ClinicalTrials.gg
RecruitingNCT07399730aHUS-OPTIMUMUpdated Sep 15, 2026

Ravulizumab Outcomes in Polish Patients With aHUS

An observational study in Atypical Hemolytic Uremic Syndrome, sponsored by AstraZeneca. Recruiting at 10 sites in Poland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
80
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 19 studies in Atypical Hemolytic Uremic Syndrome by AstraZeneca — 4 open to participants now, 5 under way, none of them phase 3. Atypical Hemolytic Uremic Syndrome · AstraZeneca.

Started
2026
the only one that year
Observational
9 of 19
3 open now
Registered
19th of 19
by date

Among the 19 studies in Atypical Hemolytic Uremic Syndrome by AstraZeneca, this one is the only one that started in 2026, is one of 9 observational ones, and was the 19th registered.

Atypical Hemolytic Uremic Syndrome

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

Browse Atypical Hemolytic Uremic Syndrome studies →

Open to participants now

4 of the 19 studies in Atypical Hemolytic Uremic Syndrome by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 4 open studies →

Who these studies take

Of the 12 Atypical Hemolytic Uremic Syndrome studies recruiting now, 10 (83%) set no upper age limit and none (0%) stop at 75 or younger; 6 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

This multicenter, observational cohort study uses retrospective collection of past medical history and prospective follow-up to capture longitudinal data on the management and clinical outcomes of patients with atypical hemolytic uremic syndrome (aHUS) treated with ravulizumab as part of routine clinical practice under Poland's National Drug Program (NDP).

03

Conditions studied

  • Atypical Hemolytic Uremic Syndrome

Keywords

  • aHUS
  • Atypical Hemolytic Uremic Syndrome
  • Ravulizumab
  • Observational
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Consecutive patients naïve to complement inhibitors (prospective cohort) with a body weight of 10 kg or above (no age restrictions) diagnosed with atypical haemolytic uremic syndrome and meeting all ravulizumab treatment eligibility criteria listed in NDP - no previous exposition to CIs including clinical trials, EAP etc.

Patients who have been switched to ravulizumab from other CI (retrospective cohort) with a body weight of 10 kg or above (no age restrictions) diagnosed with atypical haemolytic uremic syndrome and meeting all ravulizumab treatment eligibility criteria listed in NDP.

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 of all ages diagnosed with atypical hemolytic uremic syndrome (aHUS) who received treatment with ravulizumab under the National Drug Program (NDP) in Poland.
  • Patients who are willing to participate in the study and have provided by signing the informed consent form (ICF).

Exclusion criteria

Exclusion Criteria:

  • Individuals who intend to participate in a clinical trial for atypical hemolytic uremic syndrome (aHUS) on or after the date of their first ravulizumab infusion through the National Drug Program.
  • Patients with cognitive impairments, those who are unwilling to participate, or those facing language barriers that hinder adequate comprehension or cooperation.
Terms in these criteria, in plain language(1)

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
80 participants (estimated)
Patient registry
No

Groups and cohorts

  • Prospective cohort

    Group of patients naive to complement inhibitors

    Drug: Ravulizumab

  • Retrospective cohort

    Group of patients who transitioned from other complement inhibitors to ravulizumab.

    Drug: Ravulizumab

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of patient attaining Complete Thrombotic Microangiopathy (TMA) Response during observation (naïve)

    In order to achieve the primary objectives, the following variables will be estimated: To assess ravulizumab primary treatment outcome in Polish patients with aHUS

    Time frame: Up to 24 months

  2. Proportion of patients attaining/maintaining. Complete TMA Response during observation (switched)

    In order to achieve the primary objectives, the following variables will be estimated: To assess ravulizumab primary treatment outcome in Polish patients with aHUS

    Time frame: Up to 24 months

Secondary outcomes

  1. Time to Complete TMA Response

    Time from initiation of ravulizumab to TMA Response: continuous variable (days; specify when complete response criteria are met)

    Time frame: Up to 24 months

  2. Proportion of dialysis-free patients

    In order to achieve the secondary objectives, the following variables will be estimated

    Time frame: Up to 24 months

  3. Complete TMA response

    In order to achieve the secondary objectives, the following variables will be estimated: * Platelet count (≥150 x 109/L) * Lactate dehydrogenase (LDH) levels (≤ULN) * Serum creatinine (≤ULN for age or an improvement \> 25% compared to baseline),

    Time frame: Up to 24 months

  4. Proportion of patients with lab results normalization during observation

    Laboratory Parameters: * platelet count (≥150 x 109/L)\*, * lactate dehydrogenase (LDH) levels (≤ULN), * serum creatinine (≤ULN for age or an improvement \> 25% compared to baseline), * serum creatinine improvement of \>50% compared to baseline * estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m2, * increase in haemoglobin of ≥ 20 g/L

    Time frame: Up to 24 months

  5. Change from baseline in CKD stage, as evaluated by the physician over time

    In order to achieve the secondary objectives, the following variables will be estimated: CKD stage 1 (rather theoretical at baseline, possible following successful treatment): eGFR ≥90 ml/min./1.73m2 CKD stage 2 (rather theoretical at baseline, possible following successful treatment): eGFR 60 - 90 ml/min./1.73m2 CKD stage 3a: eGFR 45 - 59 ml/min./1.73m2 CKD stage 3b: eGFR 30 - 44 ml/min./1.73m2 CKD stage 4: eGFR 15 - 29 ml/min./1.73m2 CKD stage 5: eGFR\< 15 ml/min./1.73m2 CKD stage 5D: need for dialysis independent from eGFR value

    Time frame: Up to 24 months

  6. Change from baseline in proteinuria status over time

    In order to achieve the secondary objectives, the following variables will be estimated: At least one of the following numbers describing the highest proteinuria and/or albuminuria: * urine protein-to-creatinine ratio \[mg/g\] (preferred) * urine protein loss \[mg/24 hours\] * urine protein concentration \[mg/dl\] * urine albumin-to-creatinine ratio \[mg/g\] (preferred) * urine albumin loss \[mg/24 hours\] Urine protein reduction to ≤ 500 mg/g (500 mg/24 hours) Urine protein reduction by ≥50% from baseline Time to urine protein reduction to ≤ 500 mg/g (500 mg/24 hours) Time to urine protein reduction by ≥50% from baseline

    Time frame: Up to 24 months

  7. Change from baseline in the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-Fatigue; adults) and Pediatric Functional Assessment of Chronic Illness Therapy - Fatigue (Peds FACIT-F; pediatric patients) score overtime (naïve)

    FACIT-Fatigue - scoring ranges from 0 (highest fatigue) to 52 (lowest fatigue), where higher scores indicate lower levels of fatigue. Peds FACIT-F - scoring ranges from 0 (highest fatigue) to 52 (lowest fatigue), where higher scores indicate lower levels of fatigue.

    Time frame: Up to 24 months

  8. Change form baseline in EQ- 5D-5L (adults) and EQ-5D-Y- 5L (paediatric patients) score overtime (naïve)

    EQ-5D-5L/EQ-5D-Y-5L consists of 2 pages: EQ-5D descriptive system and EQ visual analogue scale (EQ VAS). EQ-5D/EQ-5D-Y comprises 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. EQ VAS - scale rating from 0 (worst imaginable health state) to 100 (best imaginable health state)

    Time frame: Up to 24 months

07

Study locations

5 of 10 sites recruiting
  • Research Site
    Gdansk, Poland
    Not yet recruiting
  • Research Site
    Katowice, Poland
    Not yet recruiting
  • Research Site
    Katowice, Poland
    Recruiting
  • Research Site
    Krakow, Poland
    Not yet recruiting
  • Research Site
    Lodz, Poland
    Recruiting
  • Research Site
    Poznan, Poland
    Recruiting
  • Research Site
    Warsaw, Poland
    Not yet recruiting
  • Research Site
    Warsaw, Poland
    Recruiting
  • Research Site
    Wroclaw, Poland
    Not yet recruiting
  • Research Site
    Wroclaw, Poland
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Sep 2029, 39 months after the start.

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

Registered
Jan 27, 2026
First posted
Feb 10, 2026
StartActual
Jun 24, 2026
Primary completionEst.
Sep 30, 2029
CompletionEst.
Sep 30, 2029
Last update
Sep 15, 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 Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07399730
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Feb 10, 2026
Start date
Jun 24, 2026
Primary completion
Sep 30, 2029 (estimated)
Completion
Sep 30, 2029 (estimated)
Last update
Sep 15, 2026

Study contacts

AstraZeneca Clinical Study Information Center Study Information Center
Contact
information.center@astrazeneca.com
+118772409479

Oversight

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

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