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CompletedNCT03531255ClinicalTrials.gov record

Pegcetacoplan Long Term Safety and Efficacy Extension Study

PNH

THE QUICK READ

What this study involves

The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.

Study type
Interventional
Phase
Phase 3
Age range
18 years - Not specified
Sex eligible
All sexes
Healthy volunteers
Not accepted
Participants
137 Actual

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

This is an Open-label, Non-Randomized, Multi-Center Extension Study. Eligible subjects will have previously completed a pegcetacoplan study.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

Inclusion criteria:

1. Subjects at least 18 years of age with PNH who have participated in a pegcetacoplan clinical trial. Subjects who received treatment with pegcetacoplan must have experienced clinical benefit and adequate tolerability in the opinion of the investigator.

Note: Subjects with PNH who completed a pegcetacoplan clinical trial without receiving pegcetacoplan (or without receiving pegcetacoplan for long enough to demonstrate clinical benefit) may be enrolled in this study if, in the opinion of the Investigator, the subject is expected to demonstrate clinical benefit upon the initiation or continuation of pegcetacoplan therapy.
2. Vaccination against Neisseria meningitidis types A, C, W, Y and B, Streptococcus pneumoniae and Haemophilus influenzae Type B (Hib) either within 2 years prior to Day 1 dosing of this study, or within 14 days after starting treatment with pegcetacoplan. Vaccination is mandatory unless documented evidence exists that subjects are nonresponders to vaccination as evidenced by titers or display titer levels within acceptable local limits. Immunization status checks will be performed to determine whether subjects require primary or booster vaccinations.
3. Willing and able to give written informed consent.
4. Willing and able to self-administer pegcetacoplan (administration by caregiver will be allowed)
5. Women of childbearing potential (WOCBP) defined as any females who have experienced menarche and who are NOT permanently sterile or postmenopausal must have a negative pregnancy test and must agree to continue to use an approved method of contraception for the duration of the study and 90 days after their last dose of study drug. Note: Postmenopausal is defined as 12 consecutive months with no menses without an alternative medical cause.
6. Males must agree to continue to use an approved method of contraception and must agree to refrain from donating sperm for the duration of the study and 90 days after their last dose of study drug.

Exclusion Criteria:

1. Subjects who have withdrawn from a pegcetacoplan clinical study.
2. Any condition that could increase the subject's risk by participating in the study.
3. Any comorbidity or condition (such as malignancy) that, in the opinion of the investigator, could put the subject at increased risk or potentially confound study data.
4. History or presence of hypersensitivity or idiosyncratic reaction to compounds related to the investigational product or SC administration.
5. Known infection with hepatitis B, C, or HIV.
6. Hereditary complement deficiency.
7. History of bone marrow transplant.
8. Concurrent severe aplastic anemia (SAA), defined as currently receiving immunosuppressive therapy for SAA including but not limited to cyclosporin A, tacrolimus, mycophenolate mofetil or anti-thymocyte globulin.
9. History of meningococcal disease.
10. Concomitant treatment with any complement inhibitor (eg, eculizumab, ravulizumab).
11. Pregnancy, breastfeeding, or positive pregnancy test.

Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Not applicable
Masking
No masking
1,080 mg pegcetacoplan administered subcutaneously

1,080mg pegcetacoplan administered subcutaneously twice weekly or every three days.

Drug: Pegcetacoplan

Pegcetacoplan DRUG

Complement (C3) Inhibitor

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Number of Participants With Treatment Emergent Adverse Events (TEAEs)

Time frame: From first dose of study drug up to 8 weeks from last dose (up to approximately 4 years or until pegcetacoplan development in participants with PNH was terminated)

An adverse event (AE) is any untoward medical occurrence associated with use of a drug in humans, whether or not considered drug related. An AE can therefore be any unfavorable and unintended sign, including a clinically significant abnormal laboratory finding, symptom, or disease temporally associated with the use of a study drug, whether or not considered related to the study drug. TEAEs were defined as those AEs that occurred or worsened in severity after the first dose of pegcetacoplan.

Number of Participants With Thromboembolic Events

Time frame: From first dose of study drug up to 8 weeks from last dose (up to approximately 4 years or until pegcetacoplan development in participants with PNH was terminated)

Not reported in this registry record.

Change From Baseline in Hematology Parameters (Erythrocytes)

Time frame: Baseline, Weeks 168 and 264

Not reported in this registry record.

Change From Baseline in Hematology Parameters (Leukocytes, Platelets and Reticulocytes)

Time frame: Baseline, Weeks 168 and 264

Not reported in this registry record.

Change From Baseline in Hematology Parameters (Hematocrit)

Time frame: Baseline, Weeks 168 and 264

Not reported in this registry record.

Change From Baseline in Hematology Parameters (Hemoglobin)

Time frame: Baseline, Weeks 168 and 264

Not reported in this registry record.

Change From Baseline in Serum Chemistry Parameters [Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Lactate Dehydrogenase (LDH)]

Time frame: Baseline, Weeks 168 and 264

Not reported in this registry record.

Change From Baseline in Serum Chemistry Parameters (Bilirubin)

Time frame: Baseline, Weeks 168 and 264

Not reported in this registry record.

Number of Participants With Post-Baseline Potentially Clinically Significant Abnormal Coagulation Parameters

Time frame: Baseline, Week 264

Coagulation parameters included Activated Partial Thromboplastin Time (APTT), D-Dimer, Fibrinogen, Prothrombin Intl. Normalized Ratio and Prothrombin Time.

Number of Participants With Post-Baseline Potentially Clinically Significant Abnormal Urinalysis Parameters

Time frame: Baseline, Week 264

Urinalysis parameters included ketones, leukocyte esterase, nitrite, occult blood, pH, protein, specific gravity and urobilinogen.

Number of Participants With Shift From Baseline in Clinically Significant Abnormalities in Electrocardiograms (ECG)

Time frame: Baseline, Week 324

ECG measurements included heart rate, PR, QT, QRS, QTcB and QTcF.

Change From Baseline in Hemoglobin Concentration

Time frame: Baseline, Week 324

Not reported in this registry record.

Change From Baseline in Lactate Dehydrogenase (LDH) Concentration

Time frame: Baseline, Week 324

Not reported in this registry record.

Change From Baseline in Indirect Bilirubin Level

Time frame: Baseline, Week 324

Not reported in this registry record.

Change From Baseline in Absolute Reticulocyte Count (ARC)

Time frame: Baseline, Week 324

Not reported in this registry record.

Number of Participants Who Received Packed Red Blood Cell Transfusions (PRBCs)

Time frame: From first dose of study drug up to 8 weeks from last dose (up to approximately 4 years or until pegcetacoplan development in participants with PNH was terminated)

Transfusion included whole blood, PRBCs, leukocyte-depleted red blood cells (LDPRCs), and all types of red blood cell (RBC) transfusions.

Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score

Time frame: Baseline, Week 324

The FACIT-Fatigue scale consists of 13 questions that assess fatigue and its impact on daily activities over the past 7 days. Each question is scored on a 5-point scale from 0 ("not at all") to 4 ("very much"). For items where a higher response indicates greater fatigue, the score is reversed so that all items are scored in the same direction. The scores from the 13 items are then added together to calculate the FACIT-Fatigue total score. The total score ranges from 0 to 52, with higher scores indicating less fatigue and better functioning.

Results are posted in the registry.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (62)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

62 locations

University of Southern CaliforniaLos Angeles, California, United StatesStatus unknown
Denver Health Medical CenterDenver, Colorado, United StatesStatus unknown
Cancer Specialists of North FloridaJacksonville, Florida, United StatesStatus unknown
Lakes ResearchMiami, Florida, United StatesStatus unknown
Northwestern UniversityChicago, Illinois, United StatesStatus unknown
Investigative Clinical Research of IndianaIndianapolis, Indiana, United StatesStatus unknown
Duke University Medical CenterDurham, North Carolina, United StatesStatus unknown
Cleveland ClinicCleveland, Ohio, United StatesStatus unknown
Baptist Cancer CenterMemphis, Tennessee, United StatesStatus unknown
Royal Melbourne HospitalMelbourne, Victoria, AustraliaStatus unknown
Cliniques Universitaires Saint-lucBrussels, BelgiumStatus unknown
AZ DeltaRoeselare, BelgiumStatus unknown
Acibadem City Clinic Tokuda HospitalSofia, BulgariaStatus unknown
National Specialized Hospital for Active Treatment of Haematologic DiseasesSofia, BulgariaStatus unknown
University of CalgaryCalgary, Alberta, CanadaStatus unknown
Alberta Health ServicesEdmonton, Alberta, CanadaStatus unknown
Toronto General HospitalToronto, Ontario, CanadaStatus unknown
IPS Centro Medico Julian Coronel SASCali, Valle del Cauca Department, ColombiaStatus unknown
Hospital Center Chalon Sur Saone William MoreyChalon-sur-Saône, FranceStatus unknown
CHRU de LilleLille, FranceStatus unknown
Hopital Saint-LouisParis, FranceStatus unknown
Lyon Sud Hospital CenterPierre-Bénite, FranceStatus unknown
Centre Hospitalier Annecy Genevois - Site AnnecyPringy, FranceStatus unknown
Centre Hospitalier de Saint-QuentinSaint-Quentin, FranceStatus unknown
Universitatsklinikum UlmUlm, Baden-Wurttemberg, GermanyStatus unknown
Uniklinik RWTH AachenAachen, North Rhine-Westphalia, GermanyStatus unknown
Essen University Hospital Department of HematologyEssen, North Rhine-Westphalia, GermanyStatus unknown
University Medical Center Hamburg-EppendorfHamburg, GermanyStatus unknown
Prince of Wales HospitalHong Kong, Hong KongStatus unknown
Queen Mary HospitalHong Kong, Hong KongStatus unknown
Japanese Red Cross Nagoya Daini HospitalShowa-ku, Aichi-ken, JapanStatus unknown
Shinshu University HospitalMatsumoto, Nagano, JapanStatus unknown
Juntendo University HospitalBunkyō-Ku, Tokyo, JapanStatus unknown
Kinan HospitalTanabe, Wakayama, JapanStatus unknown
Okayama University HospitalOkayama, JapanStatus unknown
NTT Medical Center TokyoTokyo, JapanStatus unknown
University Malaya Medical CentreLembah Pantai, Kuala Lumpur, MalaysiaStatus unknown
Hospital AmpangAmpang, Selangor, MalaysiaStatus unknown
Hospital Universitario "José Eleuterio González", UANLMonterrey, MexicoStatus unknown
Hospital Nacional Dos De Mayo - Centro de InvestigaciónLima Cercado, Lima region, PeruStatus unknown
Centro de Investigacion en Hematologia Clinica del Centro Medico CorpacSan Isidro, Lima region, PeruStatus unknown
Hospital Edgardo RebagliattiJesús María, Lima, PeruStatus unknown
Perpetual Succour HospitalCebu, National Capital Region, PhilippinesStatus unknown
Mary Mediatrix Medical CentreLipa City, National Capital Region, PhilippinesStatus unknown
Makati Medical CentreMakati City, National Capital Region, PhilippinesStatus unknown
The Medical CityPasig, National Capital Region, PhilippinesStatus unknown
St. Lukes Medical CentreQuezon City, National Capital Region, PhilippinesStatus unknown
Pavlov First Saint Petersburg State Medical UniversitySaint Petersburg, RussiaStatus unknown
Therapeutic hospital of regional clinical hospital #1Tyumen, RussiaStatus unknown
Clinical Center of SerbiaBelgrade, SerbiaStatus unknown
Singapore General HospitalSingapore, SingaporeStatus unknown
Chungnam National University HospitalJunggu, Daejeon, South KoreaStatus unknown
Hospital Univ. de Gran Canaria Dr.NegrinLas Palmas de Gran Canaria, Canary Islands, SpainStatus unknown
Hospital Universitario Politecnico La FeValencia, SpainStatus unknown
Phramongkutklao HospitalBangkok, ThailandStatus unknown
Ramathibodi HospitalBangkok, ThailandStatus unknown
Siriraj HospitalBangkok, ThailandStatus unknown
Maharaj Nakorn Chiang Mai HospitalChiang Mai, ThailandStatus unknown
Srinagarind HospitalKhon Kaen, ThailandStatus unknown
Thammasat University HospitalPathum Thani, ThailandStatus unknown
Songklanagarind HospitalSongkhla, ThailandStatus unknown
Leeds Teaching Hospitals NHS TrustLeeds, United KingdomStatus unknown

Study team and timeline

Lead sponsor
Apellis Pharmaceuticals, Inc.
Study start
Aug 27, 2018 Actual
Primary completion
Sep 4, 2025 Actual
Study completion
May 19, 2026 Actual
First posted
May 21, 2018 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

No central contact is listed. Check the locations and the official record.

Official study title

An Open Label, Non-Randomized, Multi-Center Extension Study to Evaluate the Long-Term Safety and Efficacy of Pegcetacoplan in the Treatment of Paroxysmal Nocturnal Hemoglobinuria (PNH)

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026