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Active, not recruitingNCT04747613Updated Aug 7, 2026

Long-term Safety and Tolerability of Iptacopan in Patients With Paroxysmal Nocturnal Hemoglobinuria

A Phase 3 interventional study of Iptacopan in Paroxysmal Nocturnal Hemoglobinuria, sponsored by Novartis Pharmaceuticals. Active, not recruiting at 60 sites in 17 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-08-07.

Sponsored by Novartis Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
208
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
01

Study summary

This study is an open-label, single arm, multicenter, roll-over extension study to characterize long-term safety, tolerability and efficacy of iptacopan and to provide access to iptacopan to patients with PNH who have completed Novartis-sponsored Phase 2 or 3 studies with iptacopan

Read the detailed description

The purpose of this phase 3 open-label, single arm, multicenter study is to evaluate the long-term safety, tolerability and efficacy of iptacopan in patients with PNH and to provide access to patients who have completed (without tapering down) Phase 2 and Phase 3 trials and derived benefit from iptacopan treatment.

02

Conditions studied

  • Paroxysmal Nocturnal Hemoglobinuria

Keywords

  • Iptacopan
  • Paroxysmal Nocturnal Hemoglobinuria (PNH)
  • Hemoglobin
  • Anemia
  • LNP023
03

In context

Hemoglobinuria, Paroxysmal

188 studies on the registry are indexed under Hemoglobinuria, Paroxysmal; 48 are open to participants now.

This study's enrollment of 208 is above the median of 34 across 147 interventional studies indexed under Hemoglobinuria, Paroxysmal.

Browse Hemoglobinuria, Paroxysmal studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female participants ≥ 18 years of age with a diagnosis of PNH who have completed the treatment extension period (without tapering down) of Phase II iptacopan studies (CLNP023X2204, CLNP023X2201), Period 4 of LFG316X2201 or Phase III (CLNP023C12302 and CLNP023C12301) clinical studies at the time point of enrollment visit in this roll over extension.
  • Prior vaccinations against Neisseria meningitidis, Streptococcus pneumoniae and Haemophilus influenzae infections
  • Per investigator's clinical judgement benefit from continued treatment with iptacopan and has been clinically stable on iptacopan monotherapy for at least 3 months

Exclusion criteria

Exclusion Criteria:

  • Any comorbidity or medical condition (including but not limited to any active systemic bacterial, viral or fungal infection or malignancy) that, in the opinion of the investigator, could put the subject at increased risk or potentially confound study data.
  • History of recurrent invasive infections caused by encapsulated organisms, such as Neisseria meningitidis, Streptococcus pneumoniae or Haemophilus influenzae
  • History of hematopoietic stem cell transplantation

Other protocol-defined inclusion/exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
208 participants (actual)

Study arms

  • Experimental
    Iptacopan

    Participants will be receiving open label oral iptacopan 200 mg b.i.d monotherapy

    Drug: Iptacopan

Interventions

  • DrugIptacopan

    Taken orally b.i.d. Dosage supplied: 200 mg Dosage form: hard gelatin capsule Route of administration: oral

    Also known as: LNP023

06

What researchers measure

Primary outcomes

  1. Proportion of participants with adverse events

    Safety evaluations including but not limited to adverse events/serious adverse events, safety laboratory parameters, vital signs, etc. through End of Study visit

    Time frame: Up to 74 months

Secondary outcomes

  1. Proportion of participants achieving sustained hemoglobin levels ≥ 12 g/dL in the absence of red blood cell transfusions

    Proportion of participants achieving sustained hemoglobin levels ≥ 12 g/dL in the absence of red blood cell transfusions evaluated over yearly intervals

    Time frame: Up to 74 months

  2. Proportion of participants who remain free from transfusions

    Proportion of participants who remain free from transfusions evaluated over yearly intervals

    Time frame: Up to 74 months

  3. Rate of breakthrough hemolysis (BTH)

    Rate of breakthrough hemolysis (BTH)

    Time frame: Up to 74 months

  4. Proportion of participants with Major Adverse Vascular Events MAVEs

    MAVEs (incl. thrombosis) evaluated over yearly intervals

    Time frame: Up to 74 months

07

Study locations

60 sites
  • City Of Hope National Med Center
    Duarte, California 91010, United States
  • City Of Hope
    Duarte, California 91010, United States
  • USC Norris Cancer Center
    Los Angeles, California 90033, United States
  • Univ Cali Irvine ALS Neuromuscular
    Orange, California 92868, United States
  • Univ of California Irvine (Chao Family Comprehensive Cancer Center)
    Orange, California 92868, United States
  • Lakes Research
    Miami Lakes, Florida 33014, United States
  • Augusta University Georgia
    Augusta, Georgia 30912, United States
  • Augusta University
    Augusta, Georgia 30912, United States
  • Montefiore Medical Center
    The Bronx, New York 10461, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Prisma Health Upstate
    Greenville, South Carolina 29615, United States
  • Novartis Investigative Site
    Santo André, São Paulo 09090-790, Brazil
  • Novartis Investigative Site
    São Paulo, São Paulo 01323-900, Brazil
  • Novartis Investigative Site
    Beijing, 100730, China
  • Novartis Investigative Site
    Tianjin, 300020, China
  • Novartis Investigative Site
    Tianjin, 300052, China
  • Novartis Investigative Site
    Ostrava, Poruba 708 52, Czechia
  • Novartis Investigative Site
    Brno, 625 00, Czechia
  • Novartis Investigative Site
    Lille, 59037, France
  • Novartis Investigative Site
    Nantes, 44093, France
  • Novartis Investigative Site
    Nice, 06202, France
  • Novartis Investigative Site
    Paris, 75475, France
  • Novartis Investigative Site
    Toulouse, 31059, France
  • Novartis Investigative Site
    Dresden, Saxony 01307, Germany
  • Novartis Investigative Site
    Aachen, 52074, Germany
  • Novartis Investigative Site
    Essen, 45147, Germany
  • Novartis Investigative Site
    Hamburg, 20246, Germany
  • Novartis Investigative Site
    Riesa, 01589, Germany
  • Novartis Investigative Site
    Ulm, 89081, Germany
  • Novartis Investigative Site
    Ascoli Piceno, AP 63100, Italy
  • Novartis Investigative Site
    Avellino, AV 83100, Italy
  • Novartis Investigative Site
    Florence, FI 50134, Italy
  • Novartis Investigative Site
    Milan, MI 20122, Italy
  • Novartis Investigative Site
    Roma, RM 00161, Italy
  • Novartis Investigative Site
    Torino, TO 10126, Italy
  • Novartis Investigative Site
    Bassano del Grappa, VI 36061, Italy
  • Novartis Investigative Site
    Nagoya, Aichi-ken 453-8511, Japan
  • Novartis Investigative Site
    Isehara, Kanagawa 259-1193, Japan
  • Novartis Investigative Site
    Suwa, Nagano 392-8510, Japan
  • Novartis Investigative Site
    Suita, Osaka 5650871, Japan
  • Novartis Investigative Site
    Shinjuku Ku, Tokyo 160-0023, Japan
  • Novartis Investigative Site
    Fukushima, 9601295, Japan
  • Novartis Investigative Site
    Ishikawa, 9208641, Japan
  • Novartis Investigative Site
    Kyoto, 6068507, Japan
  • Novartis Investigative Site
    Niigata, 9518520, Japan
  • Novartis Investigative Site
    Vilnius, LT-08406, Lithuania
  • Novartis Investigative Site
    Kota Kinabalu, Sabah 88586, Malaysia
  • Novartis Investigative Site
    Kuching, Sarawak 93586, Malaysia
  • Novartis Investigative Site
    Nijmegen, 6525 GA, Netherlands
  • Novartis Investigative Site
    Singapore, 119074, Singapore
  • Novartis Investigative Site
    Seoul, Seoul 03080, South Korea
  • Novartis Investigative Site
    Seoul, Seoul 06351, South Korea
  • Novartis Investigative Site
    Santiago Compostela, A Coruna 15706, Spain
  • Novartis Investigative Site
    Donostia / San Sebastian, Gipuzkoa 20014, Spain
  • Novartis Investigative Site
    Barcelona, 08036, Spain
  • Novartis Investigative Site
    Hualien City, 970, Taiwan
  • Novartis Investigative Site
    Taipei, 10002, Taiwan
  • Novartis Investigative Site
    Istanbul, Fatih 34093, Turkey (Türkiye)
  • Novartis Investigative Site
    Leeds, West Yorkshire LS9 7TF, United Kingdom
  • Novartis Investigative Site
    London, SE5 9RS, United Kingdom
08

References and documents

Publications

  • DeCastro C, Sheinberg P, Han B, Vallow S, Bermann G, Dhalke M, Kumar R, Dickie G, Galipeau N, Lamoureux R, Rupinski K, Lowe C, Nieves A, de Fontbrune FS, de Latour RP. Patient-Reported Meaningful Change in Symptoms and Impacts of Paroxysmal Nocturnal Hemoglobinuria (PNH) in Three Phase III Clinical Trials of Iptacopan. Patient. 2025 Nov;18(6):699-712. doi: 10.1007/s40271-025-00755-5. Epub 2025 Jul 22. PubMed 40694294 ↗

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04747613
Lead sponsor
Novartis Pharmaceuticals
Responsible party
Sponsor
First posted
Feb 10, 2021
Start date
Jul 27, 2021
Primary completion
Oct 18, 2027 (estimated)
Completion
Oct 18, 2027 (estimated)
Last update
Aug 7, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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