Trial Outcomes & Findings for A Long-Term Treatment Study of ACH-0144471 in Participants With Paroxysmal Nocturnal Hemoglobinuria (PNH) (NCT NCT03181633)
NCT ID: NCT03181633
Last Updated: 2023-03-14
Results Overview
Change from Baseline = Serum LDH levels at Week 25 - Baseline Serum LDH levels. Baseline was the baseline value from the primary Study ACH471-100.
COMPLETED
PHASE2
8 participants
Baseline, Week 25
2023-03-14
Participant Flow
Participants who demonstrated a clinical benefit from danicopan in the primary Study ACH471-100 (NCT03053102), were eligible for long-term treatment with danicopan in this extension study ACH471-103.
Participant milestones
| Measure |
Danicopan
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Overall Study
STARTED
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8
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Overall Study
Received at Least 1 Dose of Study Drug
|
8
|
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Overall Study
COMPLETED
|
6
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Overall Study
NOT COMPLETED
|
2
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Reasons for withdrawal
| Measure |
Danicopan
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Overall Study
Withdrawal by Subject
|
1
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Overall Study
Missing follow-up visit
|
1
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Baseline Characteristics
Here, 'number analyzed' signifies participants evaluable for this baseline measure.
Baseline characteristics by cohort
| Measure |
Danicopan
n=8 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Age, Continuous
|
37.51 years
STANDARD_DEVIATION 14.752 • n=8 Participants
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Sex: Female, Male
Female
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4 Participants
n=8 Participants
|
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Sex: Female, Male
Male
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4 Participants
n=8 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
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0 Participants
n=8 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
8 Participants
n=8 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=8 Participants
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|
Race/Ethnicity, Customized
Race · White
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6 Participants
n=8 Participants
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Race/Ethnicity, Customized
Race · Asian
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1 Participants
n=8 Participants
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Race/Ethnicity, Customized
Race · Other
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1 Participants
n=8 Participants
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Lactate Dehydrogenase (LDH) Level
|
1403.13 units (U)/liter (L)
STANDARD_DEVIATION 602.824 • n=8 Participants
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Hemoglobin (Hgb) Level in the Absence of Red Blood Cell (RBC) Transfusion
|
96.50 grams (g)/liter (L)
STANDARD_DEVIATION 18.055 • n=8 Participants
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Reticulocyte Counts
|
0.15 10^12 cells/L
STANDARD_DEVIATION 0.078 • n=8 Participants
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Paroxysmal Nocturnal Hemoglobinuria (PNH) Clone Size
|
39.67 percentage of the total cell population
STANDARD_DEVIATION 29.696 • n=6 Participants • Here, 'number analyzed' signifies participants evaluable for this baseline measure.
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Free Hgb
|
36.08 mg/deciliter (dL)
STANDARD_DEVIATION 42.417 • n=8 Participants
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Alternative Pathway (AP) Complement Functional Activity
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66.70 percentage of activity
STANDARD_DEVIATION 12.732 • n=8 Participants
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PRIMARY outcome
Timeframe: Baseline, Week 25Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the post baseline assessments for LDH level.
Change from Baseline = Serum LDH levels at Week 25 - Baseline Serum LDH levels. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=7 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in LDH Level at Week 25
|
-683.29 U/L
Standard Deviation 845.175
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PRIMARY outcome
Timeframe: Baseline, Week 25Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for Hgb level.
Change from Baseline = Hgb levels at Week 25 - Baseline Hgb levels. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=6 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in Hgb Level in the Absence of RBC Transfusion at Week 25
|
24.67 g/L
Standard Deviation 18.052
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PRIMARY outcome
Timeframe: Baseline, Week 25Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for reticulocyte count.
Change from Baseline = reticulocyte count at Week 25 - Baseline reticulocyte count. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=7 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in Reticulocyte Counts at Week 25
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-0.07 10^12 cells/L
Standard Deviation 0.063
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PRIMARY outcome
Timeframe: Baseline up to Week 169Population: Full analysis set included all enrolled and treated participants.
Outcome measures
| Measure |
Danicopan
n=8 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Number of RBC Units Transfused
|
6.5 RBC units
Standard Deviation 16.83
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PRIMARY outcome
Timeframe: Baseline up to Week 169Population: Full analysis set included all enrolled and treated participants.
Outcome measures
| Measure |
Danicopan
n=8 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Number of RBC Transfusion Instances
|
3.4 RBC transfusion instances
Standard Deviation 8.00
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PRIMARY outcome
Timeframe: Baseline, Week 25Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for PNH clone size.
The PNH clone size refers to the percentage of PNH-affected cells versus normal cells within the total cell population. Change from Baseline = PNH clone size at Week 25 - Baseline PNH clone size. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=5 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in PNH Clone Size at Week 25
|
22.00 percentage of the total cell population
Standard Deviation 5.831
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PRIMARY outcome
Timeframe: Baseline, Week 25Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for Serum AP functional activity.
Serum AP functional activity was measured by the Wieslab functional immunoassay method. Change from Baseline = Serum AP functional activity at Week 25 - Baseline Serum AP functional activity. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=7 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in AP Complement Functional Activity at Week 25
|
-46.36 percentage of activity
Standard Deviation 25.316
|
PRIMARY outcome
Timeframe: Baseline, Week 25Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for free Hgb.
Change from Baseline = free Hgb at Week 25 - Baseline free Hgb. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=6 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in Free Hgb at Week 25
|
59.83 mg/dL
Standard Deviation 66.414
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PRIMARY outcome
Timeframe: Baseline up to 4.5 yearsPopulation: Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
An AE was as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An SAE was an AE that met at least 1 of the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization for the AE, persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug), important medical event or reaction. The intensity of an AE was graded according to the Common Terminology Criteria for Adverse Events (CTCAE) Adverse Event Severity Grading Table. A summary of all Serious Adverse Events and Other Adverse Events (nonserious) regardless of causality is located in the 'Reported Adverse Events' Section.
Outcome measures
| Measure |
Danicopan
n=8 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Grade 3 and Grade 4 Adverse Events (AEs), And AEs Leading To Discontinuation
Any TEAEs
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8 participants
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Grade 3 and Grade 4 Adverse Events (AEs), And AEs Leading To Discontinuation
SAEs
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3 participants
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Grade 3 and Grade 4 Adverse Events (AEs), And AEs Leading To Discontinuation
TEAE Grade 3
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2 participants
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Grade 3 and Grade 4 Adverse Events (AEs), And AEs Leading To Discontinuation
TEAE Grade 4
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0 participants
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Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), Grade 3 and Grade 4 Adverse Events (AEs), And AEs Leading To Discontinuation
AE leading to discontinuation
|
0 participants
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SECONDARY outcome
Timeframe: Baseline, Weeks 49 and 169Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for LDH level. 'Number analyzed' = participants evaluable at specified timepoint.
Change from Baseline = Serum LDH levels at specified postbaseline visit - Baseline Serum LDH levels. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=6 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in LDH Level at Weeks 49 and 169
Change at Week 49
|
-862.50 U/L
Standard Deviation 568.302
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Change From Baseline in LDH Level at Weeks 49 and 169
Change at Week 169
|
-1388.00 U/L
Standard Deviation 562.857
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SECONDARY outcome
Timeframe: Baseline, Weeks 49 and 169Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for Hgb level. 'Number analyzed' = participants evaluable at specified timepoint.
Change from Baseline = Hgb levels at specified postbaseline visit - Baseline Hgb levels. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=5 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in Hgb Level in the Absence of RBC Transfusion at Weeks 49 and 169
Change at Week 49
|
21.40 g/L
Standard Deviation 18.995
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Change From Baseline in Hgb Level in the Absence of RBC Transfusion at Weeks 49 and 169
Change at Week 169
|
54.50 g/L
Standard Deviation 14.849
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SECONDARY outcome
Timeframe: Baseline, Weeks 49 and 169Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for reticulocyte count. 'Number analyzed' = participants evaluable at specified timepoint.
Change from Baseline = reticulocyte count at specified postbaseline visit - Baseline reticulocyte count. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=6 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in Reticulocyte Counts at Weeks 49 and 169
Change at Week 49
|
-0.05 10^12 cells/L
Standard Deviation 0.065
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|
Change From Baseline in Reticulocyte Counts at Weeks 49 and 169
Change at Week 169
|
-0.12 10^12 cells/L
Standard Deviation 0.049
|
SECONDARY outcome
Timeframe: Baseline, Weeks 49 and 73Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for PNH clone size. 'Number analyzed' = participants evaluable at specified timepoint.
The PNH clone size refers to the percentage of PNH-affected cells versus normal cells within the total cell population. Change from Baseline = PNH clone size at specified postbaseline visit - Baseline PNH clone size. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=6 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in PNH Clone Size at Weeks 49 and 73
Change at Week 49
|
30.83 percentage of the total cell population
Standard Deviation 11.531
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Change From Baseline in PNH Clone Size at Weeks 49 and 73
Change at Week 73
|
32.00 percentage of the total cell population
Standard Deviation 19.170
|
SECONDARY outcome
Timeframe: Baseline, Weeks 49 and 145Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for Serum AP functional activity. 'Number analyzed' = participants evaluable at specified timepoint.
Serum AP functional activity was measured by the Wieslab functional immunoassay method. Change from Baseline = Serum AP functional activity at specified postbaseline visit - Baseline Serum AP functional activity. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=6 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in AP Complement Functional Activity at Weeks 49 and 145
Change at Week 49
|
-59.80 percentage of activity
Standard Deviation 14.217
|
|
Change From Baseline in AP Complement Functional Activity at Weeks 49 and 145
Change at Week 145
|
-52.43 percentage of activity
Standard Deviation 2.779
|
SECONDARY outcome
Timeframe: Baseline, Weeks 49 and 169Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for free Hgb. 'Number analyzed' = participants evaluable at specified timepoint.
Change from Baseline = free Hgb at specified postbaseline visit - Baseline free Hgb. Baseline was the baseline value from the primary Study ACH471-100.
Outcome measures
| Measure |
Danicopan
n=6 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in Free Hgb at Weeks 49 and 169
Change at Week 49
|
105.92 mg/dL
Standard Deviation 92.308
|
|
Change From Baseline in Free Hgb at Weeks 49 and 169
Change at Week 169
|
-30.75 mg/dL
Standard Deviation 54.942
|
SECONDARY outcome
Timeframe: Baseline, Weeks 21, 41, and 153Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for FACIT-Fatigue scale score. 'Number analyzed' = participants evaluable at specified timepoint.
The FACIT-Fatigue scale is a collection of quality of life questionnaires pertaining to the management of fatigue symptoms due to a chronic illness. The FACIT-Fatigue is a 13-item questionnaire that assesses self-reported fatigue and its impact upon daily activities and function over the preceding 7 days. Participants score each item on a 5-point scale: 0 (Not at all) to 4 (Very much). Total scores range from 0 to 52, with higher score indicating better quality of life.
Outcome measures
| Measure |
Danicopan
n=8 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score at Weeks 21, 41, and 153
Change at Week 21
|
8.4 units on a scale
Standard Deviation 11.75
|
|
Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score at Weeks 21, 41, and 153
Change at Week 41
|
9.1 units on a scale
Standard Deviation 13.37
|
|
Change From Baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale Score at Weeks 21, 41, and 153
Change at Week 153
|
3.0 units on a scale
Standard Deviation 0.00
|
SECONDARY outcome
Timeframe: Baseline, Weeks 21, 41, and 153Population: Full analysis set included all enrolled and treated participants. Here, 'Overall number of participants analyzed' = participants with both baseline and the postbaseline assessments for EORTC-QLQ-C30 (Global Health Status/Qol) score. 'Number analyzed' = participants evaluable at specified timepoint.
EORTC-QLQ-C30 is comprised of 30 questions. First 28 questions used 4-point scale (1=not at all,2=a little,3=quite a bit,4=very much) for evaluating 5 functional scales (physical, role, emotional, cognitive, social), 3 symptom scales (fatigue, nausea/vomiting, pain) \& other single items. For each item, high score = high level of symptomatology/problem. Last 2 questions represented participant's assessment of overall health (global health status) and quality of life, coded on 7-point scale (1=very poor to 7=excellent). Answers were converted into grading scale, with total score between 0 and 100. A high score represented a favourable outcome with a best quality of life for participant.
Outcome measures
| Measure |
Danicopan
n=8 Participants
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
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|---|---|
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Change From Baseline in European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 Scale (EORTC-QLQ-C30): Global Health Status/Qol Score at Weeks 21, 41, and 153
Change at Week 21
|
16.67 units on a scale
Standard Deviation 25.973
|
|
Change From Baseline in European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 Scale (EORTC-QLQ-C30): Global Health Status/Qol Score at Weeks 21, 41, and 153
Change at Week 41
|
11.90 units on a scale
Standard Deviation 29.603
|
|
Change From Baseline in European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaire-Core 30 Scale (EORTC-QLQ-C30): Global Health Status/Qol Score at Weeks 21, 41, and 153
Change at Week 153
|
4.17 units on a scale
Standard Deviation 17.678
|
Adverse Events
Danicopan
Serious adverse events
| Measure |
Danicopan
n=8 participants at risk
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
|
|---|---|
|
Infections and infestations
Cystitis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Infections and infestations
Gastroenteritis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Infections and infestations
Infectious mononucleosis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Blood and lymphatic system disorders
Haemolysis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
General disorders
Pyrexia
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
Other adverse events
| Measure |
Danicopan
n=8 participants at risk
Participants in this study continued to receive danicopan tablets orally at the same dose (150, 175, or 200 milligrams \[mg\] 3 times daily \[TID\]) that they were receiving upon completion of the primary Study ACH471-100. Dose escalation was done in increments of 25 mg to a maximum of 250 mg TID, in case additional clinical benefit was expected as per Investigator and Sponsor decision.
|
|---|---|
|
Gastrointestinal disorders
Dysphagia
|
25.0%
2/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Gastrointestinal disorders
Abdominal pain
|
25.0%
2/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Gastrointestinal disorders
Nausea
|
25.0%
2/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Gastrointestinal disorders
Constipation
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Gastrointestinal disorders
Diarrhoea
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Gastrointestinal disorders
Gastrooesophageal reflux disease
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Gastrointestinal disorders
Vomiting
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
General disorders
Non-cardiac chest pain
|
37.5%
3/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
General disorders
Pyrexia
|
37.5%
3/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
General disorders
Fatigue
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
General disorders
Chest discomfort
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
General disorders
Influenza like illness
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Infections and infestations
Upper respiratory tract infection
|
50.0%
4/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Infections and infestations
Cellulitis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Infections and infestations
Herpes simplex
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Infections and infestations
Rhinitis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Infections and infestations
Sinusitis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Nervous system disorders
Headache
|
37.5%
3/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Nervous system disorders
Lethargy
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Nervous system disorders
Paraesthesia
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Renal and urinary disorders
Haemoglobinuria
|
25.0%
2/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Renal and urinary disorders
Chromaturia
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Renal and urinary disorders
Haematuria
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Renal and urinary disorders
Paroxysmal nocturnal haemoglobinuria
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Injury, poisoning and procedural complications
Accidental overdose
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Injury, poisoning and procedural complications
Intentional overdose
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Injury, poisoning and procedural complications
Ligament sprain
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Injury, poisoning and procedural complications
Skin laceration
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Blood and lymphatic system disorders
Haemolysis
|
25.0%
2/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Musculoskeletal and connective tissue disorders
Myalgia
|
25.0%
2/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Musculoskeletal and connective tissue disorders
Limb discomfort
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Musculoskeletal and connective tissue disorders
Muscle spasms
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Respiratory, thoracic and mediastinal disorders
Dry throat
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Endocrine disorders
Hypothyroidism
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Eye disorders
Conjunctival hyperaemia
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
|
Skin and subcutaneous tissue disorders
Hand dermatitis
|
12.5%
1/8 • Baseline up to 4.5 years
Safety analysis set included all enrolled participants who received at least 1 dose of danicopan.
|
Additional Information
Alexion Pharmaceuticals, Inc.
Alexion Pharmaceuticals, Inc.
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place