ClinicalTrials.gg
Not yet recruitingNCT07747090Updated Aug 5, 2026

A Study of the Efficacy and Safety of FXS6837 Capsules Compared to Eculizumab for 24 Weeks in Patients With PNH.

A Phase 3 interventional study of FXS6837 Capsule and Eculizumab infusion in Paroxysmal Nocturnal Hemoglobinuria, sponsored by Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd.. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-05.

Sponsored by Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd. (part of Fosun Pharma) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

An open label study to evaluate the efficacy and safety of FXS6837 capsules compared to eculizumab in naive PNH patients. About 90 PNH patients who are naive to complement inhibitor therapies will be enrolled to take FXS6837 capsules or eculizumab for 24 weeks according to protocol.

Read the detailed description

A Phase III, randomized, open-label, active-controlled study to evaluate the efficacy and safety of FXS6837 capsules compared with eculizumab in approximately 90 complement inhibitor-naïve patients with paroxysmal nocturnal hemoglobinuria (PNH). Patients will receive FXS6837 capsules or eculizumab for 24 weeks.

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 90 is above the median of 33 across 150 interventional studies indexed under Hemoglobinuria, Paroxysmal.

Browse Hemoglobinuria, Paroxysmal studies →

Lead sponsor

Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd. is the lead sponsor of 34 studies on the registry; 21 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

  1. Male or female subjects aged ≥ 18 years at screening;
  2. Body weight ≥ 40 kg and (BMI) ≥ 18 kg/m2 at screening;
  3. Diagnosis of PNH by the investigator according to the PNH diagnostic criteria, with red blood cell and white blood cell (monocytes or neutrophil) clone levels > 10% detected by high sensitivity flow cytometry within 6 months before screening or during the screening period;
  4. PNH patients with no prior treatment involving any complement inhibitors;
  5. At least two measurements during the screening period (2 to 6 weeks apart) showing LDH > 1.5 × (multiple measurements are allowed during the screening period);
  6. meeting one of the following conditions: (1) Hb concentration \< 100 g/L at the first screening visit, and received RBC transfusion therapy due to PNH-related anemia during the screening period; (2) Mean Hb concentration from two measurements during the screening period \< 100 g/L (these two measurements should be 2 to 6 weeks apart; multiple Hb measurements are allowed during the screening period);

Exclusion criteria

Exclusion criteria:

  1. With laboratory evidence of bone marrow failure during screening (reticulocyte count \< 100 × 109/L, or count \< 30 × 109/L, or \< 0.5 × 109/L); Received acute treatment (such as platelet transfusion, granulocyte colony-stimulating factor) for thrombocytopenia or neutropenia within 30 days before screening;
  2. Participants receiving other therapies before screening that have not reached the following stable treatment durations:

    • Erythropoietin for at least 8 weeks
    • for at least 8 weeks, systemic (≤ 15 mg/day) for at least 4 weeks
    • Iron, vitamin B12, or folic acid supplementation for at least 4 weeks
    • Anticoagulants: Vitamin K antagonists (such as warfarin) used for at least 4 weeks with a stable (INR) (as determined by the investigator), low molecular weight heparin, oral anticoagulants such as aspirin, rivaroxaban, apixaban, etc., for at least 4 weeks;
    • Hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHI) for at least 8 weeks;
    • Androgens for at least 4 weeks;
  3. History of malignant tumors of any organ or system within 5 years before screening (except local basal cell carcinoma of the skin or carcinoma in situ of the cervix), regardless of whether treatment was received and whether there is evidence of local recurrence or ;
  4. History of bone marrow/hematopoietic stem cell or solid organ transplantation (such as heart, lung, kidney, liver);
  5. History of splenectomy or planned surgery during the study period;
  6. Subjects with significantly abnormal liver function at screening: any parameter of (ALT), γ-glutamyl transpeptidase (GGT), or alkaline phosphatase (ALP) > 3 × ;
  7. (HIV) infection (HIV antibody positive), active syphilis infection, virus infection (hepatitis B surface antigen positive), active virus infection, or active tuberculosis infection at screening;
  8. Subjects with concurrent systemic major diseases, including but not limited to: advanced heart disease (such as [NYHA] class IV), severe lung disease (such as severe pulmonary hypertension [WHO class IV]), active hepatitis, severe kidney disease (estimated eGFR \< 30 mL/min/1.73 m2 or chronic kidney disease [CKD] stage 4 or dialysis patients), unstable thrombosis, active gastrointestinal bleeding, other hematologic diseases (such as chronic anemia unrelated to PNH), and deemed unsuitable for study participation by the investigator;
  9. Known or suspected by investigators to have immunodeficiency diseases or hereditary complement deficiency;
  10. History of Neisseria meningitidis infection; History of ≥ 2 episodes of pneumococcal infection;
  11. Detected or suspected (as assessed by the investigator) systemic active bacterial, viral (including COVID-19), or fungal infections within 2 weeks before the first dose; Axillary temperature > 38 °C within 7 days before the first dose;
  12. Suspected or known history of allergies to the IPs or any ingredient in the IPs;
  13. Received any type of within 4 weeks prior to screening, or plan to receive any live attenuated vaccine during the study;
  14. Pregnant or lactating women or those with positive pregnancy test results;
  15. Previous history of drug abuse or drug use;
  16. Participated in other clinical trials of drugs (or are still within 5 half-lives of the drug, whichever is longer) or medical device clinical trials within 30 days prior to screening, plans to participate in other clinical trials during the study, or having residual effects as assessed by the investigator;
Terms in these criteria, in plain language(17)

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    FXS6837 Capsules

    FXS6837 capsule orally taken for 24 weeks

    Drug: FXS6837 Capsule

  • Active comparator
    Eculizumab infusion

    Eculizumab infusion treated for 24 weeks

    Biological: Eculizumab infusion

Interventions

06

What researchers measure

Primary outcomes

  1. Proportion of participants with hemoglobin (Hb) level ≥ 120 g/L in at least 3 of 4 measurements between W18 and W24 in the absence of RBC transfusion (defined as no RBC transfusion after W2 through W24)

    Time frame: 24 weeks from Baseline

Secondary outcomes

  1. Proportion of participants with an increase from baseline in Hb level of ≥ 20 g/L in at least 3 of 4 measurements between W18 and W24 in the absence of RBC transfusion (defined as no RBC transfusion after Week 2 through Week 24)

    Time frame: 24 weeks from Baseline

  2. Proportion of subjects without RBC transfusion during the treatment period from Week 2 to Week 24

    Time frame: 24 weeks from Baseline

  3. Change from baseline in Hb during the treatment period from Week 18 to Week 24

    Time frame: 24 weeks from Baseline

  4. Change from baseline in reticulocyte count during the treatment period from Week 18 to Week 24

    Time frame: 24 weeks from Baseline

  5. Percentage change from baseline in lactate dehydrogenase (LDH) during the treatment period from Week 18 to Week 24

    Time frame: 24 weeks from Baseline

  6. Proportion of participants with LDH ≤ 1.5 × upper limit of normal (ULN) in 3 of 4 measurements between W18 and W24

    Time frame: 24 weeks from Baseline

  7. Change from baseline in Functional Assessment of Chronic Illness Therapy - Fatigue Scale (FACIT-Fatigue) score during the treatment period from Week 18 to Week 24

    The FACIT-Fatigue is a 13-item questionnaire which is used to assess patient self-reported fatigue and its impact on daily life. The score of each of the 13 items ranges from 0-4, so the range of total score is 0-52, with 0 being the worst and 52 being the best.

    Time frame: 24 weeks from Baseline

  8. Incidence of BTH during treatment

    Time frame: 24 weeks from Baseline

  9. Incidence of MAVEs during treatment

    Time frame: 24 weeks from Baseline

  10. Safety evaluation: All participants will be observed for any adverse event (AE) during the clinical study

    Time frame: Up to 24 weeks

07

Study locations

1 site
08

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 Dec 2026; primary completion for May 2028, 16 months later.

Of 35 industry-sponsored phase 3 interventional studies under Hemoglobinuria, Paroxysmal, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 41. This study's planned 16 months is below that.

Counting every sponsor, half of 35 studies reached it within 23 months; a quarter within 15 and three quarters within 41.

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

Registered
Jul 22, 2026
First posted
Aug 5, 2026
StartEst.
Dec 10, 2026
Primary completionEst.
May 5, 2028
CompletionEst.
Jul 31, 2028
Last update
Aug 5, 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 Aug 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07747090
Responsible party
Sponsor
First posted
Aug 5, 2026
Start date
Dec 10, 2026 (estimated)
Primary completion
May 5, 2028 (estimated)
Completion
Jul 31, 2028 (estimated)
Last update
Aug 5, 2026

Study contacts

Rong Fu
Contact
furong8369@tmu.edu.cn
+86 13920350233
Hui Liu
Contact
liuhui8003@qq.com
+86 13821113189
Rong Fu
principal investigator · Tianjin Medical University General Hospital

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: FXS6837

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