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Also known as REGN3918
Pozelimab · 11 trials · 9 indications
An SAE is any untoward medical occurrence that at any dose: * Results in death * Is life-threatening * Requires in-patient hospitalization or prolongation of existing hospitalization. * Results in persistent or significant disability/incapacity * Is a congenital anomaly/birth defect. * Is an important medical event
An AESI (serious or non-serious) is one of scientific and medical concern specific to the sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the sponsor can be appropriate. Such an event might warrant further investigation in order to characterize and understand it
Any untoward medical occurrence in a patient administered a study drug which may or may not have a causal relationship with the study drug.
Any untoward medical occurrence in a patient administered a study drug which may or may not have a causal relationship with the study drug.
Cohort A
Cohort B Not requiring a red blood cell (RBC) transfusion per the protocol
Cohort B LDH ≤1.5 × ULN at each visit
The total MG-ADL score ranges from 0 to 24 points, with higher scores indicating greater functional impairment and disability
Open Label Treatment Period (OLTP)
Normalization of serum albumin was defined as serum albumin within the normal range at least 70 percent (%) of measurements between weeks 12 and 24, and no single albumin measurement of \<2.5 grams per deciliter (g/dL) between weeks 12 and 24, and no requirement for albumin infusion between weeks 12 and 24. Improvement in the following 4 prespecified clinical outcomes that were evaluable for improvement at baseline, without worsening of the others: Daily bowel movement frequency, the presence and severity of facial edema (physician-reported), the presence and severity of peripheral edema (physician-reported), and the participant/caregiver assessment of frequency of problematic abdominal pain. Percentage of participants with active disease at baseline who achieved normalization of serum albumin and improvement in prespecified clinical outcomes at Week 24 were reported.
Participants were considered to have had adequate control of intravascular hemolysis if all of their lactose dehydrogenase (LDH) readings from Week 4 through Week 26 inclusive had values less than or equal to ≤ 1.5 × upper limit of normal (ULN). Participants must have greater than or equal to (≥) 50 percent (%) of scheduled LDH measures in those weeks, must not have had more than (\>) 2 consecutive visits without LDH measures, must not have experienced breakthrough hemolysis, and must not have discontinued study treatment early. Participants were considered not to have had adequate control of intravascular hemolysis if they failed any of these criteria.
Transfusion avoidance was defined as not having received red blood cell (RBC) transfusion during the first 26 weeks. A transfusion was counted only if it was per-protocol, that is, it followed the predefined transfusion algorithm: RBC transfusion due to a post-baseline hemoglobin level \< 9 grams per deciliter (g/dL) (with anemia symptoms) or a post-baseline hemoglobin level \< 7 g/dL (without anemia symptoms).
Part A
Part B
Part A
The IBM-FRS is a 10-item interviewer-administered patient-reported outcomes (PRO) measure that assesses physical function in patients with IBM. The IBMFRS includes items assessing lower body physical function, general physical function, the ability to perform certain activities of daily living, fine motor skills, and swallowing. On a Likert scale ranging from 0 (unable to perform activity) to 4 (normal), patients are asked to rate their difficulty in performing tasks relative to each concept before disease onset. Scores on the IBMFRS range from 0 to 40, with higher scores indicating better functioning.
The sIFA is an 11-item self-administered PRO measure assessing physical function in patients with sIBM. This questionnaire will be completed by the patient on a numeric rating scale ranging from 0 (no difficulty) to 10 (unable to do), with a total score ranging from 0 to 100, where 100 indicates severe limitations. P atients will be asked to rate their difficulty with performing tasks involving lower and upper body physical function, general physical function, fine motor skills, and swallowing in the past 7 days.
| Arm | Type | Description |
|---|---|---|
| Pozelimab + Cemdisiran Combo | EXPERIMENTAL | - |
| Pozelimab + Cemdisiran treatment group | EXPERIMENTAL | Randomized 1:1:1 |
| Cemdisiran monotherapy treatment group | EXPERIMENTAL | Randomized 1:1:1 |
| Placebo treatment group | PLACEBO_COMPARATOR | Randomized 1:1:1 |
| PNH Transition Patients | EXPERIMENTAL | Patients with PNH who completed treatment/ protocol requirements (as applicable) in the parent study (R3918-PNH-2021 \[NCT05133531\]) |
| C5 Polymorphism Patients | EXPERIMENTAL | Patients who have not been treated in either parent study but who have a documented complement component 5 (C5) variation rendering them refractory to eculizumab/ravulizumab. Note: Loading dose of pozelimab administered IV on Day 1. |
| Cohort A | EXPERIMENTAL | Randomized 1:1 |
| Cohort B | EXPERIMENTAL | Randomized 1:1 |
| Group 1 | EXPERIMENTAL | Placebo in DBTP; Re-randomized to Combination or Cemdisiran in ETP and OLTP |
| Group 2 | EXPERIMENTAL | Combination regimen throughout the study. For participants who have not reached week 108 will receive cemdisiran monotherapy in the OLTP. |
| Group 3 | EXPERIMENTAL | Cemdisiran throughout the study |
| Group 4 | EXPERIMENTAL | Pozelimab monotherapy in DBTP followed by combination in ETP and OLTP. For participants who have not reached week 108 will receive cemdisiran monotherapy in the OLTP. |
| Pozelimab Q4W + Cemdisiran | EXPERIMENTAL | - |
| Pozelimab Q2W + Cemdisiran | EXPERIMENTAL | - |
| Pozelimab+Cemdisiran | EXPERIMENTAL | - |
| Active PLE | EXPERIMENTAL | Patients aged 1 year and older with a clinical diagnosis of CD55-deficient PLE disease |
| REGN3918 | EXPERIMENTAL | Cohort A (Dose Confirmation) If a decision is made to expand Cohort A, patients will be assigned to Cohort A. Cohort B (Dose Expansion) If a decision is made to progress to Cohort B, patients will be assigned to Cohort B. |
| Part A | EXPERIMENTAL | - |
| Part B | EXPERIMENTAL | - |
| INJECTION | OTHER | patients to receive Pozelimab 200mg/Cemdisiran 200 mg SC injections every 4 weeks for 104 weeks. SC injections will be administered by the study staff and the patient will be monitored for 30 minutes after the initial first injection. During the remainder of the study, injections can be administered at home by the patient or caregiver after injection training provided by the study staff. Designated persons will be observed to confirm their ability to perform the injections. The dosing window of the study treatment is within ±7 days from the scheduled dose date. |
| Name | Type | Description |
|---|---|---|
| Pozelimab | DRUG | Administered per the protocol |
| Cemdisiran | DRUG | Administered per the protocol |
| Placebo | DRUG | SC injection |
| Ravulizumab | DRUG | Administered Intravenous (IV) per the protocol |
| Eculizumab | DRUG | Administered IV per the protocol |
| Pozelimab + Cemdisiran | DRUG | Subcutaneous administration as described in the protocol |
| REGN3918 | DRUG | Single intravenous (IV) dose, then a subcutaneous (SC) dose once weekly (QW). |
| Pozelimab/Cemdisiran | COMBINATION_PRODUCT | Patients to receive Pozelimab 200mg/Cemdisiran 200 mg SC injections every 4 weeks for 104 weeks |
Key Inclusion Criteria: 1. Diagnosis of PNH confirmed by a history of high-sensitivity flow cytometry from prior testing 2. Currently treated with marketed eculizumab, ravulizumab, or crovalimab at the labeled dose for at least 6 months 3. LDH persistently \> 1.5 × Upper Limit of Normal (ULN) in th...
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| AbbVie, Inc. | ABBV | 7 | PHASE3 | Surabgene Lomparvovec, RGX-314, ABBV-6628 |
| Ocular Therapeutix Inc | OCUL | 3 | PHASE3 | OTX-TKI |
| 4D Molecular Therapeutics, Inc. | FDMT | 3 | PHASE3 | 4D-150 |
| Regeneron Pharmaceuticals, Inc. | REGN | 2 | PHASE3 | Aflibercept, Pozelimab, Cemdisiran |
| Novartis AG Sponsored ADR | NVS | 5 | PHASE2 | Iptacopan, GT005, FWY003 |
| EyePoint, Inc. | EYPT | 2 | PHASE3 | EYP-1901 |
| Kodiak Sciences, Inc. | KOD | 1 | PHASE3 | Tarcocimab tedromer, Tabirafusp tedromer |
| Hoffmann-La Roche | RHHBY | 10 | PHASE3 | Ranibizumab, Susvimo, RO7965032, OpRegen, Faricimab |
| Outlook Therapeutics, Inc. | OTLK | 1 | PHASE3 | ONS-5010 |
| Adverum Biotechnologies, Inc. | ADVM | 4 | PHASE3 | Ixo-vec, ADVM-022 |
| Apellis Pharmaceuticals, Inc. | APLS | 1 | PHASE2 | APL-3007 |
| Amgen Inc. | AMGN | 1 | PHASE3 | ABP 938, Aflibercept |
| Johnson & Johnson | JNJ | 1 | PHASE2 | JNJ-81201887 |
| Ocugen Inc | OCGN | 1 | PHASE3 | OCU410 |
| Alcon AG | ALC | 1 | PHASE1 | AR-14034 |
| Sanofi SA Sponsored ADR | SNY | 1 | PHASE1 | SAR402663 |
| Arrowhead Pharmaceuticals, Inc. | ARWR | 1 | PHASE1 | ARO-033 |
| Bayer | BAYRY | 2 | - | Aflibercept |
Pozelimab is an investigational monoclonal antibody developed by Regeneron Pharmaceuticals, Inc. (ticker REGN). It is being studied in several conditions, including age-related macular degeneration, geographic atrophy, paroxysmal nocturnal hemoglobinuria, generalized myasthenia gravis, CD55-deficient protein-losing enteropathy, and sporadic inclusion body myositis. It is also being tested in combination with cemdisiran.
Pozelimab targets C5, a complement protein. It is an inhibitor of C5, and this target class places it among complement-directed therapies. By binding C5, the antibody is designed to interfere with complement-mediated activity, which is the rationale behind its study in complement-driven and inflammatory conditions.
Pozelimab is developed by Regeneron Pharmaceuticals, Inc., which trades under the ticker REGN. Regeneron is running the clinical program, including studies of Pozelimab alone and in combination with cemdisiran across ophthalmology, hematology, and neuromuscular indications.
Pozelimab is in Phase 3 clinical development. It is investigational and has not been approved. The program includes Phase 3 studies as well as earlier-stage trials, with 5 total trials recorded, of which 3 are active and 2 are completed, enrolling 975 participants overall.
Pozelimab is being studied in several trials. NCT06541704 is a Phase 3 study of subcutaneous Pozelimab with cemdisiran or cemdisiran alone in geographic atrophy. NCT07154745 is a Phase 3 study in paroxysmal nocturnal hemoglobinuria. NCT07230834 is a Phase 1 intravitreal study in geographic atrophy, and NCT06479863 is an early Phase 1 study in sporadic inclusion body myositis.