical classes. * Known or suspected hereditary complement deficiency at screening. * History of hematopoietic stem cell transplantation (HSCT) or scheduled for HSCT within 52 weeks from enrollment into the study (Day 1). * Patients with laboratory evidence of bone marrow failure (reticulocytes \< 100 x 10 to the ninth/L; platelets \< 30 × 10 to the ninth/L; neutrophils \< 0.5 × 10 to the ninth/L). * Active systemic bacterial, viral (including COVID-19), or fungal infection within 14 days prior to study drug administration. * Presence of fever ≥ 38 °C (100.4 °F) within 7 days prior to study drug administration. Other protocol-defined inclusion/exclusion criteria may apply.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
15 sites in 6 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cancer Institute of New Jersey
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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Childrens Healthcare of Atlanta
RECRUITINGAtlanta, Georgia, 30342, United States
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Childrens Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104-4399, United States
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Novartis Investigative Site
RECRUITINGBrasília, Federal District, 70684-831, Brazil
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Novartis Investigative Site
RECRUITINGNatal, Rio Grande do Norte, 59012 300, Brazil
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Novartis Investigative Site
RECRUITINGPorto Alegre, Rio Grande do Sul, 90035-003, Brazil
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Novartis Investigative Site
RECRUITINGSanto André, São Paulo, 09090-401, Brazil
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Novartis Investigative Site
RECRUITINGSão Paulo, São Paulo, 01323001, Brazil
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Novartis Investigative Site
RECRUITINGSão Paulo, São Paulo, 04038-002, Brazil
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Novartis Investigative Site
RECRUITINGCali, Valle del Cauca Department, 760012, Colombia
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Novartis Investigative Site
RECRUITINGCologne, North Rhine-Westphalia, 50937, Germany
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Novartis Investigative Site
RECRUITINGBerlin, 13353, Germany
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Novartis Investigative Site
RECRUITINGGenova, GE, 16147, Italy
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Novartis Investigative Site
RECRUITINGUtrecht, 3584 CX, Netherlands
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St Jude Childrens Research Hospital
RECRUITINGMemphis, Tennessee, 38105, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New complement inhibitor takes on established PNH drug in phase III trial
- Can an oral pill tame a rare blood disease?
- Could a new pill tame a rare blood disease? early safety trial begins
- New drug pegcetacoplan tested in teens with rare blood disorder
- New PNH drug VSA012 enters early human testing
- New pill CMS-D017 enters first human safety trials