New drug duo aims to tame rare blood disorder
NCT ID NCT05133531
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a combination of two experimental drugs, pozelimab and cemdisiran, for people with PNH, a rare blood disease that destroys red blood cells. The goal is to see if this combo works better and is safer than current standard treatments (ravulizumab and eculizumab). About 202 participants who have not recently been on complement inhibitors will receive either the new combo or a standard drug, and researchers will track blood markers, transfusion needs, and side effects.
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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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202 people
The number who actually took part.
- Started
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Aug 2022
- Expected to finish
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Oct 2026
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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18 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.
Key Inclusion Criteria: 1. Diagnosis of PNH confirmed by high-sensitivity flow cytometry testing with PNH granulocytes or monocytes as described in the protocol 2. Active disease, as defined by the presence of 1 or more PNH-related signs or symptoms as described in the protocol 3. LDH level ≥2 × ULN at the screening visit 4. Willing and able to comply with clinic/remote visits and study-related procedures, including completion of the full series of meningococcal vaccinations required per protocol Key Exclusion Criteria: 1. Prior treatment with eculizumab within 3 months prior to screening, ravulizumab within 6 months prior to screening, or other complement inhibitors within 5 half-lives of the respective agent prior to screening 2. Receipt of an organ transplant, history of bone marrow transplantation or other hematologic transplant 3. Body weight \<40 kilograms at screening visit 4. Planned use of any complement inhibitor therapy other than study drugs during the treatment period 5. Not meeting meningococcal vaccination requirements and, at a minimum documentation of quadrivalent meningococcal vaccination within 5 years prior to the screening visit and serotype B vaccine within 3 years prior to the screening visit as described in the protocol. 6. Any contraindication for receiving Neisseria meningitidis vaccinations (serotypes ACWY and B). 7. Unable to take antibiotics for meningococcal prophylaxis (if required by local ravulizumab \[Cohort A\] or eculizumab \[Cohort B\] prescribing information, where available, or national guidelines/local practice, or if necessary when administration of the first dose of the quadrivalent meningococcal vaccine \[serotype ACWY\] or the second dose of the serotype B meningococcal vaccine \[when available\] is less than 2 weeks prior to study treatment initiation) as described in the protocol 8. Any active, ongoing infection or a recent infection requiring ongoing systemic treatment with antibiotics, antivirals, or antifungals within 2 weeks of screening or during the screening period 9. Documented history of active, uncontrolled, ongoing systemic autoimmune diseases Note: Other protocol-defined Inclusion/ Exclusion Criteria 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.
Contacts and locations
Locations
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A Beneficencia Portuguesa de Sao Paulo, BP Mirante
São Paulo, 01321-001, Brazil
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Ajou University Medical Center
Suwon, Gyeonggi-do, 16499, South Korea
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Amrita Institute of Medical Sciences (AIMS) and Research Centre Aims
Kochi, Kerala, 682041, India
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Aou Careggi
Florence, Firenze, 50139, Italy
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Bhagwan Mahaveer Cancer Hospital and Research Centre (BMCHRC)
Jaipur, 302017, India
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Casa de Saude Santa Marcelina
São Paulo, 08270-070, Brazil
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Centro de Estudos e Pesquisas em Hematologia e Oncologia
Santo André, São Paulo, 09060-650, Brazil
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Chaing Mai University
Chiang Mai, 50200, Thailand
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Chang Gung Memorial Hospital - Linkou Branch
Taoyuan, Hunan Province, 33305, Taiwan
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Changhua Christian Hospital
Changhua, 500-06, Taiwan
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China Medical University Hospital
Taichung, Central Taiwan, 40447, Taiwan
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Clinica San Felipe
Lima, 15072, Peru
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Clinical Research Center, Faculty of Medicine, Prince of Songkla University
Hat Yai, Changwat Songkhla, 90110, Thailand
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Ege University
Izmir, 35100, Turkey (Türkiye)
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Ewha Womans University Mokdong Hospital
Seoul, 07985, South Korea
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Faculty of Medicine Khon Kaen University
Khon Kaen, 40002, Thailand
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Fondazione Policlinico Universitario A. Gemelli - IRCCS
Rome, Roma, 00168, Italy
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Gachon University Gil Medical Center
Incheon, Namdong-Gu, 21565, South Korea
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George Papanikolaou Hospital
Thessaloniki, 57010, Greece
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Hematology Citta della Salute e della Scienza di Torino
Turin, 10126, Italy
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Hospital Ampang
Ampang, Selangor, 68000, Malaysia
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Hospital Clinic de Barcelona
Barcelona, 08036, Spain
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Hospital Clinico Universitario de Salamanca
Salamanca, 37007, Spain
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Hospital General JM Morales Meseguer
Murcia, 30008, Spain
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Hospital Pablo Tobon Uribe
Medellín, Antioquia, 050034, Colombia
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Hospital Queen Elizabeth
Kota Kinabalu, Sabah, 88586, Malaysia
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Hospital Tg Ampuan Afzan
Kuantan, Pahang, 25200, Malaysia
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Hospital Universitario Basurto
Bilbao, Vizcaya, 48013, Spain
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Hualien Tzu Chi Hospital
Hualien City, 97002, Taiwan
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Institute of Hematology and Transfusion Medicine
Warsaw, 02-776, Poland
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Ion Chiricuta Oncology Institute
Cluj-Napoca, Cluj, 400015, Romania
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Istanbul University
Istanbul, 34418, Turkey (Türkiye)
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Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital
Nagoya, Aichi-ken, 466-8650, Japan
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Jordan University Hospital (JUH)
Amman, 11942, Jordan
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K J Somaiya Super Specialty Hospital & Research Centre
Mumbai, Maharashtra, 400022, India
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Kaohsiung Medical University Hospital
Kaohsiung City, 80756, Taiwan
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King Chulalongkorn Memorial Hospital
Bangkok, 10330, Thailand
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King George Hospital
Lucknow, Uttar Pradesh, 226003, India
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Korea University Hospital
Seoul, 02841, South Korea
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Malabar Cancer Center, Kerala
Kannur, Kerala, 670103, India
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Matsushita Memorial Hospital
Moriguchi, Osaka, 570-8540, Japan
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Municipal Hospital Filantropia
Craiova, Dolj, 200143, Romania
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NTT Medical Center Tokyo
Shinagawa-ku, Tokyo, 141-8625, Japan
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National Cheng Kung University Hospital
Tainan, 704, Taiwan
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National Taiwan University Hospital
Taipei, 100229, Taiwan
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National University Hospital
Singapore, 119074, Singapore
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Ogaki Municipal Hospital
Ōgaki, Gifu, 503-8502, Japan
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100032, China
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Postgraduate Institute of Medical Education & Research (PGIMER)
Chandigarh, Punjab, 708248, India
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Pusan National University Hospital
Busan, 49241, South Korea
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Rajiv Gandhi Cancer Institute & Research Center (RGCIRC) - Rohini Campus
New Delhi, National Capital Territory of Delhi, 110085, India
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Samsung Medical Center
Seoul, 06351, South Korea
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Sanjay Gandhi Postgraduate Institute of Medical Sciences
Lucknow, Uttar Pradesh, 226014, India
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Semmelweis University
Budapest, 1083, Hungary
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Seoul St. Mary's Hospital - The Catholic University of Korea
Seoul, 065791, South Korea
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Servicio de Hematologia del Hospital Universitario de la Uanl
Monterrey, Nuevo León, 64460, Mexico
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Severance Hospital
Seoul, 03722, South Korea
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St James Hospital
Leeds, LS9 7TF, United Kingdom
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St Lukes Medical Center
Quezon, Central Luzon, 1011, Philippines
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St. Vincent Hospital
Suwon, Gyeonggi-do, 16247, South Korea
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Szpital Uniwersytecki Nr2 Bydgoszcz
Bydgoszcz, 85-168, Poland
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Taichung Veterans General Hospital (VGHTC)
Taichung, 4070, Taiwan
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Targu Mures Clinical County Emergency Hospital
Târgu Mureş, Mureș County, 540136, Romania
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The Oncology Institute of Hope & Innovation
Whittier, California, 90602, United States
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Toronto General Hospital
Toronto, Ontario, M5G 2C4, Canada
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Tri-Service General Hospital
Taipei, 114, Taiwan
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University Clinical Center Medical University of Gdansk
Gdansk, Pomeranian Voivodeship, 80-214, Poland
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University of Tsukuba Hospital
Tsukuba, Ibaraki, 305-8576, Japan
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