ClinicalTrials.gg
RecruitingNCT06978699XH-S003-II-101Updated May 18, 2025

A Phase II Study Evaluating the Efficacy and Safety of XH-S003 Capsules in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)

A Phase 2 interventional study of XH-S003 Capsule in PNH - Paroxysmal Nocturnal Hemoglobinuria, sponsored by S-INFINITY Pharmaceuticals Co., Ltd. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-18.

Sponsored by S-INFINITY Pharmaceuticals Co., Ltd · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2025, 1 year 2 months ago, but the record still lists the study as recruiting.
  • Started Apr 2025; still recruiting 1 year 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 51 studies in Hemoglobinuria, Paroxysmal with a site in China — 21 open to participants now, 29 under way, 11 of them phase 3. Hemoglobinuria, Paroxysmal · China.

Planned enrollment
35th of 47
24 · median 40
Started
2025
with 11 others
Phase 2
13 of 51
4 open now
Primary completion
2025-08
later than 5 of 28 live
Registered
35th of 51
by date

Among the 51 studies in Hemoglobinuria, Paroxysmal with a site in China, this one is the 35th largest by planned enrollment of the 47 interventional ones, is one of 12 that started in 2025, is one of 13 in phase 2, reaches primary completion later than 5 of the 28 other live ones, and was the 35th registered.

By phase

51 studies; the count open now beside each. This study's row is marked.

Phase 317 · 7 open
Phase 113 · 5 open
Phase 2this study13 · 4 open
Observational4 · 2 open
No phase1 · 1 open
Phase 1/21 · 1 open
Phase 2/31 · 1 open
Phase 41 · 0 open

By the year they started

First in 2012; this study’s year is marked. 12 started in 2025.

Size and results

Median enrollment 40 across the 47 interventional studies, 402 across the 4 observational. Of the 19 that completed or were terminated, 3 (16%) have results posted.

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02

Study summary

This is a multicenter, randomized, single-blind Phase II trial to evaluate the efficacy and safety of XH-S003 capsules in PNH patients. About 24 PNH patients will be enrolled and randomized to three dose levels and take XH-S003 capsules orally

03

Conditions studied

  • PNH - Paroxysmal Nocturnal Hemoglobinuria

Keywords

  • Paroxysmal Nocturnal Hemoglobinuria
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

  • Male or female with aged ≥18 years old;
  • Weight ≥40 kg and ≥18 kg/m2 ;
  • Diagnosed with PNH: with red blood cell or granulocyte clone levels >10% detected by flow cytopy within 6 months prior to screening or during screening;
  • Patients who have not previously received any complement inhibitor therayp;
  • LDH > 1.5× detected two times during the screening period (interval of 2 to 8 weeks);
  • meets one of the following conditions: (1) Hb \<100 g/L at the first screening visit, and subjects receive RBC transfusion because of PNH-related anemia during the screening period; (2) The average Hb of two tests during the screening period \<100 g/L (interval of 2\~8 weeks);
  • Vaccination against Neisseria meningitidis and Streptococcus pneumoniae before the first administration. If the subject has not been vaccinated previously or requires booster vaccination (according to local vaccination policies), vaccination must be administered at least 2 weeks before the first administration. If the first administration must begin less than 2 weeks after vaccination, preventive antibiotic treatment must begin at least 2 weeks after vaccination;

Exclusion criteria

Exclusion Criteria:

  • Subjects with laboratory evidence of bone marrow failure during the screening period (reticulocyte count \<100×109/L, count \<30×109/L, or \<0.5×109/L);
  • Subjects receiving other therapies prior to screening who have not achieved the following treatment durations:

    • Erythropoietin or for at least 8 weeks; • Systemic for at least 4 weeks; • Iron supplements, vitamin B12, or folic acid for at least 4 weeks; • Anticoagulants: Vitamin K antagonists for at least 4 weeks with stable (INR) (as determined by the investigator), low molecular weight heparin for at least 4 weeks; • Hypoxic-inducing factor prolyl hydroxylase inhibitors (HIF-PHI) for at least 8 weeks; • Androgens for at least 4 weeks;
  • A history of bone marrow/hematopoietic stem cell or solid organ transplantation;
  • (ALT), γ-glutamyl transpeptidase (GGT), or alkaline phosphatase (ALP) >3× at screening; - Positive antibody, active syphilis infection, positive , active infection, or active tuberculosis infection at screening;
  • Known or suspected immunodeficiency diseases or hereditary complement deficiency at screening;
  • A history of Neisseria meningitidis infection;
  • Subjects with chronic active or recurrent infections within 1 year prior to screening;
  • Subjects with systemic active bacterial, viral (including COVID-19), or fungal infections within 2 weeks prior to the first administration; subjects with body temperature >38°C within 7 days prior to the first administration;
Terms in these criteria, in plain language(12)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

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.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
24 participants (estimated)

Study arms

  • Experimental
    Dose 1

    Once daily

    Drug: XH-S003 Capsule

  • Experimental
    Dose 2

    Once daily

    Drug: XH-S003 Capsule

  • Experimental
    Dose 3

    Once daily

    Drug: XH-S003 Capsule

Interventions

  • DrugXH-S003 Capsule

    25mg \& 100mg

06

What researchers measure

Primary outcomes

  1. Changes of hemoglobin compared with baseline

    Changes of hemoglobin compared with baseline

    Time frame: 8 weeks

Secondary outcomes

  1. Proportion of subjects with an increase in Hb ≥20g/L compared with baseline (without RBC transfusion);

    Proportion of subjects with an increase in Hb ≥20g/L compared with baseline (without RBC transfusion);

    Time frame: 8 weeks

  2. Changes in Indirect Bilirubin compared to baseline;

    Changes in Indirect Bilirubin compared to baseline;

    Time frame: 8 weeks

  3. Changes in reticulocyte counts compared to baseline;

    Changes in reticulocyte counts compared to baseline;

    Time frame: 8 weeks

  4. Proportion of subjects without RBC transfusion

    Proportion of subjects without RBC transfusion

    Time frame: 8 weeks

  5. Changes in LDH compared with baseline

    Changes in LDH compared with baseline

    Time frame: 8 weeks

07

Study locations

1 of 1 sites recruiting
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

Started Apr 2025 (actual). Primary completion is estimated for Aug 2025, 4 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 4 months is below 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
May 8, 2025
First posted
May 18, 2025
StartActual
Apr 30, 2025
Primary completionEst.
Aug 30, 2025
CompletionEst.
Oct 30, 2026
Last update
May 18, 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 May 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06978699
Lead sponsor
S-INFINITY Pharmaceuticals Co., Ltd
Responsible party
Sponsor
First posted
May 18, 2025
Start date
Apr 30, 2025
Primary completion
Aug 30, 2025 (estimated)
Completion
Oct 30, 2026 (estimated)
Last update
May 18, 2025

Study contacts

Rong Fu
Contact
furong8369@tmu.edu.cn
+86-13920350233
Hui Liu
Contact
liuhui8003@qq.com
+86-13821113189

Oversight

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

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