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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

Baseline, Week 25

Results posted on

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

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.
Overall Study
STARTED
8
Overall Study
Received at Least 1 Dose of Study Drug
8
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

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.
Overall Study
Withdrawal by Subject
1
Overall Study
Missing follow-up visit
1

Baseline Characteristics

Here, 'number analyzed' signifies participants evaluable for this baseline measure.

Baseline characteristics by cohort

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.
Age, Continuous
37.51 years
STANDARD_DEVIATION 14.752 • n=8 Participants
Sex: Female, Male
Female
4 Participants
n=8 Participants
Sex: Female, Male
Male
4 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
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
Race/Ethnicity, Customized
Race · White
6 Participants
n=8 Participants
Race/Ethnicity, Customized
Race · Asian
1 Participants
n=8 Participants
Race/Ethnicity, Customized
Race · Other
1 Participants
n=8 Participants
Lactate Dehydrogenase (LDH) Level
1403.13 units (U)/liter (L)
STANDARD_DEVIATION 602.824 • n=8 Participants
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
Reticulocyte Counts
0.15 10^12 cells/L
STANDARD_DEVIATION 0.078 • n=8 Participants
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.
Free Hgb
36.08 mg/deciliter (dL)
STANDARD_DEVIATION 42.417 • n=8 Participants
Alternative Pathway (AP) Complement Functional Activity
66.70 percentage of activity
STANDARD_DEVIATION 12.732 • n=8 Participants

PRIMARY outcome

Timeframe: Baseline, Week 25

Population: 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

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.
Change From Baseline in LDH Level at Week 25
-683.29 U/L
Standard Deviation 845.175

PRIMARY outcome

Timeframe: Baseline, Week 25

Population: 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

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.
Change From Baseline in Hgb Level in the Absence of RBC Transfusion at Week 25
24.67 g/L
Standard Deviation 18.052

PRIMARY outcome

Timeframe: Baseline, Week 25

Population: 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

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.
Change From Baseline in Reticulocyte Counts at Week 25
-0.07 10^12 cells/L
Standard Deviation 0.063

PRIMARY outcome

Timeframe: Baseline up to Week 169

Population: Full analysis set included all enrolled and treated participants.

Outcome measures

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.
Number of RBC Units Transfused
6.5 RBC units
Standard Deviation 16.83

PRIMARY outcome

Timeframe: Baseline up to Week 169

Population: Full analysis set included all enrolled and treated participants.

Outcome measures

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.
Number of RBC Transfusion Instances
3.4 RBC transfusion instances
Standard Deviation 8.00

PRIMARY outcome

Timeframe: Baseline, Week 25

Population: 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

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.
Change From Baseline in PNH Clone Size at Week 25
22.00 percentage of the total cell population
Standard Deviation 5.831

PRIMARY outcome

Timeframe: Baseline, Week 25

Population: 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

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.
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 25

Population: 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

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.
Change From Baseline in Free Hgb at Week 25
59.83 mg/dL
Standard Deviation 66.414

PRIMARY outcome

Timeframe: Baseline up to 4.5 years

Population: 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

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.
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
8 participants
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
3 participants
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
2 participants
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
0 participants
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

SECONDARY outcome

Timeframe: Baseline, Weeks 49 and 169

Population: 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

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.
Change From Baseline in LDH Level at Weeks 49 and 169
Change at Week 49
-862.50 U/L
Standard Deviation 568.302
Change From Baseline in LDH Level at Weeks 49 and 169
Change at Week 169
-1388.00 U/L
Standard Deviation 562.857

SECONDARY outcome

Timeframe: Baseline, Weeks 49 and 169

Population: 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

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.
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
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

SECONDARY outcome

Timeframe: Baseline, Weeks 49 and 169

Population: 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

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.
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
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 73

Population: 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

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.
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
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 145

Population: 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

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.
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 169

Population: 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

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.
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 153

Population: 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

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.
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 153

Population: 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

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.
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 events: 3 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

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

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.

Phone: 855-752-2356

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place