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ALN-CFB

Phase 1

Paroxysmal Nocturnal Hemoglobinuria (PNH) | Small molecule | Hematology |Regeneron Pharmaceuticals, Inc.|Last Updated: Jul 9, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment24

FDA Designations

No designations recorded

Clinical trial landscape

ALN-CFB · 1 trial · 2 indications

Phase 1 1
NCT07187401A First-in-Human Safety and Efficacy Study of ALN-CFB, a Small Interfering RNA (siRNA) Targeting Complement Factor B, in Adult Participants With Paroxysmal Nocturnal Hemoglobinuria With Persistent Anemia on a C5 InhibitorParoxysmal Nocturnal Hemoglobinuria (PNH)
RECRUITING24 Analytics
PHASE1RECRUITING
A First-in-Human Safety and Efficacy Study of ALN-CFB, a Small Interfering RNA (siRNA) Targeting Complement Factor B, in Adult Participants With Paroxysmal Nocturnal Hemoglobinuria With Persistent Anemia on a C5 Inhibitor
Paroxysmal Nocturnal Hemoglobinuria (PNH)Unlock trial analytics

Study Endpoints

Primary Endpoints

Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Through 365 Days
Severity of TEAEs
Through 365 Days

Secondary Endpoints

Concentrations of combined ALN-CFB and major metabolites in plasma
Through 365 Days
Concentrations of combined ALN-CFB and major metabolites in urine
Through 24 Hours following ALN-CFB administration
Absolute change from baseline in CFB concentration
Baseline, Through 365 Days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Single-Ascending Dose EscalationEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
ALN-CFBDRUGAdministered as defined in the protocol
PlaceboDRUGAdministered as defined in the protocol
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites8

Key Inclusion Criteria: 1. Has been diagnosed with PNH confirmed by a history of high flow cytometry from prior testing 2. Treated with a stable dose of C5 inhibitor (eculizumab or approved eculizumab biosimilar, ravulizumab, or crovalimab) for at least 24 weeks prior to screening visit, as describ...

Countries:CanadaSouth KoreaUnited Kingdom
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Recent Changes (Last 90 Days)

LOWJul 9, 2026NCT07187401lastUpdatePostDate: changed
LOWJul 9, 2026NCT07187401lastUpdatePostDate: changed
LOWJun 18, 2026NCT07187401lastUpdatePostDate: changed
LOWJun 18, 2026NCT07187401lastUpdatePostDate: changed
LOWJun 18, 2026NCT07187401lastUpdatePostDate: changed

Frequently asked questions about ALN-CFB

What is ALN-CFB used for in Paroxysmal Nocturnal Hemoglobinuria (PNH)?

ALN-CFB is an investigational small interfering RNA (siRNA) being developed for adults with Paroxysmal Nocturnal Hemoglobinuria (PNH) who have persistent anemia despite treatment with a C5 inhibitor. It is currently in Phase 1 clinical development and is not yet approved by regulatory authorities.

What does ALN-CFB target?

ALN-CFB targets complement factor B, a protein involved in the complement system. By silencing complement factor B, the siRNA is designed to address persistent anemia in patients with Paroxysmal Nocturnal Hemoglobinuria (PNH) who are already on a C5 inhibitor.

Who makes ALN-CFB?

ALN-CFB is being developed by Regeneron Pharmaceuticals, Inc., a biopharmaceutical company traded on NASDAQ under the ticker REGN. The drug is currently in Phase 1 clinical development for Paroxysmal Nocturnal Hemoglobinuria (PNH).

What phase is ALN-CFB in?

ALN-CFB is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by the FDA or other regulatory agencies. The ongoing Phase 1 trial is recruiting participants with Paroxysmal Nocturnal Hemoglobinuria (PNH) and persistent anemia.

What clinical trials is ALN-CFB in?

ALN-CFB is being studied in a single Phase 1 trial, NCT07187401, which is currently recruiting. This first-in-human study evaluates the safety and efficacy of ALN-CFB in adults with Paroxysmal Nocturnal Hemoglobinuria (PNH) with persistent anemia on a C5 inhibitor. The trial is randomized, double-blind, and placebo-controlled, with an enrollment target of 24 participants.

Is ALN-CFB the same as any other drug?

ALN-CFB is the sole name provided for this investigational drug; no alternative names have been listed. It is a small interfering RNA (siRNA) targeting complement factor B, developed by Regeneron Pharmaceuticals for Paroxysmal Nocturnal Hemoglobinuria (PNH).