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CompletedNCT01193348aHUSUpdated Apr 29, 2015Results posted

An Open-Label, Multi-Center Clinical Trial of Eculizumab in Pediatric Patients With Atypical Hemolytic-Uremic Syndrome

A Phase 2 interventional study of Eculizumab in Atypical Hemolytic-Uremic Syndrome, sponsored by Alexion Pharmaceuticals, Inc.. Completed at 17 sites in 9 countries. Open to participants aged 1 Month to 18 Years. Per ClinicalTrials.gov, last updated 2015-04-29.

Sponsored by Alexion Pharmaceuticals, Inc. (part of AstraZeneca) · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
1 Month to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 10 studies testing eculizumab in Atypical Hemolytic Uremic Syndrome — 1 open to participants now, 1 under way, 1 of them phase 3. eculizumab · Atypical Hemolytic Uremic Syndrome.

Enrollment
5th of 10
22 · median 19
Started
2010
with 1 other
Phase 2
8 of 10
none open now
Registered
5th of 10
by date
Lead sponsor
7 of 10
Alexion Pharmaceuticals, Inc.

Among the 10 studies testing eculizumab in Atypical Hemolytic Uremic Syndrome, this one is the 5th largest by enrollment, is one of 2 that started in 2010, is one of 8 in phase 2, and was the 5th registered.

Atypical Hemolytic Uremic Syndrome

45 studies on the registry are indexed under Atypical Hemolytic Uremic Syndrome; 14 are open to participants now.

Browse Atypical Hemolytic Uremic Syndrome studies →

Open to participants now

1 of the 10 studies testing eculizumab in Atypical Hemolytic Uremic Syndrome is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About eculizumab

eculizumab: first FDA approval 2007 (SOLIRIS), first EMA approval 2007. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 12 Atypical Hemolytic Uremic Syndrome studies recruiting now, 10 (83%) set no upper age limit and none (0%) stop at 75 or younger; 6 take children under 18; 2 take healthy volunteers.

This study: 1 Month to 18 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 10 studies testing eculizumab in Atypical Hemolytic Uremic Syndrome, or all of them as a file.
02

Study summary

The primary purpose is to assess the efficacy and safety of eculizumab in pediatric patients with aHUS to control TMA as characterized by thrombocytopenia, hemolysis and renal impairment.

03

Conditions studied

  • Atypical Hemolytic-Uremic Syndrome

Keywords

  • Atypical Hemolytic-Uremic Syndrome
04

Who can participate

Ages eligible
1 Month to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patient's parent/legal guardian must have been willing and able to give written and the patient must have been willing to give written informed assent (if applicable as determined by the central IRB/IEC).
  2. Pediatric patients with aHUS: Patients could have been newly diagnosed, or with previously diagnosed disease, or post-kidney transplant with the disease.
  3. Patients one month to 18 years and body weight ≥ 5kg.
  4. count at screening and baseline visit must have been below lower limit of normal (\<LLN). If screening visit and baseline visit are combined into one day, an additional platelet count value obtained at least 24 hours before screening/baseline sample must also be \<LLN.
  5. Exhibited signs or symptoms of hemolysis at start of current aHUS event (i.e., lactate dehydrogenase (LDH) ≥1.5 x [ULN] and ≤LLN), fragmented RBC with a negative Coombs test.
  6. Serum Creatinine level ≥97 percentile for age at screening (patients requiring dialysis for acute renal failure are also eligible).
  7. Patients with aHUS due to complement regulatory protein genetic abnormality or anti-complement factor antibody or those in whom known etiologies of hemolytic uremic syndrome (HUS) have been ruled out as confirmed in the Exclusion Criteria.
  8. Patients must have been vaccinated against N. meningitidis, pneumococcus and haemophilus (per the vaccine label) at least 14 days prior to study drug initiation or otherwise be protected by prophylactic antibiotics. Patients under age two years were to receive antibiotic prophylaxis throughout the treatment period.
  9. Female patients of (female patients who have achieved menarche) must have been practicing an effective, reliable and medically approved regimen during the entire duration of the study, including the follow-up period. At the time of the last follow-up visit, patients must have agreed to continue to use adequate contraception methods for up to five months following discontinuation of eculizumab treatment.
  10. Able and willing to comply with study procedures

Exclusion criteria

Exclusion:

Any of the following was regarded as a criterion for exclusion from the study:

  1. Known familial ADAMTS-13 deficiency (ADAMTS-13 \<5%).
  2. Shiga toxin E.coli-related hemolytic uremic syndrome (STEC-HUS [known Shiga toxin + E.coli]).
  3. History of within five years of screening.
  4. Known (HIV) infection.
  5. Identified drug exposure-related HUS.
  6. Infection-related HUS.
  7. HUS related to bone marrow transplant (BMT).
  8. HUS related to vitamin B12 deficiency.
  9. Known Systemic Lupus Erythematosus (SLE) or antiphospholipid antibody positivity or syndrome.
  10. Plasma Therapy for >5 weeks prior to enrollment.
  11. Chronic dialysis (defined as dialysis on a regular basis as renal replacement therapy for end-stage renal disease [ESRD]).
  12. Patients with a confirmed diagnosis of sepsis defined as positive blood cultures within seven days of the screening visit and not treated with antibiotics to which the organism is sensitive.
  13. Presence or suspicion of active and untreated systemic bacterial infection that, in the opinion of the Investigator confounds an accurate diagnosis of aHUS or impedes the ability to manage the aHUS disease.
  14. Pregnancy or lactation.
  15. History of meningococcal/pneumococcal/gonococcal disease.
  16. Any medical or psychological 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.
  17. Patients receiving chronic intravenous immunoglobulin (IVIg) within eight weeks unless for unrelated medical condition (e.g., Hypogammaglobinemia), or chronic Rituximab therapy within 12 weeks of the screening visit.
  18. Patients receiving other therapies such as , mTOR inhibitors, calcineurin inhibitors (e.g., cyclosporine or tacrolimus are excluded unless: [1] part of an established post-transplant anti-rejection regime, or [2] patient has confirmed anti-Complement Factor antibodies antibody requiring immunosuppressive therapy or [3] steroids are being used for a condition other than aHUS (example asthma).
  19. Participation in any other drug trial or device trial, or procedures beginning four weeks prior to screening and throughout the entire trial
  20. Prior use of eculizumab, to eculizumab, to murine proteins or to one of the .
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Eculizumab

    Drug: Eculizumab

Interventions

  • Fixed dosing is based on body weight cohorts. Adjustment of dose to accommodate patient growth is possible.

06

What researchers measure

Primary outcomes

  1. Proportion of Patients With Complete TMA Response

    Proportion of Patients with Complete TMA response was determined and defined by normalization of hematological parameters (platelet count and LDH) and ≥ 25% improvement in serum creatinine from baseline which was sustained for at least two consecutive measurements obtained at least four weeks apart).

    Time frame: Through 26 weeks

Secondary outcomes

  1. Proportion of Patients With Complete Hematologic Response

    Proportion of Patients with Complete Hematologic response through 26 weeks of treatment was determined and defined by normalization of platelet count and LDH sustained for at least two consecutive measurements obtained at least four weeks apart.

    Time frame: Through 26 weeks

  2. Proportion of Patients With Platelet Count Normalization

    Proportion of Patients with Platelet Count Normalization through 26 weeks of treatment was determined and defined as the platelet count observed to be ≥ 150 x 109/L on at least two consecutive measurements which span a period of at least four weeks.

    Time frame: Through 26 weeks

  3. Proportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement

    Proportion of Patients with Estimated Glomerular Filtration Rate (eGFR) Improvement was determined and defined as an increase in eGFR by ≥ 15 mL/min/1.73m2 from baseline, sustained for at least two consecutive measurements obtained at least four weeks apart.

    Time frame: Through 26 weeks

  4. Platelet Count Change From Baseline to 26 Weeks

    Time frame: Through 26 weeks

  5. Proportion of Patients With Complete TMA Response

    Proportion of Patients with Complete TMA response was determined and defined by normalization of hematological parameters (platelet count and LDH) and ≥ 25% improvement in serum creatinine from baseline which was sustained for at least two consecutive measurements obtained at least four weeks apart).

    Time frame: Through End of Study, Median Exposure 55 Weeks

  6. Proportion of Patients With Complete Hematologic Response

    Proportion of Patients with Complete Hematologic response through end of study was determined and defined by normalization of platelet count and LDH sustained for at least two consecutive measurements obtained at least four weeks apart.

    Time frame: Through End of Study, Median Exposure 55 Weeks

  7. Proportion of Patients With Platelet Count Normalization

    Proportion of Patients with Platelet Count Normalization through end of study was determined and defined as the platelet count observed to be ≥ 150 x 109/L on at least two consecutive measurements which span a period of at least four weeks

    Time frame: Through End of Study, Median Exposure 55 Weeks

  8. Proportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement

    Proportion of Patients with Estimated Glomerular Filtration Rate (eGFR) Improvement was determined and defined as an increase in eGFR by ≥ 15 mL/min/1.73m2 from baseline, sustained for at least two consecutive measurements obtained at least four weeks apart.

    Time frame: Through End of Study, Median Exposure 55 Weeks

  9. Platelet Count Change From Baseline to 52 Weeks

    Time frame: Through 52 Weeks

  10. Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 5 - <10kg) N=3

    Time frame: Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort.Maintenance Phase was started 1 week after induction phase and dosing of eculizumab administration was every 2 weeks or every 3 weeks depending on patient weight cohort

  11. Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 10 - <20kg) N=7

    Time frame: Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort.Maintenance Phase was started 1 week after induction phase and dosing of eculizumab administration was every 2 weeks or every 3 weeks depending on patient weight cohort

  12. Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 20 - <30kg)

    Time frame: Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort. Maintenance Phase was started either 2 weeks or 3 weeks after induction phase depending on patient weight cohort

  13. Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 30 - <40kg) N=1

    Time frame: Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort. Maintenance Phase was started either 2 weeks or 3 weeks after induction phase depending on patient weight cohort

  14. Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort ≥40kg) N=5

    Time frame: Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort. Maintenance Phase was started either 2 weeks or 3 weeks after induction phase depending on patient weight cohort

07

Results

Posted Apr 29, 2015

Participant flow

A total of 27 patients diagnosed with aHUS signed the informed consent and of these, 22 patients were treated. Five patients were excluded from the study due to failed screening procedure and did not receive eculizumab.

Screening Period
Participant flow — Screening Period
MilestoneEculizumab
Started27
Completed22
Not completed5
Withdrew: Screen failure5
Treatment Period (26 Weeks)
Participant flow — Treatment Period (26 Weeks)
MilestoneEculizumab
Started22
Completed19
Not completed3
Withdrew: Positive shiga-toxin result vial local1
Withdrew: Serious adverse event1
Withdrew: Patient requested to withdraw1
Extension Treatment Period
Participant flow — Extension Treatment Period
MilestoneEculizumab
Started17
Completed16
Not completed1
Withdrew: Physician decision1
Post Treatment Period (Patients Who Disc
Participant flow — Post Treatment Period (Patients Who Disc
MilestoneEculizumab
Started10
Completed8
Not completed2
Withdrew: Patient did not return for visit2

Outcome measures

PrimaryProportion of Patients With Complete TMA Response

Proportion of Patients with Complete TMA response was determined and defined by normalization of hematological parameters (platelet count and LDH) and ≥ 25% improvement in serum creatinine from baseline which was sustained for at least two consecutive measurements obtained at least four weeks apart).

Time frame:
Through 26 weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Complete TMA Response
Percentage of ParticipantsEculizumab
Proportion of Patients With Complete TMA Response63.6 (40.7 to 82.8)
Statistical analysis
  • Eculizumab · Percent of complete tma response: 63.6 · 95% CI 40.7 to 82.8
SecondaryProportion of Patients With Complete Hematologic Response

Proportion of Patients with Complete Hematologic response through 26 weeks of treatment was determined and defined by normalization of platelet count and LDH sustained for at least two consecutive measurements obtained at least four weeks apart.

Time frame:
Through 26 weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Complete Hematologic Response
Percentage of ParticipantsEculizumab
Proportion of Patients With Complete Hematologic Response81.8 (59.7 to 94.8)
Statistical analysis
  • Eculizumab · Percent of complete hematologic response: 81.8 · 95% CI 59.7 to 94.8
SecondaryProportion of Patients With Platelet Count Normalization

Proportion of Patients with Platelet Count Normalization through 26 weeks of treatment was determined and defined as the platelet count observed to be ≥ 150 x 109/L on at least two consecutive measurements which span a period of at least four weeks.

Time frame:
Through 26 weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Platelet Count Normalization
Percentage of ParticipantsEculizumab
Proportion of Patients With Platelet Count Normalization95.5 (77.2 to 99.9)
Statistical analysis
  • Eculizumab · Percent of platelet count normalization: 95 · 95% CI 77.2 to 99.9
SecondaryProportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement

Proportion of Patients with Estimated Glomerular Filtration Rate (eGFR) Improvement was determined and defined as an increase in eGFR by ≥ 15 mL/min/1.73m2 from baseline, sustained for at least two consecutive measurements obtained at least four weeks apart.

Time frame:
Through 26 weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement
Percentage of ParticipantsEculizumab
Proportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement86.4 (65.1 to 97.1)
Statistical analysis
  • Eculizumab · Percent of egfr improvement: 86.4 · 95% CI 65.1 to 97.1
SecondaryPlatelet Count Change From Baseline to 26 Weeks
Time frame:
Through 26 weeks
Reported as:
Least squares mean · 10^9 cells/L
Platelet Count Change From Baseline to 26 Weeks
10^9 cells/LEculizumab
Platelet Count Change From Baseline to 26 Weeks204.96 (164.44 to 245.49)
Statistical analysis
  • Eculizumab · ANOVA · p = <0.0001 · Ls mean change from baseline: 204.96 · 95% CI 164.44 to 245.49
SecondaryProportion of Patients With Complete TMA Response

Proportion of Patients with Complete TMA response was determined and defined by normalization of hematological parameters (platelet count and LDH) and ≥ 25% improvement in serum creatinine from baseline which was sustained for at least two consecutive measurements obtained at least four weeks apart).

Time frame:
Through End of Study, Median Exposure 55 Weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Complete TMA Response
Percentage of ParticipantsEculizumab
Proportion of Patients With Complete TMA Response68.2 (45.1 to 86.1)
Statistical analysis
  • Eculizumab · Percent of complete tma response: 68.2 · 95% CI 45.1 to 86.1
SecondaryProportion of Patients With Complete Hematologic Response

Proportion of Patients with Complete Hematologic response through end of study was determined and defined by normalization of platelet count and LDH sustained for at least two consecutive measurements obtained at least four weeks apart.

Time frame:
Through End of Study, Median Exposure 55 Weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Complete Hematologic Response
Percentage of ParticipantsEculizumab
Proportion of Patients With Complete Hematologic Response90.9 (70.8 to 98.9)
Statistical analysis
  • Eculizumab · Percent of complete hematologic response: 90.9 · 95% CI 70.8 to 98.9
SecondaryProportion of Patients With Platelet Count Normalization

Proportion of Patients with Platelet Count Normalization through end of study was determined and defined as the platelet count observed to be ≥ 150 x 109/L on at least two consecutive measurements which span a period of at least four weeks

Time frame:
Through End of Study, Median Exposure 55 Weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Platelet Count Normalization
Percentage of ParticipantsEculizumab
Proportion of Patients With Platelet Count Normalization95.5 (77.2 to 99.9)
Statistical analysis
  • Eculizumab · Percent of platelet count normalization: 95.5 · 95% CI 77.2 to 99.9
SecondaryProportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement

Proportion of Patients with Estimated Glomerular Filtration Rate (eGFR) Improvement was determined and defined as an increase in eGFR by ≥ 15 mL/min/1.73m2 from baseline, sustained for at least two consecutive measurements obtained at least four weeks apart.

Time frame:
Through End of Study, Median Exposure 55 Weeks
Reported as:
Number · Percentage of Participants
Proportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement
Percentage of ParticipantsEculizumab
Proportion of Patients With Estimated Glomerular Filtration Rate (eGFR) Improvement86.4 (65.1 to 97.1)
Statistical analysis
  • Eculizumab · Percent of egfr improvement: 86.4 · 95% CI 65.1 to 97.1
SecondaryPlatelet Count Change From Baseline to 52 Weeks
Time frame:
Through 52 Weeks
Reported as:
Least squares mean · 10^9 cells/L
Platelet Count Change From Baseline to 52 Weeks
10^9 cells/LEculizumab
Platelet Count Change From Baseline to 52 Weeks165.43 (98.43 to 232.46)
Statistical analysis
  • Eculizumab · ANOVA · p = <0.0001 · Ls mean change from baseline: 165.43 · 95% CI 98.43 to 232.43
SecondaryPharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 5 - <10kg) N=3
Time frame:
Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort.Maintenance Phase was started 1 week after induction phase and dosing of eculizumab administration was every 2 weeks or every 3 weeks depending on patient weight cohort
Reported as:
Mean · micrograms/mL
Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 5 - <10kg) N=3
micrograms/mLEculizumab. Min and Max Blood Concentration
Min Concentration during induction period223.2 ± 19.0
Max concentration during induction period312.8 ± 51.2
Min concentration during maintenance187.2 ± 42.0
Max concentration during maintenance499.7 ± 27.8
SecondaryPharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 10 - <20kg) N=7
Time frame:
Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort.Maintenance Phase was started 1 week after induction phase and dosing of eculizumab administration was every 2 weeks or every 3 weeks depending on patient weight cohort
Reported as:
Mean · micrograms/mL
Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 10 - <20kg) N=7
micrograms/mLEculizumab. Min and Max Blood Concentration
Min Concentration during induction period297.2 ± 74.7
Max concentration during induction period436.3 ± 128.3
Min concentration during maintenance241.8 ± 106.0
Max concentration during maintenance459.5 ± 105.5
SecondaryPharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 20 - <30kg)
Time frame:
Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort. Maintenance Phase was started either 2 weeks or 3 weeks after induction phase depending on patient weight cohort
Reported as:
Mean · micrograms/mL
Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 20 - <30kg)
micrograms/mLEculizumab. Min and Max Blood Concentration
Min Concentration during induction period185.1 ± 19.5
Max concentration during induction period242.5 ± 24.5
Min concentration during maintenance337.6 ± 43.4
Max concentration during maintenance579.5 ± 66.5
SecondaryPharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 30 - <40kg) N=1
Time frame:
Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort. Maintenance Phase was started either 2 weeks or 3 weeks after induction phase depending on patient weight cohort
Reported as:
Mean · micrograms/mL
Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort 30 - <40kg) N=1
micrograms/mLEculizumab. Min and Max Blood Concentration
Min Concentration during induction period196.8
Max concentration during induction period282.2
Min concentration during MaintenanceNA ± NA
Max concentration during MaintenanceNA ± NA
SecondaryPharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort ≥40kg) N=5
Time frame:
Induction Phase was between 1 and 4 weeks in length depending on patient weight cohort. Maintenance Phase was started either 2 weeks or 3 weeks after induction phase depending on patient weight cohort
Reported as:
Mean · micrograms/mL
Pharmacokinetics (PK) and Pharmacodynamics (PD); Minimum and Maximum Blood Concentration (Body Weight Cohort ≥40kg) N=5
micrograms/mLEculizumab. Min and Max Blood Concentration
Min Concentration during induction period125.5 ± 26.3
Max concentration during induction period180.9 ± 42.6
Min concentration during maintenance278.4 ± 130.3
Max concentration during maintenance572.8 ± 267.7

Adverse events

Collected over Through end of study; exposure to eculizumab in this study extended for a median duration of 12.6 months and ranged from 1 dose to 24.5 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Eculizumab—13/22 (59.1%)20/22 (90.9%)
Most frequent serious events
Showing 10 of 29
Most frequent serious events
EventEculizumab
AnaemiaBlood and lymphatic system disorders2/22
PyrexiaGeneral disorders2/22
Gastroenteritis viralInfections and infestations2/22
Upper respiratory tract infectionInfections and infestations2/22
Viral upper respiratory tract infectionInfections and infestations2/22
HypertensionVascular disorders2/22
Bone marrow failureBlood and lymphatic system disorders1/22
Abdominal painGastrointestinal disorders1/22
Device malfunctionGeneral disorders1/22
Medical device complicationGeneral disorders1/22
Most frequent other events
Showing 10 of 120
Most frequent other events
EventEculizumab
PYREXIAGeneral disorders11/22
COUGHRespiratory, thoracic and mediastinal disorders9/22
DIARRHOEAGastrointestinal disorders8/22
ABDOMINAL PAINGastrointestinal disorders7/22
VOMITINGGastrointestinal disorders7/22
NASOPHARYNGITISInfections and infestations7/22
UPPER RESPIRATORY TRACT INFECTIONInfections and infestations7/22
RHINITISInfections and infestations5/22
HEADACHENervous system disorders5/22
URINARY TRACT INFECTIONInfections and infestations4/22

Baseline characteristics

The intent-to-treat (ITT) population was defined as all patients who received any amount of eculizumab, and were considered evaluable for safety and efficacy analyses. For both the efficacy and safety analyses, all 22 patients who were treated with study drug were included in the ITT population.

Age, Continuous
Age, Continuous(Years)Eculizumab
Mean6.6 ± 6.06
Sex: Female, Male
Sex: Female, Male(Participants)Eculizumab
Female10
Male12
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Eculizumab
American Indian or Alaska Native0
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American0
White18
More than one race0
Unknown or Not Reported2
08

Study locations

17 sites
  • Atlanta, Georgia 30322, United States
  • Hackensack, New Jersey 07601, United States
  • Corpus Christi, Texas 78411, United States
  • Spokane, Washington 99204, United States
  • North Adelaide, South Australia 5006, Australia
  • Gent, 9000, Belgium
  • Toronto, Ontario M5G1X8, Canada
  • Lille, 59800, France
  • Marseille, 13385, France
  • Paris, 75935, France
  • Rouen, 76000, France
  • Hannover, 30625, Germany
  • Milano, Italy
  • Palermo, 90134, Italy
  • Nijmegen, 6525, Netherlands
  • London, United Kingdom
  • Nottingham, United Kingdom
09

References and documents

Publications

  • Pugh D, O'Sullivan ED, Duthie FA, Masson P, Kavanagh D. Interventions for atypical haemolytic uraemic syndrome. Cochrane Database Syst Rev. 2021 Mar 23;3(3):CD012862. doi: 10.1002/14651858.CD012862.pub2. PubMed 33783815 ↗
  • Tschumi S, Gugger M, Bucher BS, Riedl M, Simonetti GD. Eculizumab in atypical hemolytic uremic syndrome: long-term clinical course and histological findings. Pediatr Nephrol. 2011 Nov;26(11):2085-8. doi: 10.1007/s00467-011-1989-4. Epub 2011 Aug 30. PubMed 21877169 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2010, a primary completion of Jan 2014 and a completion of Apr 2014. It does not say whether these dates are actual or estimated.

Results were first posted in Apr 2015, 1 year 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 31, 2010
First posted
Sep 1, 2010
Start
Sep 2010
Primary completionActual
Jan 2014
CompletionActual
Apr 2014
Results first posted
Apr 29, 2015
Last update
Apr 29, 2015
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 29, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01193348
Responsible party
Sponsor
First posted
Sep 1, 2010
Start date
Sep 2010
Primary completion
Jan 2014
Completion
Apr 2014
Results posted
Apr 29, 2015
Last update
Apr 29, 2015

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2015. You cannot join it, but the record below documents what was studied.

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Discussion

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Eculizumab

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