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Danicopan (ACH-4471) Phase 2 Add-on Trial with Eculizumab Danicopan was evaluated as an add-on with eculizumab, an intravenous C5 inhibitor that … On Day 1 of each period, participants will receive a single oral dose of 200 milligrams (mg) danicopan under fasting conditions, 200 mg danicopan under fed conditions, or 400 mg danicopan under fed conditions. clinical trials conducted outside the EU / EEA that are linked to European paediatric-medicine development. Thus, danicopan can control both IVH and EVH therefore, making FD a promising target. Interim data was reported at … Go to Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information. Period 3: Danicopan as the PIC 2 formulation under fed conditions. History of significant multiple and/or severe allergies or has had an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs. Danicopan (200 milligrams) will be administered orally on Day 1. Period 2: Danicopan administered under fed conditions. Period 2: Danicopan as the PIC 2 formulation under fasted conditions. Receipt of blood products within 6 months prior to the first dose of study intervention. Participation in any other investigational study drug trial in which receipt of an investigational study drug occurred within 5 half-lives (if known) or 30 days before first dosing, whichever is longer. The decision from the EMA was based on danicopan safety and efficacy data from the Phase 2 PNH combination trial. Study record managers: refer to the Data Element Definitions if submitting registration or results information. Participants who are of Japanese descent defined as: To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Participants will receive each treatment once, according to the randomization schedule. Participants will receive danicopan once each period as a single oral dose under fasted or fed conditions as follows: Period 1: Danicopan as the PIC 1 formulation under fed conditions. Achillion, – 2.4 g/dL mean increase in hemoglobin at 24 weeks –– Reduction in blood transfusions from 34 to 1; and improvements in markers of hemolysis –- Completed End... | February 17, 2021 “Danicopan, with its demonstrated ability to limit both intravascular and extravascular hemolysis with oral administration, has the potential to benefit … Danicopan - Achillion Pharmaceuticals Alternative Names: 4471; ACH-0144471; ACH-4471; ACH-CFDIS; ALXN 2040 ... 18 Sep 2020 Phase-III clinical trials in Paroxysmal nocturnal haemoglobinuria (Adjunctive treatment, In adults, In the elderly) in United Kingdom (PO) (EudraCT2019-003829-18) Subscriber content You need to be a logged in subscriber to view this content. DrugBank. For general information, Learn About Clinical Studies. U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Talk with your doctor and family members or friends about deciding to join a study. Interim data was reported at the New Era of Aplastic Anemia and PNH Meeting in May 2019. This study was conducted to assess the 2-way interaction between danicopan and warfarin (Part 1), bupropion (Part 2), and ethinyl estradiol/norethindrone (EE/NET) as an oral contraceptive (Part 3). The top line data from this … Period 3: Danicopan as a tablet under fed conditions. The Company completed enrollment in the danicopan Phase 2 clinical trials for C3 glomerulopathy (C3G) and C3G/immune complex-mediated membrane glomerulonephritis (IC-MPGN). Study record managers: refer to the Data Element Definitions if submitting registration or results information. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Please remove one or more studies before adding more. The EU Clinical Trials Register currently displays 39241 clinical trials with a EudraCT protocol, of which 6427 are clinical trials conducted with subjects less than 18 years old. Blood samples will be collected for measurement of complement factor B fraction b levels. There will be a washout period of at least 5 days between each danicopan dosing. Any major surgery within 4 weeks of the first dose of study intervention. History of procedures that could alter absorption or excretion of orally administered drugs. You have reached the maximum number of saved studies (100). Period 1: Danicopan as the PIC 2 formulation under fasted conditions. Period 1: Danicopan as the PIC 2 formulation under fed conditions. Alexion Pharmaceuticals. Period 1: Danicopan as a tablet under fed conditions. To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Positive results for alcohol screen at screening or Day -1 of Period 1. In this open-label, phase 2, dose-finding trial, 10 untreated hemolytic PNH patients received danicopan monotherapy (100-200 mg thrice daily). Read our, ClinicalTrials.gov Identifier: NCT04451434, Interventional Healthy, elderly, male participants will receive a single dose of danicopan under fed conditions. Clinical Trials Nct Page Danicopan as Add-on Therapy to a C5 Inhibitor in Paroxysmal Nocturnal Hemoglobinuria (PNH) Participants Who Have Clinically Evident Extravascular Hemolysis (EVH) (ALPHA) Listing a study does not mean it has been evaluated by the U.S. Federal Government. Receipt of a vaccine within 30 days prior to the first dose of study intervention. Participants who test positive for human immunodeficiency virus, hepatitis B virus, and/or hepatitis C virus. Donation of whole blood from 3 months prior to the first dose of study intervention, or of plasma from 30 days prior to the first dose of study intervention. This leads to inhibition of C3 cleavage, C3 fragment deposition, terminal pathway activation and MAC formation. This will be an open-label, randomized, single-dose, 3-period, 3-treatment crossover study in participants of Japanese descent. The FDA’s decision was based on positive safety and efficacy data from the ongoing danicopan Phase 2 PNH combination trial. Read our, ClinicalTrials.gov Identifier: NCT04609696, Interventional Period 2: Participants received danicopan three times daily, in addition to coadministration with a single dose of warfarin. Is a female with a positive pregnancy test or who is lactating. There will be a washout period of at least 7 days between the dose of danicopan in Period 1 and the dose of danicopan in Period 2. Period 1: Danicopan as the PIC 1 formulation under fasted conditions. History or presence of clinically significant hypersensitivity or idiosyncratic reaction to the study interventions or related compounds or commonly used antibacterial agents. For general information, Learn About Clinical Studies. Experimental: Part 2. Talk with your doctor and family members or friends about deciding to join a study. History of meningococcal infection, or a first-degree relative with a history of meningococcal infection. History of any medical or psychiatric condition or disease that, in the opinion of the Investigator or designee, might limit the participant's ability to complete or participate in this clinical study, confound the results of the study, or pose an additional risk to the participant by their participation in the study. Fasting participants will receive a single dose of 200 mg danicopan. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04609696. A total of 32 patients have been enrolled in the two trials; 13 C3G patients in the 6-month double-blind, placebo-controlled trial and 19 C3G/IC-MPGN patients in the 12-month single-arm open-label trial. Information provided by (Responsible Party): This study will assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of danicopan after a single-dose oral administration under fed and fasting conditions to participants of Japanese descent. Danicopan (ACH-4471), a selective and orally active small-molecule factor D inhibitor, shows high binding affinity to human Factor D with Kd value of 0.54 nM. Unable to refrain from or anticipates the use of any drug. Cmax Of Danicopan Under Fed Conditions In Healthy Elderly Males [ Time Frame: Up to 72 hours postdose ] ... Clinical Trial Site: Tempe, Arizona, United States, 85283 : Sponsors and Collaborators. Donation of whole blood from 3 months prior to first dosing, or of plasma from 30 days before first dosing, receipt of blood products within 6 months prior to first dosing, or receipt of a vaccine within 30 days prior to first dosing. Period 1: Danicopan as a tablet under fed conditions. By inhibiting FD, oral danicopan blocks C3 convertase formation, the control point for AP activation and amplification of all pathways. There will be a washout period of at least 5 days between each danicopan dosing. History of any medical or psychiatric condition or disease that might limit the participant's ability to complete or participate in this clinical study, confound the results of the study, or pose an additional risk to the participant by their participation in the study. Listing a study does not mean it has been evaluated by the U.S. Federal Government. In this clinical trial, danicopan was generally well tolerated. Period 2: Danicopan as a tablet under fed conditions. Female participants of childbearing potential must either agree to abstinence or to use, with their male partner, a highly effective method of contraception . Information provided by (Responsible Party): This is a 2-part open-label, randomized, single-dose, 3-sequence, 3-period crossover, relative bioavailability, and food-effect study comparing different formulations of danicopan in healthy adult participants. Danicopan, our first-generation alternative pathway inhibitor, validated factor D as a target and we plan to begin a Phase 3 registrational study in early 2020,” said Joe Truitt, Chief Executive Officer of Achillion Pharmaceuticals. You have reached the maximum number of saved studies (100). (Clinical Trial), A 2-Part, Open-Label, Randomized, Single-Dose, 3-Period Crossover, Phase 1, Relative Bioavailability, and Food Effect Study, Comparing Different Formulations of Danicopan in Healthy Adult Subjects. No clinically significant history or presence of electrocardiogram findings as judged by the Investigator at screening and prior to the first dose of study intervention in Period 1. Period 2: Danicopan as the PIC 2 formulation under fed conditions. The relative bioavailability of the PIC 1 formulation versus the tablet formulation will be measured by the ratio of select pharmacokinetic (PK) parameters: maximum observed plasma concentration (Cmax), area under the concentration-time curve from time of administration to the last measurable concentration (AUC0-t), and area under the concentration-time curve from time 0 extrapolated to infinity (AUC0-inf). Therapeutic FD inhibition was designed to control IVH and prevent C3-mediated extravascular hemolysis (EVH). On Day 1 of each period, participants will receive a single oral dose of 200 milligrams (mg) danicopan under fasting conditions, 200 mg danicopan under fed conditions, or 400 mg danicopan under fed conditions. For both parts of this study, on Day 1 of each period, participants will receive a single oral dose of danicopan as either the prototype powder-in-capsule (PIC) formulation (1 or 2) under fed conditions, the prototype PIC formulation (1 or 2) under fasting conditions, or the tablet formulation under fed conditions. Diagnosis or history of Gilbert's syndrome, in the opinion of the Investigator or designee. Choosing to participate in a study is an important personal decision. Our plan is to advance ACH-5228 into Phase 2 clinical trials in multiple diseases. Danicopan, our first-generation alternative pathway inhibitor, validated factor … 3 Chemical and Physical Properties Expand this section. Danicopan is a first-in-class oral proximal, complement alternative pathway factor D (FD) inhibitor. Seated blood pressure is less than 90/40 millimeters of mercury (mmHg) or greater than 140/90 mmHg at screening. This Phase 3, pivotal trial will be the largest clinical evaluation of danicopan to date. U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. The register also displays information on 18700 older paediatric trials (in scope of Article … Period 3: Danicopan as the PIC 1 formulation under fed conditions. Their corporate focus includes clinical trials for danicopan as a therapeutic drug for Complement 3 Glomerulopathy , which is one of the 95% of rare diseases without any approved therapy or drug. Positive drugs of abuse screen at screening or Day -1 of Period 1. Individual Participant Data (IPD) Sharing Statement: Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Relative Bioavailability Of Danicopan Prototype PIC 1 Formulation And Tablet Formulation [ Time Frame: Up to 72 hours postdose ], AUC0-inf Of Danicopan Prototype PIC 1 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], AUC0-t Of Danicopan Prototype PIC 1 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], Cmax Of Danicopan Prototype PIC 1 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], Time to maximum observed plasma concentration (Tmax) Of Danicopan Prototype PIC 1 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], Relative Bioavailability Of Danicopan Prototype PIC 2 Formulation And Tablet Formulation [ Time Frame: Up to 72 hours postdose ], AUC0-inf Of Danicopan Prototype PIC 2 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], AUC0-t Of Danicopan Prototype PIC 2 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], Cmax Of Danicopan Prototype PIC 2 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], Tmax Of Danicopan Prototype PIC 2 Formulation Under Both Fed And Fasted Conditions [ Time Frame: Up to 72 hours postdose ], Number Of Participants Receiving Prototype PIC 1 And Tablet With Treatment-emergent Adverse Events Under Fed Conditions [ Time Frame: Day 1 (postdose) through follow-up (10 [+/- 2] days dosing on Day 1) ], Number Of Participants Receiving Prototype PIC 1 With Treatment-emergent Adverse Events Under Fasted Conditions [ Time Frame: Day 1 (postdose) through follow-up (10 [+/- 2] days dosing on Day 1) ], Number Of Participants Receiving Prototype PIC 2 And Tablet With Treatment-emergent Adverse Events Under Fed Conditions [ Time Frame: Day 1 (postdose) through follow-up (10 [+/- 2] days dosing on Day 1) ], Number Of Participants Receiving Prototype PIC 2 With Treatment-emergent Adverse Events Under Fasted Conditions [ Time Frame: Day 1 (postdose) through follow-up (10 [+/- 2] days dosing on Day 1) ].
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