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Transplant-Associated Thrombotic MicroangiopathyPhase 2NCT05148299

A Study of Pegcetacoplan for Patients With Transplant-associated Thrombotic Microangiopathy After Hematopoietic Stem Cell Transplantation

A Phase 2 study testing Pegcetacoplan in people with Transplant-Associated Thrombotic Microangiopathy, run by Swedish Orphan Biovitrum at 14 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of the study was to assess pharmacokinetics (PK), pharmacodynamics (PD), efficacy, and safety of pegcetacoplan in patients with TA-TMA after HSCT. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Pegcetacoplan
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
14 sitesin 5 countries
Study dates
1 Feb 2022to 8 Dec 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female patients aged ≥ 18 years at the time of informed consent form (ICF) signature.
  • Received allogeneic HSCT.
  • Diagnosis of TA-TMA established, as per laboratory markers indicating TMA.
  • Have a diagnosis of TA-TMA that persists despite initial management of any triggering condition.
  • Have random urine protein/creatinine ratio (rUPCR) ≥ 1 mg/mg.
  • Women of childbearing potential, defined as any women who have experienced menarche and who are NOT permanently sterile or postmenopausal, must have a negative serum pregnancy test at screening and agree to use protocol-defined methods of contraception for the duration of the study and 8 weeks after their last investigational medicinal product (IMP) dose.
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  • Note: Postmenopausal is defined as having had 12 consecutive months with no menses without an alternative medical cause.
  • Men must agree to the following for the duration of the study and 8 weeks after their last dose of IMP:
  • Avoid fathering a child.
  • Use protocol-defined methods of contraception.
  • Refrain from donating sperm.
  • Patient and/or legally authorized representative must be capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF.

Who cannot join

  • Positive direct Coombs test.
  • Known familial or acquired ADAMTS13 deficiency.
  • Known Shiga toxin-related hemolytic uremic syndrome.
  • Known bone marrow or graft failure.
  • Diagnosis of disseminated intravascular coagulation.
  • Diagnosis of veno-occlusive disease (VOD).
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  • Active GI bleeding (hematemesis or hematochezia) at baseline.
  • Body weight < 30 kg and > 100 kg.
  • Uncontrolled systemic bacterial or fungal infection, presence or suspicion of sepsis.
  • Previously or currently treated with a complement inhibitor (approved or investigational).
  • Pregnancy or breastfeeding.
  • Positive human immunodeficiency virus antibody at screening or documented in pre-HSCT medical record.
  • Hepatitis C virus detectable by polymerase chain reaction at screening or documented in pre-HSCT medical record.
  • Chronic inactive hepatitis B virus with viral loads > 1000 IU/mL (> 5000 copies/mL) at screening or documented in pre-HSCT medical record. Eligible patients who are chronic active carriers (≤ 1000 IU/mL) must receive prophylactic antiviral treatment (e.g., entecavir, tenofovir, lamivudine) according to local country guidelines.
  • Known or suspected hereditary fructose intolerance.
  • Hypersensitivity to pegcetacoplan or any of its excipients.
  • Inability to cooperate with study procedures or any condition that, in the opinion of the investigator, could increase the patient's risk by participating in the study or confound the outcome of the study.

Trial locations and contacts

14 sites in 5 countries.

14 sites in 5 countries

Italy5 sites
  • Hospital San Giuseppe Moscati

    Avellino, 83100

  • Big Metropolitan Hospital Niguarda Regional Health Authority

    Milan, 20162

  • ASST Monza - S. Gerardo Hospital

    Monza, 20900

  • United Hospitals Villa Sofia Cervello

    Palermo, 90146

  • University Polyclinic Foundation "Agostino Gemelli" - IRCCS

    Roma, 00168

Other trials in Italy

France3 sites
  • Archet 1 hospital, Department of Clinical Hematology

    Nice, 06200

  • Saint-Louis Hospital

    Paris, Paris, 75010

  • CHU de Saint-Etienne

    Saint-Priest-en-Jarez, 42270

Other trials in France

Greece3 sites
  • University General Hospital "Attikon"

    Athens, Chaidari, 12462

  • General Hospital of Athens "Evangelismos"

    Athens, 10676

  • General Hospital of Thessaloniki "G. Papanikolaou", Hematology Department - BMT Unit

    Thessaloniki, 57010

Other trials in Greece

United States2 sites
  • City of Hope

    Duarte, California, 91010

  • Mayo Clinic - Rochester

    Rochester, Minnesota, 55905

Other trials in United States

Spain1 site
  • University Hospital Puerta de Hierro Majadahonda

    Madrid, 28222

Other trials in Spain

About this study

Official title: An Open-label, Single-arm, Multicenter Pilot Study to Evaluate the Pharmacokinetics, Pharmacodynamics, Efficacy and Safety of Pegcetacoplan in Patients With Transplant-associated Thrombotic Microangiopathy (TA-TMA) After Hematopoietic Stem Cell Transplantation (HSCT)

The purpose of the study was to assess pharmacokinetics (PK), pharmacodynamics (PD), efficacy, and safety of pegcetacoplan in patients with TA-TMA after HSCT.

Read the detailed description

This was a pilot study, and the sample size was based on practical rather than statistical aspects.

A total of 12 patients were to be included and treated in the study. With 12 patients included, it was estimated that 9 patients would complete at least 4 weeks of treatment, which is deemed sufficient to characterize the PK of pegcetacoplan in patients with TA-TMA to an appropriate precision. In addition, 12 patients would provide a 72 % probability to observe a response rate of at least 8 responders of the 12 patients recruited (assuming the true response rate is 70 %).

Being tested
Pegcetacoplan
Keywords
TA-TMA

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PegcetacoplanDrug

    20-cc glass vials-1080 mg

Study groups in NCT05148299
Study groupRoleWhat they receive
PegcetacoplanExperimentalsterile solution in stoppered glass vial given as infusion, for a total treatment duration of 12 to 16 weeks.
Receives: Drug: Pegcetacoplan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pegcetacoplan Pharmacokinetic (PK) Parameter Area Under the Curve Limited to the End of Dosing Interval (AUC0-tau)

    Area under the concentration-time curve limited to the end of the dosing interval. The samples included in the calculation of AUC0-tau were collected at the following times: on dosing Days 1, 3 and 5, PK samples were taken up to 30 minutes pre-dose and at 15 minutes (± 5 min), 30 minutes (± 5 min), 1 hour (± 10 min), 4 hours (± 10 min), 8 hours (± 30 min), and 24 hours (± 30 min) post-dose as well as on Day 8 pre-dose.

    Measured: Week 1

  2. Pegcetacoplan PK Parameter Maximal Serum Concentration (Cmax)

    Maximum observed serum concentration. Determined using the samples collected post-dose on dosing Days 1, 3 and 5.

    Measured: Week 1

  3. Pegcetacoplan PK Parameter Time to Cmax (Tmax)

    Time of maximum measured serum concentration. Determined using the samples collected post-dose on dosing Days 1, 3 and 5.

    Measured: Week 1

  4. Pegcetacoplan PK Parameter Observed Serum Concentration Pre-dose (Ctrough)

    Observed serum concentration pre-dose. From Day 8 (Week 1) and onwards, PK samples were taken pre-dose at each visit.

    Measured: Week 1 up to Week 14

Secondary outcomes (18)
  1. Absolute Levels and Change From Baseline in sC5b-9

    Absolute levels and change from baseline to Week 24 in biomarker of complement activation sC5b-9

    Measured: Week 24

  2. Absolute Levels and Change From Baseline in C3a

    Absolute levels and change from baseline to Week 24 in biomarker of complement activation C3a

    Measured: Week 24

  3. Absolute Levels and Change From Baseline in C3

    Absolute levels and change from baseline to Week 24 in biomarker of complement activation C3

    Measured: Week 24

  4. Absolute Levels and Change From Baseline in Bb

    Absolute levels and change from baseline to Week 24 in biomarker of complement activation Bb

    Measured: Week 24

  5. Absolute Levels and Change From Baseline in C4a

    Absolute levels and change from baseline to Week 24 in biomarker of complement activation C4a

    Measured: Week 24

  6. Absolute Levels and Change From Baseline in Classical Pathway (CH50)

    Absolute levels and change from baseline to Week 24 in biomarker of complement activation CH50

    Measured: Week 24

  7. Absolute Levels and Change From Baseline in Alternative Pathway (AH50)

    Absolute levels and change from baseline to Week 24 in biomarker of complement activation AH50

    Measured: Week 24

  8. Number of Participants Reaching Clinical Response at Week 24

    A participant will be declared as reaching a clinical response upon improvement in laboratory markers of TMA and resolution of TMA clinical symptoms

    Measured: Week 24

  9. Number of Participants Reaching TMA Response at Week 24

    A participant will be declared as reaching TMA response upon improvement in laboratory markers of TMA

    Measured: Week 24

  10. Overall Survival at Day 100

    Survival

    Measured: Day 100 from diagnosis

  11. Overall Survival at Week 24

    Survival

    Measured: Week 24 from treatment start

  12. Time to Clinical Response

    Both clinical response sustained at week 24 and clinical response at any time during the study will be assessed.

    Measured: From treatment start to first documentation of attainment of a clinical response, up to 24 weeks

  13. Time to TMA Response

    Both TMA response sustained at week 24 and TMA response at any time during the study will be assessed.

    Measured: From treatment start to first documentation of attainment of a TMA response, up to 24 weeks

  14. Duration of Clinical Response

    Duration of clinical response sustained at week 24

    Measured: From the first observed clinical response until the response criteria is no longer fulfilled or until end of study, up to 24 weeks

  15. Duration of TMA Response

    Duration of TMA response sustained at week 24

    Measured: From the first observed TMA response until the response criteria is no longer fulfilled or until end of study, up to 24 weeks

  16. TA-TMA Relapse at Week 24

    A participant will be declared as relapsing upon appearance of laboratory markers of TMA

    Measured: Week 24

  17. Number of Participants Reaching Clinical Response at Week 12

    Number of participants reaching clinical response at week 12

    Measured: Week 12

  18. Number of Participants Reaching TMA Response at Week 12

    Number of participants reaching TMA response at week 12

    Measured: Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Dec 2021
  2. Study start1 Feb 2022
  3. Primary completion8 Dec 2024
  4. Study completion8 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
open label, single arm, multicenter
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05148299
Sponsor's protocol ID
Sobi.PEGCET-201
Other IDs
2023-510443-37-00, 2021-003157-27, 2023
Status last verified
Sep 2025
First submitted
21 Oct 2021
Last updated
28 Nov 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pegcetacoplan in people with Transplant-Associated Thrombotic Microangiopathy, run by Swedish Orphan Biovitrum at 14 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Italy, France, Greece, United States, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Nov 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pegcetacoplan Pharmacokinetic (PK) Parameter Area Under the Curve Limited to the End of Dosing Interval (AUC0-tau) (time frame: Week 1). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Nov 2025.

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