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Ravulizumab OBDS

Phase 3

Paroxysmal Nocturnal Hemoglobinuria | Small molecule | Other |AstraZeneca PLC|Last Updated: Sep 19, 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
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment139
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03748823Ravulizumab Subcutaneous (SC) Versus Ravulizumab Intravenous (IV) in Adults With Paroxysmal Nocturnal Hemoglobinuria (PNH) Currently Treated With EculizumabPHASE3 COMPLETED 139Feb 19, 2019Aug 31, 2023Sep 19, 202451 United States, Australia +12
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Study Endpoints
Primary Endpoints
Ctrough Serum Concentration of Ravulizumab
Predose at Day 71
Secondary Endpoints
Ctrough Serum Concentration of Ravulizumab at Day 351
Predose at Day 351
Free Serum Complement Component 5 (C5) Concentrations at Day 71
Predose at Day 71
Free Serum Complement Component 5 (C5) Concentrations at Day 351
Predose at Day 351
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ravulizumab SC Treatment GroupEXPERIMENTALIn the Randomized Treatment Period, participants will receive an IV loading dose of ravulizumab on Day 1 followed by SC maintenance doses of ravulizumab administered via the ravulizumab OBDS on Day 15 and every week (qw) thereafter for a total of 10 weeks of study treatment. In the Extension Period, ravulizumab SC will be administered via the ravulizumab OBDS from Day 71 qw through Day 1274.
Ravulizumab IV Treatment GroupACTIVE_COMPARATORIn the Randomized Treatment Period, participants will receive an IV loading dose of ravulizumab on Day 1 followed by IV maintenance doses of ravulizumab on Day 15. In the Extension Period, ravulizumab SC will be administered via the ravulizumab OBDS from Day 71 qw through Day 1274.
Interventions
NameTypeDescription
Ravulizumab OBDSCOMBINATION_PRODUCTThe ravulizumab OBDS is a biological-device combination product consisting of a prefilled cartridge containing ravulizumab SC and an on-body injector.
RavulizumabBIOLOGICALAdministered by IV infusion. Ravulizumab IV doses will be based on participant body weight.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: * Male or female ≥18 years of age * Treated with eculizumab for PNH for at least 3 months prior to Day 1 * LDH level ≤1.5 × upper limit of normal (ULN) at screening * PNH diagnosis confirmed by documented high-sensitivity flow cytometry. * Documented meningococcal vaccination no...

Countries:United StatesAustraliaAustriaBelgiumBrazilCanadaFinlandFranceItalyNetherlandsRussiaSpainSwedenTurkey (Türkiye)
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