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Trial reportThe patient2025

Patient-Reported Meaningful Change in Symptoms and Impacts of Paroxysmal Nocturnal Hemoglobinuria (PNH) in Three Phase III Clinical Trials of Iptacopan.

Carlos DeCastro, Phillip Sheinberg, Bing Han, Susan Vallow, Georgina Bermann, Marion Dhalke, Rakesh Kumar, Gavin Dickie, Nina Galipeau, Roger Lamoureux and 5 more

3 registry-linked trialsAbstract readClinical Trial, Phase III
PubMed Publisher
In one paragraph

Trial report in The patient, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04558918 phase3completednot on this map

A Randomized, Multicenter, Active-comparator Controlled, Open-label Trial to Evaluate Efficacy and Safety of Oral, Twice Daily LNP023 in Adult Patients With PNH and Residual Anemia, Despite Treatment With an Intravenous Anti-C5 Antibody.

TypeinterventionalSponsorNovartis PharmaceuticalsRan2021 to 2023Enrolled97ConditionsParoxysmal Nocturnal Hemoglobinuria (PNH)ArmsLNP023, Eculizumab, Ravulizumab
NCT04747613 phase3active not recruitingnot on this map

An Open Label, Multicenter Roll-over Extension Program (REP) to Characterize the Long-term Safety and Tolerability of Iptacopan (LNP023) in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Who Have Completed PNH Phase 2 and Phase3 Studies With Iptacopan

TypeinterventionalSponsorNovartis PharmaceuticalsRan2021 to 2027Enrolled208ConditionsParoxysmal Nocturnal HemoglobinuriaArmsIptacopan
NCT04820530 phase3completednot on this map

A Multicenter, Single-arm, Open-label Trial to Evaluate Efficacy and Safety of Oral, Twice Daily Iptacopan in Adult PNH Patients Who Are Naive to Complement Inhibitor Therapy

TypeinterventionalSponsorNovartis PharmaceuticalsRan2021 to 2023Enrolled40ConditionsParoxysmal Nocturnal Hemoglobinuria (PNH)ArmsIptacopan (LNP023)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Carlos DeCastroDuke University Medical Center, Durham, NC, USA.
Phillip SheinbergHospital A Beneficência Portuguesa, Sao Paolo, Brazil.
Bing HanPeking Union Medical Colleague Hospital, Chinese Academe of Medical Science, Beijing, 10070, China.
Susan VallowNovartis AG, East Hanover, NJ, USA. susan.vallow@novartis.com.ORCID 0000-0002-9426-7632
Georgina BermannNovartis AG, Basel, Switzerland.
Marion DhalkeNovartis AG, Hyderabad, India.
Rakesh KumarNovartis AG, Hyderabad, India.
Gavin DickieAdelphi Values LLC, Boston, MA, USA.
Nina GalipeauAdelphi Values LLC, Boston, MA, USA.
Roger LamoureuxAdelphi Values LLC, Boston, MA, USA.
Kaelyn RupinskiAdelphi Values LLC, Boston, MA, USA.
Caitlyn LoweAdelphi Values LLC, Boston, MA, USA.
Amber NievesAdelphi Values LLC, Boston, MA, USA.
Flore Sicre de FontbruneHematology and Transplant Unit, French National Reference Center for Aplastic Anemia and PNH, CeRAMIC, Hôpital Saint-Louis, APHP, Paris, France.
Regis Peffault de LatourHôpital Saint-Louis, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParoxysmal nocturnal hemoglobinuria (PNH) is a rare hematological disease, with symptoms including fatigue, difficulty breathing, and hemoglobinuria, which negatively affect health-related quality of life.

objectiveIn-trial interviews with patients with PNH, enrolled across three clinical trials, were conducted to understand patient experiences and satisfaction after receiving iptacopan, a novel treatment for PNH.

methodsAdult participants with PNH were recruited and consented into the qualitative interviews across three phase II/III iptacopan trials (NCT04558918, NCT04820530, and NCT04747613). Interview documents were developed and approved by the relevant ethics authorities in target countries. Trained qualitative interviewers used a semi-structured interview guide to elicit information on PNH-related symptoms and impacts participants experienced prior to the trial, how these changed after receiving iptacopan, and their treatment experience and satisfaction with iptacopan.

resultsInterviews were conducted with 61 participants in eight countries. Participants reported a broad range of symptoms and impacts associated with PNH, including fatigue, tiredness, frustration, difficulty doing usual activities, and limitation to social activities. Interview participants reported improvements in the signs, symptoms, and impacts of PNH after receiving iptacopan, and the majority of participants considered those improvements to be meaningful. Participants reported being either "very satisfied" or "satisfied" with their treatment experience of iptacopan.

conclusionFindings from these interviews provide valuable patient-reported data on the positive treatment experience and meaningful improvements in PNH symptoms and health-related quality-of-life impacts patients reported after receiving iptacopan. These qualitative reports from patients support and contextualize the positive efficacy results demonstrated in the three iptacopan clinical trials. NCT04558918 (16 Sep 2020), NCT04820530 (25 Mar 2021), NCT04747613 (09 Feb 2021).

Indexed as

Hemoglobinuria, ParoxysmalPatient Reported Outcome MeasuresAdultAgedBenzoatesFatigueFemaleHumansIndolesInterviews as TopicMaleMiddle AgedPatient SatisfactionPiperidinesQualitative ResearchQuality of LifeBenzoatesIndolesiptacopanPiperidines

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.