REAL-CARE: Real-world Effectiveness of Iptacopan in Italian Patients With Paroxysmal Nocturnal Hemoglobinuria

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorNovartis Pharmaceuticals

About this trial

This study evaluates iptacopan effectiveness and safety in routine clinical practice, with a focus on hematological response, transfusion avoidance, and patient-reported outcomes.

The primary objective of the REAL-CARE study is to is to assess the long-term hematological response following iptacopan initiation. This will be assessed through the absolute change in hemoglobin (Hb) levels at 12 months post-initiation, and the proportion of patients who remain free from red blood cell (RBC) transfusions, prescribed as per local requirement and based on Investigator's judgment, from Day 14 through Month 12 after starting iptacopan.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

signed informed consent: patient must provide written informed before any study assessment is collected; in case of deceased patients, informed consent is not required as per Art. 110, comma 1 of Legislative Decree n° 196, dated 30 June 2003 as amended by D.lgs. 101/2018 and the "Autorizzazione generale al trattamento dei dati personali effettuato per scopi di ricerca scientifica" n° 9/2016

Male and female,

≥ 18 years of age,

documented diagnosis of PNH,

Disqualifiers

None

Trial population

Italian population of adult patients with PNH either naïve to iptacopan or transitioning from the Managed Access Program (MAP) starting from January 2023

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

Not listed

Trial groups

50 Participants
are grouped into 1 trial group
Group A: Iptacopan

Trial outcomes

Primary outcomes

1

absolute change in Hb level post iptacopan initiation

12-month absolute change in hemoglobin (Hb) level post iptacopan initiation

Time frame
12 months
2

Proportion of patients with no RBC transfusions

12-month proportion of patients with no Red Blood Cells (RBC) transfusions, prescribed as per local requirement and based on Investigator's judgment, after Day 14.

Time frame
12 months

Secondary outcomes

1

Socio-demographic and clinical variables of Paroxysmal Nocturnal Hemoglobinuria population

Descriptive measures of the socio-demographic variables, proportion of PNH cells, clinical symptoms, laboratory parameters, concomitant diseases and treatments and outcomes of PNH patients at iptacopan initiation.

Time frame
date of iptacopan start, day 0
2

Absolute change in Hb level post iptacopan initiation

24-month absolute change in Hb level post iptacopan initiation

Time frame
date of iptacopan start (day 0), 24 months
3

Proportion of patients who didn't need RBC transfusion

24-month proportion of patients who didn't need RBC transfusion, prescribed as per local requirement and based on Investigator's judgment, post iptacopan initiation

Time frame
24 months
4

Proportion of patients with Hb levels ≥ 12 g/dL AND no RBC transfusion

12- and 24-month proportion of patients with Hb levels ≥ 12 g/dL AND no RBC transfusion, prescribed as per local requirement and based on Investigator's judgment, between Day 14 and month 12 or month 24

Time frame
12 month, 24 month

Other outcomes

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