Status:

RECRUITING

A First-in-Human Safety and Efficacy Study of ALN-CFB, a Small Interfering RNA (siRNA) Targeting Complement Factor B, in Adult Participants With Paroxysmal Nocturnal Hemoglobinuria With Persistent Anemia on a C5 Inhibitor

Lead Sponsor:

Regeneron Pharmaceuticals

Conditions:

Paroxysmal Nocturnal Hemoglobinuria (PNH)

Persistent Anemia

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

This study is researching an experimental drug called ALN-CFB. The study is focused on people with Paroxysmal Nocturnal Hemoglobinuria (PNH) who are currently taking a complement component C5 inhibito...

Detailed Description

The protocol will be amended to describe Part B of the study after Part A data have been analyzed.

Eligibility Criteria

Inclusion

  • Key
  • Has been diagnosed with PNH confirmed by a history of high flow cytometry from prior testing
  • Treated with a stable dose of C5 inhibitor (eculizumab or approved eculizumab biosimilar, ravulizumab, or crovalimab) for at least 24 weeks prior to screening visit, as described in the protocol
  • Has hemoglobin ≤10.5 g/dL at screening visit 1, with evidence of anemia prior to this visit, as described in the protocol
  • Has peripheral blood reticulocyte count of ≥100 x 10\^9/L at screening visit 1
  • Key

Exclusion

  • Has history of bone marrow transplantation or receipt of an organ transplant
  • Has history of meningococcal infection or similar recurrent infections by other encapsulated bacterial organisms
  • Has any active, ongoing infection or a recent infection requiring ongoing systemic treatment with antibiotics, antivirals, or antifungals within 2 weeks of screening or during the screening period
  • Has laboratory evidence of bone marrow failure, as described in the protocol
  • Have recent, unstable medical conditions, not related to PNH or PNH-related complications, as described in the protocol
  • NOTE: Other Protocol Defined Inclusion / Exclusion Criteria Apply

Key Trial Info

Start Date :

November 28 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 4 2030

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT07187401

Start Date

November 28 2025

End Date

January 4 2030

Last Update

November 6 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Toronto General Hospital

Toronto, Ontario, Canada, M5G 2C4

2

Seoul National University Hospital

Jongno-gu, Seoul, South Korea, 03080