ClinicalTrials.gg
RecruitingNCT05795140Updated Jun 4, 2026

Evaluate Long-term Safety, Tolerability and Efficacy of Iptacopan in Study Participants With aHUS

A Phase 3 interventional study of Iptcaopan 200 mg in Atypical Hemolytic Uremic Syndrome, sponsored by Novartis Pharmaceuticals. Recruiting at 9 sites in 6 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2024; still recruiting 2 years 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
65
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
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Study summary

This is a multicenter, single arm, open-label, extension study to evaluate the long-term safety, tolerability, and efficacy of iptacopan in participants with aHUS.

Read the detailed description

The extension study Baseline/Day 1 visit is equivalent to the End of Treatment visit of the parent study. The study will begin on Day 1 followed by on-site visits every 4 months during the study treatment period. A Safety Follow Up tele-visit must be conducted 7 days after last study treatment to collect information on Adverse Events.

02

Conditions studied

  • Atypical Hemolytic Uremic Syndrome

Keywords

  • aHUS
  • iptacopan
  • atypical hemolytic uremic syndrome
  • thrombotic microangiopathy
  • TMA
  • dialysis
  • CKD
  • eGFR
  • PE/PI
  • Complement 3 Glomerulopathy (C3G)
  • IgAN
  • PNH
03

In context

Atypical Hemolytic Uremic Syndrome

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

This study's planned enrollment of 65 is above the median of 34 across 26 interventional studies indexed under Atypical Hemolytic Uremic Syndrome.

Browse Atypical Hemolytic Uremic Syndrome studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (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

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. Signed must be obtained prior to participation in the open label extension study
  2. Willing and able to comply with the study Schedule of Activities
  3. Participants who have completed the full study treatment period of any prior "Novartis sponsored" iptacopan Phase 3 clinical trial in aHUS (e.g. CLNP023F12301 , CLNP023F12302), are still on iptacopan study treatment and derive benefit from it as per Investigator's judgement
  4. Prior vaccinations against Neisseria meningitidis, Streptococcus pneumoniae and Haemophilus influenzae infections should be up to date (i.e., any boosters required should be administered according to local guidelines)

Exclusion criteria

Exclusion Criteria:

  1. Concomitant treatment with any complement inhibitor as well as concomitant treatment with any of the prohibited drugs
  2. Any comorbidity or medical condition (including but not limited to any active systemic bacterial, viral or fungal infection or ) that, in the opinion of the Investigator could put the participant at risk
  3. Active infection or history of recurrent invasive infections caused by encapsulated bacteria such as Neisseria meningitidis, Streptococcus pneumoniae or Haemophilus influenzae
  4. History of to iptacopan or its or to drugs of similar chemical classes
  5. Pregnant or nursing (lactating) women
  6. Women of , defined as all women physiologically capable of becoming pregnant, unless they are using effective methods of during dosing of drug and for 1 week after stopping of investigational drug.

Other protocol-defined inclusion/exclusion criteria may apply.

Terms in these criteria, in plain language(7)

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Iptacopan 200 mg

    Open label , single arm

    Drug: Iptcaopan 200 mg

Interventions

  • Open label, participant specific kits, hard gelatin capsules to be taken twice a day

    Also known as: LNP023

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events and serious adverse events

    Number of participants with adverse events and serious adverse events, including abnormal safety laboratory parameters, vital signs and ECGs

    Time frame: Throughout the study duration, up to 4 years

Secondary outcomes

  1. Number of participants with absence of TMA manifestation without the use of anti-C5 antibody

    Thrombotic microangiopathy (TMA) manifestation is defined by the coexistence of at least two of the following three criteria at the same visit attributable to aHUS: * thrombocytopenia (platelet count decrease of ≥ 25% compared to baseline and \< lower limit of normal (LLN)), * microangiopathic hemolytic anemia (hemoglobin ≤ LLN for age and gender and lactate dehydrogenase (LDH) ≥ 1.5 x upper limit of normal (ULN), * worsening kidney function (serum creatinine increase of ≥ 25% compared to baseline levels)

    Time frame: Throughout the study duration, up to 4 years

  2. Number of participants with complete TMA response status without the use of anti-C5 antibody therapy

    Complete thrombotic microangiopathy (TMA) Response is defined as (1) hematological normalization in platelet count (platelet count ≥150 x 109/L) and LDH (below ULN), and (2) improvement in kidney function (≥ 25% serum creatinine reduction from baseline or ≥ 25% serum creatinine reduction compared to serum creatinine values prior to initiation of anti-C5 antibody therapy)

    Time frame: Throughout the study duration, up to 4 years

  3. Estimated glomerular filtration rate (eGFR)

    Estimated glomerular filtration rate (eGFR) based on eGFR categories will be collected. Serum creatinine as measured in mg/dL as part of the clinical chemistry panel through the central laboratory will be used to calculate the eGFR applying the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula.

    Time frame: Throughout study duration, up to 4 years

  4. Chronic kidney disease (CKD) stage

    Chronic kidney disease (CKD) stage (1-5) based on eGFR categories will be provided: * Stage 1 (G1): Kidney damage with normal kidney function * Stage 2 (G2): Mild loss of kidney function * Stage 3 (G3): 3a: Mild to moderate loss of kidney function; 3b: Moderate to severe loss of kidney function * Stage 4 (G4): Severe loss of kidney function * Stage 5 End stage renal disease (kidney failure): Kidney failure and need for transplant or dialysis

    Time frame: Throughout study duration, up to 4 years

  5. Number of participants by dialysis requirement status

    Dialysis requirement status will be provided

    Time frame: Throughout the study duration, up to 4 years

  6. Number of participants with Thrombotic Microangiopathy (TMA) related adverse events

    TMA related events during the study is defined as any one of the following: * Irreversible (\>3 months) reduction in eGFR rate by ≥20%, not attributable to another cause * An episode of acute kidney injury (AKI) attributed to a TMA that requires renal replacement therapy * A non-renal manifestation of a TMA that requires hospitalization, or causes irreversible organ damage or death.

    Time frame: Throughout study duration, up to 4 years

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Study locations

7 of 9 sites recruiting
  • Novartis Investigative Site
    São Paulo, São Paulo 05403 000, Brazil
    Active, not recruiting

    Not enrolling at this site.

  • Novartis Investigative Site
    Rio de Janeiro, 22270-060, Brazil
    Recruiting
  • Novartis Investigative Site
    Beijing, 100034, China
    Recruiting
  • Novartis Investigative Site
    Ostrava, Poruba 708 52, Czechia
    Recruiting
  • Novartis Investigative Site
    Nagpur, Maharashtra 440015, India
    Active, not recruiting

    Not enrolling at this site.

  • Novartis Investigative Site
    Pune, Maharashtra 411011, India
    Recruiting
  • Novartis Investigative Site
    Iruma-gun, Saitama 3500495, Japan
    Recruiting
  • Novartis Investigative Site
    Ankara, Yenimahalle 06500, Turkey (Türkiye)
    Recruiting
  • Novartis Investigative Site
    Mersin, Yenisehir 33110, Turkey (Türkiye)
    Recruiting
08

References and documents

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

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05795140
Responsible party
Sponsor
First posted
Apr 3, 2023
Start date
May 8, 2024
Primary completion
Jul 16, 2032 (estimated)
Completion
Jul 27, 2032 (estimated)
Last update
Jun 4, 2026

Study contacts

Novartis Pharmaceuticals
Contact
novartis.email@novartis.com
+41613241111
Novartis Pharmaceuticals
Contact
+81337978748
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 ↗

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