About this trial
This is a Phase II, open-label study designed to determine if intravenously administered NM8074 results in remission from TMA in treatment-naïve aHUS patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients ≥ 18 years at the time of consent
Patients with evidence of resistant or relapsed complement-mediated aHUS with symptoms of Thrombocytopenia, hemolysis, ongoing Thrombotic Microangiopathy and acute kidney injury.
Evidence of ongoing Thrombotic Microangiopathy which includes Haptoglobin <LLN or undetectable and/or presence of schistocytes
Acute kidney injury (proteinuria/creatinuria > ULN and/or reduced eGFR)
Disqualifiers
History of bone marrow, hematopoietic stem cell, or solid organ transplantation
Treatment with complement blockers
Patients with infections
HUS due to ADAMTS-13 deficiency (<5%)
Trial design
Sequential
Treatments tested in this trial
NM8074
DrugNM8074 will be administered as an intravenous infusion. In Cohort 1, all subjects will be administered 20 mg/kg of NM8074 intravenously every two weeks for a total of 7 doses from Day 1 to Day 85 of the Treatment Period. Patients in Cohort 2 will receive weekly doses of 10 mg/kg for a total of 4 doses from Day 1 to Day 22 followed by biweekly doses at 20 mg/kg for a total of 5 doses from Day 29 to Day 85.
Treatment groups
Trial outcomes
Primary outcomes
Normalization of platelet count (≥150 x 10^9/L)
Normalization of LDH levels to below ULN
Normalization of Schistocyte levels (<1%)
Change from Baseline or Percent Change from Baseline in renal function
Assessed via the change from baseline or percent change from baseline in serum creatinine level.
Secondary outcomes
Time to achieve complete TMA response
Time to achieve higher hemoglobin from baseline
Change from Baseline or Percent Change from Baseline in blood clots
Change from Baseline or Percent Change from Baseline in the total number of plasma infusions or exchanges
Other outcomes
Change from Baseline or Percent Change from Baseline in CP modulation
Change from Baseline or Percent Change from Baseline in Factor B levels
Change from Baseline or Percent Change from Baseline in plasma concentration of NM8074
Maximum plasma concentration (Cmax)
Locations
Sponsors and contacts
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