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Pozelimab

Phase 3

Paroxysmal Nocturnal Hemoglobinuria | Small molecule | Other |Regeneron Pharmaceuticals, Inc.|Last Updated: May 26, 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
RandomizedCONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment267
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07154745A Study to Evaluate How Pozelimab + Cemdisiran Combination Therapy Works in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Whose Current Treatment is Not Working EfficientlyPHASE3 RECRUITING 35May 30, 2026Nov 22, 2031May 26, 202613 Brazil, Italy +4
NCT05744921A Study in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) to Evaluate How Safe Long-term Treatment With Pozelimab + Cemdisiran Combination Therapy is and How Well it WorksPHASE3 RECRUITING 202Mar 7, 2023Feb 26, 2029Mar 18, 202643 Canada, Colombia +17
NCT04811716Pozelimab and Cemdisiran Combination Treatment in Adult Participants With Paroxysmal Nocturnal Hemoglobinuria Who Have Received Pozelimab MonotherapyPHASE2 COMPLETED 24Jul 29, 2021Oct 18, 2023Apr 8, 202513 Hong Kong, Hungary +4
NCT04888507Pozelimab and Cemdisiran Combination Therapy in Adult Participants With Paroxysmal Nocturnal Hemoglobinuria Who Switch From Eculizumab TherapyPHASE2 COMPLETED 6Jul 8, 2021May 4, 2023Aug 29, 20251 United Kingdom
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Study Endpoints
Primary Endpoints
Percent change in Lactate Dehydrogenase (LDH) during TP
From baseline to week 28
Incidence of treatment-emergent serious adverse events (SAEs)
Up to week 108

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

Severity of treatment-emergent SAEs
Up to week 108
Incidence of treatment emergent adverse events of special interest (AESIs)
Up to week 108

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

Severity of treatment emergent AESIs
Up to week 108
Incidence of adverse events (AEs) leading to permanent treatment discontinuation
Up to week 108

Any untoward medical occurrence in a patient administered a study drug which may or may not have a causal relationship with the study drug.

Severity of adverse events (AEs) leading to permanent treatment discontinuation
Up to week 108

Any untoward medical occurrence in a patient administered a study drug which may or may not have a causal relationship with the study drug.

Percent change from baseline in lactate dehydrogenase (LDH)
Baseline to week 36
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Through Week 28

Open Label Treatment Period (OLTP)

OLTP: Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Up to Day 225
Secondary Endpoints
Normalization of LDH
Through week 52
Adequate control of hemolysis (LDH ≤1.5 × ULN)
Through week 52
Transfusion avoidance
Through week 52
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Pozelimab + Cemdisiran ComboEXPERIMENTAL -
PNH Transition PatientsEXPERIMENTALPatients with PNH who completed treatment/ protocol requirements (as applicable) in the parent study (R3918-PNH-2021 \[NCT05133531\])
C5 Polymorphism PatientsEXPERIMENTALPatients 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.
Pozelimab Q4W + CemdisiranEXPERIMENTAL -
Pozelimab Q2W + CemdisiranEXPERIMENTAL -
Pozelimab+CemdisiranEXPERIMENTAL -
Interventions
NameTypeDescription
PozelimabDRUGAdministered per the protocol
CemdisiranDRUGAdministered per the protocol
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites13

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...

Countries:BrazilItalyPolandSouth KoreaSpainTurkey (Türkiye)CanadaColombiaHungaryIndiaJapanJordanMalaysiaPeruPhilippinesRomaniaSingaporeTaiwanThailandUnited KingdomHong Kong
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Recent Changes (Last 90 Days)
LOWMay 27, 2026NCT07154745lastUpdatePostDate: changed
LOWMay 27, 2026NCT07154745lastUpdatePostDate: changed
LOWMay 26, 2026NCT05744921primaryCompletionDate: changed
LOWMay 26, 2026NCT07154745primaryCompletionDate: changed
LOWMay 24, 2026NCT05744921studyFirstPostDate: changed
LOWMay 24, 2026NCT07154745studyFirstPostDate: changed