Real-World check: newer PNH drug holds up in routine care
NCT ID NCT05274633
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study followed 120 adults with paroxysmal nocturnal hemoglobinuria (PNH) who switched from the older drug eculizumab to the newer ravulizumab. Researchers measured changes in a blood marker called LDH to see if the new drug controlled red blood cell breakdown just as well or better. The goal was to understand how ravulizumab performs outside of strict clinical trials, in real-life medical settings.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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120 people
The number who actually took part.
- Started
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Jun 2022
- Finished
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Mar 2025
- 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.
Who is studied
Participants with documented diagnosis of PNH that were already treated with eculizumab and started treatment with ravulizumab and met the inclusion and exclusion criteria.
- 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.
Inclusion Criteria: * Body weight of 10 kilogram or above * Hemolysis with clinical symptom(s) indicative of high disease activity * Documented diagnoses of PNH confirmed by high-sensitivity flow cytometry evaluation of red blood cells and white blood cells with granulocyte or monocyte clone size of ≥ 5% * Clinically stable after having been treated with eculizumab for at least the past 6 months * Participant already assigned to ravulizumab treatment as a specific therapeutic strategy within the current routine clinical practice (this decision has to be made independently and before the enrolment of the participant in the study) * Vaccinated against Neisseria meningitidis (according to Summary of Product Characteristics) \< 3 years before dosing or at least 2 weeks prior to initiating ravulizumab unless the risk of delaying ravulizumab therapy outweighs the risk of developing a meningococcal infection * Signed written informed and privacy consent prior to study participation Exclusion Criteria: * History of hematopoietic stem cell transplantation (evaluated at baseline) * Known pregnant or breastfeeding participant (evaluated at baseline) * Participant unable to read and write in Italian language and to autonomously fill in questionnaires and scales (evaluated at enrolment) * Participants enrolled in any clinical study receiving experimental treatments for PNH (evaluated at baseline) * Hypersensitivity to the active substance or to any of the excipient of the study drug. * Participants with unresolved N. meningitidis infection at treatment initiation * Participants who are not currently vaccinated against N. meningitidis unless they receive prophylactic treatment with appropriate antibiotics until 2 weeks after vaccination
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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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Clinical Trial Site
Brescia, Italy
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Clinical Trial Site
Catania, Italy
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Clinical Trial Site
Lecce, Italy
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Clinical Trial Site
Ragusa, Italy
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Clinical Trial Site
Roma, Italy
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Clinical Trial Site
Salerno, Italy
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Other studies related to the condition(s) this trial covers.
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- Every-8-Week shot could simplify PNH treatment
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- No treatment, just observation: large study looks at PNH blood cells