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LFG316

Phase 2

Paroxysmal Nocturnal Hemoglobinuria | Monoclonal antibody | Hematology |Novartis AG|Trials Updated: May 16, 2025

LFG316 development status

Highest phase Phase 2
Registered trials 9 across 2 sponsors since Dec 2010

LFG316 target and mechanism

ModalityMonoclonal antibody

Also known as LFG316 active drug

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials6
Total Enrollment268

FDA Designations

No designations recorded

LFG316 clinical trials

LFG316 · 6 trials · 10 indications

Phase 2 4Phase 1 2
NCT02534909Proof of Concept Study to Assess the Efficacy, Safety and Pharmacokinetics of LFG316 in Patients With Paroxysmal Nocturnal HemoglobinuriaParoxysmal Nocturnal Hemoglobinuria
COMPLETED10 Analytics
NCT01526889Safety,Tolerability and Efficacy of Intravitreal LFG316 in Patients With Active Non-infectious Intermediate-, posterior-or Panuveitis ,Non-infectious Intermediate Uveitis
COMPLETED25 Analytics
NCT01535950Safety and Efficacy of Intravitreal LFG316 in Wet Age Related Macular Degeneration (AMD)Neovascular Age-elated Macular Degeneration (Wet AMD)
COMPLETED43 Analytics
NCT01527500Intravitreal LFG316 in Patients With Age-related Macular Degeneration (AMD)Geographic Atrophy
COMPLETED158 Analytics
PHASE2COMPLETED
Proof of Concept Study to Assess the Efficacy, Safety and Pharmacokinetics of LFG316 in Patients With Paroxysmal Nocturnal Hemoglobinuria
Paroxysmal Nocturnal HemoglobinuriaUnlock trial analytics
PHASE2COMPLETED
Safety,Tolerability and Efficacy of Intravitreal LFG316 in Patients With Active Non-infectious Intermediate-, posterior-or Panuveitis ,
Non-infectious Intermediate UveitisUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy of Intravitreal LFG316 in Wet Age Related Macular Degeneration (AMD)
Neovascular Age-elated Macular Degeneration (Wet AMD)Unlock trial analytics
PHASE2COMPLETED
Intravitreal LFG316 in Patients With Age-related Macular Degeneration (AMD)
Geographic AtrophyUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Reduction in Serum Lactate Dehydrogenase (LDH) Levels Within the First 4 Weeks of LFG316 Treatment as Measured by Response Rate
Overall (Up to Week 4), Period 1 Day 8, Period 1 Day 15, Period 1 Day 22, Period 1 Day 29

The primary efficacy variable for assessing the effect of LFG316 over the first 4 weeks of treatment was response rate where a patient was considered a responder if the percentage reduction from baseline in serum lactate dehydrogenase (LDH) was at least 60% at any time up to and including week 4 for that patient.

Percentage Change From Baseline in Serum Lactate Dehydrogenase (LDH) Levels Over the Entire Treatment Period
Baseline, Period 1 Day 29 (end of Treatment Period 1), Period 2 Day 365 (end of Treatment Period 2), Period 3 Day 1429 (end of Treatment Period 3), Period 4 Day 141 (end of Treatment Period 4)

Lactate dehydrogenase (LDH) levels were measured in serum samples and the percentage change from baseline was calculated. For serum LDH, baseline was the average of all pre-dose measurements.

Number of Participants With Response Rate for the Individual Response Criteria - in the Study Eye
Day 85 (end of study)

Response rate as defined by: 1. An improvement of 2 or more steps in vitreous haze (scale of 0 to 4), relative to baseline OR 2. An improvement of 10 or more letters in visual acuity (VA), relative to baseline OR 3. An improvement of 2 or more steps in anterior chamber cells (ACC) score (scale of 0 to 4), relative to baseline OR 4. Absence of chorioretinal lesions as determined by the investigator

Number of Participants With Remission in Study Eye - Treatment Period
Day 85 (end of study)

Remission (complete response) was defined as any patient who had: * a vitreous haze score of 0 or 0.5 (scale of 0 to 4) in the study eye, AND * an anterior chamber cell score of 0 (scale of 0 to 4), AND * no chorioretinal lesions in the study eye, AND * was off all immune modulatory therapy (systemic, corticosteroids and topical), AND * without any worsening of uveitis during the trial.

Number of anti-Vascular Endothelial Growth Factor (anti-VEGF) retreatments vs time
Day 1 to 113

Number or retreatments with anti-VEGF treatments will be recorded

Part A: Geographic Atrophy (GA) Lesion Growth Measured by Fundus Autofluorescence (FAF) From Baseline to Day 505
Day 1 to Day 505 (starting from the day of first intravitreal injection until Day 505)

Geographic atrophy (GA) lesion growth measured by fundus autofluorescence (FAF) from baseline to Day 505.

Part A: Sensitivity Analysis of the Primary End Point: Mixed Effects Model for Repeated Measurements on GA Lesion Growth Measured by Fundus Autoflourescence
The primary objective was from Day 1 to Day 337, however data was captured to Day 505 as exploratory objective

Number is the Estimated Difference (95% CI) in lesion size.

Part B: Safety and Tolerability of a Single Intravitreal (IVT) Dose of 10 mg/100 μL of LFG316 in Patients With Advanced AMD).
Day 1 to Day 85

This primary outcome (for Part B) is reported under the Adverse Events section.

Plasma Pharmacokinetics (PK) of LFG316: Area Under the Plasma Concentration-time Curve (AUC)
1 month

The following PK parameters were determined from the plasma concentration time profile of LFG316 using a non-compartmental method: AUClast: Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration AUCinf: Area under the plasma concentration-time curve from time zero to infinity

Plasma Pharmacokinetics (PK) of LFG316: Observed Maximum Plasma Concentration Following Drug Administration (Cmax)
1 month
To evaluate the safety and tolerability of single intravitreal doses of LFG316 in patients with advanced age-related macular degeneration.
Day 1 to Day 85 (starting from the day of intravitreal injection until the end of the study)

Secondary Endpoints

Area Under the Concentration-time Curve (AUC) From Time Zero to the Last Measurable Serum Concentration Sampling Time (0-tlast) for LFG316
Pre-infusion and 2 hours after the end of infusion on Period 1 Day 1.
Maximum Observed Serum Concentration (Cmax) for LFG316
Pre-infusion and 2 hours after the end of infusion on Period 1 Day 1.
Time to Reach Maximum Serum Concentration (Tmax) for LFG316
Pre-infusion and 2 hours after the end of infusion on Period 1 Day 1.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LFG316 then LNP023EXPERIMENTALDuring treatment periods 1 to 3, the regimen included LFG316 at a dosage of 20 mg/kg administered as an intravenous (i.v.) infusion biweekly. In treatment period 4, the patients were given: * LFG316 at a dosage of 20 mg/kg as an i.v. infusion every two weeks for four weeks, amounting to two infusions in total. * LNP023 at a dose of 200 mg administered orally twice daily (b.i.d.) for approximately 20 weeks, with four 50 mg capsules taken at each administration.
LFG316 -Intravitreal InjectionEXPERIMENTAL -
Conventional TherapyACTIVE_COMPARATOR -
LFG316EXPERIMENTAL -
ShamSHAM_COMPARATOR -
LFG316 higher doseEXPERIMENTALLFG316 10 mg/100 μL
LFG316 lower doseEXPERIMENTALLFG316 5 mg/ 50 μL
LFG316 + IVIGEXPERIMENTAL -
LFG316 aloneEXPERIMENTAL -
LFG316 0.15mgEXPERIMENTAL -
LFG316 0.5mgEXPERIMENTAL -
LFG316 1.5mgEXPERIMENTAL -
LFG316 5mgEXPERIMENTAL -

Interventions

NameTypeDescription
LFG316BIOLOGICALLFG316 20 mg/kg was administered to all patients enrolled in the study: * Treatment Periods 1 to 3: LFG316 20 mg/kg as i.v. infusion every 2 weeks * Treatment Period 4: LFG316 20 mg/kg as i.v. infusion every 2 weeks for 4 weeks (total 2 infusions).
LNP023DRUGTreatment Period 4: LNP023 200 mg b.i.d. for approximately 20 weeks. Four capsules (each 50 mg) were administered each time study medication was taken.
Conventional TherapyDRUGConventional Therapy administered in accordance with its prescribing info.
PlaceboDRUGPlacebo will be administered as sham injections. Sham injections will involve placement of the syringe hub against the sclera, without use of a needle.
ShamDRUGSham injection (akin to intravitreal injection but without intravitreal needle; no investigational drug given)
LFG316 Lower doseDRUGLFG316 5 mg/50 μL solution for IVT Injection
IVIGDRUGIVIG single dose
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion criteria: 1. Written informed consent obtained before any assessment were performed. 2. Male and female patients \>= 18 years old with a diagnosis of PNH prior to screening. Based on local requirements (applicable in Czech Republic) only patients between the age of 18 to 65 (inclusive) wi...

Countries:CzechiaJapanLithuaniaUnited StatesUnited Kingdom
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Frequently asked questions about LFG316

What is LFG316 used for?

LFG316 is an investigational monoclonal antibody being studied for several conditions, including non-infectious intermediate uveitis, geographic atrophy, neovascular age-related macular degeneration (wet AMD), kidney transplantation, advanced age-related macular degeneration, and paroxysmal nocturnal hemoglobinuria. It is administered via intravitreal injection for eye-related conditions.

Who makes LFG316?

LFG316 is being developed by Novartis AG, which trades on the New York Stock Exchange under the ticker symbol NVS. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational monoclonal antibody across multiple indications.

What phase is LFG316 in?

LFG316 has completed clinical trials in Phase 1 and Phase 2. It remains an investigational drug and is not approved by the FDA. The completed trials include a Phase 1 study in advanced age-related macular degeneration and Phase 2 studies in uveitis and wet AMD.

What clinical trials is LFG316 in?

LFG316 has completed four clinical trials. NCT01255462 was a Phase 1 study in advanced age-related macular degeneration. NCT01526889 was a Phase 2 study in non-infectious uveitis. NCT01535950 was a Phase 2 study in wet AMD. NCT02878616 was a Phase 1 study in kidney transplant patients.

What is LFG316?

LFG316 is an investigational monoclonal antibody being developed by Novartis AG for ophthalmic and other indications. It has been studied in clinical trials for conditions such as advanced age-related macular degeneration, non-infectious uveitis, wet AMD, and kidney transplantation. It is not yet approved and remains in clinical development.