Danicopan as Add-on Therapy to a C5 Inhibitor in Paroxysmal Nocturnal Hemoglobinuria (PNH) Participants Who Have Clinically Evident Extravascular Hemolysis (EVH)(ALPHA)

Last updated: April 28, 2025
Sponsor: Alexion Pharmaceuticals, Inc.
Overall Status: Completed

Phase

3

Condition

Red Blood Cell Disorders

Aplastic Anemia

Bone Marrow Disorder

Treatment

Danicopan

Placebo

C5 Inhibitor

Clinical Study ID

NCT04469465
ALXN2040-PNH-301
2019-003829-18
  • Ages > 18
  • All Genders

Study Summary

The main objective of this study is to evaluate the efficacy of danicopan as add-on therapy to a complement component 5 (C5) inhibitor (eculizumab or ravulizumab) in participants with PNH who have clinically evident EVH.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Diagnosis of PNH

  • Clinically Evident EVH defined by:

  • Anemia (Hgb ≤9.5 gram/deciliter) with absolute reticulocyte count ≥120 x 10^9/liter

  • Receiving an approved C5 inhibitor for at least 6 months prior to Day 1

  • Platelet count ≥30,000/microliters (µL)

  • Absolute neutrophil counts ≥500/μL

  • Documentation of/or willingness to receive vaccinations for N. meningiditis andprophylactic antibiotics as required

Exclusion

Exclusion Criteria:

  • History of a major organ transplant or hematopoietic stem cell transplantation (HSCT)

  • Participants with known aplastic anemia or other bone marrow failure that requiresHSCT or other therapies including anti-thymocyte globulin and/or immunosuppressants

  • Known or suspected complement deficiency

  • Laboratory abnormalities at screening, including:

  • Alanine aminotransferase >2 x ULN (>3 x ULN in case of patients with documentedliver iron overload defined by serum ferratin values

  • 500 ng/ML)

  • Direct bilirubin >2 x ULN (unless due to EVH or documented Gilbert's Syndrome)

  • Current evidence of biliary cholestasis

  • Estimated glomerular filtration rate of <30 milliliters/minute/1.73 meter squaredand/or are on dialysis

  • Evidence of human immunodeficiency virus, hepatitis B, or active hepatitis Cinfection at screening

Study Design

Total Participants: 86
Treatment Group(s): 3
Primary Treatment: Danicopan
Phase: 3
Study Start date:
December 16, 2020
Estimated Completion Date:
January 16, 2024

Study Description

This is a multiple-region, randomized, double-blind, placebo controlled, multiple-dose, study in participants with PNH who have clinically evident EVH on a C5 inhibitor (eculizumab or ravulizumab).

Participants will be randomized to receive danicopan or placebo, in a 2:1 ratio for 12 weeks (Treatment Period 1) in addition to their C5 inhibitor (eculizumab or ravulizumab) therapy. At Week 12, participants randomized to receive placebo will be switched to danicopan in addition to their C5 inhibitor for an additional 12 weeks (Treatment Period 2) and participants randomized to danicopan will continue on danicopan for an additional 12 weeks, while remaining on their ongoing C5 inhibitor therapy.

At the end of the 2 treatment periods (Week 24), participants may enter a Long-Term Extension (LTE) Period and continue to receive danicopan in addition to their C5 inhibitor therapy. The Long-Term Extension period will consist of a first year of LTE(Year1) and a second year of optional LTE(Year2).All patients will complete 72 weeks of LTE(Year 1) assessments. After Week 72 (at the end of the first year of LTE), patients have the choice to complete participation in this study or continue to the optional second year (Year2) of LTE.

Connect with a study center

  • Clinical Trial Site

    Goiania, Goias 74605-020
    Brazil

    Site Not Available

  • Clinical Trial Site

    Belem, Para 66053-000
    Brazil

    Site Not Available

  • Clinical Trial Site

    Curitiba, Parana 80810-050
    Brazil

    Site Not Available

  • Clinical Trial Site

    Porto Alegre, Rio Grande Do Sul 90110-270
    Brazil

    Site Not Available

  • Research Site

    Belem, 66053-000
    Brazil

    Site Not Available

  • Research Site

    Curitiba, 80810-050
    Brazil

    Site Not Available

  • Research Site

    Goiania, 74605-020
    Brazil

    Site Not Available

  • Research Site

    Porto Alegre, 90110-270
    Brazil

    Site Not Available

  • Research Site

    Rio De De Janeiro, 20211030
    Brazil

    Site Not Available

  • Clinical Trial Site

    Toronto, Ontario MSG 2C4
    Canada

    Site Not Available

  • Research Site

    Toronto, Ontario M5G 2C4
    Canada

    Site Not Available

  • Clinical Trial Site

    Brno, 62500
    Czechia

    Site Not Available

  • Research Site

    Brno, 625 00
    Czechia

    Site Not Available

  • Research Site

    Lille, 59037
    France

    Site Not Available

  • Research Site

    Paris, 75010
    France

    Site Not Available

  • Research Site

    Pessac, 33604
    France

    Site Not Available

  • Research Site

    Pierre-Benite, 69495
    France

    Site Not Available

  • Clinical Trial Site

    Ulm, 89081
    Germany

    Site Not Available

  • Research Site

    Ulm, 89081
    Germany

    Site Not Available

  • Clinical Trial Site

    Athens, 11527
    Greece

    Site Not Available

  • Research Site

    Athens, 11527
    Greece

    Site Not Available

  • Clinical Trial Site

    Thessaloniki, 57010
    Greece

    Site Not Available

  • Research Site

    Thessaloniki, 57010
    Greece

    Site Not Available

  • Clinical Trial Site

    Haifa, 31048
    Israel

    Site Not Available

  • Research Site

    Haifa, 31048
    Israel

    Site Not Available

  • Clinical Trial Site

    Jerusalem, 91120
    Israel

    Site Not Available

  • Research Site

    Jerusalem, 91120
    Israel

    Site Not Available

  • Clinical Trial Site

    Reggio Calabria, Calabria 89214
    Italy

    Site Not Available

  • Clinical Trial Site

    Avellino, Campagnia 83100
    Italy

    Site Not Available

  • Clinical Trial Site

    Roma, Lazio 00161
    Italy

    Site Not Available

  • Clinical Trial Site

    Milano, Lombardia 20122
    Italy

    Site Not Available

  • Clinical Trial Site

    Firenze, Toscana 50134
    Italy

    Site Not Available

  • Clinical Trial Site

    Bassano Del Grappa, Vicenza 36061
    Italy

    Site Not Available

  • Research Site

    Avellino, 83100
    Italy

    Site Not Available

  • Research Site

    Bassano del Grappa, 36061
    Italy

    Site Not Available

  • Research Site

    Firenze, 50134
    Italy

    Site Not Available

  • Research Site

    Milano, 20122
    Italy

    Site Not Available

  • Research Site

    Reggio Calabria, 89131
    Italy

    Site Not Available

  • Research Site

    Roma, 00161
    Italy

    Site Not Available

  • Clinical Trial Site

    Nagakute-shi, Aichi 480-1195
    Japan

    Site Not Available

  • Clinical Trial Site

    Kashiwa-shi, Chiba 277-8567
    Japan

    Site Not Available

  • Clinical Trial Site

    Ogaki-shi, Gifu 503-8502
    Japan

    Site Not Available

  • Clinical Trial Site

    Tsukuba-shi, Ibaraki 305-8576
    Japan

    Site Not Available

  • Clinical Trial Site

    Kyoto-shi, Kyoto-Fu 605-0981
    Japan

    Site Not Available

  • Clinical Trial Site

    Osaka-shi, Osaka 530-8480
    Japan

    Site Not Available

  • Clinical Trial Site

    Bunkyo-ku, Tokyo 113-8603
    Japan

    Site Not Available

  • Clinical Trial Site

    Shibuya-ku, Tokyo 150-8935
    Japan

    Site Not Available

  • Clinical Trial Site

    Tanabe-shi, Wakayama 646-8588
    Japan

    Site Not Available

  • Research Site

    Bunkyo-Ku, 113 8603
    Japan

    Site Not Available

  • Research Site

    Fukuoka, 812-8582
    Japan

    Site Not Available

  • Research Site

    Kashiwa-shi, 277-8567
    Japan

    Site Not Available

  • Research Site

    Kyoto-shi, 605-0981
    Japan

    Site Not Available

  • Research Site

    Nagakute-shi, 480-1195
    Japan

    Site Not Available

  • Research Site

    Ogaki-shi, 503-8502
    Japan

    Site Not Available

  • Research Site

    Osaka-shi, 530-8480
    Japan

    Site Not Available

  • Research Site

    Osakasayama, 589-8511
    Japan

    Site Not Available

  • Research Site

    Shibuya-ku, 150-8935
    Japan

    Site Not Available

  • Research Site

    Tanabe-shi, 646-8588
    Japan

    Site Not Available

  • Research Site

    Toyoake-shi, 470-1192
    Japan

    Site Not Available

  • Research Site

    Tsukuba-shi, 305-8576
    Japan

    Site Not Available

  • Clinical Trial Site

    Daejeon, 35015
    Korea, Republic of

    Site Not Available

  • Research Site

    Daejeon, 35015
    Korea, Republic of

    Site Not Available

  • Clinical Trial Site

    Seoul, 06591
    Korea, Republic of

    Site Not Available

  • Research Site

    Seoul, 06591
    Korea, Republic of

    Site Not Available

  • Research Site

    Suwon, 16247
    Korea, Republic of

    Site Not Available

  • Clinical Trial Site

    Kota Kinabalu, Sabah 88586
    Malaysia

    Site Not Available

  • Clinical Trial Site

    Kuching, Sarawak 93588
    Malaysia

    Site Not Available

  • Clinical Trial Site

    Miri, Sarawak 98000
    Malaysia

    Site Not Available

  • Research Site

    Kota Kinabalu, 88586
    Malaysia

    Site Not Available

  • Research Site

    Kuching, 93586
    Malaysia

    Site Not Available

  • Research Site

    Miri, 98000
    Malaysia

    Site Not Available

  • Clinical Trial Site

    Maastricht, Limburg 6229 HX
    Netherlands

    Site Not Available

  • Research Site

    Maastricht, 6229 HX
    Netherlands

    Site Not Available

  • Clinical Trial Site

    Gdansk, 80-214
    Poland

    Site Not Available

  • Research Site

    Gdansk, 80-214
    Poland

    Site Not Available

  • Clinical Trial Site

    Majadahonda, Madrid 28222
    Spain

    Site Not Available

  • Clinical Trial Site

    Barcelona, 08036
    Spain

    Site Not Available

  • Research Site

    Barcelona, 08916
    Spain

    Site Not Available

  • Research Site

    Las Palmas de Gran Canaria, 35020
    Spain

    Site Not Available

  • Clinical Trial Site

    Madrid, 28040
    Spain

    Site Not Available

  • Research Site

    Madrid, 28040
    Spain

    Site Not Available

  • Research Site

    Majadahonda, 28222
    Spain

    Site Not Available

  • Clinical Trial Site

    Sevilla, 41013
    Spain

    Site Not Available

  • Research Site

    Sevilla, 41013
    Spain

    Site Not Available

  • Clinical Trial Site

    Taipei, 100
    Taiwan

    Site Not Available

  • Research Site

    Taipei, 100
    Taiwan

    Site Not Available

  • Research Site

    Bangkok, 10330
    Thailand

    Site Not Available

  • Clinical Trial Site

    London, Greater London SE5 9NU
    United Kingdom

    Site Not Available

  • Clinical Trial Site

    Airdrie, North Lanarkshire ML6 0JS
    United Kingdom

    Site Not Available

  • Clinical Trial Site

    Leeds, West Yorkshire LS9 7TF
    United Kingdom

    Site Not Available

  • Research Site

    Airdrie, ML6 0JS
    United Kingdom

    Site Not Available

  • Research Site

    Leeds, BD7 1DP
    United Kingdom

    Site Not Available

  • Research Site

    London, SE5 9NU
    United Kingdom

    Site Not Available

  • Clinical Trial Site

    Los Angeles, California 90033
    United States

    Site Not Available

  • Research Site

    Los Angeles, California 90089
    United States

    Site Not Available

  • Clinical Trial Site

    Weston, Florida 33331
    United States

    Site Not Available

  • Research Site

    Weston, Florida 33331
    United States

    Site Not Available

  • Clinical Trial Site

    Chicago, Illinois 60612
    United States

    Site Not Available

  • Research Site

    Chicago, Illinois 60612
    United States

    Site Not Available

  • Clinical Trial Site

    Kalamazoo, Michigan 49001
    United States

    Site Not Available

  • Research Site

    Kalamazoo, Michigan 49007
    United States

    Site Not Available

  • Clinical Trial Site

    New York, New York 10065
    United States

    Site Not Available

  • Research Site

    New York, New York 10065
    United States

    Site Not Available

  • Clinical Trial Site

    Dallas, Texas 75231
    United States

    Site Not Available

  • Research Site

    Dallas, Texas 75390
    United States

    Site Not Available

  • Research Site

    Milwaukee, Wisconsin 53212
    United States

    Site Not Available

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