- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05096403
A Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients With Cold Agglutinin Disease (CAD)
A Phase 3, Randomized, Double-blind, Placebo-controlled Multicenter Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients With Cold Agglutinin Disease (CAD)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a blind (actual treatment not disclosed to Investigator or participant) study to study pegcetacoplan in people with cold agglutinin disease. The study will consist of a 4-week screening period where selected tests will be conducted to ensure that the patient is eligible to participate in the study, followed by Part A, a 24-week blinded treatment period where the participants will receive either pegcetacoplan or a placebo treatment, looking like pegcetacoplan but with no effect. After this period, the participants will move into Part B, a 24-week period where they will all receive pegcetacoplan. Part C is a 48-week maintenance period with pegcetacoplan for all participants. After the end of treatment participants will undergo a safety follow visit about 8 weeks after last dose.
All eligible study participants will receive pegcetacoplan or placebo treatment, administered via subcutaneous infusion twice a week at home. The subcutaneous infusion requires two small needles to be inserted into the fatty layer of tissue under the skin and the investigational medication will flow into the body. Study participants and/or caregivers will be trained on home administration of pegcetacoplan.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Vienna, Austria
- Medical University
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Brasschaat, Belgium, 2930
- Algemeen Ziekenhuis klina
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Leuven, Belgium, 3000
- UZ Gasthuisberg
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Liège, Belgium, 4000
- CHU de Liege
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Toronto, Canada
- St. Michael's Hospital
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Helsinki, Finland
- Helsinki University Hospital - Comprehensive Cancer Center
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Tbilisi, Georgia
- "LTD Medinvest Institute of Hematology and Transfusiology "
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Tbilisi, Georgia
- Ltd M. Zodelava Hematology Centre
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Essen, Germany, 45147
- Universitätsklinikum Essen Klinik f. Hämatologie - Westdeutsches Tumorzentrum
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Ulm, Germany
- Institut f. Transfusionsmedizin - Universität Ulm
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Budapest, Hungary
- Semmelweis Egyetem
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Avellino, Italy, 83100
- A.O.R.N. S.G. Moscati di Avellino
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Brescia, Italy, 25123
- ASST degli Spedali Civili di Brescia_Presidio Ospedaliero di Brescia_U.O. Ematologia
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Milan, Italy
- "FOND IRCCS Cà Granda Ospedale Maggiore Policlinico
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Novara, Italy
- AOU Maggiore della Carità SCDU Ematologia
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Palermo, Italy, 90146
- Azienda Ospedaliera Ospedali Riuniti ""Villa Sofia-Cervello
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Reggio Calabria, Italy, 89133
- Grande Ospedale Metropolitano ""Bianchi - Melacrino - Morellii
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Fukushima, Japan
- Fukushima Medical University Hospital
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Ibaraki, Japan
- University of Tsukuba Hospital
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Kanazawa, Japan, 9208530
- Ishikawa Prefectural Central Hospital
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Nagakute, Japan, 480-1195
- Aichi Medical University Hospital
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Nagano, Japan
- Shinshu University Hospital
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Osaka, Japan, 5650871
- Osaka University Hospital
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Amsterdam, Netherlands
- Amsterdam UMC
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Bergen, Norway
- Haukeland University Hospital
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Grålum, Norway
- Sykehuset Østfold Kalnes
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Trondheim, Norway
- St Olavs Hospital, Avdeling for blodsykdommer
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Barcelona, Spain
- Hospital Clinic De Barcelona
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Las Palmas de Gran Canaria, Spain
- Hospital Universitario de Gran Canaria Dr. Negrin
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Madrid, Spain
- Hospital Universitario La Paz
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Madrid, Spain
- Hospital Universitario Infanta Leonor
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Madrid, Spain
- Hospital Clinico Universitario de Salamanca
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Seville, Spain
- Hospital Universitario Virgen del Rocio
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Valencia, Spain
- Hospital Universitario y Politécnico La FE
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Leeds, United Kingdom, LS9 7TF
- St James' University Hospital
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London, United Kingdom, E1 2ES
- Royal London Hospital
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London, United Kingdom
- Cancer Clinical Trials Unit, Haematology -University College London -
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Nottingham, United Kingdom, NG5 1PB
- Russell Centre for Clinical Haematology
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Oxford, United Kingdom
- Churchill Hospital
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California
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Whittier, California, United States, 90603
- The Oncology Institute of Hope and Innovation
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Florida
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Miami Lakes, Florida, United States, 33014
- Lakes Research
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa Hospitals & Clinics - The Hemophilia Treatment Center (HTC)
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New York
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New York, New York, United States, 10021
- Weill Cornell Medicine / NewYork Presbyterian Hospital
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North Carolina
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Greenville, North Carolina, United States, 27858
- East Carolina University Division of Hematology/ Oncology
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 years or older.
- Diagnosis of primary CAD.
- Hb level ≤ 9 g/dL.
- Documented results from bone marrow biopsy within 1 year of screening
- Either have vaccination against Streptococcus pneumoniae, Neisseria meningitidis (Types A, C, W, Y, and B), and Haemophilus influenzae (Type B) within 2 years prior to screening or agree to receive vaccination during screening.
- Women of childbearing potential (WOCBP), defined as any women who have experienced menarche and who are NOT permanently sterile or postmenopausal, must have a negative pregnancy test at screening and agree to use protocol-defined methods of contraception for the duration of the study and 8 weeks after their last investigational medicinal product (IMP) dose.
Men must agree to the following for the duration of the study and 8 weeks after their last IMP dose:
- Avoid fathering a child.
- Use protocol-defined methods of contraception.
- Refrain from donating sperm.
- Willing and able to give written informed consent.
Exclusion Criteria:
- Have received other anti-complement therapies (approved or investigational) within 5 half-lives of the agent prior to randomization.
- Treatment with rituximab monotherapy within 12 weeks prior to randomization, or rituximab combination therapies (e.g., with bendamustine, fludarabine, other cytotoxic drugs or ibrutinib) within 16 weeks prior to randomization.
- Diagnosis of systemic lupus erythematosus or other autoimmune diseases with antinuclear antibodies.
- History of an aggressive lymphoma or presence of a lymphoma requiring therapy.
- Have received an organ transplant.
- Cold agglutinin syndrome secondary to Mycoplasma pneumoniae, Epstein-Barr virus or other specific causative infection.
- Presence or suspicion of liver dysfunction as indicated by elevated alanine aminotransferase (ALT) > 2.5 x upper limit of normal (ULN), or direct bilirubin levels > 2 x ULN.
- Inability to cooperate with study procedures.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Active Comparator: Pegcetacoplan Double Blind During Part A
1080 mg, subcutaneous injection, twice weekly
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Pegcetacoplan taken twice weekly as subcutaneous injection
Other Names:
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Placebo Comparator: Placebo Matching Pegcetacoplan-Double-blind During Part A
Sodium acetate, subcutaneous injection, twice weekly
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Placebo matching pegcetacoplan taken twice weekly as subcutaneous injection
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Active Comparator: Open-label Pegcetacoplan During Parts B and C
1080 mg, subcutaneous injection, twice weekly
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Pegcetacoplan taken twice weekly as subcutaneous injection
Other Names:
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Placebo Comparator: Open-label Pegcetacoplan (Placebo Matching Pegcetacoplan During Part A) During Parts B&C
Sodium acetate, subcutaneous injection, twice weekly
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Placebo matching pegcetacoplan taken twice weekly as subcutaneous injection
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Patients Achieving a Response (R) at Week 24
Time Frame: Week 24
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A participant was considered to have a response if the Hgb level increased greater than or equal to (>=) 1.5 gram per deciliter (g/dL) from baseline and this increase was maintained from Week 16 through Week 24 in absence of blood transfusion from Week 5 through Week 24.
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Week 24
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change From Baseline to Week 24 in Hemoglobin (Hgb) Level-Part A in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 24
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The ICEs of interest were :
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Week 24
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Number of Patients Achieving Transfusion Avoidance From Week 5 to Week 24-Part A
Time Frame: Week 24
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Percentage of patients who did not receive a blood transfusion between Week 5 and Week 24 was assessed
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Week 24
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Change From Baseline to Week 24 in FACT-An Scale Score (Quality of Life)-Part A in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 24
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The ICEs of interest were :
FACT-An is used to measure quality of life (QoL) in patients with anemia. Each item is rated on a 5-point Likert scale:0=Not at all, 1=A little bit ,2=Somewhat, 3=Quite a bit, 4=Very much. Some items are reverse scored. Higher scores in this scale denote a better QoL with less impact of anemia.The total FACT-An scale score ranges from 0 to 160. The total score gives a comprehensive view of a patient's well-being. It combines the FACT-G with an Anemia subscale. FACT-G (27 items):Physical Well-Being (PWB) and Social/Family Well-Being (SWB) 14 items in total, Emotional Well-Being (EWB)-6 items,Functional Well-Being (FWB)-7 items, Anemia Subscale (AnS): 13 items. Total FACT-An score=FACT-G + Anemia Subscale=40 item |
Week 24
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Number of Packed Red Blood Cell Transfusions Received by Patients From Week 5 to Week 24-Part A
Time Frame: Week 24
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Number of blood transfusions received between Week 5 and Week 24 were assessed.
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Week 24
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Change From Baseline to Week 24 in LDH Levels-Part A in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 24
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The ICEs of interest were :
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Week 24
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Change From Baseline to Week 24 in Haptoglobin Levels-Part A in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 24
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The ICEs of interest were :
Mean change from baseline to Week 24 in Haptoglobin level |
Week 24
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Change From Baseline to Week 24 in Indirect Bilirubin-Part A in the Absence of Intercurrent Events (ICE)
Time Frame: Week 24
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The ICEs of interest were :
Mean change from baseline to Week 24 in Indirect bilirubin level |
Week 24
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Change From Baseline to Week 24 in ARC-Part A in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 24
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The ICEs of interest were :
Mean change from baseline to Week 24 in Absolute reticulocyte counts (ARC). |
Week 24
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Change From Baseline to Week 24 in D-dimer Levels-Part A in the Absence of Intercurrent Events (ICEs
Time Frame: Week 24
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Week 24
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Normalization of Markers of Hemolysis (LDH) at Week 24-Part A
Time Frame: Week 24
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Percentage of patients with LDH level within normal ranges and with an abnormal value at baseline.
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Week 24
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Normalization of Markers of Hemolysis (Indirect Bilirubin) at Week 24-Part A
Time Frame: Week 24
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Percentage of patients with Indirect Bilirubin level within normal ranges and with an abnormal value at baseline.
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Week 24
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Normalization of Markers of Hemolysis (ARC) at Week 24-Part A
Time Frame: Week 24
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Percentage of patients with ARC level within normal ranges and with an abnormal value at baseline.
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Week 24
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Normalization of Markers of Hemolysis (Haptoglobin) at Week 24-Part A
Time Frame: Week 24
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Percentage of patients with haptoglobin level within normal ranges and with an abnormal value at baseline.
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Week 24
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Count and Percentage of Patients With a First Normalization From Baseline by Week 24 for Haptoglobin Levels-Part A
Time Frame: Week 24
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Percentage of patients with haptoglobin level normalization during the initial 24 weeks of the study
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Week 24
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Count and Percentage of Patients With a First Normalization From Baseline by Week 24 for Hemoglobin Levels-Part A
Time Frame: Week 24
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Percentage of patients with Hemoglobin level normalization during the initial 24 weeks of the study
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Week 24
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Count and Percentage of Patients With a First Normalization From Baseline by Week 24 for LDH Levels-Part A
Time Frame: Week 24
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Percentage of patients with LDH level normalization during the initial 24 weeks of the study
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Week 24
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Count and Percentage of Patients With a First Normalization From Baseline by Week 24 for Indirect Bilirubin Levels-Part A
Time Frame: Week 24
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Percentage of patients with Indirect Bilirubin level normalization during the initial 24 weeks of the study
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Week 24
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Count and Percentage of Patients With a First Normalization From Baseline by Week 24 for ARC Levels-Part A
Time Frame: Week 24
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Percentage of patients with ARC level normalization during the initial 24 weeks of the study
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Week 24
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Number of Packed Red Blood Cell Units Transfused From Week 5 to Week 24-Part A
Time Frame: Week 5 to Week 24
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Number of PRBC units transfused from Week 5 and Week 24 was assessed
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Week 5 to Week 24
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Change From Baseline to Week 24 in FACIT-F Subscale Score-Part A in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 24
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The ICEs of interest were :
The FACIT-F subscale is used to measure fatigue and its impact upon daily activities and function in patients with chronic illnesses and contains 20 items related to the impact of fatigue. Each item is scored on a 0-4 scale, with some items reverse-scored. Total scores range from 0 to 52, where higher scores indicate less fatigue and better outcomes, and lower scores reflect greater fatigue. It can be used alone or with other FACIT subscales as part of broader quality of life assessments. |
Week 24
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Change From Baseline to Week 24 in SF-12-Part A in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 24
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The ICEs of interest were :
SF-12 is a 12-item health survey assessing physical and mental health. Higher scores mean better health with scores above 50 indicating better than average health. It produces two summary scores: the Physical Component Summary (PCS) and Mental Component Summary (MCS), both norm-based (mean=50, SD=10), with ranges of ~5-80 (PCS) and ~-3.3-80 (MCS). Higher scores=better health. It also covers 8 subscales-Physical Functioning (PF), Role-Physical (RP), Bodily Pain (BP), General Health (GH), Vitality (VT), Social Functioning (SF), Role-Emotional (RE), and Mental Health (MH), each scored between 0-100, where higher=better functioning. Scores are computed using weighted formulas from item responses (not simple averages). |
Week 24
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Change From Baseline to Week 24 in EQ-5D-5L Questionnaire -Part A in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 24
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The EQ-5D-5L measures total health across 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression-each scored from 1 (no problems) to 5 (extreme problems). Scores form a 5-digit health profile (e.g., 12345). Each individual score plus a VAS for perceived health status today are separately reported. Higher scores reflect better total health. The EQ VAS is a patient-rated score from 0 (worst) to 100 (best health). The ICEs of interest were :
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Week 24
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Change From Baseline to Week 48 in Hemoglobin (Hgb) Level-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
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The ICEs of interest were :
Mean change from Baseline to Week 48 in Hemoglobin (Hgb) level. |
Week 48
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Change From Baseline to Week 48 in LDH Level-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
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The ICEs of interest were :
Mean change from Baseline to Week 48 in LDH level. |
Week 48
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Change From Baseline to Week 48 in Haptoglobin Level-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
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The ICEs of interest were :
Mean change from Baseline to Week 48 in Haptoglobin level |
Week 48
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Change From Baseline to Week 48 in Indirect Bilirubin Level-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
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The ICEs of interest were :
Mean change from Baseline to Week 48 in Indirect Bilirubin level. |
Week 48
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Change From Baseline to Week 48 in ARC-Part B in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 48
|
The ICEs of interest were :
Mean change from baseline to Week 48 in Absolute reticulocyte counts (ARC). |
Week 48
|
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Change From Baseline to Week 48 in D-dimer Levels-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
|
The ICEs of interest were :
Mean change from baseline to Week 48 in D-dimer levels. |
Week 48
|
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Change From Baseline to Week 48 in FACT-An Scale Score (Quality of Life)-Part B in the Absence of Intercurrent Events (ICEs)
Time Frame: Week 48
|
The ICEs of interest were :
The FACT-An is used to measure quality of life (QoL) in patients with anemia. Each item is rated on a 5-point Likert scale:0=Not at all, 1=A little bit ,2=Somewhat, 3=Quite a bit, 4=Very much.Some items are reverse scored. Higher scores in this scale denote a better QoL with less impact of anemia. The total FACT-An scale score ranges from 0 to 160. The total score gives a comprehensive view of a patient's well-being. It combines the FACT-G with an Anemia subscale.FACT-G (27 items):Physical Well-Being (PWB) and Social/Family Well-Being (SWB) 14 items in total, Emotional Well-Being (EWB)-6 items, Functional Well-Being (FWB)-7 items, Anemia Subscale (AnS): 13 items. Total FACT-An score=FACT-G + Anemia Subscale=40 items |
Week 48
|
|
Change From Baseline to Week 48 in FACIT-F Subscale Score-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
|
The ICEs of interest were :
The FACIT-F subscale is used to measure fatigue and its impact upon daily activities and function in patients with chronic illnesses and contains 20 items related to the impact of fatigue. Each item is scored on a 0-4 scale, with some items reverse-scored. Total scores range from 0 to 52, where higher scores indicate less fatigue and better outcomes, and lower scores reflect greater fatigue. It can be used alone or with other FACIT subscales as part of broader quality of life assessments. |
Week 48
|
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Change From Baseline to Week 48 in EQ-5D-5L-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
|
The EQ-5D-5L measures total health across 5 dimensions: Mobility, Self-care, Usual Activities, Pain/Discomfort, and Anxiety/Depression-each scored from 1 (no problems) to 5 (extreme problems). Scores form a 5-digit health profile (e.g., 12345). Each individual score plus a VAS for perceived health status today are separately reported. Higher scores reflect better total health. The EQ VAS is a patient-rated score from 0 (worst) to 100 (best health). The ICEs of interest were :
|
Week 48
|
|
Change From Baseline to Week 48 in SF-12-Part B in the Absence of Intercurrent Events (ICEs).
Time Frame: Week 48
|
The ICEs of interest were :
|
Week 48
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Study Physician, Swedish Orphan Biovitrum AB
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Sobi.PEGCET-101
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Cold Agglutinin Disease
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Gruppo Italiano Malattie EMatologiche dell'AdultoCompletedRefractory Cold Agglutinin DiseaseItaly
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Bioverativ, a Sanofi companyCompletedAgglutinin Disease, ColdUnited States, Israel, Australia, Spain, Austria, Germany, Belgium, France, Canada, Italy, Japan, Norway, Netherlands, United Kingdom
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University Hospital, EssenAlexion PharmaceuticalsCompleted
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University of BergenCompleted
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Novartis PharmaceuticalsTerminatedImmune Thrombocytopenia (ITP) | Cold Agglutinin Disease (CAD)United States, Germany, Spain, United Kingdom, South Korea, Italy
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SanofiCompleted
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Bioverativ, a Sanofi companyAssign Data Management and Biostatistics GmbH; Quest Diagnostics-Nichols Insitute and other collaboratorsCompletedEnd-stage Renal Disease (ESRD) | Cold Agglutinin Disease (CAD) | Bullous Pemphigoid (BP) | Warm Autoimmune Hemolytic Anemia (WAIHA)Austria
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Stichting Hemato-Oncologie voor Volwassenen NederlandActive, not recruitingLymphomaNorway, Denmark, Netherlands, Belgium
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