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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: EUCTR
Last refreshed on: 9 October 2023
Main ID:  EUCTR2017-002370-39-SE
Date of registration: 30/11/2018
Prospective Registration: Yes
Primary sponsor: Alexion Pharmaceuticals, Inc.
Public title: This study compares the pharmacokinetics (PK) of ravulizumab subcutaneous (SC) administered via an on-body delivery system (OBDS) to ravulizumab intravenous (IV) in patients with paroxysmal nocturnal hemoglobinuria (PNH) currently treated With Eculizumab
Scientific title: A Phase 3, Randomized, Parallel-Group, Multicenter, Open-Label, Pharmacokinetic, Noninferiority Study of Ravulizumab Administered Subcutaneously Versus Intravenously in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria Currently Treated With Eculizumab
Date of first enrolment: 27/03/2019
Target sample size: 105
Recruitment status: Not Recruiting
URL:  https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2017-002370-39
Study type:  Interventional clinical trial of medicinal product
Study design:  Controlled: yes Randomised: yes Open: yes Single blind: no Double blind: no Parallel group: yes Cross over: no Other: yes Other trial design description: Patients in the ravulizumab IV group will switch to 490 mg of ravulizumab SC in the extension period If controlled, specify comparator, Other Medicinial Product: no Placebo: no Other: yes Other specify the comparator: Ravulizumab iv Number of treatment arms in the trial: 2  
Phase:  Human pharmacology (Phase I): no Therapeutic exploratory (Phase II): no Therapeutic confirmatory - (Phase III): yes Therapeutic use (Phase IV): no
Countries of recruitment
Australia Austria Belgium Brazil Canada Czech Republic Czechia Finland
France Germany Italy Korea, Republic of Netherlands Russian Federation Spain Sweden
Turkey United Kingdom United States
Contacts
Name: European Clinical Trial Information   
Address:  103-105 rue Anatole France 92300 Levallois-Perret France
Telephone: +33 1 47 10 06 15
Email: clinicaltrials.eu@alexion.com
Affiliation:  Alexion Europe SAS
Name: European Clinical Trial Information   
Address:  103-105 rue Anatole France 92300 Levallois-Perret France
Telephone: +33 1 47 10 06 15
Email: clinicaltrials.eu@alexion.com
Affiliation:  Alexion Europe SAS
Key inclusion & exclusion criteria
Inclusion criteria:
Age
1. Patients must be at least 18 years of age at the time of signing the informed consent.

Patient and Disease Characteristics
2. Treated with eculizumab according to the labeled dosing recommendation for PNH (900 mg every 14 days ± 2 days) for at least 3 months prior to study entry with no missed doses within 2 months prior to study entry and no more than 2 doses outside of the visit window.
3. Lactate dehydrogenase levels = 1.5 × ULN (upper limit of normal), according to central laboratory, at Screening. Sample must be obtained within 24 hours of or immediately prior to a scheduled eculizumab dose administration (ie, at trough eculizumab level).
4. Documented diagnosis of PNH confirmed by high-sensitivity flow cytometry evaluation (Borowitz, Craig et al. 2010).
5. Vaccinated against meningococcal infections within 3 years prior to, or at the time of, initiating study drug to reduce the risk of meningococcal infection (N meningitidis).


Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 95
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 10

Exclusion criteria:
Medical Conditions
1. More than 1 LDH value > 2 × ULN within the 3 months prior to study entry.
2. Major adverse vascular event (MAVE) in the 6 months prior to study entry.
3. Platelet count < 30,000/mm3 (30 × 109/L) at Screening.
4. Absolute neutrophil count < 500/µL (0.5 × 109/L) at Screening.
5. History of bone marrow transplantation.
6. History of N meningitidis infection.



Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes
Health Condition(s) or Problem(s) studied
Paroxysmal Nocturnal Hemoglobinuria
MedDRA version: 21.1 Level: LLT Classification code 10055629 Term: Paroxysmal nocturnal hemoglobinuria System Organ Class: 100000004857
Therapeutic area: Diseases [C] - Blood and lymphatic diseases [C15]
Intervention(s)

Product Name: Ravulizumab
Product Code: ALXN1210
Pharmaceutical Form: Solution for infusion
INN or Proposed INN: Ravulizumab
CAS Number: 1803171-55-2
Current Sponsor code: ALXN1210
Other descriptive name: Ravulizumab
Concentration unit: mg/ml milligram(s)/millilitre
Concentration type: equal
Concentration number: 70-

Product Name: Ravulizumab
Product Code: ALXN1210
Pharmaceutical Form: Concentrate for solution for infusion
INN or Proposed INN: Ravulizumab
CAS Number: 1803171-55-2
Current Sponsor code: ALXN1210
Other descriptive name: Ravulizumab
Concentration unit: mg/ml milligram(s)/millilitre
Concentration type: equal
Concentration number: 10-

Primary Outcome(s)
Timepoint(s) of evaluation of this end point: Day 71
Main Objective: To evaluate PK noninferiority of ravulizumab SC
versus ravulizumab IV in adult patients with PNH
Primary end point(s): Day 71 serum ravulizumab Ctrough
Secondary Objective: - To characterize PK of ravulizumab SC
- To characterize PD of ravulizumab SC
- To characterize immunogenicity of ravulizumab SC
- To evaluate HRQoL and treatment satisfaction on ravulizumab SC
- To evaluate safety of ravulizumab SC and ravulizumab OBDS
- To evaluate efficacy of ravulizumab SC
- To assess performance of ravulizumab OBDS
Secondary Outcome(s)
Timepoint(s) of evaluation of this end point: throughout the study
Secondary end point(s): PK Endpoint
- Ctrough over time

PD Endpoint
- Free serum C5 concentrations over time

Immunogenicity Endpoint
- Incidence of treatment-emergent ADAs over time

HRQoL and Treatment Satisfaction Endpoints
- Change in FACIT-Fatigue Scale, Version 4, from Baseline to Day 183
- Change in EORTC QLQ-C30 Version 3.0, from Baseline to Day 183
- Reported treatment administration satisfaction as measured by the TASQ score at Baseline and Day 183
- Reported patient preference as measured by the PPQ-SC score at Days 1093

Safety Endpoints
- Change in physical examinations, vital signs, electrocardiograms, laboratory assessments over time
- Incidence of adverse events and serious adverse events
- Incidence of adverse device effects and serious adverse device effects

Efficacy Endpoints
- Change over time in LDH
- Incidence of breakthrough hemolysis
- Achievement of transfusion avoidance
- Achievement of stabilized hemoglobin
- Change in clinical manifestations of PNH over time
- Change in reticulocyte count over time
- Change in eGFR over time
- Change in PNH RBC clone size over time

Performance Endpoint
- Reported outcome of attempted full dose administration (including device failure/malfunction)
Secondary ID(s)
128367
2017-002370-39-DE
ALXN1210-PNH-303
Source(s) of Monetary Support
Alexion Pharmaceuticals, Inc.
Secondary Sponsor(s)
Ethics review
Status: Approved
Approval date: 27/03/2019
Contact:
Results
Results available: Yes
Date Posted: 25/08/2022
Date Completed:
URL: https://www.clinicaltrialsregister.eu/ctr-search/trial/2017-002370-39/results
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