New PNH pill matches standard infusion therapy in trial
NCT ID NCT05630001
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested an oral medication called iptacopan in 52 adults with Paroxysmal Nocturnal Hemoglobinuria (PNH) who were already stable on standard infusion treatments. Participants switched from their usual therapy to iptacopan pills taken twice daily. The main goal was to see if their hemoglobin levels stayed stable, and results showed iptacopan was non-inferior to standard care.
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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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52 people
The number who actually took part.
- Started
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Apr 2023
- Finished
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Oct 2024
- 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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18 to 100 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: * Signed informed consent must be obtained prior to participation in the study. * Male and female participants ≥ 18 years of age, at the time of ICF signatures and with a diagnosis of PNH confirmed by treating physician. * Stable regimen (dose and intervals) of anti-C5 antibody treatment (either eculizumab or ravulizumab) for at least 6 months prior to screening * Mean hemoglobin level ≥10 g/dL * Vaccination against Neisseria meningitidis and S. pneumoniae infection are required prior to the start of iptacopan treatment. * If not received previously, vaccination against Haemophilus influenzae infections is recommended, if available and according to local regulations. * Ability to communicate well with the investigator, to understand and comply with the requirements of the study * Other protocol -defined inclusion criteria may apply at the end. Exclusion Criteria: * Participation in any other investigational drug trial or use of other investigational drugs at the time of enrollment * Patients requiring red blood cell transfusion in the 6 months prior to screening or during screening * History of stem cell transplantation or any solid organ transplantation * Active systemic bacterial, viral (incl. COVID-19) or fungal infection within 14 days prior to study drug administration * Presence of fever ≥ 38.0 °C (100.4 °F) within 7 days prior to study drug administration * Human immunodeficiency virus (HIV) infection (known history of HIV or test positive for HIV antibody at Screening) * A history of recurrent invasive infections caused by encapsulated organisms, e.g. meningococcus or pneumococcus * Unstable medical condition including, but not limited to, myocardial ischemia, active gastrointestinal bleeding, coexisting chronic anemia unrelated to PNH, or unstable thrombotic event not amenable to active treatment as judged by the investigator at Screening. * History of cancer of any part of the body within the past 5 years, * Ongoing drug or alcohol abuse that could interfere with patient's participation in the trial. * Any medical condition deemed likely to interfere with the patient's participation in the study * Female patients who are pregnant or breastfeeding, or intending to conceive during the course of the study
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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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City Of Hope National Med Center
Duarte, California, 91010, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Huntsman Cancer Institute Univ of Utah
Salt Lake City, Utah, 84112 0550, United States
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Lakes Research
Miami Lakes, Florida, 33014, United States
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Mass Gen Hosp Cancer Center
Boston, Massachusetts, 02114, United States
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Montefiore Medical Center
The Bronx, New York, 10461, United States
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Novartis Investigative Site
Nantes, 44093, France
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Novartis Investigative Site
Nice, 06202, France
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Novartis Investigative Site
Paris, 75475, France
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Novartis Investigative Site
Dresden, Saxony, 01307, Germany
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Novartis Investigative Site
Aachen, 52074, Germany
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Novartis Investigative Site
Essen, 45147, Germany
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Novartis Investigative Site
Ulm, 89081, Germany
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Novartis Investigative Site
Florence, FI, 50134, Italy
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Novartis Investigative Site
Bassano del Grappa, VI, 36061, Italy
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Novartis Investigative Site
Seoul, Seoul, 06351, South Korea
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Novartis Investigative Site
Barcelona, 08036, Spain
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Novartis Investigative Site
Istanbul, Fatih, 34093, Turkey (Türkiye)
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Novartis Investigative Site
Leeds, West Yorkshire, LS9 7TF, United Kingdom
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Novartis Investigative Site
London, SE5 9RS, United Kingdom
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Prisma Health Upstate
Greenville, South Carolina, 29615, United States
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USC Norris Cancer Center
Los Angeles, California, 90033, United States
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University Of Minnesota
Minneapolis, Minnesota, 55455, United States
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