جميع الدراسات
نشط غير مجندالمرحلة 3تدخلي

Long-term Safety and Tolerability of Iptacopan in Patients With Paroxysmal Nocturnal Hemoglobinuria

Paroxysmal nocturnal haemoglobinuria (PNH) is a rare blood disorder where the body's immune defence system mistakenly attacks and breaks down red blood cells. This study is an 'extension trial' testing a targeted oral medicine called iptacopan. The trial is specifically for adults who have already taken part in an earlier research study of iptacopan and are benefiting from it. The goal is to see how safe the medicine is and how well it continues to work over a longer period. Because this is an open-label study, there is no dummy pill (placebo); everyone enrolled will receive iptacopan. Doctors will keep a close eye on participants through regular health checks and blood tests to watch for side effects and ensure their blood counts stay stable.

نظرة سريعة

الحالة
نشط غير مجند
المرحلة
المرحلة 3
الراعي
نوفارتيس للأدوية
الهدف من التسجيل
208
ابدأ
27 Jul 2021
التاريخ المتوقع للانتهاء
١٨ أكتوبر ٢٠٢٧

ما هو موضوع هذه الدراسة؟

Paroxysmal nocturnal haemoglobinuria (PNH) is a rare, lifelong condition affecting the blood. In a healthy body, red blood cells have a natural protective shield that stops the immune system from harming them. In people with PNH, this shield is missing. As a result, part of the immune system attacks and breaks down red blood cells too quickly. This can cause severe tiredness, anaemia, dark urine, and an increased risk of dangerous blood clots.

Iptacopan is a newer medicine taken by mouth as a capsule. It works by gently blocking the specific part of the immune system that attacks the red blood cells, helping them survive normally. While earlier clinical trials showed very promising results, doctors need to know how well iptacopan works when people take it over many months or years, and whether any new side effects appear over time.

This study is known as an 'extension' or 'roll-over' trial. It provides continued access to iptacopan for patients who have already completed an earlier phase of testing and are doing well on the drug. There is no placebo in this study, meaning every single participant receives the real medicine.

Long-term studies like this are essential. They help scientists and doctors gather clear evidence about the lasting benefits and safety of new treatments, paving the way for better care and improved quality of life for people living with PNH.

النقاط الرئيسية

  • This study evaluates the long-term safety and benefit of iptacopan for paroxysmal nocturnal haemoglobinuria (PNH).
  • It is an extension study only open to people who have already completed an earlier iptacopan clinical trial.
  • Every participant receives the real medicine; no one is given a placebo.
  • Participants must have specific vaccinations to protect against serious bacterial infections.
  • Taking part is completely voluntary, and you can leave the study at any time.

من قد يكون مؤهلاً؟

This study is designed for adults aged 18 and older who have a confirmed diagnosis of PNH. However, you can only take part if you have already completed a previous Phase 2 or Phase 3 clinical trial of iptacopan without reducing your dose. Your study doctor must also agree that the medicine is helping you and that your health has been stable on iptacopan alone for at least three months.

Because iptacopan works on your immune system, it can make it harder for your body to fight certain bacteria. For your safety, you must have up-to-date vaccinations against specific infections, including meningitis and pneumonia, before taking part.

You will not be able to join this study if you have had a stem cell or bone marrow transplant, or if you have a history of repeated, severe bacterial infections. You will also be excluded if you currently have an active infection, cancer, or any other serious health issue that could make taking part unsafe.

هل يمكن أن تناسبك هذه الدراسة؟

أجب عن هذه الأسئلة السريعة لترى ما إذا كنت مؤهلاً. هذا دليل فقط - الفريق البحثي هو الذي يتخذ القرار النهائي.

  1. عمري 18 عامًا أو أكثر.
  2. I have a confirmed diagnosis of paroxysmal nocturnal haemoglobinuria (PNH).
  3. I have completed a qualifying earlier clinical trial of iptacopan.
  4. My health has been stable on iptacopan alone for at least three months.
  5. I have had the required vaccinations against meningitis and pneumonia.
  6. I have never had a stem cell transplant.
أجب عن كل سؤال لترى نتيجتك.

ماذا يتضمن المشاركة؟

Taking part involves continuing to take iptacopan capsules by mouth, exactly as directed by your study doctor. You will need to attend regular clinic appointments so the medical team can monitor your health. During these visits, you will have routine blood and urine tests, physical examinations, and check-ins to discuss how you are feeling and whether you have noticed any side effects. Your study team will supply your medication and guide you through each step. The trial will last for an extended period to give you ongoing access to treatment, but you can choose to leave the study at any time.

المخاطر والفوائد المحتملة

A key benefit of this study is that it allows you to continue receiving iptacopan without interruption, which may help keep your PNH symptoms under control and protect your red blood cells. However, all medicines carry potential risks. Because iptacopan dampens a part of your immune system, you face a higher risk of serious bacterial infections, such as meningitis. You may also experience milder side effects such as headaches or an upset stomach. You will be monitored very closely for any signs of illness. Remember that taking part is entirely voluntary, and you are free to withdraw at any point without it affecting your standard NHS care.

المواقع (60)

  • City Of Hope National Med Center
    الرمز البريدي المؤكد
    دوارتي، الولايات المتحدة
  • City Of Hope
    الرمز البريدي المؤكد
    دوارتي، الولايات المتحدة
  • مركز نوريس للسرطان بجامعة جنوب كاليفورنيا
    الرمز البريدي المؤكد
    لوس أنجلوس، الولايات المتحدة
  • Univ Cali Irvine ALS Neuromuscular
    الرمز البريدي المؤكد
    أورانج، الولايات المتحدة
  • Univ of California Irvine (Chao Family Comprehensive Cancer Center)
    الرمز البريدي المؤكد
    أورانج، الولايات المتحدة
  • Lakes Research
    الرمز البريدي المؤكد
    ميامي ليكس، الولايات المتحدة
  • جامعة أوغوستا جورجيا
    الرمز البريدي المؤكد
    أوغوستا، الولايات المتحدة
  • جامعة أوغوستا
    الرمز البريدي المؤكد
    أوغوستا، الولايات المتحدة
  • مركز مونتيفيوري الطبي
    الرمز البريدي المؤكد
    ذا برونكس، الولايات المتحدة
  • مؤسسة كليفلاند كلينك
    الرمز البريدي المؤكد
    كليفلاند، الولايات المتحدة
  • Prisma Health Upstate
    الرمز البريدي المؤكد
    غرينفيل، الولايات المتحدة
  • موقع نوفارتيس للتحقيق
    الرمز البريدي المؤكد
    Santo André, Brazil

أسئلة شائعة

What is an extension study?

An extension study allows people who have finished an earlier trial of a medicine to keep taking it. This helps researchers see how safe and effective the treatment is over a longer time.

Will I receive a placebo (dummy pill)?

No. In this trial, every participant receives iptacopan. There is no placebo group.

Can any patient with PNH join this study?

No. This study is only open to people who have already taken part in and completed a specific earlier trial testing iptacopan.

Why do I need vaccinations before taking part?

Iptacopan calms a part of your immune system that fights off certain bugs. Vaccines against meningitis and pneumonia provide extra protection against serious infections.

What happens if I decide to stop taking part?

You can leave the study at any time for any reason. Your doctor will discuss other treatment options with you to ensure your PNH remains properly managed.

كيفية معرفة المزيد

تحدث دائمًا إلى طبيبك العام أو الأخصائي قبل اتخاذ قرار بالمشاركة في دراسة.

نقاش

مناقشة المجتمع

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