A Phase I Study to Assess the Safety APL-2 as an Add-On to Standard of Care in Subjects With PNH



Status:Active, not recruiting
Conditions:Hematology, Hematology
Therapuetic Areas:Hematology
Healthy:No
Age Range:18 - Any
Updated:7/4/2018
Start Date:November 2014
End Date:December 2018

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An Open Label, Single and Multiple Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of APL-2 as an Add-On to Standard of Care in Subjects With Paroxysmal Nocturnal Hemoglobinuria (PNH).

This study will be the initial exploration of APL-2 in patients with PNH. The assessments of
the safety, tolerability, PK, and PD following administration of single and multiples doses
of APL-2 will guide decisions to further develop the drug.


Inclusion Criteria:

1. Male or Female

2. At least 18 years of age

3. Weigh >55 kg

4. Diagnosed with PNH

5. On treatment with eculizumab (Soliris®) for at least 3 months

6. Hb < 10 g/dL at screening OR have received at least one transfusion within 12 months
prior to screening

7. Platelet count of >30,000/mm3

8. Absolute neutrophil count > 500/mm3

9. Women of child-bearing potential (WOCBP) must have a negative pregnancy test at
screening and must agree to use protocol defined methods of contraception for the
duration of the study (see below)

10. Males with female partners of child bearing potential must agree to use protocol
defined methods of contraception (see below) and agree to refrain from donating sperm
for the duration of the study

11. Willing and able to give informed consent

Exclusion Criteria:

1. Active bacterial infection

2. Known infection with hepatitis B, C or HIV

3. Hereditary complement deficiency

4. History of bone marrow transplantation

5. Participation in any other investigational drug trial or exposure to other
investigational agent, device or procedure within 30 days

6. Evidence of QTcF prolongation defined as > 450 ms for males and > 470 ms for females
at screening

7. Creatinine clearance (CrCl) < 50 mL/min (Cockcroft-Gault formula) at screening

8. Breast-feeding women

9. History of meningococcal disease

10. No vaccination against N. meningitidis types A, C, W, Y and B (administered as two
separate vaccinations), Pneumococcal conjugate vaccine or Pneumococcal polysaccharide
vaccine 23 (PCV13 or PPSV23, respectively) and Haemophilus influenzae Type B (Hib)
vaccination within 2 years prior to Day 1 (Visit 2) dosing.
We found this trial at
5
sites
9500 Euclid Avenue
Cleveland, Ohio 44106
216.444.2200
Principal Investigator: Jaroslav Maciejewski, MD
Phone: 216-444-9814
Cleveland Clinic Cleveland Clinic is committed to principles as presented in the United Nations Global...
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2301 Erwin Rd
Durham, North Carolina 27710
919-684-8111
Principal Investigator: Carlos de Castro, MD
Phone: 919-681-4769
Duke Univ Med Ctr As a world-class academic and health care system, Duke Medicine strives...
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Durham, NC
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Los Angeles, California
Principal Investigator: Ilene Weitz, MD
Phone: 323-865-0371
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Los Angeles, CA
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318 West Brandeis Avenue
Louisville, Kentucky 40202
Principal Investigator: Vivek Sharma, M.D.
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Louisville, KY
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Miami Lakes, Florida 33014
Principal Investigator: Elroy Roman, MD
Phone: 786-362-5763
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Miami Lakes, FL
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