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.
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
- Conditions the study is for
- Transplant-Associated Thrombotic Microangiopathy
- 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
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
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
United States2 sites
City of Hope
Duarte, California, 91010
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
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 group | Role | What they receive |
|---|---|---|
| Pegcetacoplan | Experimental | sterile 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.
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
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
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
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)
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
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
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
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
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
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
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
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
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
Overall Survival at Day 100
Survival
Measured: Day 100 from diagnosis
Overall Survival at Week 24
Survival
Measured: Week 24 from treatment start
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
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
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
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
TA-TMA Relapse at Week 24
A participant will be declared as relapsing upon appearance of laboratory markers of TMA
Measured: Week 24
Number of Participants Reaching Clinical Response at Week 12
Number of participants reaching clinical response at week 12
Measured: Week 12
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.
- First posted8 Dec 2021
- Study start1 Feb 2022
- Primary completion8 Dec 2024
- Study completion8 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Transplant-Associated Thrombotic MicroangiopathyStudies of the same condition, open and under way.
- More trials run by Swedish Orphan BiovitrumThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Swedish Orphan Biovitrum
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Apellis Pharmaceuticals, Inc.
- Responsible party
- Sponsor
- Investigators
- Study physician, Study director, Swedish Orphan Biovitrum
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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)
- ClinicalTrials.gov ID
- NCT05148299
- Acronym / sponsor ID
- Sobi.PEGCET-201
- Keywords
- TA-TMA
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 12 participants (actual)
- Lead sponsor
- Swedish Orphan BiovitrumIndustry (pharma, biotech, devices)
- Collaborators
- Apellis Pharmaceuticals, Inc.
- Study start
- 1 Feb 2022 (actual)
- Primary completion
- 8 Dec 2024 (actual)
- Study completion
- 8 Dec 2024 (actual)
- First posted
- 8 Dec 2021 (actual)
- Results
- Posted 28 Nov 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study was to assess pharmacokinetics (PK), pharmacodynamics (PD), efficacy, and safety of pegcetacoplan in patients with TA-TMA after HSCT.
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 %).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- open label, single arm, multicenter
| Arm | Type | Receives |
|---|---|---|
| Pegcetacoplan | Experimental | Drug: Pegcetacoplansterile solution in stoppered glass vial given as infusion, for a total treatment duration of 12 to 16 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- 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.
Key exclusion criteria (17 listed)
- 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pegcetacoplan20-cc glass vials-1080 mg | Drug | Pegcetacoplan |
Primary outcome
Pegcetacoplan Pharmacokinetic (PK) Parameter Area Under the Curve Limited to the End of Dosing Interval (AUC0-tau)
Time frame: Week 1
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.
Pegcetacoplan PK Parameter Maximal Serum Concentration (Cmax)
Time frame: Week 1
Maximum observed serum concentration. Determined using the samples collected post-dose on dosing Days 1, 3 and 5.
Pegcetacoplan PK Parameter Time to Cmax (Tmax)
Time frame: Week 1
Time of maximum measured serum concentration. Determined using the samples collected post-dose on dosing Days 1, 3 and 5.
Pegcetacoplan PK Parameter Observed Serum Concentration Pre-dose (Ctrough)
Time frame: Week 1 up to Week 14
Observed serum concentration pre-dose. From Day 8 (Week 1) and onwards, PK samples were taken pre-dose at each visit.
18 secondary outcomes
Absolute Levels and Change From Baseline in sC5b-9
Time frame: Week 24
Absolute Levels and Change From Baseline in C3a
Time frame: Week 24
Absolute Levels and Change From Baseline in C3
Time frame: Week 24
Absolute Levels and Change From Baseline in Bb
Time frame: Week 24
Absolute Levels and Change From Baseline in C4a
Time frame: Week 24
Absolute Levels and Change From Baseline in Classical Pathway (CH50)
Time frame: Week 24
Absolute Levels and Change From Baseline in Alternative Pathway (AH50)
Time frame: Week 24
Number of Participants Reaching Clinical Response at Week 24
Time frame: Week 24
Number of Participants Reaching TMA Response at Week 24
Time frame: Week 24
Overall Survival at Day 100
Time frame: Day 100 from diagnosis
Overall Survival at Week 24
Time frame: Week 24 from treatment start
Time to Clinical Response
Time frame: From treatment start to first documentation of attainment of a clinical response, up to 24 weeks
Time to TMA Response
Time frame: From treatment start to first documentation of attainment of a TMA response, up to 24 weeks
Duration of Clinical Response
Time frame: From the first observed clinical response until the response criteria is no longer fulfilled or until end of study, up to 24 weeks
Duration of TMA Response
Time frame: From the first observed TMA response until the response criteria is no longer fulfilled or until end of study, up to 24 weeks
TA-TMA Relapse at Week 24
Time frame: Week 24
Number of Participants Reaching Clinical Response at Week 12
Time frame: Week 12
Number of Participants Reaching TMA Response at Week 12
Time frame: Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Nov 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study physician study director
Swedish Orphan Biovitrum
14 sites in 5 countries: see every site and its status.
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.