ALXN1820 for Sickle Cell Disease

(PHOENIX Trial)

No longer recruiting at 15 trial locations
AP
Overseen ByAlexion Pharmaceuticals, Inc.
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Alexion Pharmaceuticals, Inc.
Must be taking: Hydroxyurea
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if ALXN1820, an experimental treatment, is safe and well-tolerated for people with Sickle Cell Disease (SCD). SCD can cause painful episodes and other health issues, and the study will explore different dosing schedules to identify the most effective one. Participants will receive either a weekly or monthly dose of ALXN1820. The trial is suitable for those who have experienced 1 to 10 painful crises related to SCD in the past year and are currently stable on their SCD treatment. As a Phase 2 trial, this research measures the treatment's effectiveness in an initial, smaller group, offering participants a chance to contribute to significant advancements in SCD treatment.

Will I have to stop taking my current medications?

The trial requires that if you are taking hydroxyurea, you must have been on a stable dose for at least 3 months before joining and cannot change the dose during the study. You cannot be taking Voxelotor or crizanlizumab within 60 days before starting the trial, and you cannot be on certain other medications like recombinant human erythropoetins or complement inhibitors.

Is there any evidence suggesting that ALXN1820 is likely to be safe for humans?

Research is examining the safety of ALXN1820 for people with sickle cell disease. Earlier studies found that most patients tolerated ALXN1820 well. These studies did not identify any serious side effects directly linked to the treatment, suggesting it might be safe for most people. However, as the trials remain in the early stages, researchers continue to gather more safety information. Participants should consider this and consult their doctor if they have any concerns.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about ALXN1820 for sickle cell disease because it offers a novel approach compared to existing treatments. While typical treatments like hydroxyurea and blood transfusions focus on managing symptoms or complications, ALXN1820 targets the underlying disease process more directly. ALXN1820 is unique because it is designed to be administered in varied doses and schedules, including 300 mg weekly, 600 mg every four weeks, and an optional 300 mg every two weeks, potentially offering flexibility and convenience for patients. This versatility, combined with the promise of a more targeted mechanism, makes ALXN1820 a promising candidate for improving sickle cell disease management.

What evidence suggests that ALXN1820 might be an effective treatment for Sickle Cell Disease?

Research shows that ALXN1820 is under testing to determine its potential benefits for people with Sickle Cell Disease (SCD). Participants in this trial will receive varying dosages of ALXN1820: 300 mg once weekly, 600 mg once every 4 weeks, or 300 mg once every 2 weeks. Although detailed results on its effectiveness in humans are not yet available, this treatment aims to target areas in the body that might reduce SCD symptoms, potentially leading to less pain and improved blood flow. Early findings suggest it might help manage some challenging symptoms of SCD. Further studies are underway to confirm its effectiveness and safety for patients.13467

Are You a Good Fit for This Trial?

Adults with Sickle Cell Disease (HbSS, or HbSβ0-thalassemia) weighing at least 40 kg and having a hemoglobin level between 5.5 and 10 g/dL can join. They must be on stable hydroxyurea doses if applicable, vaccinated against certain infections, not planning major treatment changes, without severe kidney issues or recent transfusions/infections, and not pregnant.

Inclusion Criteria

My vaccinations for Hib and pneumonia are current as per guidelines for sickle cell disease.
I have been diagnosed with sickle cell disease.
I've had between 1 and 10 pain crises in the last year.
See 5 more

Exclusion Criteria

History of complement deficiency
I have not had a serious infection in the last 14 days.
I haven't taken complement inhibitors in the last 6 months.
See 13 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive ALXN1820 with different dosing regimens: 300 mg once weekly, 600 mg once every 4 weeks, or 300 mg once every 2 weeks

12 weeks
Weekly or bi-weekly visits depending on dosing regimen

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • ALXN1820
Trial Overview The trial is testing the safety of ALXN1820 given under the skin to adults with Sickle Cell Disease. It aims to understand how well it's tolerated and its effects on the body (pharmacokinetics/dynamics).
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Group I: ALXN1820 600 mg once every 4 weeksExperimental Treatment1 Intervention
Group II: ALXN1820 300 mg once weeklyExperimental Treatment1 Intervention
Group III: ALXN1820 300 mg once every 2 weeks (Optional cohort)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Alexion Pharmaceuticals, Inc.

Lead Sponsor

Trials
267
Recruited
141,000+
Dr. Alberto R. Martinez profile image

Dr. Alberto R. Martinez

Alexion Pharmaceuticals, Inc.

Chief Medical Officer since 2010

MD from University of Sao Paulo

Marc Dunoyer profile image

Marc Dunoyer

Alexion Pharmaceuticals, Inc.

Chief Executive Officer since 2021

PhD in Molecular Biology

Alexion

Lead Sponsor

Trials
247
Recruited
38,600+
Marc Dunoyer profile image

Marc Dunoyer

Alexion

Chief Executive Officer since 2021

PhD in Molecular Biology, University of Brussels

Christophe Hotermans profile image

Christophe Hotermans

Alexion

Chief Medical Officer since 2021

MD, University of Leuven

Alexion Pharmaceuticals

Lead Sponsor

Trials
231
Recruited
36,700+
Marc Dunoyer profile image

Marc Dunoyer

Alexion Pharmaceuticals

Chief Executive Officer since 2021

B.A. in Psychology from the University of New Hampshire

Christophe Hotermans profile image

Christophe Hotermans

Alexion Pharmaceuticals

Chief Medical Officer since 2023

MD

Citations

Study Details | NCT05565092 | Safety, Efficacy, ...The primary objective of this study is to assess the safety and tolerability of ALXN1820 SC (subcutaneous) in participants with SCD (Sickle Cell Disease).
New Study to Assess Safety and Efficacy of ALXN1820 in ...A new study will assess the safety, efficacy, and pharmacokinetics of ALXN1820 in patients with sickle cell disease.
Current and Future Therapeutics for Treating Patients with ...Overall, crizanlizumab's effectiveness at treating SCD is mixed, and there are limited data on its effectiveness in patients outside of a clinical trial setting ...
Safety, Efficacy, Pharmacokinetic, and Pharmacodynamic ...The primary objective of this study is to assess the safety and tolerability of ALXN1820 SC (subcutaneous) in participants with SCD (Sickle Cell Disease).
TITLE PAGE STATISTICAL ANALYSIS PLANRegimens of Subcutaneous ALXN1820 in Adult Patients With Sickle Cell Disease. Protocol Number: ALXN1820-SCD-201. Protocol Amendment Number ...
A Phase 2a, Randomized, Open-Label Study to Evaluate ...A Phase 2a, Randomized, Open-Label Study to Evaluate Multiple Dosing Regimens of Subcutaneous ALXN1820 in Adult Patients with Sickle Cell ...
Safety, Tolerability, Pharmacokinetics, Pharmacodynamics ...Tarperprumig (ALXN1820), a novel humanized bispecific antibody, binds properdin and albumin and is being developed to treat complement-mediated ...
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