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NCT03030183

Phase 2 Safety and Efficacy Study of Zilucoplan (RA101495) to Treat PNH Patients Who Have an Inadequate Response to Eculizumab

Completed Phase 2 Results posted Last updated 27 July 2022
What this trial tests

Phase 2 trial testing Zilucoplan (RA101495) in Paroxysmal Nocturnal Hemoglobinuria (PNH) in 3 participants. Completed in 28 March 2018.

Timeline
17 April 2017
Primary endpoint
28 March 2018
28 March 2018

Quick facts

Lead sponsorRa Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment3
Start date17 April 2017
Primary completion28 March 2018
Estimated completion28 March 2018
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Ra Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with Paroxysmal Nocturnal Hemoglobinuria (PNH). Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change-from-baseline in Serum Lactate Dehydrogenase (LDH) Levels. Primary · Through Week 12 of the study

Change-from-baseline through Week 12 in serum lactate dehydrogenase (LDH) levels

GroupValue95% CI
Zilucoplan (RA101495)100.3± 128.0
Change-from-baseline Bilirubin Values Secondary · Through week 12

Changes from baseline at each of the scheduled postbaseline time-points

Week 1
GroupValue95% CI
Zilucoplan (RA101495)-3.3± 5.1
Week 2
GroupValue95% CI
Zilucoplan (RA101495)-4.7± 12.0
Week 3
GroupValue95% CI
Zilucoplan (RA101495)-4.3± 7.5
Week 4
GroupValue95% CI
Zilucoplan (RA101495)-0.3± 2.9
Week 6
GroupValue95% CI
Zilucoplan (RA101495)-6.7± 17.5
Week 8
GroupValue95% CI
Zilucoplan (RA101495)-2.3± 12.5
Week 10
GroupValue95% CI
Zilucoplan (RA101495)-7.7± 14.8
Week 12
GroupValue95% CI
Zilucoplan (RA101495)-2.0± 6.2
Change-from-baseline Total Hemoglobin Values Secondary · Through week 12

Changes from baseline at each of the scheduled postbaseline time-points

Week 1
GroupValue95% CI
Zilucoplan (RA101495)5.7± 4.2
Week 2
GroupValue95% CI
Zilucoplan (RA101495)3.3± 3.8
Week 3
GroupValue95% CI
Zilucoplan (RA101495)0.3± 4.0
Week 4
GroupValue95% CI
Zilucoplan (RA101495)-0.3± 7.2
Week 6
GroupValue95% CI
Zilucoplan (RA101495)0.7± 5.8
Week 8
GroupValue95% CI
Zilucoplan (RA101495)-3.3± 4.2
Week 10
GroupValue95% CI
Zilucoplan (RA101495)2.3± 3.1
Week 12
GroupValue95% CI
Zilucoplan (RA101495)0.3± 2.5
Change-from-baseline Free Hemoglobin Values Secondary · Through week 12

Changes from baseline at each of the scheduled postbaseline time-points

Week 1
GroupValue95% CI
Zilucoplan (RA101495)-145.90
Week 2
GroupValue95% CI
Zilucoplan (RA101495)-140.60
Week 3
GroupValue95% CI
Zilucoplan (RA101495)-147.70
Week 4
GroupValue95% CI
Zilucoplan (RA101495)-138.40
Week 6
GroupValue95% CI
Zilucoplan (RA101495)-147.30
Week 8
GroupValue95% CI
Zilucoplan (RA101495)-148.10
Week 10
GroupValue95% CI
Zilucoplan (RA101495)-143.50
Week 12
GroupValue95% CI
Zilucoplan (RA101495)-144.30
Change-from-baseline Haptoglobin Values Secondary · Through week 12

Changes from baseline at each of the scheduled postbaseline time-points

Week 1
GroupValue95% CI
Zilucoplan (RA101495)0.000± 0.000
Week 2
GroupValue95% CI
Zilucoplan (RA101495)0.000± 0.000
Week 3
GroupValue95% CI
Zilucoplan (RA101495)0.000± 0.000
Week 4
GroupValue95% CI
Zilucoplan (RA101495)0.133± 0.231
Week 6
GroupValue95% CI
Zilucoplan (RA101495)0.000± 0.000
Week 8
GroupValue95% CI
Zilucoplan (RA101495)0.000± 0.000
Week 10
GroupValue95% CI
Zilucoplan (RA101495)0.000± 0.000
Week 12
GroupValue95% CI
Zilucoplan (RA101495)0.000± 0.000
Change-from-baseline Reticulocyte Values Secondary · Through week 12

Changes from baseline at each of the scheduled postbaseline time-points

Week 1
GroupValue95% CI
Zilucoplan (RA101495)-0.0190± 0.0382
Week 2
GroupValue95% CI
Zilucoplan (RA101495)0.0090± 0.0052
Week 3
GroupValue95% CI
Zilucoplan (RA101495)0.0430± 0.0327
Week 4
GroupValue95% CI
Zilucoplan (RA101495)0.0477± 0.0499
Week 6
GroupValue95% CI
Zilucoplan (RA101495)0.0310± 0.0157
Week 8
GroupValue95% CI
Zilucoplan (RA101495)0.0253± 0.0248
Week 10
GroupValue95% CI
Zilucoplan (RA101495)0.0350± 0.0350
Week 12
GroupValue95% CI
Zilucoplan (RA101495)0.0190± 0.0092
Change-from-baseline Hemoglobinuria Values Secondary · Through week 12

Changes from baseline at each of the scheduled postbaseline time-points Hemoglobinuria was assessed using a urine colorimetric scoring system with a score of 1 through 10. Where 1 represents no hemoglobinuria and 10 represents maximum hemoglobinuria.

Week 1
GroupValue95% CI
Zilucoplan (RA101495)0.0
Week 2
GroupValue95% CI
Zilucoplan (RA101495)0.5± 0.7
Week 3
GroupValue95% CI
Zilucoplan (RA101495)0.5± 0.7
Week 4
GroupValue95% CI
Zilucoplan (RA101495)1.0± 1.4
Week 6
GroupValue95% CI
Zilucoplan (RA101495)0.5± 0.7
Week 8
GroupValue95% CI
Zilucoplan (RA101495)2.0
Week 10
GroupValue95% CI
Zilucoplan (RA101495)2.3± 2.5
Week 12
GroupValue95% CI
Zilucoplan (RA101495)-0.3± 2.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Through week 12 of the Study. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Zilucoplan (RA101495)
Serious: 0/3 (0%)
Deaths: 0/3
Other adverse events (8 terms — click to expand)

ReactionSystemZilucoplan (RA101495)
NauseaGastrointestinal disorders
Influenza like illnessGeneral disorders
Lipase increasedInvestigations
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HaemoglobinuriaRenal and urinary disorders
NephrolithiasisRenal and urinary disorders

Data from ClinicalTrials.gov NCT03030183 adverse events section.

Sponsor's own description

The purpose of the study is to evaluate the safety and efficacy of RA101495 in patients with paroxysmal nocturnal hemoglobinuria (PNH) who have an inadequate response to eculizumab. Patients will be treated with RA101495 for 12 weeks.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. New insights into the immune functions of complement.
    Reis ES, Mastellos DC, Hajishengallis G, Lambris JD. · · 2019 · cited 357× · PMID 31048789 · DOI 10.1038/s41577-019-0168-x
  2. The renaissance of complement therapeutics.
    Ricklin D, Mastellos DC, Reis ES, Lambris JD. · · 2018 · cited 305× · PMID 29199277 · DOI 10.1038/nrneph.2017.156
  3. Anti-complement Treatment for Paroxysmal Nocturnal Hemoglobinuria: Time for Proximal Complement Inhibition? A Position Paper From the SAAWP of the EBMT.
    Risitano AM, Marotta S, Ricci P, Marano L, et al · · 2019 · cited 155× · PMID 31258525 · DOI 10.3389/fimmu.2019.01157
  4. Diseases of complement dysregulation-an overview.
    Wong EKS, Kavanagh D. · · 2018 · cited 80× · PMID 29327071 · DOI 10.1007/s00281-017-0663-8
  5. Cyclic Peptides in Pipeline: What Future for These Great Molecules?
    Costa L, Sousa E, Fernandes C. · · 2023 · cited 50× · PMID 37513908 · DOI 10.3390/ph16070996
  6. Expanding horizons in complement drug discovery: challenges and emerging strategies.
    Harris CL. · · 2018 · cited 47× · PMID 28986638 · DOI 10.1007/s00281-017-0655-8
  7. Treatment of Rare Inflammatory Kidney Diseases: Drugs Targeting the Terminal Complement Pathway.
    Anliker-Ort M, Dingemanse J, van den Anker J, Kaufmann P. · · 2020 · cited 33× · PMID 33362783 · DOI 10.3389/fimmu.2020.599417
  8. Emerging Role of C5 Complement Pathway in Peripheral Neuropathies: Current Treatments and Future Perspectives.
    Giorgio C, Zippoli M, Cocchiaro P, Castelli V, et al · · 2021 · cited 29× · PMID 33917266 · DOI 10.3390/biomedicines9040399

Verify or expand the search:

Other trials of Zilucoplan (RA101495)

Trials testing the same drug.

Other recruiting trials for Paroxysmal Nocturnal Hemoglobinuria (PNH)

Currently open trials in the same condition.

Other Ra Pharmaceuticals trials

Trials by the same sponsor.

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