ClinicalTrials.gg
AvailableNCT05982938Updated Jun 4, 2026

Danicopan Early Access Program

An expanded access record providing Danicopan in Paroxysmal Nocturnal Hemoglobinuria, PNH and Extravascular Hemolysis, sponsored by Alexion Pharmaceuticals, Inc.. Available at 15 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-04.

Sponsored by Alexion Pharmaceuticals, Inc. (part of AstraZeneca) · Expanded access

Study type
Expanded access
Access type
Treatment IND/protocol
Ages
18 Years and older
Sex
All
01

Study summary

This is an EAP, designed to provide early access to danicopan for participants with PNH experiencing clinically significant EVH who have failed, not tolerated, or are unable to receive other approved treatments; in the Treating Physician's opinion, the participant is not eligible for or is not able to participate in an ongoing clinical trial of danicopan or a comparable treatment; and according to the Treating Physician, the benefit of danicopan treatment outweighs the potential risks.

02

Conditions studied

  • Paroxysmal Nocturnal Hemoglobinuria
  • PNH
  • Extravascular Hemolysis

Keywords

  • paroxysmal nocturnal hemoglobinuria
  • PNH
  • component 5 inhibitors
  • C5i
  • intravascular hemolysis
  • IVH
  • anemia
  • EVH
  • extravascular hemolysis
03

In context

Hemoglobinuria, Paroxysmal

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

Browse Hemoglobinuria, Paroxysmal studies →

Lead sponsor

Alexion Pharmaceuticals, Inc. is the lead sponsor of 255 studies on the registry; 23 are open to participants now.

Of its 101 completed or terminated interventional studies of FDA-regulated products, 75 (74%) have results posted.

First submitted after Alexion Pharmaceuticals, Inc. became part of AstraZeneca.

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

Eligibility criteria

Key Inclusion Criteria

  • Male or female, aged 18 years and older
  • Diagnosed with PNH with EVH as defined by anemia ( ≤ 9.5 g/dL) with absolute reticulocyte count ≥ 120 × 109/L.
  • Currently receiving treatment with SOLIRIS® or ULTOMIRIS® for at least 6 months prior to initiation of danicopan treatment.
  • count ≥ 30,000/µL without the need for platelet transfusions.
  • ≥ 500/µL.
  • Vaccinated against N meningitidis.

Key Exclusion Criteria

  • Participants who are nursing or pregnant (or women who are planning to become pregnant during treatment with danicopan).
  • Laboratory abnormalities at screening, as follows:
  • (ALT) > 2 × (ULN)
  • Direct > 2 × ULN, with the exception of:

    • participants with increased bilirubin due to EVH in the opinion of the Treating Physician or
    • participants with documented Gilbert's syndrome
  • Active bacterial or viral infection, a body temperature > 38°C on 2 consecutive daily measures, evidence of other infection, or history of any febrile illness within 14 days prior to initiating danicopan treatment.
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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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).

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Access details

Study type
Expanded access
Access type
Treatment IND/protocol

Available treatment

  • Participants will receive 150 mg danicopan three times per day (TID) orally as an add-on to a background C5i therapy (SOLIRIS® or ULTOMIRIS®). Participants may be dose-escalated to 200 mg TID based on safety and clinical effect.

    Also known as: ALXN2040

06

Where to request access

15 of 15 sites recruiting
  • Research Site
    Bologna, 40138, Italy
    Available
  • Research Site
    Cagliari, 09121, Italy
    Available
  • Research Site
    Catania, 95123, Italy
    Available
  • Research Site
    Civitanova Marche, 62012, Italy
    Available
  • Research Site
    Cremona, 26100, Italy
    Available
  • Research Site
    Cuneo, 12100, Italy
    Available
  • Research Site
    Frosinone, 03100, Italy
    Available
  • Research Site
    Novara, 28100, Italy
    Available
  • Research Site
    Palermo, 90146, Italy
    Available
  • Research Site
    Pescara, 65100, Italy
    Available
  • Research Site
    Ravenna, 48121, Italy
    Available
  • Research Site
    Reggio Calabria, 89100, Italy
    Available
  • Research Site
    Roma, 00161, Italy
    Available
  • Research Site
    Roma, 00168, Italy
    Available
  • Research Site
    Torino, 10126, Italy
    Available
07

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 ↗
08

Registry details

Key details

Study ID
NCT05982938
Responsible party
Sponsor
First posted
Aug 9, 2023
Last update
Jun 4, 2026

Study contacts

Alexion Pharmaceuticals, Inc. (Sponsor)
Contact
clinicaltrials@alexion.com
1-855-752-2356
View the source record on ClinicalTrials.gov ↗

Requesting access

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