BCX9930 for the Treatment of Paroxysmal Nocturnal Hemoglobinuria (PNH) in Participants Not Receiving Other Complement Inhibitor Therapy

Last updated: December 20, 2024
Sponsor: BioCryst Pharmaceuticals
Overall Status: Terminated

Phase

2

Condition

Hemoglobinuria, Paroxysmal

Proteinuria

Anemia

Treatment

BCX9930 monotherapy

Placebo

Clinical Study ID

NCT05116787
BCX9930-203
2020-004403-14
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study was to determine the efficacy and safety of BCX9930 monotherapy for the treatment of adult participants with PNH not currently receiving complement inhibitor therapy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or female, aged ≥ 18 years old

  • Body weight ≥ 40 kg

  • Documented diagnosis of PNH

  • No complement inhibitor therapy for ≥ 12 months prior to screening

  • Contraindication to or no access to approved (C3 or C5) complement inhibitortherapies

  • Documentation of current vaccinations against Neisseria meningitidis andStreptococcus pneumoniae or willingness to start vaccination series

  • At screening: PNH clone of ≥ 10%, hemoglobin ≤ 10.5 g/dL and lactate dehydrogenase ≥ 2 × upper limit of normal

Exclusion

Exclusion Criteria:

  • Known history of or existing diagnosis of hereditary complement deficiency

  • History of hematopoietic cell transplant or solid organ transplant or anticipatedcandidate for transplantation

  • Myocardial infarction or cerebrovascular accident within 30 days prior to screening,or current and uncontrolled clinically significant cardiovascular or cerebrovascularcondition

  • History of malignancy within 5 years prior to the screening visit

  • Active bacterial, viral, or fungal infection or any other serious infection within 14 days prior to screening

  • Treatment with anti-thymocyte globulin within 180 days prior to screening

  • Initiation of treatment with an erythrocyte or platelet growth factor, or danazolwithin 28 days prior to screening

  • Receiving iron supplementation with an unstable dose in the 28 days prior toscreening

Study Design

Total Participants: 12
Treatment Group(s): 2
Primary Treatment: BCX9930 monotherapy
Phase: 2
Study Start date:
October 26, 2021
Estimated Completion Date:
September 18, 2023

Study Description

This was a randomized, placebo-controlled, double-blind, parallel-group, 2-part study. Parts 1 and 2 was to be conducted in the same participants.

Part 1 of the study was designed to evaluate the efficacy, safety, and tolerability of treatment with oral BCX9930 monotherapy for 12 weeks versus placebo in participants with PNH who were not currently receiving treatment with complement inhibitor therapy. Participants were randomized to receive BCX9930 or placebo under double blind conditions for the 12-week randomized treatment period. The primary efficacy and safety analyses were based on Part 1.

Part 2 of the study was designed to evaluate the long-term safety, tolerability, and effectiveness of open-label BCX9930 monotherapy when administered through Week 52. All participants in Part 2 received BCX9930. Participants who were randomized to BCX9930 monotherapy in Part 1 continued to receive BCX9930 in Part 2. Participants who were randomized to placebo in Part 1 discontinued that therapy at the Week 12 visit and received BCX9930 in Part 2.

Connect with a study center

  • InvestigativeSite

    Daejeon,
    Korea, Republic of

    Site Not Available

  • Investigative Site

    Ampang,
    Malaysia

    Site Not Available

  • Investigative Site

    Bloemfontein,
    South Africa

    Site Not Available

  • Investigative Site

    Cape Town,
    South Africa

    Site Not Available

  • Investigative Site

    Pretoria,
    South Africa

    Site Not Available

  • Investigative Site

    Barcelona,
    Spain

    Site Not Available

  • Investigative Site

    Taipei,
    Taiwan

    Site Not Available

  • Investigative Site

    Boston, Massachusetts 02114
    United States

    Site Not Available

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