A Study of MY008211A in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)
A Multi-center, Randomized, Open-label, Phase 2 Study to Evaluate the Efficacy and Safety of MY008211A Tablets in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria and Active Hemolysis.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Zhen Fu, Ph.D
- Phone Number: 13477072640
- Email: fuzhen@createrna.com
Study Contact Backup
- Name: Yinzhen Wang, master
- Phone Number: 15570895091
- Email: wangyinzhen@createrna.com
Study Locations
-
-
Tianjin
-
Tianjin, Tianjin, China
- Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male and female participants ≥ 18 years of age, BMI≥18 kg/m2,with a diagnosis of PNH confirmed by laboratory tests, according to the PNH diagnostic criteria in the Chinese Guidelines for the Diagnosis and Treatment of Rare Diseases (2019 edition) , and flow cytometry with clone size ≥ 10%.
- Mean hemoglobin level <100 g/L.
- LDH > 1.5 x Upper Limit of Normal (ULN)
- Vaccination against Neisseria meningitidis infection is required prior to the start of study treatment. If not received previously, vaccination against Streptococcus pneumoniae and Haemophilus influenzae infections should be given.
Exclusion Criteria:
- Patients with reticulocytes <100x10^9/L; platelets <30x10^9/L; neutrophils <0.5x10^9/L.
- Were using a complement inhibitor before the first administration of MY008211A tablets or had discontinued a previous complement inhibitor for less than five half-lives or 120 days, whichever was the longest.
- History of recurrent invasive infections caused by encapsulated organisms, e.g. meningococcus or pneumococcus.
- Known or suspected hereditary complement deficiency
- Previous bone marrow or hematopoietic stem cell transplantation.
- Previous splenectomy.
- A history of malignancy within 5 years before screening, except cured local basal cell carcinoma of the skin and carcinoma in situ of the cervix.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm1:low MY008211A dose
Participants will receive low MY008211A dose orally b.i.d
|
The first 10 participants will be received low-dose MY008211A tablets, and the next 30 participants will be randomized to low-dose or high-dose treatment arms in a 1:2 ratio.
Other Names:
|
|
Experimental: Arm2:high MY008211A dose
Participants will receive high MY008211A dose orally b.i.d
|
The first 10 participants will be received low-dose MY008211A tablets, and the next 30 participants will be randomized to low-dose or high-dose treatment arms in a 1:2 ratio.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of participants achieving a sustained increase in hemoglobin levels of ≥ 20 g/L in the absence of red blood cell transfusion.
Time Frame: up to 84 days
|
Proportion of participants achieving a sustained increase from baseline in hemoglobin levels of ≥ 20 g/L assessed , in the absence of red blood cell transfusions
|
up to 84 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of participants achieving sustained hemoglobin levels ≥ 120 g/L in the absence of red blood cell transfusions.
Time Frame: up to 84 days
|
Proportion of participants achieving sustained hemoglobin levels ≥ 120 g/L in absence of red blood cell transfusion
|
up to 84 days
|
|
Change from baseline in hemoglobin concentration.
Time Frame: up to 84 days
|
Change from baseline in hemoglobin concentration (g/L) in absence of red blood cell transfusion
|
up to 84 days
|
|
Change from baseline in serum LDH levels.
Time Frame: up to 84 days
|
Change from baseline in serum LDH levels (U/L)
|
up to 84 days
|
|
Change from baseline in Reticulocyte count.
Time Frame: up to 84 days
|
Change from baseline in Reticulocyte count (×10^9/L)
|
up to 84 days
|
|
Changes from baseline in transfusion volume.
Time Frame: up to 84 days
|
The average number of red blood cells transfused per week
|
up to 84 days
|
|
Change in the level of PNH red cell clones.
Time Frame: up to 84 days
|
Change from baseline in the level of PNH red cell clones.
|
up to 84 days
|
|
Occurrences of AEs occurring between Day 1 and Day 84.
Time Frame: up to 84 days
|
Adverse Events (AEs)
|
up to 84 days
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes from baseline in alternative complement pathway activity.
Time Frame: up to 84 days
|
Alternative complement pathway activity measured by the WIESLAB® kit.
|
up to 84 days
|
|
Change from baseline in plasma levels of the Bb fragment.
Time Frame: up to 84 days
|
Bb fragment cleaved by factor B of complement.
|
up to 84 days
|
|
Maximum Plasma Concentration (Cmax) Of MY008211A tablets
Time Frame: up to 84 days
|
PK parameters
|
up to 84 days
|
|
Area Under The Concentration Versus Time Curve (AUC) Of MY008211A
Time Frame: up to 84 days
|
PK parameters
|
up to 84 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Fengkui Zhang, Ph.D, Blood disease hospital, Chinese academy of medical sciences
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urination Disorders
- Urological Manifestations
- Hematologic Diseases
- Bone Marrow Diseases
- Anemia, Hemolytic
- Anemia
- Myelodysplastic Syndromes
- Proteinuria
- Hemoglobinuria
- Hemoglobinuria, Paroxysmal
Other Study ID Numbers
Other Study ID Numbers
- MY008211A-PNH-2-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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