ClinicalTrials.gg
Not yet recruitingNCT05646524Updated Mar 11, 2025

Study of Efficacy and Safety of NM8074 in Adult PNH Patients Who Are Naive to Complement Inhibitor Therapy

A Phase 2 interventional study of NM8074 in Paroxysmal Nocturnal Hemoglobinuria, sponsored by NovelMed Therapeutics. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-11.

Sponsored by NovelMed Therapeutics · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase II, open-label study designed to evaluate the safety, efficacy, and immunogenicity of NM8074 administered intravenously to adult patients with Paroxysmal Nocturnal Hemoglobinuria (PNH).

Read the detailed description

The proposed study will enroll a planned number of 12 treatment naïve PNH patients with amaximum of 18 PNH patients who have been diagnosed with hemolytic anemia and meet the inclusion criteria. There will be 2 cohorts with 6 to 9 patients each. Patients in Cohort 1 will be administered NM8074 at 20 mg/kg intravenously (IV) every 2 weeks over the treatment period. Cohort 2 patients will be administered a dose of 10 mg/kg NM8074 weekly for 4 weeks followed by a 20 mg/kg dose of NM8074 administered via IV every 2 weeks for the remainder of the treatment period. This study will determine if NM8074 will provide the desired inhibition of the alternative pathway (AP).

02

Conditions studied

  • Paroxysmal Nocturnal Hemoglobinuria
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

NovelMed Therapeutics is the lead sponsor of 9 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  • Patients ≥ 18 years (males and females), weight ≥ 45 kg at the time of consent
  • Confirmation of PNH diagnosis by flow cytometry evaluation of white blood cells (WBCs), with neutrophil, granulocyte and/or monocyte clone size of ≥10%
  • Evidence of ongoing hemolysis
  • ≥1 packed red blood cell (pRBC) transfusion within 12 months prior to screening
  • Anemia ( ≤10.5 g/dL)
  • Lactate dehydrogenase (LDH) level ≥ 1.5 times the (xULN) during Screening
  • All patients must be vaccinated prior to dosing with MenACWY Menactra® polysaccharide diphtheria toxoid conjugate vaccination against Neisseria meningitidis serogroups A, C, Y, and W-135 and MenB meningococcal serogroup B vaccine (Bexsero®). If the window of vaccination is short, then patients will be prophylactically treated with appropriate antibiotics
  • Willing and able to understand and complete procedures, including signing and dating the informed consent form (ICF), and comply with the study visit schedule

Exclusion criteria

Exclusion Criteria:

  • History of bone marrow, hematopoietic stem cell, or solid organ transplantation
  • History of splenectomy
  • Participation in any other drug trial within 5 elimination half-lives of enrollment, or within 30 days, whichever is longer
  • Subjects currently or previously under other complement inhibitor treatments less than 3 months prior to study Day 1
  • Participants with known or suspected hereditary or acquired complement deficiency
  • History of currently active primary or secondary immunodeficiency
  • Currently active systemic infection or suspicion of active bacterial, viral, or fungal infection within 2 weeks prior to first dose, or history of unexplained, recurrent bacterial infections
  • Has a known history of meningococcal disease or N. meningitidis infection
  • Patients on agents or systemic less than 8 weeks prior to dosing
  • Known medical or psychological condition(s) or risk factor that, in the opinion of the Investigator, might interfere with the patient's full participation in the study, pose any additional risk for the patient, or confound the assessment of the patient or outcome of the study
  • Severe concurrent co-morbidities not amenable to active treatment, e.g., patients with severe kidney disease (chronic kidney disease (CKD) stage 4, dialysis)
  • Subjects currently or previously under other complement inhibitor treatments less than 3 months prior to study Day 1
  • Pregnant, planning to become pregnant, or nursing female subjects. Female partners of (WOCBP), defined as all women physiologically capable of becoming pregnant, must have a negative pregnancy test at screening and must agree to use highly effective methods of during dosing and for 1 week after stopping the investigational drug
  • Females who have a positive pregnancy test result at Screening or on Day 1
  • Male patients and partners of child-bearing potential must agree to use contraceptives and male patients must agree to refrain from donating sperm for the duration of the study
Terms in these criteria, in plain language(8)

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.

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.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Cohort 1

    6 subjects will receive an intravenous (IV) infusion of NM8074 at 20 mg/kg every two weeks.

    Drug: NM8074

  • Experimental
    Cohort 2

    6 subjects will receive an intravenous (IV) infusion of NM8074 at 10 mg/kg weekly for four weeks followed by a 20 mg/kg dose of NM8074 every two weeks for the remainder of the treatment period.

    Drug: NM8074

Interventions

  • DrugNM8074

    NM8074 will be administered as an intravenous infusion. Doses will be administered over a treatment period of 13 weeks.

06

What researchers measure

Primary outcomes

  1. Monitoring of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Adverse events will be graded according to the CTCAE v4.03. If the AE term is not described in the grading scales, the AE severity shall be reported according to the following: Grade I: Mild (awareness of sign or symptom, but easily tolerated) Grade II: Moderate (discomfort sufficient to cause interference with normal activities) Grade III: Severe (incapacitating, with inability to perform normal activities) Grade IV: Life threatening Grade V: Fatal

    Time frame: Up to Study Day 105

  2. Number of Participants with Antidrug Antibodies (ADAs) to NM8074

    Time frame: Up to Study Day 105

  3. Change from Baseline or Percent Change from Baseline in Hemoglobin (Hgb) Levels

    Time frame: Up to Study Day 105

  4. Change from Baseline or Percent Change from Baseline in Lactate Dehydrogenase (LDH) Levels

    Time frame: Up to Study Day 105

  5. Change from Baseline or Percent Change from Baseline in Number of Packed Red Blood Cell (pRBC) Transfusions

    Time frame: Up to Study Day 105

  6. Percent Change from Baseline in Levels of Membrane Attack Complex (MAC) via Alternative Pathway (AP) of Complement Activity as Compared to Percent Change from Baseline in Levels of MAC via Classical Pathway (CP) of Complement Activity

    Time frame: Up to Study Day 105

  7. Percent Change from Baseline in Levels of Complement Component C3b via Alternative Pathway (AP) of Complement Activity as Compared to Percent Change from Baseline in Levels of C3b via Classical Pathway (CP) of Complement Activity

    Time frame: Up to Study Day 105

Secondary outcomes

  1. Change from Baseline or Percent Change from Baseline in Reticulocyte Count

    Time frame: Up to Study Day 105

  2. Change from Baseline or Percent Change from Baseline in Bilirubin Levels

    Time frame: Up to Study Day 105

  3. Change from Baseline or Percent Change from Baseline in Quality of Life (QoL) Survey Assessed via the Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale, Version 4.

    The FACIT-fatigue scale is a 13-item patient-reported measure of fatigue with a 7-day recall period. Items are scored on a 0 - 4 response scale ranging from "Not at all" to "Very much so". All items are summed to create a single fatigue score with a range from 0 to 52 with a better quality of life indicated by a higher score.

    Time frame: Up to Study Day 105

  4. Change from Baseline or Percent Change from Baseline in Quality of Life (QoL) Survey Assessed via the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 Scale (QLQ- C30), Version 3.0.

    All EORTC QLQ-C30 scales and single-item measures range from 0 to 100. This includes 3 symptom scales (fatigue, pain, nausea and vomiting), 5 functional scales (physical, role, cognitive, emotional, and social), single-item questions addressing symptoms like insomnia, dyspnea, loss of appetite, and others that are commonly reported by cancer patients, and the perceived financial impact of the disease. A higher score is associated with a greater quality of life for global health status.

    Time frame: Up to Study Day 105

  5. Changes in plasma concentration of NM8074

    Time frame: Up to Study Day 105

  6. Maximum plasma concentration (Cmax)

    Time frame: Up to Study Day 105

  7. Time corresponding to Cmax (tmax)

    Time frame: Up to Study Day 105

  8. Area Under the Drug Concentration-Time Curves (AUC0-t)

    Time frame: Up to Study Day 105

Other outcomes

  1. Change from Baseline or Percent Change from Baseline in Complement Component Factor B Levels

    Time frame: Up to Study Day 105

  2. Change from Baseline or Percent Change from Baseline in Haptoglobin Levels

    Time frame: Up to Study Day 105

  3. Change from Baseline or Percent Change from Baseline in Platelet Count

    Time frame: Up to Study Day 105

  4. Change from Baseline or Percent Change from Baseline in PNH Cell Clone Size

    Clone size will be measured via fluorescein-labeled proaerolysin (FLAER) staining of WBCs (granulocytes and monocytes)

    Time frame: Up to Study Day 105

  5. Change from Baseline or Percent Change from Baseline in C3b Deposition on PNH Cells

    Loading of C3b on erythrocytes will be evaluated using flow cytometry

    Time frame: Up to Study Day 105

  6. Change from Baseline or Percent Change from Baseline in Levels of Membrane Attack Complex (MAC) via Classical Pathway (CP) of Complement Activity

    Time frame: Up to Study Day 105

  7. Change from Baseline or Percent Change from Baseline in Levels of Complement Component C3b via Classical Pathway (CP) of Complement Activity

    Time frame: Up to Study Day 105

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Start is estimated for Apr 2026; primary completion for Aug 2027, 16 months later.

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 16 months is close to 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
Nov 30, 2022
First posted
Dec 12, 2022
StartEst.
Apr 2026
Primary completionEst.
Aug 2027
CompletionEst.
Sep 2028
Last update
Mar 11, 2025
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 Mar 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05646524
Lead sponsor
NovelMed Therapeutics
Responsible party
Sponsor
First posted
Dec 12, 2022
Start date
Apr 2026 (estimated)
Primary completion
Aug 2027 (estimated)
Completion
Sep 2028 (estimated)
Last update
Mar 11, 2025

Study contacts

Rekha Bansal
Contact
clinicalsae@novelmed.com
216-440-2696

Oversight

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

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This study is not yet recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Ruxoprubart

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