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Iptacopan

Phase 3

Atypical Hemolytic Uremic Syndrome | Small molecule | Hematology |Novartis AG|Last Updated: Jun 1, 2026

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
UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment84
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05935215Efficacy and Safety of Switching From Anti-C5 Antibody Treatment to Iptacopan Treatment in Study Participants With Atypical Hemolytic Uremic Syndrome (aHUS)PHASE3 RECRUITING 50Feb 28, 2024Jul 19, 2029Apr 29, 202631 China, France +6
NCT04889430Efficacy and Safety of Iptacopan (LNP023) in Adult Patients With Atypical Hemolytic Uremic Syndrome Naive to Complement Inhibitor TherapyPHASE3 COMPLETED 34Jan 17, 2022Apr 11, 2026Jun 1, 202636 United States, Brazil +6
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Study Endpoints
Primary Endpoints
Percentage of participants free of TMA manifestation
12 months

Absence of thrombotic microangiopathy (TMA) manifestation, without use of anti-C5 antibody, during the 12 months of iptacopan treatment following the switch of treatment from an anti-C5 antibody to iptacopan treatment.

Percentage of participants with complete TMA response without the use of PE/PI and anti-C5 antibody
26 weeks of study treatment

The number/percentage of participants treated with iptacopan achieving complete thrombotic microangiopathy (TMA) response during 26 weeks of study treatment. Complete TMA Response is defined as (1) hematological normalization in platelet count (platelet count ≥150 x 10\^9/L) and LDH (below ULN), and (2) improvement in kidney function (≥ 25% serum creatinine reduction from baseline), maintained for two measurements obtained at least four weeks apart, and any measurement in between

Long term safety and efficacy evaluations
52 weeks of study treatment

Long term (one year) safety, tolerability and efficacy of iptacopan via 1) safety evaluations including adverse events/serious adverse events, safety laboratory parameters, vital signs etc. after 52 weeks of study treatment, and 2) efficacy evaluations including complete TMA response, hematological parameters (platelets, LDH, hemoglobin), eGFR, PROs after 52 weeks of study treatment

Secondary Endpoints
Percentage of participants free of TMA manifestation in study participants with functionally significant mutations in complement genes or positive anti FH antibodies
12 months, 24 months
Percentage of participants free of TMA manifestation
24 months
Time to TMA manifestation
12 months, 24 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
iptacopan 200 mg b.i.d.EXPERIMENTALopen label arm of iptacopan 200 mg b.i.d.
Iptacopan 200 mg b.i.dEXPERIMENTALSingle arm open-label with 50 adult patients receiving 200mg oral twice daily doses of iptacopan
Interventions
NameTypeDescription
IptacopanDRUGOpen Label
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites31

Inclusion Criteria: * Male and female adult participants ≥ 18 years of age with diagnosis of aHUS for whom etiologies of other types of TMA and non-aHUS kidney disease have been excluded. •. Currently on the recommended (as per label) dosage regimen of anti-C5 antibody treatment, for at least 3 ...

Countries:ChinaFranceGermanyItalyJapanSpainTurkey (Türkiye)United KingdomUnited StatesBrazilCzechiaIndiaSouth KoreaTaiwan
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT04889430lastUpdatePostDate: changed
LOWJun 2, 2026NCT04889430lastUpdatePostDate: changed
LOWJun 2, 2026NCT04889430lastUpdatePostDate: changed
LOWMay 26, 2026NCT05935215primaryCompletionDate: changed
HIGHMay 26, 2026NCT04889430Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWMay 24, 2026NCT05935215studyFirstPostDate: changed
LOWMay 24, 2026NCT04889430studyFirstPostDate: changed