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RecruitingNCT04901936Updated Jun 26, 2026

A Study of Pegcetacoplan in Pediatric Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)

A Phase 2 interventional study of Pegcetacoplan in Paroxysmal Nocturnal Hemoglobinuria (PNH) and Paroxysmal Hemoglobinuria, sponsored by Apellis Pharmaceuticals, Inc.. Recruiting at 12 sites in 9 countries. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-06-26.

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

From the registry’s dates

  • Started Feb 2021; still recruiting 5 years 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
12 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, effectiveness, and biological activity (how the investigational medication is processed by the body) of pegcetacoplan in 12-17 year-olds (adolescents) who have paroxysmal nocturnal hemoglobinuria (PNH).

Read the detailed description

This is an open-label study to evaluate pegcetacoplan in people with PNH who are 12-17 years old. The study will consist of a 4-week screening period followed by a 16-week treatment period. Participants switching from a C5 inhibitor will have an additional 4 week run-in period between the screening and treatment periods. At the completion of the study treatment period, participants will either enter a long-term extension period or a 2-month follow-up period.

All eligible study participants will receive pegcetacoplan, administered via subcutaneous infusion twice a week at home. The subcutaneous infusion requires two small needles to be inserted into the fatty layer of tissue under the skin and the investigational medication will flow into the body. Study participants and/or caregivers will be trained on home administration of pegcetacoplan.

02

Conditions studied

  • Paroxysmal Nocturnal Hemoglobinuria (PNH)
  • Paroxysmal Hemoglobinuria

Keywords

  • Paroxysmal Nocturnal Hemoglobinuria
  • PNH
  • Pediatric
  • Adolescent
  • Apellis
  • Anemia, Hemolytic
  • Pegcetacoplan
  • APL-2
03

In context

Hemoglobinuria, Paroxysmal

191 studies on the registry are indexed under Hemoglobinuria, Paroxysmal; 49 are open to participants now.

This study's planned enrollment of 12 is below the median of 33 across 150 interventional studies indexed under Hemoglobinuria, Paroxysmal.

Browse Hemoglobinuria, Paroxysmal studies →

Lead sponsor

Apellis Pharmaceuticals, Inc. is the lead sponsor of 28 studies on the registry; 3 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 16 (89%) have results posted.

First submitted before Apellis Pharmaceuticals, Inc. became part of Biogen.

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

04

Who can participate

Ages eligible
12 Years to 17 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

  • Are 12-17 years old at the time of screening
  • Weigh at least 20 kg (approx. 44 lbs)
  • Have the diagnosis of PNH, confirmed by high-sensitivity flow cytometry (granulocyte or monocyte clone >10%)
  • EITHER:

    • Not being treated with an approved complement inhibitor (eculizumab or ravulizumab) prior to start of pegcetacoplan dosing, AND have hemolytic anemia. Hemolytic anemia is defined as (Hb) less than the lower limit of normal (Hb \< LLN) and LDH >1.5 times the (ULN); OR
    • Currently receiving treatment with an approved complement inhibitor (eculizumab or ravulizumab) AND have evidence of ongoing anemia. Ongoing anemia is defined as Hb \< LLN and ARC > ULN
  • Have a count >75,000/mm3 and an >1000/mm3

Exclusion criteria

Exclusion Criteria:

  • Are an adult, 18 years of age or older, with PNH
  • Known or suspected hereditary fructose intolerance (HFI)
  • History of hereditary complement deficiency, bone marrow transplant, or meningococcal disease (meningitis, bacteremia or septicemia)
  • Females who are pregnant or breastfeeding
Terms in these criteria, in plain language(4)

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.

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).

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.

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Pegcetacoplan

    Drug: Pegcetacoplan

Interventions

06

What researchers measure

Primary outcomes

  1. Pegcetacoplan serum concentrations over the course of the 16-week treatment period

    Time frame: 16 weeks

  2. Change from baseline to Wk 16 in hemoglobin (Hb)

    Time frame: 16 weeks

  3. Incidence and severity of treatment-emergent adverse events (TEAEs) over the course of the 16-week treatment period, including monitoring bacterial infections

    Time frame: 16 weeks

  4. Change from baseline to wk 16 lactate dehydrogenase (LDH)

    Time frame: 16 weeks

  5. Change from baseline to wk 16 absolute reticulocyte count (ARC)

    Time frame: 16 weeks

Secondary outcomes

  1. Change from baseline from week 16 to week 52 of C3 deposition on RBC cells

    Time frame: Week 16-52

  2. Incidence of thromboembolic events (major adverse vascular events [MAVE]) over the course of the 16-week treatment period and over 52 weeks of treatment with pegcetacoplan

    Time frame: 52 weeks

  3. Occurrence of breakthrough hemolysis over 16 and 52 weeks of treatment with pegcetacoplan

    Time frame: Week 16-52

  4. Change from baseline to Week 52, and from Week 16 to Week 52 , in Hb

    Time frame: Week 16-52

  5. Change from baseline to Week 16 and to Week 52 in Health-Related Quality of Life (HRQOL) assessments

    Time frame: Week 16-52

  6. Number of packed red blood cell (PRBC) units

    Time frame: Week 16-52

  7. Total units (mL/kg) transfused over 16 and 52 weeks of treatment with pegcetacoplan

    Time frame: Week 16-52

  8. Change from baseline to Week 52, and from Week 16 to Week 52, in LDH

    Time frame: Week 16-52

  9. Change from baseline to Week 52, and from Week 16 to Week 52 ARC

    Time frame: Week 16-52

07

Study locations

7 of 12 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2021 (actual). Primary completion is estimated for Dec 2028, 94 months after the start.

Of 26 industry-sponsored phase 2 interventional studies under Hemoglobinuria, Paroxysmal, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 25. This study's planned 94 months is above that.

Counting every sponsor, half of 34 studies reached it within 24 months; a quarter within 12 and three quarters within 80.

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

Registered
Mar 8, 2021
First posted
May 26, 2021
StartActual
Feb 4, 2021
Primary completionEst.
Dec 2028
CompletionEst.
Dec 2028
Last update
Jun 26, 2026
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 Jun 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04901936
Responsible party
Sponsor
First posted
May 26, 2021
Start date
Feb 4, 2021
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Jun 26, 2026

Study contacts

Apellis Clinical Trial Information Line
Contact
clinicaltrials@apellis.com
1-833-284-6361 (833-CT Info-1)

Oversight

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

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