NCT05982938

Brief Summary

This is an EAP, designed to provide early access to danicopan for participants with PNH experiencing clinically significant EVH who have failed, not tolerated, or are unable to receive other approved treatments; in the Treating Physician's opinion, the participant is not eligible for or is not able to participate in an ongoing clinical trial of danicopan or a comparable treatment; and according to the Treating Physician, the benefit of danicopan treatment outweighs the potential risks.

Trial Health

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 1, 2023

Completed
8 days until next milestone

First Posted

Study publicly available on registry

August 9, 2023

Completed
Last Updated

March 6, 2026

Status Verified

March 1, 2026

First QC Date

August 1, 2023

Last Update Submit

March 5, 2026

Conditions

Keywords

paroxysmal nocturnal hemoglobinuriaPNHcomponent 5 inhibitorsC5iintravascular hemolysisIVHanemiaEVHextravascular hemolysis

Interventions

Participants will receive 150 mg danicopan three times per day (TID) orally as an add-on to a background C5i therapy (SOLIRIS® or ULTOMIRIS®). Participants may be dose-escalated to 200 mg TID based on safety and clinical effect.

Also known as: ALXN2040

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female, aged 18 years and older
  • Diagnosed with PNH with clinically significant EVH as defined by anemia (Hgb ≤ 9.5 g/dL) with absolute reticulocyte count ≥ 120 × 109/L.
  • Currently receiving treatment with SOLIRIS® or ULTOMIRIS® for at least 6 months prior to initiation of danicopan treatment.
  • Platelet count ≥ 30,000/µL without the need for platelet transfusions.
  • Absolute neutrophil counts ≥ 500/µL.
  • Vaccinated against N meningitidis.

You may not qualify if:

  • Participants who are nursing or pregnant (or women who are planning to become pregnant during treatment with danicopan).
  • Laboratory abnormalities at screening, as follows:
  • Alanine aminotransferase (ALT) \> 2 × upper limit of normal (ULN)
  • Direct bilirubin \> 2 × ULN, with the exception of:
  • participants with increased bilirubin due to EVH in the opinion of the Treating Physician or
  • participants with documented Gilbert's syndrome
  • Active bacterial or viral infection, a body temperature \> 38°C on 2 consecutive daily measures, evidence of other infection, or history of any febrile illness within 14 days prior to initiating danicopan treatment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Hemoglobinuria, ParoxysmalHemolysisAnemia

Interventions

danicopan

Condition Hierarchy (Ancestors)

Anemia, HemolyticHematologic DiseasesHemic and Lymphatic DiseasesMyelodysplastic SyndromesBone Marrow DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Central Study Contacts

Alexion Pharmaceuticals, Inc. (Sponsor)

CONTACT

Study Design

Study Type
expanded access
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 1, 2023

First Posted

August 9, 2023

Last Updated

March 6, 2026

Record last verified: 2026-03