Paroxysmal Nocturnal HemoglobinuriaCOMPLETENCT05776472
A Real World Effectiveness Study of Pegcetacoplan in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)
An observational study of Paroxysmal Nocturnal Hemoglobinuria, run by Swedish Orphan Biovitrum at 87 sites in 15 countries.
Trial summary
This is a 36-month, long-term, multicenter, observational study designed to describe the real world effectiveness of pegcetacoplan in patients with PNH. Patients meeting the eligibility criteria will be enrolled in the study and followed prospectively for approximately 36 months. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Paroxysmal Nocturnal Hemoglobinuria
- What is being tested?
- Pegcetacoplan
- How many people
- 165 participants
- Where
- 87 sitesin 15 countries
- Study dates
- 26 Jun 2023to 15 Aug 2029
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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
Study population: Adult patients (≥18 years) with PNH, who started routine treatment with pegcetacoplan up to 12 months prior to enrollmentor at enrollment
Who may be able to join
- Patients ≥18 years of age with a documented PNH diagnosis.
- Patient started routine treatment with pegcetacoplan for PNH up to 12 months before enrollment or prescribed pegcetacoplan at enrollment. Decision to initiate treatment shall be made by the treating physician and independently from the decision to include the patient in the study.
- Patient is willing and able to provide written informed consent to participate in the study in a manner approved by the Institutional Review Board/Independent Ethics Committee and local regulations.
Who cannot join
- Enrollment in a concurrent clinical interventional study, or intake of an Investigational Medicinal Product (IMP), within three months prior to the start of the current pegcetacoplan treatment.
- Initiated current treatment with pegcetacoplan in an interventional study.
Trial locations and contacts
87 sites in 15 countries.
87 sites in 15 countries
Italy14 sites
Azienda Ospedaliero Universitaria Consorziale Policlinico di Bari
Bari
Ospedale San Bassiano
Bassano del Grappa
Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS
Bologna
Irccs Aou Di Bologna- Pol. Di S.Orsola
Bologna
Ospedale Oncologico Armando Businco
Cagliari
Azienda Ospedaliera Universitaria Careggi
Florence
Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
Milan
Ospedale San Raffaele
Milan
Ospedale Maggiore della Carità
Novara
Grande Ospedale Metropolitano - Presidio Morelli
Reggio Calabria
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma
Università di Roma La Sapienza
Rome
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino - Onoclogy and Hematology Department
Torino
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino - UO Ematologia
Torino
Spain14 sites
ICO Badalona - Hospital Universitari Germans Trias i Pujol
Badalona
Hospital de Cruces
Barakaldo
Hospital Clinic de Barcelona
Barcelona
Hospital Universitari Vall d'Hebron
Barcelona
Hospital de Basurto
Bilbao
Hospital Universitario Donostia
Donostia / San Sebastian
Hospital Universitario Virgen de la Nieves
El Palmar
Hospital Universitario Juan Ramon Jimenez
Huelva
Hospital Universitario de Gran Canaria Dr. Negrin
Las Palmas de Gran Canaria
Hospital Lucus Augusti
Lugo
Hospital Regional Universitario de Malaga
Málaga
Hospital Universitario Central de Asturias
Oviedo
Hospital Universitari Son Espases
Palma de Mallorca
Complejo Hospitalario Universitario de Santiago
Santiago de Compostela
France12 sites
CHU de Grenoble - Hôpital Albert Michallon
Grenoble, Isere
Hôpital Saint-Louis
La Defense, Paris
Hopital Claude Huriez - CHRU Lille
Lille, Nord
CHU de Nantes - Hotel Dieu
Nantes, Loire Atlantique
CHU Nice - Hôpital de l'Archet 1
Nice, Alpes Maritimes
CHU de Bordeaux - Hôpital Haut-Lévêque
Pessac, Gironde, 33604
Centre Hospitalier Lyon Sud
Pierre-Bénite, Rhone
CHU Poitiers
Poitiers
CHU Rennes - Hopital Pontchaillou
Rennes
Centre Hospitalier Général de St Quentin
Saint-Quentin, 02321
Hopital Foch
Suresnes, Hauts de Seine
CHU de Nancy - Hôpital de Brabois Adultes
Vandœuvre-lès-Nancy, Meurthe et Moselle
Germany10 sites
Studienzentrum Aschaffenburg
Aschaffenburg, Bavaria
MV Zentrum für Onkologie und Hämatologie
Cologne
Universitaetsklinikum Essen
Essen, North Rhine-Westphalia
Universitaetsklinikum Frankfurt Goethe-Universitaet
Frankfurt am Main, Hesse
Universitaetsklinikum Giessen und Marburg GmbH Standort Giessen
Giessen, Hesse
Alb-Fils-Kliniken GmbH
Goettigen, Baden-Wurttemberg
Universitaetsklinikum Leipzig AoeR
Leipzig, Saxony
Dres Ballo und Dr. Böck
Offenbach, Hesse
Praxis Fenchel Saalfeld
Saalfeld, Thuringia
Haematologisch-Onkologische Schwerpunktpraxis
Troisdorf
Poland7 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok
Szpital Uniwersytecki nr 2 im. dr J. Biziela w Bydgoszczy
Bydgoszcz
Uniwersyteckie Centrum Kliniczne
Gdansk
SPZOZ Szpital Uniwersytecki w Krakowie
Krakow
WWCOiT in Lodz, Oddział Hematologii i Transplantologii
Lodz
Uniwersytecki Szpital Kliniczny nr 1 w Lublinie
Lublin
Warszawski Uniwersytet Medyczny
Warsaw
Greece6 sites
Evangelismos Hospital
Athens
University General Hospital "Attikon"
Athens
University General Hospital of Larissa
Larissa, 41500
University General Hospital of Larissa
Larissa
G Papanikolaou General Hospital
Thessaloniki
General Hospital of Thessaloniki "IPPOKRATEIO"
Thessaloniki
Belgium5 sites
Institut Jules Bordet
Anderlecht
AZ Sint-Jan
Bruges
CHU Brugmann-Site Horta
Brussels, 1020
Centre Hospitalier Universitaire de Liege
Liège
AZ Herentals
Turnhout
Australia4 sites
Sunshine Coast University Hospital
Birtinya, Queensland
Canberra Hospital
Garran, 2605
Liverpool Hospital
Liverpool, New South Wales
Calvary Mater Newcastle
Waratah, New South Wales
Saudi Arabia4 sites
Prince Faisal Bin Bandar Cancer Center
Buraidah
King Faisal Specialist Hospital & Research Center
Jeddah
King Faisal Specialist Hospital and Research Center - Madinah
Riyadh
King Faisal Specialist Hospital and Research Center - Riyadh
Riyadh
Canada3 sites
London Health Sciences Centre (LHSC) - Victoria Hospital
London, Ontario, N6A 5W9
Hopital Maisonneuve-Rosemont d/b/a CIUSSS de l'Est-de-l'Île-de-Montréal
Montreal, Quebec
University Health Network
Toronto, Ontario
Hungary3 sites
DPC - Orszagos Hematologiai es Infektologiai Intezet
Budapest
Semmelweis Egyetem
Budapest
Semmelweis University
Budapest
Czechia2 sites
Fakultni nemocnice Brno
Brno
Ustav hematologie a krevni transfuze
Prague
About this study
Official title: A Single Arm, Long-term, Multicentre Observational Study to Evaluate Effectiveness of Pegcetacoplan Under Real World Conditions in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)
This is a 36-month, long-term, multicenter, observational study designed to describe the real world effectiveness of pegcetacoplan in patients with PNH. Patients meeting the eligibility criteria will be enrolled in the study and followed prospectively for approximately 36 months. Patient data will be collected from start of pegcetacoplan treatment to end of follow-up. Retrospective data on pegcetacoplan will be captured from the time of pegcetacoplan treatment initiation. Pegcetacoplan treatment data will be collected for a minimum of approximately 36 months and up to a maximum of approximately 72 months, including retrospective period depending on when the patient started pegcetacoplan treatment. After pegcetacoplan treatment discontinuation, patients will remain in the study for 8 weeks to capture any AEs. The scope of the study is to collect both retrospective and prospective data. Baseline is defined as start of pegcetacoplan treatment. The main part of the study will be prospective,collecting data on effectiveness, safety (all AEs), patient- and clinician-reported outcomes and health care resource use.
Read the detailed description
As pegcetacoplan is a new product on the market, with a new mechanism of action, there is an urgent need to provide data to treaters, payers and the PNH community on the real-world usage and effectiveness of pegcetacoplan. This study aims to fill part of that knowledge gap and to add to the knowledge base regarding the use of pegcetacoplan in routine medical practice. Another important rationale for this study is to provide information on RBC transfusions and health care resource utilization pre and post pegcetacoplan treatment initiation.
The study plans to include approximately 200 patients at 70 sites in Europe, Middle East, Canada and Australia. Additional countries may be added in the study if necessary. Patients meeting the eligibility criteria will be enrolled in the study and followed prospectively for approximately 36 months. Patient data will be collected from start of pegcetacoplan treatment to end of follow-up. Retrospective data on pegcetacoplan will be captured from the time of pegcetacoplan treatment initiation. Pegcetacoplan treatment data will be collected for a minimum of approximately 36 months and up to a maximum of approximately 72 months, including retrospective period depending on when the patient started pegcetacoplan treatment. After pegcetacoplan treatment discontinuation, patients will remain in the study for 8 weeks to capture any AEs. Patients will come to their routine visits and the available data from each visit will be collected.
The scope of the study is to collect both retrospective and prospective data. The main part of the study will be prospective, collecting data on effectiveness, safety, patient- and clinician-reported outcomes and health care resource use. The study will also collect retrospective data before pegcetacoplan treatment start, which will consist of information on PNH treatment, blood transfusions and healthcare resource use. Data will be collected for up to 12 months prior to pegcetacoplan treatment start. As patients may have been treated with pegcetacoplan for up to 12 months prior to enrollment, retrospective data may be collected for up to 24 months. This means that the total data collection period including both the retrospective and the prospective part is up to 48 (+/- 3) months.
- Conditions
- Paroxysmal Nocturnal Hemoglobinuria
- Being tested
- Pegcetacoplan
- Medical subject headings
- Hemoglobinuria, Paroxysmal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PegcetacoplanDrug
Also called Aspaveli, Empaveli
Pegcetacoplan will be prescribed according to the label in patients with PNH.
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in observed hemoglobin level from initiation of treatment with pegcetacoplan to 6 months
Hemoglobin level in g/dL.
Measured: 6 months
Secondary outcomes (135)
Change of LDH values from initiation of pegcetacoplan treatment to 6 months
Lactate Dehydrogenase (LDH) in U/L
Measured: 6 months
Change in Absolute Reticulocyte Count (ARC) from initiation of pegcetacoplan treatment to 6 months
Absolute Reticulocyte Count (ARC) in 10^9/L
Measured: 6 months
Change in indirect/ total bilirubin from initiation of pegcetacoplan treatment to 6 months
Indirect/ total bilirubin in umol/L
Measured: 6 months
Change in Haptoglobin from initiation of pegcetacoplan treatment to 6 months
Haptoglobin in mg/dL
Measured: 6 months
Change in Ferritin from initiation of pegcetacoplan treatment to 6 months
Ferritin in ug/L
Measured: 6 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 6 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 12 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 18 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 24 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 30 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 36 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Lactate Dehydrogenase (LDH) in U/L
Measured: 6 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Lactate Dehydrogenase (LDH) in U/L
Measured: 12 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Lactate Dehydrogenase (LDH) in U/L
Measured: 18 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Lactate Dehydrogenase (LDH) in U/L
Measured: 24 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Lactate Dehydrogenase (LDH) in U/L
Measured: 30 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Lactate Dehydrogenase (LDH) in U/L
Measured: 36 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Absolute Reticulocyte Count (ARC) in 10^9/L
Measured: 6 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Absolute Reticulocyte Count (ARC) in 10^9/L
Measured: 12 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Absolute Reticulocyte Count (ARC) in 10^9/L
Measured: 18 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Absolute Reticulocyte Count (ARC) in 10^9/L
Measured: 24 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Absolute Reticulocyte Count (ARC) in 10^9/L
Measured: 30 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Absolute Reticulocyte Count (ARC) in 10^9/L
Measured: 36 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 6 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 12 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 18 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 24 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 30 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 36 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Haptoglobin in µmol/L
Measured: 6 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Haptoglobin in µmol/L
Measured: 12 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Haptoglobin in µmol/L
Measured: 18 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Haptoglobin in µmol/L
Measured: 24 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Haptoglobin in µmol/L
Measured: 30 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Haptoglobin in mg/dL
Measured: 36 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Ferritin in ug/L
Measured: 6 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Ferritin in ug/L
Measured: 12 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Ferritin in ug/L
Measured: 18 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Ferritin in ug/L
Measured: 24 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Ferritin in ug/L
Measured: 30 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Ferritin in ug/L
Measured: 36 months
Hemoglobin ≥ 12 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 6 months
Hemoglobin ≥ 12 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 12 months
Hemoglobin ≥ 12 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 18 months
Hemoglobin ≥ 12 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 24 months
Hemoglobin ≥ 12 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 30 months
Hemoglobin ≥ 12 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 36 months
Increase in hemoglobin levels of ≥ 2 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 6 months
Increase in hemoglobin levels of ≥ 2 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 12 months
Increase in hemoglobin levels of ≥ 2 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 18 months
Increase in hemoglobin levels of ≥ 2 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 24 months
Increase in hemoglobin levels of ≥ 2 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 30 months
Increase in hemoglobin levels of ≥ 2 g/dL at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Hemoglobin in g/dL
Measured: 36 months
Hemolytic event requiring additional intervention at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Yes/No
Measured: 6 months
Hemolytic event requiring additional intervention at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Yes/No
Measured: 12 months
Hemolytic event requiring additional intervention at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Yes/No
Measured: 18 months
Hemolytic event requiring additional intervention at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Yes/No
Measured: 24 months
Hemolytic event requiring additional intervention at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Yes/No
Measured: 30 months
Hemolytic event requiring additional intervention at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Yes/No
Measured: 36 months
Annualized number of red blood cell (RBC) transfusions during pegcetacoplan treatment until end of follow-up compared to the 12 month period before pegcetacoplan treatment
Total number of RBC transfusions
Measured: 12 months
Annualized number of red blood cell (RBC) units during pegcetacoplan treatment until end of follow-up compared to the 12 month period before pegcetacoplan treatment
Total number of RBC units
Measured: 12 months
Fatigue at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Patient reported outcome scale scores for the Functional assessment of chronic illness therapy (FACIT) - Fatigue. It is a 13-item scale and each item is scored on a 5-point Likert Scale ranging from "0-Not at all" to "4-Very much". The FACIT-fatigue score is obtained by summing all item scores. The score range from 0 to 52, higher score indicating less fatigue and lower score indicating more fatigue.
Measured: 6 months
Fatigue at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Patient reported outcome scale scores for the Functional assessment of chronic illness therapy (FACIT) - Fatigue. It is a 13-item scale and each item is scored on a 5-point Likert Scale ranging from "0-Not at all" to "4-Very much". The FACIT-fatigue score is obtained by summing all item scores. The score range from 0 to 52, higher score indicating less fatigue and lower score indicating more fatigue.
Measured: 12 months
Fatigue at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Patient reported outcome scale scores for the Functional assessment of chronic illness therapy (FACIT) - Fatigue. It is a 13-item scale and each item is scored on a 5-point Likert Scale ranging from "0-Not at all" to "4-Very much". The FACIT-fatigue score is obtained by summing all item scores. The score range from 0 to 52, higher score indicating less fatigue and lower score indicating more fatigue.
Measured: 18 months
Fatigue at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Patient reported outcome scale scores for the Functional assessment of chronic illness therapy (FACIT) - Fatigue. It is a 13-item scale and each item is scored on a 5-point Likert Scale ranging from "0-Not at all" to "4-Very much". The FACIT-fatigue score is obtained by summing all item scores. The score range from 0 to 52, higher score indicating less fatigue and lower score indicating more fatigue.
Measured: 24 months
Fatigue at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Patient reported outcome scale scores for the Functional assessment of chronic illness therapy (FACIT) - Fatigue. It is a 13-item scale and each item is scored on a 5-point Likert Scale ranging from "0-Not at all" to "4-Very much". The FACIT-fatigue score is obtained by summing all item scores. The score range from 0 to 52, higher score indicating less fatigue and lower score indicating more fatigue.
Measured: 30 months
Fatigue at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Patient reported outcome scale scores for the Functional assessment of chronic illness therapy (FACIT) - Fatigue. It is a 13-item scale and each item is scored on a 5-point Likert Scale ranging from "0-Not at all" to "4-Very much". The FACIT-fatigue score is obtained by summing all item scores. The score range from 0 to 52, higher score indicating less fatigue and lower score indicating more fatigue.
Measured: 36 months
Health care resource use: Annualized number of hospitalizations and emergency room visits during pegcetacoplan treatment until end of follow-up compared to the 12-month period before pegcetacoplan treatment.
Number of hospitalizations and emergency room visits
Measured: 12 months
Patient treatment satisfaction every 6 months until end of follow-up
Patient treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 6 months
Patient treatment satisfaction every 6 months until end of follow-up
Patient treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 12 months
Patient treatment satisfaction every 6 months until end of follow-up
Patient treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 18 months
Patient treatment satisfaction every 6 months until end of follow-up
Patient treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 24 months
Patient treatment satisfaction every 6 months until end of follow-up
Patient treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 30 months
Patient treatment satisfaction every 6 months until end of follow-up
Patient treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 36 months
Physician treatment satisfaction every 6 months until end of follow-up
Physician treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 6 months
Physician treatment satisfaction every 6 months until end of follow-up
Physician treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 12 months
Physician treatment satisfaction every 6 months until end of follow-up
Physician treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 18 months
Physician treatment satisfaction every 6 months until end of follow-up
Physician treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 24 months
Physician treatment satisfaction every 6 months until end of follow-up
Physician treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 30 months
Physician treatment satisfaction every 6 months until end of follow-up
Physician treatment satisfaction (1-5 point scale), 5=highly satisfied, 1= highly dissatisfied
Measured: 36 months
Adverse events (AE), including serious adverse events (SAE)
Adverse events (AE) and serious adverse events (SAE) are to be reported on the AE page of the eCRF as specified in the eCRF data entry guidelines.
Measured: 24 hours
Alanine transaminase (ALT) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alanine transaminase (ALT) in U/L
Measured: 6 months
Alanine transaminase (ALT) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alanine transaminase (ALT) in U/L
Measured: 12 months
Alanine transaminase (ALT) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alanine transaminase (ALT) in U/L
Measured: 18 months
Alanine transaminase (ALT) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alanine transaminase (ALT) in U/L
Measured: 24 months
Alanine transaminase (ALT) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alanine transaminase (ALT) in U/L
Measured: 30 months
Alanine transaminase (ALT) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alanine transaminase (ALT) in U/L
Measured: 36 months
Aspartate aminotransferase (AST) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Aspartate aminotransferase (AST) in U/L
Measured: 6 months
Aspartate aminotransferase (AST) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Aspartate aminotransferase (AST) in U/L
Measured: 12 months
Aspartate aminotransferase (AST) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Aspartate aminotransferase (AST) in U/L
Measured: 18 months
Aspartate aminotransferase (AST) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Aspartate aminotransferase (AST) in U/L
Measured: 24 months
Aspartate aminotransferase (AST) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Aspartate aminotransferase (AST) in U/L
Measured: 30 months
Aspartate aminotransferase (AST) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Aspartate aminotransferase (AST) in U/L
Measured: 36 months
Alkaline Phosphatase at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alkaline Phosphatase in µkat/L
Measured: 6 months
Alkaline Phosphatase at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alkaline Phosphatase in µkat/L
Measured: 12 months
Alkaline Phosphatase at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alkaline Phosphatase in µkat/L
Measured: 18 months
Alkaline Phosphatase at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alkaline Phosphatase in µkat/L
Measured: 24 months
Alkaline Phosphatase at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alkaline Phosphatase in µkat/L
Measured: 30 months
Alkaline Phosphatase at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Alkaline Phosphatase in µkat/L
Measured: 36 months
Bilirubin at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 6 months
Bilirubin at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 12 months
Bilirubin at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 18 months
Bilirubin at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 24 months
Bilirubin at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 30 months
Bilirubin at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Indirect/ total bilirubin in umol/L
Measured: 36 months
Creatinine at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Creatinine in mg/dL
Measured: 6 months
Creatinine at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Creatinine in mg/dL
Measured: 12 months
Creatinine at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Creatinine in mg/dL
Measured: 18 months
Creatinine at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Creatinine in mg/dL
Measured: 24 months
Creatinine at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Creatinine in mg/dL
Measured: 30 months
Creatinine at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Creatinine in mg/dL
Measured: 36 months
estimated glomerular filtration rate (eGFR) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
estimated glomerular filtration rate (eGFR) in mL/min/1.73 m²
Measured: 6 months
estimated glomerular filtration rate (eGFR) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
estimated glomerular filtration rate (eGFR) in mL/min/1.73 m²
Measured: 12 months
estimated glomerular filtration rate (eGFR) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
estimated glomerular filtration rate (eGFR) in mL/min/1.73 m²
Measured: 18 months
estimated glomerular filtration rate (eGFR) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
estimated glomerular filtration rate (eGFR) in mL/min/1.73 m²
Measured: 24 months
estimated glomerular filtration rate (eGFR) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
estimated glomerular filtration rate (eGFR) in mL/min/1.73 m²
Measured: 30 months
estimated glomerular filtration rate (eGFR) at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
estimated glomerular filtration rate (eGFR) in mL/min/1.73 m²
Measured: 36 months
Urea at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Urea in mg/dL
Measured: 6 months
Urea at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Urea in mg/dL
Measured: 12 months
Urea at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Urea in mg/dL
Measured: 18 months
Urea at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Urea in mg/dL
Measured: 24 months
Urea at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Urea in mg/dL
Measured: 30 months
Urea at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Urea in mg/dL
Measured: 36 months
Potassium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Potassium in mmol/L
Measured: 6 months
Potassium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Potassium in mmol/L
Measured: 12 months
Potassium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Potassium in mmol/L
Measured: 18 months
Potassium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Potassium in mmol/L
Measured: 24 months
Potassium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Potassium in mmol/L
Measured: 30 months
Potassium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Potassium in mmol/L
Measured: 36 months
Sodium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Sodium in mmol/L
Measured: 6 months
Sodium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Sodium in mmol/L
Measured: 12 months
Sodium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Sodium in mmol/L
Measured: 18 months
Sodium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Sodium in mmol/L
Measured: 24 months
Sodium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Sodium in mmol/L
Measured: 30 months
Sodium at initiation of treatment with pegcetacoplan and every 6 months until end of follow-up
Sodium in mmol/L
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Mar 2023
- Study start26 Jun 2023
- Primary completion15 Aug 2029 (estimated)
- Study completion15 Aug 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Paroxysmal Nocturnal HemoglobinuriaStudies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Other
- Enrolment
- 165 participants (actual)
Sponsor and investigators
- Lead sponsor
- Swedish Orphan Biovitrum
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- IQVIA Pty Ltd
- Responsible party
- Sponsor
- Investigators
- Clinical Program Lead +46 08-697-20 00, Study director, Swedish Orphan Biovitrum
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05776472
- Sponsor's protocol ID
- Sobi.PEGCET-304
- Acronym
- COMPLETE
- Status last verified
- Jun 2026
- First submitted
- 20 Feb 2023
- Last updated
- 3 Sep 2026
- Results posted
- No
- 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 3 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Arm, Long-term, Multicentre Observational Study to Evaluate Effectiveness of Pegcetacoplan Under Real World Conditions in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)
- ClinicalTrials.gov ID
- NCT05776472
- Acronym / sponsor ID
- COMPLETE / Sobi.PEGCET-304
- Conditions
- Paroxysmal Nocturnal Hemoglobinuria
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 165 participants (actual)
- Lead sponsor
- Swedish Orphan BiovitrumIndustry (pharma, biotech, devices)
- Collaborators
- IQVIA Pty Ltd
- Study start
- 26 Jun 2023 (actual)
- Primary completion
- 15 Aug 2029 (estimated)
- Study completion
- 15 Aug 2029 (estimated)
- First posted
- 20 Mar 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a 36-month, long-term, multicenter, observational study designed to describe the real world effectiveness of pegcetacoplan in patients with PNH. Patients meeting the eligibility criteria will be enrolled in the study and followed prospectively for approximately 36 months. Patient data will be collected from start of pegcetacoplan treatment to end of follow-up. Retrospective data on pegcetacoplan will be captured from the time of pegcetacoplan treatment initiation. Pegcetacoplan treatment data will be collected for a minimum of approximately 36 months and up to a maximum of approximately 72 months, including retrospective period depending on when the patient started pegcetacoplan treatment. After pegcetacoplan treatment discontinuation, patients will remain in the study for 8 weeks to capture any AEs. The scope of the study is to collect both retrospective and prospective data. Baseline is defined as start of pegcetacoplan treatment. The main part of the study will be prospective,collecting data on effectiveness, safety (all AEs), patient- and clinician-reported outcomes and health care resource use.
Detailed description
As pegcetacoplan is a new product on the market, with a new mechanism of action, there is an urgent need to provide data to treaters, payers and the PNH community on the real-world usage and effectiveness of pegcetacoplan. This study aims to fill part of that knowledge gap and to add to the knowledge base regarding the use of pegcetacoplan in routine medical practice. Another important rationale for this study is to provide information on RBC transfusions and health care resource utilization pre and post pegcetacoplan treatment initiation.
The study plans to include approximately 200 patients at 70 sites in Europe, Middle East, Canada and Australia. Additional countries may be added in the study if necessary. Patients meeting the eligibility criteria will be enrolled in the study and followed prospectively for approximately 36 months. Patient data will be collected from start of pegcetacoplan treatment to end of follow-up. Retrospective data on pegcetacoplan will be captured from the time of pegcetacoplan treatment initiation. Pegcetacoplan treatment data will be collected for a minimum of approximately 36 months and up to a maximum of approximately 72 months, including retrospective period depending on when the patient started pegcetacoplan treatment. After pegcetacoplan treatment discontinuation, patients will remain in the study for 8 weeks to capture any AEs. Patients will come to their routine visits and the available data from each visit will be collected.
The scope of the study is to collect both retrospective and prospective data. The main part of the study will be prospective, collecting data on effectiveness, safety, patient- and clinician-reported outcomes and health care resource use. The study will also collect retrospective data before pegcetacoplan treatment start, which will consist of information on PNH treatment, blood transfusions and healthcare resource use. Data will be collected for up to 12 months prior to pegcetacoplan treatment start. As patients may have been treated with pegcetacoplan for up to 12 months prior to enrollment, retrospective data may be collected for up to 24 months. This means that the total data collection period including both the retrospective and the prospective part is up to 48 (+/- 3) months.
Study design
- Observational model
- Cohort
- Time perspective
- Other
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients (≥18 years) with PNH, who started routine treatment with pegcetacoplan up to 12 months prior to enrollmentor at enrollment
Key inclusion criteria (3 listed)
- Patients ≥18 years of age with a documented PNH diagnosis.
- Patient started routine treatment with pegcetacoplan for PNH up to 12 months before enrollment or prescribed pegcetacoplan at enrollment. Decision to initiate treatment shall be made by the treating physician and independently from the decision to include the patient in the study.
- Patient is willing and able to provide written informed consent to participate in the study in a manner approved by the Institutional Review Board/Independent Ethics Committee and local regulations.
Key exclusion criteria (2 listed)
- Enrollment in a concurrent clinical interventional study, or intake of an Investigational Medicinal Product (IMP), within three months prior to the start of the current pegcetacoplan treatment.
- Initiated current treatment with pegcetacoplan in an interventional study.
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 |
|---|---|---|
| PegcetacoplanAlso: Aspaveli, EmpaveliPegcetacoplan will be prescribed according to the label in patients with PNH. | Drug | – |
Primary outcome
Change in observed hemoglobin level from initiation of treatment with pegcetacoplan to 6 months
Time frame: 6 months
Hemoglobin level in g/dL.
135 secondary outcomes
Change of LDH values from initiation of pegcetacoplan treatment to 6 months
Time frame: 6 months
Change in Absolute Reticulocyte Count (ARC) from initiation of pegcetacoplan treatment to 6 months
Time frame: 6 months
Change in indirect/ total bilirubin from initiation of pegcetacoplan treatment to 6 months
Time frame: 6 months
Change in Haptoglobin from initiation of pegcetacoplan treatment to 6 months
Time frame: 6 months
Change in Ferritin from initiation of pegcetacoplan treatment to 6 months
Time frame: 6 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 6 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 12 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 18 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 24 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 30 months
Hemoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 36 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 6 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 12 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 18 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 24 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 30 months
Lactate Dehydrogenase at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 36 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 6 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 12 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 18 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 24 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 30 months
Absolute Reticulocyte Count at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 36 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 6 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 12 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 18 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 24 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 30 months
Indirect/ total bilirubin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 36 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 6 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 12 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 18 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 24 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 30 months
Haptoglobin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 36 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 6 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 12 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 18 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 24 months
Ferritin at initiation of pegcetacoplan treatment and each 6 months until end of follow-up
Time frame: 30 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Sep 2026.
- 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.
Clinical Program Lead +46 08-697-20 00 study director
Swedish Orphan Biovitrum
87 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Paroxysmal Nocturnal Hemoglobinuria, run by Swedish Orphan Biovitrum at 87 sites in 15 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 3 inclusion and 2 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: under way, not looking for participants, as of the sponsor's last update on 3 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 87 sites in Italy, Spain, France, Germany, Poland and 10 more countries. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Change in observed hemoglobin level from initiation of treatment with pegcetacoplan to 6 months (time frame: 6 months). 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 3 Sep 2026; AzTrials last refreshed its copy on 6 Nov 2026.