New drug duo aims to rescue PNH patients failing standard care
NCT ID NCT07154745
First seen Jun 27, 2026 · Last updated Aug 06, 2026 · Updated 5 times
Summary
This study tests two experimental drugs, pozelimab and cemdisiran, together in 35 adults with paroxysmal nocturnal hemoglobinuria (PNH) whose red blood cell destruction is not well-controlled by current C5 inhibitors. The goal is to see if the combination can lower hemolysis (breakdown of red blood cells) better than existing treatments. Participants will receive the drugs by injection and be monitored for side effects and blood levels.
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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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About 35 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Dec 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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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 a history of high-sensitivity flow cytometry from prior testing 2. Currently treated with marketed eculizumab, ravulizumab, or crovalimab at the labeled dose for at least 6 months 3. LDH persistently \> 1.5 × Upper Limit of Normal (ULN) in the previous 6 months that the Principal Investigator (PI) attributes is due to intravascular hemolysis 4. At least 2 screening LDH values from different visits as described in the protocol 5. 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 and agreement to continue to remain up to date with these vaccinations during the study Key Exclusion Criteria: 1. Receipt of an organ transplant, history of bone marrow transplantation or other hematologic transplants 2. Body weight \<40 kilograms at screening visit 3. Patients with a known or suspected C5 mutation that is refractory to their current C5i treatment as described in the protocol 4. Any active or ongoing infection within 2 weeks of screening or during the screening period or any recent infection as described in the protocol 5. Known hereditary complement deficiency 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.
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
20 sites in 7 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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AOU Careggi
RECRUITINGFlorence, Tuscany, 50134, Italy
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CISSS-CA
RECRUITINGLévis, Quebec, G6V 3Z1, Canada
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Ege University
RECRUITINGIzmir, 35100, Turkey (Türkiye)
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Ewha Womans University Mokdong Hospital
RECRUITINGSeoul, 07985, South Korea
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Faculdade de Medicina do ABC
RECRUITINGSanto André, São Paulo, 09060 870, Brazil
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Hospital General JM Morales Meseguer
RECRUITINGMurcia, 30008, Spain
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Hospital San Pedro de Alcantara
RECRUITINGCáceres, 10003, Spain
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Hospital Santa Marcelina
RECRUITINGSão Paulo, 08270-070, Brazil
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Hospital Universitario Basurto
RECRUITINGBilbao, Vizcaya, 48013, Spain
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Hospital Universitario de Salamanca
RECRUITINGSalamanca, 37007, Spain
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Hospital das Clinicas da FMRP USP
RECRUITINGRibeirão Preto, São Paulo, 14051-260, Brazil
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In-Vivo Sp. z o.o.
RECRUITINGBydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-048, Poland
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Institut Catala d'Oncologia
RECRUITINGBarcelona, 08908, Spain
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Istanbul University Istanbul Faculty of Medicine
RECRUITINGIstanbul, 34418, Turkey (Türkiye)
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SC Hematology, AOU Città della Salute e della Scienza di Torino
RECRUITINGTorino, 10126, Italy
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Samsung Medical Center
RECRUITINGSeoul, 6351, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, 03080, South Korea
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Seoul St. Mary's Hospital - The Catholic University of Korea
RECRUITINGSeoul, 065791, South Korea
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Severance Hospital
RECRUITINGSeoul, 03722, South Korea
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Universita Cattolica del Sacro Cuore - Policlinico Universitario A. Gemelli
RECRUITINGRome, Lazio, 00168, Italy
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