{"id":3700,"date":"2018-11-14T23:53:02","date_gmt":"2018-11-14T22:53:02","guid":{"rendered":"https:\/\/aa-pnh.pe-dev.de\/diseases\/clinical-trials\/"},"modified":"2021-12-25T10:08:59","modified_gmt":"2021-12-25T09:08:59","slug":"clinical-trials","status":"publish","type":"page","link":"https:\/\/aa-pnh.org\/en\/diseases\/clinical-trials\/","title":{"rendered":"Clinical trials"},"content":{"rendered":"<h2>clinical trials<\/h2>\n<p>&nbsp;<\/p>\n<p>Increasingly, new medicines for the treatment of AA and PNH are being developed. Some of them are already tested in clinical trials, others will follow. Maybe you thought about participating in a clinical trial or were invited to do so. Before you make a decision it is important that you know what a participation would mean for you. What pros and cons could arise? What are the potential risks? In any case you should consider your decison carefully. Below you will find brief explanations of some of the terms frequently used in connection with therapy studies. Comprehensive information is available in the brochure <a href=\"https:\/\/www.leukaemie-hilfe.de\/fileadmin\/user_upload\/dlh-broschueren\/WEB_Therapiestudien_Haemato_260614.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Therapiestudien in der H&auml;mato-Onkologie<\/a> (German).     <\/p>\n<p>The brochure mainly addresses leukaemia and lymphoma patients however the descriptions are valid for all clinical trials.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<input type=\"hidden\" bg_collapse_expand_pro=\"69e8b7f802d7e1054120953\" value=\"69e8b7f802d7e1054120953\"><input type=\"hidden\" id=\"bg-show-more-text-69e8b7f802d7e1054120953\" value=\"  EXPLANATION OF IMPORTANT TERMS\"><input type=\"hidden\" id=\"bg-show-less-text-69e8b7f802d7e1054120953\" value=\"  EXPLANATION OF IMPORTANT TERMS\"><input type=\"hidden\" id=\"bg-icon-bg-color-69e8b7f802d7e1054120953\" value=\"\"><a id=\"bg-showmore-action-69e8b7f802d7e1054120953\" class=\"bg-showmore-plg-link bg-arrow  \" style=\";font-weight:bold; line-height:250%;\" href=\"#\">  EXPLANATION OF IMPORTANT TERMS<\/a><ul class=\"bg-showmore-no-padding-no-margin bg-showmore-closed\" id=\"bg-showmore-pro-hidden-69e8b7f802d7e1054120953\">\n<p><strong>Therapeutic studies<\/strong> serve to test a new treatment concept or drug. Usually a newly developed drug is compared with the standard therapy or a sham drug (without effect, placebo). The <strong>sponsor<\/strong> of a clinical trial is either a pharmaceutical company, or the trial is planned by doctors, researchers or university research groups, then it is called an academic trial (Investor-Initiated Trial, IIT). <strong>inclusion\/exclusion criteria<\/strong> regulate who can take part in a study and at what stage, for example the age, sex and health status of a person. Before a study is approved, it must be approved by an<strong>ethics committee<\/strong> The ethics committee examines the study with regard to its medical, scientific and ethical significance, compliance with legal requirements and the qualifications of the persons and organisations conducting the study. A <strong>proband insurance<\/strong> serves as a cover in case of health damages caused by the treatment in the study. The insurance pays for rehabilitation and, if necessary, required home reconstruction measures as well as financial losses, for example in the event of reduced earning capacity. <\/p>\n<p>&nbsp;<\/p>\n<p>Studies are divided into <strong>different criteria<\/strong> , one or more of which may apply to a study:<\/p>\n<p><strong>controlled<\/strong> The results of the trial group that receives the drug under investigation are compared with the results of a control group that receives, for example, the standard therapy.<\/p>\n<p><strong>randomized<\/strong><br>\nParticipants are randomly assigned to one of the groups (arms).<\/p>\n<p><strong>(single) blind <\/strong><br>\nThe participant does not know whether he or she is receiving the trial drug.<\/p>\n<p><strong>double-blind<\/strong><br>\nNeither the doctor nor the participant knows whether the participant is receiving the study drug or the comparison drug.<\/p>\n<p>&nbsp;<\/p>\n<p><\/p><\/ul><ul style=\"margin-top:0;margin-bottom:0\"><style type=\"text\/css\">a.bg-showmore-plg-link:hover,a.bg-showmore-plg-link:active,a.bg-showmore-plg-link:focus{color:#0071bb;}<\/style>\n<input type=\"hidden\" bg_collapse_expand_pro=\"69e8b7f802ea45036187161\" value=\"69e8b7f802ea45036187161\"><input type=\"hidden\" id=\"bg-show-more-text-69e8b7f802ea45036187161\" value=\"  FOUR PHASES OF A CLINICAL TRIAL\"><input type=\"hidden\" id=\"bg-show-less-text-69e8b7f802ea45036187161\" value=\"  FOUR PHASES OF A CLINICAL TRIAL\"><input type=\"hidden\" id=\"bg-icon-bg-color-69e8b7f802ea45036187161\" value=\"\"><a id=\"bg-showmore-action-69e8b7f802ea45036187161\" class=\"bg-showmore-plg-link bg-arrow  \" style=\";font-weight:bold; line-height:250%;\" href=\"#\">  FOUR PHASES OF A CLINICAL TRIAL<\/a><\/ul><ul class=\"bg-showmore-no-padding-no-margin bg-showmore-closed\" id=\"bg-showmore-pro-hidden-69e8b7f802ea45036187161\">\n<p>In <strong>phase I<\/strong> of a study, the tolerability and safety of the study drug is tested. This includes the effect of the drug and its absorption, distribution and metabolism in the body, as well as determining the correct dose. In this phase, only a small group of volunteers takes part.  <\/p>\n<p>Based on the findings from phase I, the drug will be administered to a larger number of test persons in <strong>phase II<\/strong> The aim is to confirm the correct dose determined in phase I and to document the side effects accurately. <\/p>\n<p>In <strong>phase III<\/strong> , the efficacy and safety of the drug is to be proven. Only with this proof can the drug be approved. This part of the trial is often conducted at several centres.  <\/p>\n<p><strong>Phase IV<\/strong> begins after approval. During this phase, the long-term tolerance and side effects are investigated, which were not observed in previous phases due to their possibly rare occurrence. Since all patients receiving the drug are included in phase IV, a comparatively large number of patients is taken into account.  <\/p>\n<p>&nbsp;<\/p>\n<p><\/p><\/ul><ul style=\"margin-top:0;margin-bottom:0\"><style type=\"text\/css\">a.bg-showmore-plg-link:hover,a.bg-showmore-plg-link:active,a.bg-showmore-plg-link:focus{color:#0071bb;}<\/style>\n<p>&nbsp;<\/p>\n<h5>OVERVIEW OF CURRENT TRIALS BY DISEASE<\/h5>\n<p><b>AA<\/b><\/p>\n<p><strong>EMAA<\/strong> (Efficacy and Safety of <strong>E<\/strong>ltrombopag + CSA in Patients With <strong>M<\/strong>oderate <strong>A<\/strong>plastic <strong>A<\/strong>nemia) for<strong>patients with moderate Aplastic <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Anaemia&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;Reduction of red blood cells or their content of (blood pigment); as a result of blood loss, reduced haemoglobin production, reduced blood cell development due to bone marrow diseases, increased blood cell decay due to poisoning and metabolic disorders. Anaemia leads to reduced physical capacity. &lt;\/div&gt;\" href=\"https:\/\/aa-pnh.org\/en\/glossar\/anaemia\/\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Anaemia<\/a> (MAA) and no prior specific treatment<\/strong>who need to be treated with <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;ciclosporin&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;Also known as cyclosporin A, CsA; immunosuppressive medication administered e.g. to treat aplastic anaemia and prevent GvHD disease. In high doses and with long-term administration, its main side effects are hypertension, tremor of the hands and deterioration of kidney function. Blood levels(...)&lt;\/div&gt;\" href=\"https:\/\/aa-pnh.org\/en\/glossar\/ciclosporin\/\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">ciclosporin<\/a><\/p>\n<ul>\n<li>Phase 3<\/li>\n<li>Comparison of Eltrombopag + Ciclosporin with Placebo + Ciclosporin<\/li>\n<li>trial sites: Aachen, Basel, Berlin, Chemnitz, Essen, Hamburg, Hanover, Ulm<\/li>\n<li><a href=\"https:\/\/aa-pnh.org\/en\/emaa-trial\/\">Details<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>RACE<\/strong> (equine <a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;ATG&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;ATG; immunosuppressive mixture of antibodies obtained from rabbits or horses. It reduces the number of lymphocytes (lymphocytopenia), mainly by suppressing circulating T-lymphocytes. It is used for instance to treat aplastic anaemia and for the prophylaxis and therapy of GvHD in the context of(...)&lt;\/div&gt;\"  href=\"https:\/\/aa-pnh.org\/en\/glossar\/atg\/\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>ATG<\/a> + Ciclosporin + Eltrombopag versus equine <a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;ATG&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;ATG; immunosuppressive mixture of antibodies obtained from rabbits or horses. It reduces the number of lymphocytes (lymphocytopenia), mainly by suppressing circulating T-lymphocytes. It is used for instance to treat aplastic anaemia and for the prophylaxis and therapy of GvHD in the context of(...)&lt;\/div&gt;\"  href=\"https:\/\/aa-pnh.org\/en\/glossar\/atg\/\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>ATG<\/a> + Ciclosporin) for <strong>patients with severe or very very severe Aplastis <a class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Anaemia&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;Reduction of red blood cells or their content of (blood pigment); as a result of blood loss, reduced haemoglobin production, reduced blood cell development due to bone marrow diseases, increased blood cell decay due to poisoning and metabolic disorders. Anaemia leads to reduced physical capacity. &lt;\/div&gt;\" href=\"https:\/\/aa-pnh.org\/en\/glossar\/anaemia\/\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Anaemia<\/a> (SAA or vSAA)<\/strong><\/p>\n<ul>\n<li>Phase 3<\/li>\n<li>trial sites only abroad, e.g. Basel<\/li>\n<li>more details: trial no. <a href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02099747?term=02099747&amp;rank=1\" target=\"_blank\" rel=\"noopener noreferrer\">NCT02099747<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><b>PNH<\/b><\/p>\n<p><a href=\"https:\/\/aa-pnh.org\/download\/pnh-studien-in-deutschland-stand-06-09-2021\/\" target=\"_blank\" rel=\"noopener\"><strong>Download of list<\/strong><\/a> as Excel document with explanation of mentioned terms. We publish this list in cooperation with <a href=\"https:\/\/lichterzellen.de\" target=\"_blank\" rel=\"noopener\">Stiftung <em>lichter<\/em>zellen<\/a>.<\/p>\n<h2 id=\"tablepress-1-name\" class=\"tablepress-table-name tablepress-table-name-id-1\"><h6>Liste der PNH-Studien in Deutschland<\/h6>Stand 06.09.2021<\/h2><p> <\/p>\n\n<table id=\"tablepress-1\" class=\"tablepress tablepress-id-1\" aria-labelledby=\"tablepress-1-name\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Firma<\/th><th class=\"column-2\">Alexion<br>\n<\/th><th class=\"column-3\">Alexion<br>\n<\/th><th class=\"column-4\">Alexion<\/th><th class=\"column-5\">Apellis<\/th><th class=\"column-6\">Novartis<\/th><th class=\"column-7\">Novartis<\/th><th class=\"column-8\">Novartis<\/th><th class=\"column-9\">Ra<\/th><th class=\"column-10\">Roche<\/th><th class=\"column-11\">Roche<\/th><th class=\"column-12\">Roche<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Studie<\/td><td class=\"column-2\">ALXN2040-PNH-301<br>\nALPHA<\/td><td class=\"column-3\">ACH471-101<\/td><td class=\"column-4\">ALXN1210-PNH-401<\/td><td class=\"column-5\">APL2-307<br>\n<\/td><td class=\"column-6\">CLNP023X2201<\/td><td class=\"column-7\">CLNP023C12302<br>\nAPPLY-PNH<\/td><td class=\"column-8\">CLNP023C12001B<br>\n<\/td><td class=\"column-9\">RA101495-01.202 <\/td><td class=\"column-10\">BP39144<\/td><td class=\"column-11\">BO42161<br>\nCOMMODORE 1<\/td><td class=\"column-12\">BO42162<br>\nCOMMODORE 2<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">ClinicalTrials ID<br>\nEudraCT<\/td><td class=\"column-2\">NCT04469465<br>\n2019-003829-18<\/td><td class=\"column-3\">NCT03472885<br>\n2016-003526-16<\/td><td class=\"column-4\">NCT04320602<br>\n2019-003440-74<\/td><td class=\"column-5\">NCT03531255<br>\n2019-001106-23<br>\n<\/td><td class=\"column-6\">NCT03439839<br>\n2017-000888-33<\/td><td class=\"column-7\">NCT04558918<br>\n2019-004665-40<\/td><td class=\"column-8\">NCT04747613 <br>\n <\/td><td class=\"column-9\">NCT03225287<br>\n2016-003523-34<\/td><td class=\"column-10\">NCT03157635<br>\n2016-002128-10<\/td><td class=\"column-11\">NCT04432584<br>\n2020-000597-26<\/td><td class=\"column-12\">NCT04434092<br>\n2019-004931-21<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Name<\/td><td class=\"column-2\">ALXN2040<br>\nvormals ACH-0144471<br>\nDanicopan<\/td><td class=\"column-3\">ACH-0144471<br>\nDanicopan<\/td><td class=\"column-4\">Ravulizumab<\/td><td class=\"column-5\">APL-2<br>\nPegcetacoplan<\/td><td class=\"column-6\">LNP023<br>\nIptacopan<\/td><td class=\"column-7\">LNP023<br>\nIptacopan<\/td><td class=\"column-8\">LNP023<br>\nIptacopan<\/td><td class=\"column-9\">RA101495<br>\nZilucoplan<\/td><td class=\"column-10\">Crovalimab<\/td><td class=\"column-11\">Crovalimab<\/td><td class=\"column-12\">Crovalimab<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Handelsname<\/td><td class=\"column-2\"><\/td><td class=\"column-3\"><\/td><td class=\"column-4\">Ultomiris&reg;<\/td><td class=\"column-5\">Aspaveli&reg; (EU)<br>\nEmpaveli&reg; (USA)<\/td><td class=\"column-6\"><\/td><td class=\"column-7\"><\/td><td class=\"column-8\"><\/td><td class=\"column-9\"><\/td><td class=\"column-10\"><\/td><td class=\"column-11\"><\/td><td class=\"column-12\"><\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Angriffspunkt<\/td><td class=\"column-2\">Faktor D<\/td><td class=\"column-3\">Faktor D<\/td><td class=\"column-4\">C5<\/td><td class=\"column-5\">C3<\/td><td class=\"column-6\">Faktor B<\/td><td class=\"column-7\">Faktor B<\/td><td class=\"column-8\">Faktor B<\/td><td class=\"column-9\">C5<\/td><td class=\"column-10\">C5<\/td><td class=\"column-11\">C5<\/td><td class=\"column-12\">C5<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\">Substanz<\/td><td class=\"column-2\">niedermolekulare Verbindung<\/td><td class=\"column-3\">niedermolekulare Verbindung<\/td><td class=\"column-4\">monoklonaler Antik&ouml;rper<br>\n<\/td><td class=\"column-5\">Cyclopeptid<\/td><td class=\"column-6\">niedermolekulare Verbindung<\/td><td class=\"column-7\">niedermolekulare Verbindung<\/td><td class=\"column-8\">niedermolekulare Verbindung<\/td><td class=\"column-9\">makrozyklisches Peptid<\/td><td class=\"column-10\">monoklonaler Antik&ouml;rper<\/td><td class=\"column-11\">monoklonaler Antik&ouml;rper<\/td><td class=\"column-12\">monoklonaler Antik&ouml;rper<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Art der Anwendung<\/td><td class=\"column-2\">oral<\/td><td class=\"column-3\">oral<\/td><td class=\"column-4\">intraven&ouml;s<\/td><td class=\"column-5\">subkutan<\/td><td class=\"column-6\">oral<\/td><td class=\"column-7\">oral<\/td><td class=\"column-8\">oral<\/td><td class=\"column-9\">subkutan<\/td><td class=\"column-10\">intraven&ouml;s\/subkutan<\/td><td class=\"column-11\">1x intraven&ouml;s, dann subkutan<br>\n<\/td><td class=\"column-12\">1x intraven&ouml;s, dann subkutan<br>\n<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\">H&auml;ufigkeit<\/td><td class=\"column-2\">3 x t&auml;glich<\/td><td class=\"column-3\">3 x t&auml;glich<\/td><td class=\"column-4\">alle 8 Wochen<\/td><td class=\"column-5\">2 x pro Woche<\/td><td class=\"column-6\">2 x t&auml;glich<\/td><td class=\"column-7\">2 x t&auml;glich<\/td><td class=\"column-8\">2 x t&auml;glich<\/td><td class=\"column-9\">t&auml;glich<\/td><td class=\"column-10\">alle 4 Wochen<\/td><td class=\"column-11\">alle 4 Wochen<\/td><td class=\"column-12\">alle 4 Wochen<\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\">Studienphase<\/td><td class=\"column-2\">3<\/td><td class=\"column-3\">2<\/td><td class=\"column-4\">4<\/td><td class=\"column-5\">3<\/td><td class=\"column-6\">2<\/td><td class=\"column-7\">3<\/td><td class=\"column-8\">3<\/td><td class=\"column-9\">2<\/td><td class=\"column-10\">1\/2<\/td><td class=\"column-11\">3<\/td><td class=\"column-12\">3<\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td class=\"column-1\">Studiendesign<\/td><td class=\"column-2\">multizentrische, randomisierte, doppelblinde, placebokontrollierte Studie<\/td><td class=\"column-3\">nicht-randomisiert, sequentielle Zuordnung, Open Label<br>\n<\/td><td class=\"column-4\">einarmige Studie (einzelne Gruppenzuordnung), Open Label<\/td><td class=\"column-5\">offene, nicht-randomisierte, multizentrische Erweiterungsstudie<\/td><td class=\"column-6\">offene, einarmige Studie mit Mehrfachdosierung<br>\n<\/td><td class=\"column-7\">randomisierte, multizentrische, aktiv-komparatorische, kontrollierte, Open-Label-Studie<\/td><td class=\"column-8\">offene, multizentrische Studie<\/td><td class=\"column-9\">multizentrische, offene, unkontrollierte Erweiterungsstudie<\/td><td class=\"column-10\">Phase I\/II, First-in-Human-Studie bestehend aus vier aufeinanderfolgenden Teilen und offener Verl&auml;ngerung<\/td><td class=\"column-11\">randomisierte, offene, aktiv-kontrollierte, multizentrische Studie<\/td><td class=\"column-12\">randomisierte, offene, aktiv-kontrollierte, multizentrische Studie<\/td>\n<\/tr>\n<tr class=\"row-12\">\n\t<td class=\"column-1\">Fragestellung<\/td><td class=\"column-2\">Add-on-Therapie zu Eculizumab oder Ravulizumab<br>\n<\/td><td class=\"column-3\">Add-on-Therapie zu Eculizumab bei Patienten mit unzureichendem Ansprechen auf Eculizumab-Monotherapie<\/td><td class=\"column-4\">Patient.innen, die eine hohe Dosis Eculizumab ben&ouml;tigen<\/td><td class=\"column-5\">Langzeitauswertung<\/td><td class=\"column-6\">Patient.innen mit aktiver H&auml;molyse trotz Standard-of-Care-Behandlung<\/td><td class=\"column-7\">Patient.innen mit Restan&auml;mie trotz Komplementinhibitor-Behandlung<\/td><td class=\"column-8\">Langzeitauswertung<\/td><td class=\"column-9\">Erweiterungsstudie<\/td><td class=\"column-10\">Bewertung der Sicherheit, Vertr&auml;glichkeit, Pharmokokinetik, Pharmakodynamik und Wirksamkeit <\/td><td class=\"column-11\">versus Eculizumab<\/td><td class=\"column-12\">versus Eculizumab\/ unbehandelte Patient.innen<br>\n<\/td>\n<\/tr>\n<tr class=\"row-13\">\n\t<td class=\"column-1\">Status<\/td><td class=\"column-2\">rekrutierend<br>\n<\/td><td class=\"column-3\">aktiv, nicht mehr rekrutierend<br>\n<\/td><td class=\"column-4\">rekrutierend<\/td><td class=\"column-5\">aktiv, nicht mehr rekrutierend<\/td><td class=\"column-6\">aktiv, nicht mehr rekrutierend<\/td><td class=\"column-7\">rekrutierend<\/td><td class=\"column-8\">noch nicht rekrutierend<\/td><td class=\"column-9\">aktiv, nicht mehr rekrutierend<br>\n<\/td><td class=\"column-10\">aktiv, nicht mehr rekrutierend<br>\n<\/td><td class=\"column-11\">rekrutierend<\/td><td class=\"column-12\">rekrutierend<\/td>\n<\/tr>\n<tr class=\"row-14\">\n\t<td class=\"column-1\">Ergebnisse<\/td><td class=\"column-2\">ausstehend<br>\n<\/td><td class=\"column-3\">ausstehend<\/td><td class=\"column-4\">ausstehend<\/td><td class=\"column-5\">ausstehend<\/td><td class=\"column-6\">ausstehend<\/td><td class=\"column-7\">ausstehend<\/td><td class=\"column-8\">ausstehend<\/td><td class=\"column-9\">ausstehend<\/td><td class=\"column-10\">ausstehend<\/td><td class=\"column-11\">ausstehend<\/td><td class=\"column-12\">ausstehend<\/td>\n<\/tr>\n<tr class=\"row-15\">\n\t<td class=\"column-1\">Beginn<\/td><td class=\"column-2\">12\/2020<\/td><td class=\"column-3\">05\/2018<\/td><td class=\"column-4\">01\/2021<\/td><td class=\"column-5\">08\/2018<\/td><td class=\"column-6\">04\/2018<\/td><td class=\"column-7\">01\/2021<\/td><td class=\"column-8\">06\/2021<\/td><td class=\"column-9\">05\/2019<\/td><td class=\"column-10\">11\/2016<\/td><td class=\"column-11\">09\/2020<\/td><td class=\"column-12\">10\/2020<\/td>\n<\/tr>\n<tr class=\"row-16\">\n\t<td class=\"column-1\">voraussichtlicher Studienabschluss<\/td><td class=\"column-2\">12\/2023<\/td><td class=\"column-3\">12\/2020<\/td><td class=\"column-4\">02\/2022<\/td><td class=\"column-5\">08\/2022<\/td><td class=\"column-6\">06\/2023<\/td><td class=\"column-7\">01\/2023<\/td><td class=\"column-8\">06\/2026<\/td><td class=\"column-9\">12\/2021<\/td><td class=\"column-10\">07\/2025<\/td><td class=\"column-11\">10\/2025<\/td><td class=\"column-12\">10\/2024<\/td>\n<\/tr>\n<tr class=\"row-17\">\n\t<td class=\"column-1\">voraussichtliche Teilnehmer.innenzahl<\/td><td class=\"column-2\">84 <\/td><td class=\"column-3\">12<\/td><td class=\"column-4\">20<\/td><td class=\"column-5\">160<br>\n<\/td><td class=\"column-6\">15<\/td><td class=\"column-7\">91<\/td><td class=\"column-8\">167<\/td><td class=\"column-9\">28<\/td><td class=\"column-10\">59<\/td><td class=\"column-11\">250<\/td><td class=\"column-12\">200<\/td>\n<\/tr>\n<tr class=\"row-18\">\n\t<td class=\"column-1\">Studienorte in Deutschland<\/td><td class=\"column-2\">noch in Kl&auml;rung<br>\n<\/td><td class=\"column-3\">noch in Kl&auml;rung<\/td><td class=\"column-4\">noch in Kl&auml;rung<\/td><td class=\"column-5\">Aachen, Essen, Hamburg, Ulm<\/td><td class=\"column-6\">Essen<\/td><td class=\"column-7\">Aachen, Essen, Hamburg, Riesa, Ulm<\/td><td class=\"column-8\">noch in Kl&auml;rung<\/td><td class=\"column-9\">Ulm<\/td><td class=\"column-10\">Aachen, Essen, Riesa, Ulm<\/td><td class=\"column-11\">Aachen, Essen, Riesa, Ulm<\/td><td class=\"column-12\">Essen, Riesa, Ulm<\/td>\n<\/tr>\n<tr class=\"row-19\">\n\t<td class=\"column-1\">Einschlusskriterien<\/td><td class=\"column-2\">Diagnose PNH; klinischer Krankheitsnachweis (An&auml;mie, erh&ouml;hte absolute Retikulozyten, Transfusionsbedarf); Therapie mit C5-Hemmer; Thrombozyten und Neutrophile &uuml;ber definiertem Mindestwert; Impfung gegen N. meningitidis<\/td><td class=\"column-3\">Diagnose PNH; 18-65. Lebensjahr; Transfusionsbedarf;<br>\nAn&auml;mie mit ausreichender Retikulozytose; stabile Eculizumab-Behandlung; Thrombozytenzahl &ge; 40.000\/&mu;L; Impfung gegen N. meningitidis, H. influenzae &amp; S. pneumoniae; Kontrazeption<\/td><td class=\"column-4\">Diagnose PNH; Eculizumab-Therapie seit &ge;3 Monaten; <a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;LDH&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;lactate dehydrogenase; marker in the blood indicating cell damage&lt;\/div&gt;\"  href=\"https:\/\/aa-pnh.org\/en\/glossar\/ldh\/\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>LDH<\/a> unter definierter Obergrenze; Impfung gegen N. meningitidis; K&ouml;rpergewicht &ge; 40 kg<\/td><td class=\"column-5\">Personen &ge;18 Jahren mit PNH, die an einer klinischen Studie mit Pegcetacoplan teilgenommen haben (best&auml;tigter Nutzen + Vertr&auml;glichkeit oder ohne Pegcetacoplan-Einnahme: Aussicht auf Nutzen); Impfung gegen N. meningitidis Typ A, C, W, Y und B, S. pneumoniae und H. influenzae; schriftliche Einverst&auml;ndniserkl&auml;rung; Selbstverabreichung von Pegcetacoplan\/ durch Betreuungsperson; ggf. negativer Schwangerschaftstest + Kontrazeption + Verzicht auf Samenspende<\/td><td class=\"column-6\">Einverst&auml;ndniserkl&auml;rung; 18-80. Lebensjahr; PNH-Diagnose; stabiles Therapie mit Standardkomplementblockade (Anti-C5-Antik&ouml;rper); Impfung gegen N. meningitidis Typ A, C, Y, (B) und W-135, S. pneumoniae, H. influenzae; M&ouml;glichkeit, mit Pr&uuml;farzt zu kommunizieren\/ Anforderungen der Studie zu erf&uuml;llen; weitere Einschlusskriterien in den vier unterschiedlichen Studienkohorten;<br>\nF&uuml;r Teil 2 der Studie: Patient.innen, die nach Einsch&auml;tzung des Pr&uuml;farztes Behandlung profitieren<\/td><td class=\"column-7\">&ge;18. Lebensalter; PNH-Diagnose; stabile Behandlung mit Anti-C5-Antik&ouml;rper (Eculizumab\/ Ravulizumab); Hb &lt;10 g\/dL; Impfung gegen N. meningitidis, S. pneumoniae, H. influenzae<\/td><td class=\"column-8\">&ge;18. Lebensjahr; PNH-Diagnose; von PNH; Teilnahme an Phase 2\/3 der klinischen Studien; Impfungen gegen N. meningitidis, S. pneumoniae, H. influenzae; (nach individueller Beurteilung des Studienarztes) Nutzen von einer fortgesetzten Behandlung mit Iptacopan\/ Stabilit&auml;t unter Iptacopan-Monotherapie<\/td><td class=\"column-9\">Abschluss einer qualifizierenden, von Ra Pharmaceuticals gesponserten Zilucoplan (RA101495) PNH-Studie; <br>\nNachweis eines anhaltenden klinischen Nutzens nach Meinung des Pr&uuml;farztes<\/td><td class=\"column-10\">weibliche Teilnehmerinnen sollten angemessene Mittel zur Empf&auml;ngnisverh&uuml;tung verwenden; weitere Einschlusskriterien je nach Studiengruppe<\/td><td class=\"column-11\">K&ouml;rpergewicht &ge;40 kg; PNH-Diagnose; Behandlung mit Eculizumab oder Ravulizumab; <a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;LDH&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;lactate dehydrogenase; marker in the blood indicating cell damage&lt;\/div&gt;\"  href=\"https:\/\/aa-pnh.org\/en\/glossar\/ldh\/\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>LDH<\/a> unter definierter Obergrenze; Bereitschaft und F&auml;higkeit, alle Studienbesuche und -verfahren einzuhalten; Impfung gegen N. meningitidis; Kontrazeption<\/td><td class=\"column-12\">K&ouml;rpergewicht &ge;40 kg beim Screening; PNH-Diagnose; Bereitschaft und F&auml;higkeit, alle Studienbesuche und -verfahren einzuhalten; <a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;LDH&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;lactate dehydrogenase; marker in the blood indicating cell damage&lt;\/div&gt;\"  href=\"https:\/\/aa-pnh.org\/en\/glossar\/ldh\/\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>LDH<\/a> &uuml;ber definierter Obergrenze; Impfung gegen N. meningitidis; Kontrazeption<\/td>\n<\/tr>\n<tr class=\"row-20\">\n\t<td class=\"column-1\">Ausschlusskriterien<\/td><td class=\"column-2\">Organ- \/ Stammzelltransplantation; erforderliche HSCT\/ Anti-Thymozyten-Globulin\/ Immunsuppressiva; Komplementmangel; auff&auml;llige (erh&ouml;hte Leber<a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;enzyme&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;Biocatalyst; a protein that mediates all chemical transformations that occur in living organisms (metabolism). The cells of an organism have a specific enzyme for nearly every chemical reaction. &lt;\/div&gt;\"  href=\"https:\/\/aa-pnh.org\/en\/glossar\/enzyme\/\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>enzyme<\/a>\/ Bilirubin); reduzierte Nierenfunktion; Infektion mit HIV\/ Hepatitis B\/ aktiver Hepatitis C<\/td><td class=\"column-3\">Knochenmarkversagen oder behandlungsbed&uuml;rftige aplastische An&auml;mie; Organtransplantation oder HSCT; Behandlung mit einem anderen Pr&uuml;fpr&auml;parat; dokumentierte C5-Mutation; Komplementmangel; aktive bakterielle (N.meningitidis-)\/ virale Infektion\/ Anzeichen einer Infektion; Antibiotika-Unvertr&auml;glichkeit<\/td><td class=\"column-4\">Vaskul&auml;res Ereignis; Knochenmarkstransplantation\/(h&auml;mato-) onkologische Erkrankung; <br>\nmedikament&ouml;se Blutgerinnungshemmung; Einnahme von Erythropoietin, Immunsuppressiva, systemischen Kortikosteroiden, Eisenpr&auml;paraten\/Fols&auml;ure; Lebendimpfung 1 Monat vor Studienbeginn; auff&auml;llige Blutwerte (&gt;1 <a class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;LDH&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;lactate dehydrogenase; marker in the blood indicating cell damage&lt;\/div&gt;\"  href=\"https:\/\/aa-pnh.org\/en\/glossar\/ldh\/\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>LDH<\/a>-Wert &gt;2 &times; ULN; Thrombozytenzahl &lt; 30.000\/mm&sup3;; absolute Neutrophile &lt; 500\/ Mikroliter)<\/td><td class=\"column-5\">Proband.innen, die aus einer klinischen Studie mit Pegcetacoplan ausgeschieden sind; Zustand, der das Risiko des Probanden durch die Teilnahme an der Studie erh&ouml;hen k&ouml;nnte; Komorbidit&auml;t (z.B. Malignit&auml;t, individuelle Entscheidung durch Pr&uuml;farzt), &Uuml;berempfindlichkeit auf Substanzen in dem Pr&uuml;fpr&auml;parat; Infektion mit Hepatitis B, C, oder HIV; Komplementmangel; Knochenmarktransplantation; schwere aplastische An&auml;mie; <br>\nVorgeschichte einer N.meningitidis-Erkrankung; Einnahme eines Komplementinhibitors (z.B. Eculizumab); Schwangerschaft, Stillen<\/td><td class=\"column-6\">Teilnahme an anderer Arzneimittelstudie\/ Einnahme anderer Pr&uuml;fmedikamente; Komplementmangel; HSCT; Knochenmarkinsuffizienz (Retikulozyten &lt;60x10^9\/l oder Thrombozyten &lt;30x10^9\/l oder Neutrophile &lt;1x10^9\/l); HIV-, Hepatitis B\/C- Infektion; rezidivierende Meningitis\/ Anamnese von N. meningitidis-Infektion trotz Impfung; Immunsuppressiva-Therapie (z.B. Cyclosporin, MMF...); systemische Kortikosteroide (&ge; 10 mg\/d); schwere Begleiterkrankungen z.B. der Niere, Herz, Lunge, starker Bluthochdruck (individuelle Beurteilung durch Pr&uuml;farzt); Zustand, der das Risiko der Proband*innen durch die Teilnahme an der Studie erh&ouml;hen k&ouml;nnte; Schwangerschaft, Stillzeit, fehlende\/ unwirksame Empf&auml;ngnisverh&uuml;tung<\/td><td class=\"column-7\">Eculizumab-Dosierungsintervall von &lt;11 Tagen; Komplementmangel; HSCT; Knochenmarkversagen (Retikulozyten &lt;100x10^9\/L; Thrombozyten &lt;30x10^9\/L; Neutrophile &lt;500x10^6\/L); aktive systemische bakterielle\/ virale\/ Pilzinfektion; rezidivierende invasive Infektionen mit bekapselten Organismen (z.B. N.meningitidis; S.pneumoniae); schwere Komorbidit&auml;ten (u.a. Niere, Herz, Lunge, Leber; individuelle Beurteilung durch Pr&uuml;farzt) <\/td><td class=\"column-8\">Teilnehmer.innen, die in &uuml;bergeordneten PNH-Studien das Screening nicht bestanden haben\/ vorzeitig ausgeschieden sind; Erkrankung (z.B. aktive systemische bakterielle, virale oder Pilzinfektionen oder Malignit&auml;t), die nach Meinung des Pr&uuml;farztes den Probanden einem erh&ouml;hten Risiko aussetzen; rezidivierende invasive Infektionen durch bekapselte Organismen (z.B. N. meningitidis, S. pneumoniae, H. influnzae); HSCT<\/td><td class=\"column-9\">Anamnese einer N. meningitidis-Erkrankung;<br>\naktuelle\/ Verdacht auf eine systemische Infektion<\/td><td class=\"column-10\">Therapie mit intraven&ouml;sem Immunglobulin; geistige Behinderung; klinisch relevante psychiatrische St&ouml;rung; Komplementmangel; Anamnese einer Meningitis mit N. meningitidis; allergische Reaktion auf humane, humanisierte oder murine monoklonale Antik&ouml;rper; &Uuml;berempfindlichkeit gegen Bestandteil des Produkts; schwerwiegende Infektion mit Krankenhausaufenthalt\/ Behandlung mit intraven&ouml;sen Antibiotika; Immunschw&auml;che (u.a. HIV-Infektion); chronisch aktive Hepatitis-C-Infektion, b&ouml;sartige Erkrankung einschlie&szlig;lich myelodysplastischem Syndrom; weitere Ausschlusskriterien je nach Studiengruppe<\/td><td class=\"column-11\">Knochenmarkstransplantation; Schwangerschaft\/ Stillzeit; <br>\nTeilnahme an einer anderen interventionellen Behandlungsstudie mit Pr&uuml;fpr&auml;parat\/ experimenteller Therapie; Kryoglobulin&auml;mie; aktive Hepatitis B-\/ C-Infektion; gleichzeitige Krankheiten, Behandlungen, Eingriffe oder Operationen oder Anomalien in klinischen Labortests, die die Durchf&uuml;hrung der Studie beeintr&auml;chtigen k&ouml;nnten, oder ein zus&auml;tzliches Risiko f&uuml;r den Teilnehmer\/die Teilnehmerin darstellen<\/td><td class=\"column-12\">Behandlung mit Komplementinhibitor; Knochenmarkstransplantation; <br>\nAnamnese einer N. meningitidis-Infektion; Schwangerschaft\/ Stillzeit; Teilnahme an einer anderen interventionellen Behandlungsstudie mit Pr&uuml;fpr&auml;parat\/ Anwendung einer experimentellen Therapie; <br>\nKrankheiten, Behandlungen, Eingriffe oder Operationen oder Anomalien in klinischen Labortests, die die Durchf&uuml;hrung der Studie beeintr&auml;chtigen k&ouml;nnten oder ein zus&auml;tzliches Risiko f&uuml;r den Teilnehmer\/die Teilnehmerin darstellen; Milzentfernung vor weniger als 6 Monaten vor Screening; aktive Hepatitis B- und C-Infektion\/ Kryoglobulin&auml;mie<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-1 from cache -->\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>clinical trials &nbsp; Increasingly, new medicines for the treatment of AA and PNH are being developed. Some of them are already tested in clinical trials, others will follow. Maybe you thought about participating in a clinical trial or were invited to do so. Before you&hellip;<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":3689,"menu_order":55,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3700","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/pages\/3700","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/comments?post=3700"}],"version-history":[{"count":0,"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/pages\/3700\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/pages\/3689"}],"wp:attachment":[{"href":"https:\/\/aa-pnh.org\/en\/wp-json\/wp\/v2\/media?parent=3700"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}