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APL-2

Phase 2

Warm Autoimmune Hemolytic Anemia | Small molecule | Hematology |Apellis Pharmaceuticals, Inc.|Last Updated: Dec 12, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment24
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03226678Study to Assess the Safety, Tolerability, Efficacy and PK of APL-2 in Patients With Warm Type Autoimmune Hemolytic Anemia (wAIHA) or Cold Agglutinin Disease (CAD)PHASE2 COMPLETED 24Aug 31, 2017Sep 12, 2022Dec 12, 20248 United States
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Study Endpoints
Primary Endpoints
Number of Subjects With Treatment Emergent Adverse Events (TEAEs) Including by Severity
Part A:From first dose of study drug (Part A Day 1) up to 30days after last dose of study drug in Part A,approximately 366days Part B:From first dose of study drug (Part B Day 1) up to 56days after last dose of study drug in Part B,approximately 980days

TEAEs were defined as adverse events (AEs) that occurred after dosing on Day 1 and up to 56 days after the last dose of study drug. A treatment-related TEAE is defined as a TEAE with a relationship to study drug of probably, possibly, unlikely, or unrelated. A serious adverse event (SAE) is defined as any AE that resulted in death; was life-threatening; required hospitalization or prolongation of existing hospitalization; resulted in persistent or significant incapacity or substantial disruption of ability to conduct normal life functions; was a congenital anomaly or birth defect. TEAEs were graded according to Common Terminology Criteria for Adverse Events v4.03 based on: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening; Grade 5: Death related to AE.

Secondary Endpoints
Mean Change From Baseline in Hemoglobin at Weeks 48 and 132
Part A: Baseline (Day 1 of Part A) and Week 48; Part B: Baseline (Day 1 of Part B) and Week 132
Number of Subjects Who Received Red Blood Cell (RBC) Transfusions
From Day 1 up to Week 132
Mean Change From Baseline in Absolute Reticulocyte Count (ARC) at Weeks 48 and 132
Part A: Baseline (Day 1 of Part A) and Week 48; Part B: Baseline (Day 1 of Part B) and Week 132
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
270mg or 360mg APL-2 administered subcutaneously daily (CAD)EXPERIMENTAL -
270mg or 360mg APL-2 administered subcutaneously daily (wAIHA)EXPERIMENTAL -
Interventions
NameTypeDescription
APL-2DRUGComplement (C3) Inhibitor
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: 1. At least 18 years of age. 2. Weight \< 125 Kg. 3. Subjects must have a primary diagnosis of wAIHA or CAD defined by the presence of hemolytic anemia and positive DAT for wAIHA (IgG) or CAD (C3). 4. Hemoglobin \<11 g/dL. 5. Signs of hemolysis with abnormal values by any of the...

Countries:United States
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