Study Using Eculizumab in Transfusion Dependent Paroxysmal Nocturnal Hemoglobinuria (PNH) Patients

NCT ID: NCT00122330

Last Updated: 2006-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-10-31

Study Completion Date

2006-01-31

Brief Summary

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The primary objective is to evaluate the safety and efficacy of eculizumab in transfusion dependent patients with hemolytic PNH.

Detailed Description

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Conditions

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Hemoglobinuria, Paroxysmal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

ECT

Blinding Strategy

DOUBLE

Interventions

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eculizumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Must have required at least 4 transfusions in the past 12 months
* PNH type III red blood cell (RBC) clone by flow cytometry of \>10%
* Lactate dehydrogenase (LDH) level \> 1.5 x upper limit of normal
* Platelet count \> 100,000/mm3
* Patient taking erythropoietin must be on a stable dose for at least 26 weeks
* Patient taking immunosuppressants must be on a stable dose for at least 26 weeks
* Patient taking corticosteroids must be on a stable dose for at least 4 weeks
* Patient taking coumadin must be at a stable INR for at least 4 weeks
* Patient taking iron supplements or folic acid must be on a stable dose for 4 weeks
* Willing and able to give written informed consent
* Must avoid conception

Exclusion Criteria

* Mean hemoglobin level prior to transfusion over the previous 12 months is \>10.5 gm/dl
* Absolute neutrophil count \<500/ul
* Active bacterial infection
* Hereditary complement deficiency
* Participation in any other investigational drug trial or exposure to other investigational agent, device, or procedures within 30 days
* Pregnant, breast-feeding, or intending to conceive
* History of meningococcal disease
* History of bone marrow transplantation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Locations

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City of Hope National Medical Center, Div. of Hematology & Bone Marrow Transplant

Duarte, California, United States

Site Status

University of California at Los Angeles

Los Angeles, California, United States

Site Status

Scripps Cancer Center

San Diego, California, United States

Site Status

Stanford University Medical Center, Division of Hematology

Stanford, California, United States

Site Status

Hartford Hospital, Cancer Clinical Research Office

Hartford, Connecticut, United States

Site Status

Cleveland Clinic, Dept. of Clinical Research

Weston, Florida, United States

Site Status

Indiana University Cancer Pavilion, Div. of Hematology-Oncology, Hematological Malignancy Program/Immunology

Indianapolis, Indiana, United States

Site Status

Johns Hopkins University Medical Center

Baltimore, Maryland, United States

Site Status

National Heart, Blood, and Lung Institute, National Institutes of Health

Bethesda, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Washington University School of Medicine, Dept. of Internal Medicine/Division of Hematology

St Louis, Missouri, United States

Site Status

NYU Clinical Cancer Center

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Duke University Health System, Division of Cell Therapy, Heme Malignancies Program

Durham, North Carolina, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Presbyterian Medical Center, PENN Comprehensive Hemophilia & Thrombosis Program

Philadelphia, Pennsylvania, United States

Site Status

Princess Alexandra Hospital, Oncology Haematology Radiation Department

Woolloongabba, Queensland, Australia

Site Status

Queen Elizabeth Hospital, Dept. of Haematology

Woodville South, South Australia, Australia

Site Status

Royal Melbourne Hospital, Dept. of Clinical Haematology & Medical Oncology

Parkville, Victoria, Australia

Site Status

The Royal Perth Hosptial, Department of Haematology/Level 2

Perth, Western Australia, Australia

Site Status

Ucl St. Luc, Hematology Department

Brussels, , Belgium

Site Status

University of Alberta, Cross Cancer Institute

Edmonton, Alberta, Canada

Site Status

Hospital De L'Hotel Dieu, Hematologie et Oncologie Medicale

Cedex, Paris, France

Site Status

Hopital Saint-Louis, Centre G. Hayem-Secteur Bleu Porte 7, Laboratoire De Pathologie/Greffe de Moelle

Cedex, Paris, France

Site Status

Universitatsklinikum Essen, Zentrum fur Innere Medizin

Essen, , Germany

Site Status

Universitatsklinik Greifswald, Innere Medizin C - Hamato-Onkologie

Greifswald, , Germany

Site Status

Medizinische Hochschule Hannover, Abt. Hamatologie/Onkologie, Zentrum fur Innere Medizin

Hanover, , Germany

Site Status

Saarland University Medical School, Internal Medicine 1

Homburg/Saar, , Germany

Site Status

Institut fur Klinische Transfusionmedizin und Immungenetik, Abtlg. Transfusionsmedizin des Universitatskinikums Ulm

Ulm, , Germany

Site Status

St. James Hospital, Haematology Department

Dublin, , Ireland

Site Status

Azienda Ospedaliera Universitaria Careggi, Dipartimento di area critica medico-chirurgica

Florence, , Italy

Site Status

Ospedale San Martino, Dept. of Hematology

Genova, , Italy

Site Status

Ospedale Maggiore di Milano, Divisione di Ematologia

Milan, , Italy

Site Status

Universitar degli Studi di Napoli, Divisione di Ematologia, Azienda Universitar Policlinico

Napoli, , Italy

Site Status

Ospedale San Bortolo, Divisione di Ematologia

Vicenza, , Italy

Site Status

UMC St. Radboud, Dept. of Hematology

Nijmegen, GA, Netherlands

Site Status

Lund University Hospital, Department of Internal Medicine, Section of Hematology

Lund, , Sweden

Site Status

Umea University Hospital, Dept. of Internal Medicine 3, Section for Hematology

UmeƄ, , Sweden

Site Status

Universitatsklinik Basel, Division of Hematology

Basel, CH, Switzerland

Site Status

Royal Cornwall Hospital, Haematology Dept.

Truro, Cornwall, United Kingdom

Site Status

Belfast City Hospital, Dept. of Haematology C Floor

Belfast, , United Kingdom

Site Status

Leeds General Infirmary, D Floor Brotherton Wing

Leeds, , United Kingdom

Site Status

St. George's Hospital, Department of Haematology

London, , United Kingdom

Site Status

Countries

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United States Australia Belgium Canada France Germany Ireland Italy Netherlands Sweden Switzerland United Kingdom

References

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Hillmen P, Young NS, Schubert J, Brodsky RA, Socie G, Muus P, Roth A, Szer J, Elebute MO, Nakamura R, Browne P, Risitano AM, Hill A, Schrezenmeier H, Fu CL, Maciejewski J, Rollins SA, Mojcik CF, Rother RP, Luzzatto L. The complement inhibitor eculizumab in paroxysmal nocturnal hemoglobinuria. N Engl J Med. 2006 Sep 21;355(12):1233-43. doi: 10.1056/NEJMoa061648.

Reference Type RESULT
PMID: 16990386 (View on PubMed)

Hill A, Rother RP, Wang X, Morris SM Jr, Quinn-Senger K, Kelly R, Richards SJ, Bessler M, Bell L, Hillmen P, Gladwin MT. Effect of eculizumab on haemolysis-associated nitric oxide depletion, dyspnoea, and measures of pulmonary hypertension in patients with paroxysmal nocturnal haemoglobinuria. Br J Haematol. 2010 May;149(3):414-25. doi: 10.1111/j.1365-2141.2010.08096.x. Epub 2010 Mar 8.

Reference Type DERIVED
PMID: 20230403 (View on PubMed)

Other Identifiers

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TRIUMPH

Identifier Type: -

Identifier Source: org_study_id