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Monoclonal Antibodies

Ravulizumab for Thrombotic Microangiopathy

Phase 3
Recruiting
Research Sponsored by Alexion
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be younger than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up follow up period (183-365 days after start of study medication)
Awards & highlights

Study Summary

This trial will study the safety and effectiveness of a new drug, ravulizumab, in children who have undergone a stem cell transplant for a rare blood disorder. The treatment period is 26 weeks, followed by a 26-week follow-up period.

Who is the study for?
This trial is for children and teens from 1 month to under 18 years who've had a stem cell transplant in the last year and are suffering from HSCT-TMA. They must be able to consent, use effective birth control if applicable, be vaccinated against meningococcal infections or on antibiotics, weigh at least 5 kg, and not have certain other health conditions.Check my eligibility
What is being tested?
The study tests Ravulizumab given by IV to kids with HSCT-TMA. It looks at how safe it is, how well it works, what the body does with it (pharmacokinetics), and what it does to the body (pharmacodynamics) over a treatment period of 26 weeks plus another 26 weeks of follow-up without treatment.See study design
What are the potential side effects?
Possible side effects include reactions where the drug enters the body, headache, nausea, vomiting; also potential risks like infections due to weakened immune defenses or interference with normal blood clotting.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~follow up period (183-365 days after start of study medication)
This trial's timeline: 3 weeks for screening, Varies for treatment, and follow up period (183-365 days after start of study medication) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
TMA Response
Secondary outcome measures
Hematologic Response
Number of Participants with a Change from Baseline in TMA-associated Organ Dysfunction in Renal System, Cardiovascular System, Pulmonary System, CNS, and GI System.
Overall Survival
+4 more

Side effects data

From 2022 Phase 3 trial • 195 Patients • NCT03056040
31%
Headache
30%
Nasopharyngitis
28%
Upper respiratory tract infection
21%
Fatigue
19%
Diarrhoea
19%
Pyrexia
18%
Nausea
17%
Cough
15%
Abdominal pain
14%
Back pain
14%
Dizziness
13%
Pain in extremity
11%
Arthralgia
11%
Influenza like illness
10%
Oropharyngeal pain
10%
Rhinitis
8%
Vomiting
8%
Abdominal pain upper
8%
Dyspnoea
8%
Urinary tract infection
8%
Anaemia
7%
Constipation
6%
Chest pain
6%
Dysphagia
5%
Gastroenteritis
5%
Pruritus
5%
Myalgia
5%
Palpitations
5%
Influenza
3%
Haemolysis
2%
Lower respiratory tract infection
2%
Haemolytic anaemia
1%
Basal cell carcinoma
1%
Hyperthermia
1%
Cholelithiasis
1%
Foot deformity
1%
Colitis
1%
Bone marrow failure
1%
Infection
1%
Pneumonia
1%
Post procedural infection
1%
Liver disorder
1%
Depression
1%
Epilepsy
1%
Respiratory failure
1%
Enteritis
1%
Pneumoperitoneum
1%
Toothache
1%
Bile duct stone
1%
Biliary colic
1%
Cholecystitis
1%
COVID-19
1%
Bacteraemia
1%
Escherichia sepsis
1%
Escherichia urinary tract infection
1%
Pneumonia bacterial
1%
Postoperative wound infection
1%
Rhinovirus infection
1%
Septic shock
1%
Ankle fracture
1%
Ligament injury
1%
Transfusion reaction
1%
Cerebrospinal fluid retention
1%
Loss of consciousness
1%
Dupuytren's contracture
1%
Intervertebral disc degeneration
1%
Osteonecrosis
1%
Ureterolithiasis
1%
Urinary retention
1%
Major depression
1%
Suicide attempt
1%
Dermal cyst
1%
Invasive papillary breast carcinoma
1%
Aplastic anaemia
1%
Breakthrough haemolysis
1%
Tibia fracture
1%
Lower limb fracture
1%
Deep vein thrombosis
1%
Endometrial cancer
1%
Lung cancer metastatic
1%
Renal cancer metastatic
1%
Seborrhoeic keratosis
1%
Pharyngitis
1%
Pneumococcal infection
1%
Liver function test increased
1%
Road traffic accident
1%
Suspected COVID-19
100%
80%
60%
40%
20%
0%
Study treatment Arm
Ravulizumab
Eculizumab

Trial Design

1Treatment groups
Experimental Treatment
Group I: Ravulizumab plus Best Supportive CareExperimental Treatment2 Interventions
Participants will receive ravulizumab plus Best Supportive Care as background therapy.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ravulizumab
2021
Completed Phase 4
~1080

Find a Location

Who is running the clinical trial?

AlexionLead Sponsor
246 Previous Clinical Trials
39,237 Total Patients Enrolled
Alexion Pharmaceuticals, Inc.Lead Sponsor
253 Previous Clinical Trials
41,162 Total Patients Enrolled
Alexion PharmaceuticalsLead Sponsor
230 Previous Clinical Trials
37,383 Total Patients Enrolled

Media Library

Ravulizumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT04557735 — Phase 3
Thrombotic Microangiopathy Research Study Groups: Ravulizumab plus Best Supportive Care
Thrombotic Microangiopathy Clinical Trial 2023: Ravulizumab Highlights & Side Effects. Trial Name: NCT04557735 — Phase 3
Ravulizumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04557735 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this test still looking for volunteers?

"Although this thrombotic microangiopathies clinical trial was posted on 11/6/2020, it is not currently enrolling patients. The most recent edit to the study was on 8/1/2022. However, there are 117 other clinical trials currently looking for participants with thrombotic microangiopathies and 16 studies for Ravulizumab admitting patients."

Answered by AI

What indications does Ravulizumab usually treat?

"Ravulizumab can be used to target disease activity, hemolysis, and thrombotic microangiopathies."

Answered by AI

Are there any severe risks associated with Ravulizumab?

"There is pre-existing clinical data to support the safety of ravulizumab, giving it a score of 3."

Answered by AI

What is the existing research on Ravulizumab?

"Ravulizumab was first studied in 2016. So far, there have been 28 completed trials and 16 active clinical trials. Many of the active trials are being conducted in Tucson, Arizona."

Answered by AI

Across how many different locations is this clinical trial being managed?

"At the moment, there are 18 hospitals conducting this study. The list of sites includes locations such as Tucson, Aurora, Cleveland and 15 additional hospitals. If you choose to participate in this study, try to select a location nearest to you to cut down on travel."

Answered by AI

Does this research project allow for elderly individuals above the age of seventy to participate?

"The age range for patients that can enroll in this clinical trial is 28 days old to 17 years old. Out of the 11 clinical trials available for minors, this is one of them. If a patient is 65 years or older, there are 122 trials they could potentially enroll in."

Answered by AI

How many people are sign ups for this experiment?

"This study is no longer recruiting patients for participation. The trial was initial posted on November 6th, 2020 and was most recently updated on August 1st, 2022. However, there are presently 117 clinical trials actively enrolling patients with thrombotic microangiopathies and 16 studies for Ravulizumab actively enrolling patients."

Answered by AI

Has this clinical trial been done before?

"Ravulizumab has been under investigation since 2016 when the first study, which was funded by Alexion Pharmaceuticals, concluded. After the 2016 study comprising of 270 people, Ravulizumab received Phase 3 drug approval. Presently, there are 16 active studies involving Ravulizumab across 31 countries and 193 cities."

Answered by AI

Who meets the qualifications to take part in this clinical trial?

"This study is looking for 40 individuals that have thrombotic microangiopathies and meet the following requirements: they must be between 28 days and 17 years old, they must have received a HSCT within the past 12 months, their TMA diagnosis must persist for at least 72 hours despite initial management, and they must have a TMA diagnosis based on meeting the select criteria during the Screening Period and/or <=14 days prior to the Screening Period. Additionally, participants must weigh ≥ 5 kilograms, be vaccinated against meningococcal infections if clinically feasible, and use highly effective contraception if they are of child"

Answered by AI
~7 spots leftby Dec 2024