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The main purpose of this study is to evaluate the efficacy of MY008211A in adult patients with PNH, showing signs of active hemolysis.
The purpose of this study is to determine whether MY008211A is efficacious and safe for the treatment of PNH patients who are naïve to complement inhibitor therapy, including anti-C5 antibody.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 MY008211A low dose | Experimental | Participants will receive MY008211A at a dose of 400 mg orally b.i.d |
|
| Arm 2 MY008211A high dose | Experimental | Participants will receive MY008211A at a dose of 600 mg orally b.i.d |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MY008211A tablets | Drug | dose 1 (400 mg BID) and dose 2 (600 mg BID) in a 1:1 ratio by central randomization |
|
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of subjects with an increase in hemoglobin concentration ≥ 20 g/L from baseline among subjects who do not receive RBC transfusion after 4 weeks of dosing | Proportion of participants achieving a sustained increase from baseline in hemoglobin levels of ≥ 20 g/L assessed , in the absence of red blood cell transfusions | Day 70 |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of patients with an increase in hemoglobin ≥ 20 g/L from baseline among those without RBC transfusion | The proportion of patients with an increase in hemoglobin ≥ 20 g/L from baseline among those without RBC transfusion | Day14, 21, 28, 42, 56 |
| The proportion of patients with hemoglobin ≥ 120 g/L among those without RBC transfusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaoni Li, Ph.D | Contact | 021-51158605 | lixiaoni@createrna.com |
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| ID | Term |
|---|---|
| D006457 | Hemoglobinuria, Paroxysmal |
| ID | Term |
|---|---|
| D000743 | Anemia, Hemolytic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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|
The proportion of patients with hemoglobin ≥ 120 g/L among those without RBC transfusion |
| Day14, 21, 28, 42, 56 and 70 |
| Change in hemoglobin concentration from baseline in patients without RBC transfusion | Change in hemoglobin concentration from baseline in patients without RBC transfusion | Day14, 21, 28, 42, 56 and 70 |
| Change in LDH level from baseline | Change in LDH level from baseline | Day7, 14, 21, 28, 42, 56 and 70 |
| The proportion of patients with hemolysis controlled | The proportion of patients with hemolysis controlled (defined as LDH < 1.5 ULN) | Day7, 14, 21, 28, 42, 56 and 70 |
| Change in reticulocyte count from baseline in patients without RBC transfusion | Change in reticulocyte count from baseline in patients without RBC transfusion | Day7, 14, 21, 28, 42, 56 and 70 |
| Change in indirect bilirubin level from baseline | Change in indirect bilirubin level from baseline | Day7, 14, 21, 28, 42, 56 and 70 |
| The proportion of patients without RBC transfusion | The proportion of patients without RBC transfusion | Day14, 21, 28, 42, 56 and 70 |
| Change in the average weekly amount of RBC transfused during the efficacy observation period | Change in the average weekly amount of RBC transfused during the efficacy observation period compared with that pre-dose | Day70 |
| Change From Baseline in FACIT-Fatigue Questionnaire | Change from baseline in FACIT-Fatigue scores. The FACIT-Fatigue is a 13-item questionnaire with support for its validity and reliability in PNH that assesses patient self-reported fatigue and its impact on daily activities and function. All FACIT scales are scored so that a high score is better. As each of the 13 items of the FACIT-F Scale ranges from 0-4, the range of possible scores is 0-52, with 0 being the worst possible score and 52 the best. | Day7, 14, 21, 28, 42, 56 and 70 |
| Changes from baseline in alternative complement pathway activity | Alternative complement pathway activity measured by the WIESLAB® kit. | Day14, 28, 56 and 70 |
| Change in the amount of fragment Bb of CFB in plasma from baseline | Bb fragment cleaved by factor B of complement. | Day14, 28, 56 and 70 |
| Change in the level of PNH RBC clones from baseline in patients without RBC transfusion. | Change from baseline in the level of PNH red cell clones. | Day70 |
| Incidence of Adverse Events (AEs) between Day 1 and Day 70 | Adverse Events (AEs) | Day 70 |
| D009190 |
| Myelodysplastic Syndromes |
| D001855 | Bone Marrow Diseases |