Paroxysmal Nocturnal Hemoglobinuria (PNH)

11
Pipeline Programs
6
Companies
13
Clinical Trials
3 recruiting
1
Approved Products

Pipeline by Development Stage

Preclinical
Phase 1
Phase 1/2
Phase 2
Phase 2/3
Phase 3
On Market
0
1
2
5
0
2
1
Early DiscoveryClinical DevelopmentMarket

Drug Modality Breakdown

Monoclonal Antibody
1100%
+ 9 programs with unclassified modality

On Market (1)

Approved therapies currently available

Novartis
FABHALTAApproved
iptacopan
Novartis
oral2023

Competitive Landscape

6 companies ranked by most advanced pipeline stage

Novartis
NovartisBASEL, Switzerland
2 programs
2
1
IptacopanPhase 31 trial
LNP023Phase 34 trials
Active Trials
NCT04820530Completed40Est. Apr 2023
NCT06934967Recruiting12Est. Dec 2031
NCT04154787Terminated37Est. Jan 2023
+2 more trials
UP
UCB PharmaBelgium - Brussels
3 programs
3
ZilucoplanPhase 21 trial
ZilucoplanPhase 21 trial
ZilucoplanPhase 21 trial
Active Trials
NCT03225287Terminated19Est. Oct 2021
NCT03030183Completed3Est. Mar 2018
NCT03078582Completed26Est. Mar 2018
Apellis Pharmaceuticals
Apellis PharmaceuticalsAustralia - Hawthorn East
2 programs
1
1
PegcetacoplanPhase 21 trial
PegcetacoplanPhase 11 trial
Active Trials
NCT02264639Completed9Est. Oct 2018
NCT04901936Recruiting12Est. Dec 2028
BioCryst Pharmaceuticals
1 program
1
EculizumabPhase 2Monoclonal Antibody1 trial
Active Trials
NCT05116774Terminated12Est. Sep 2023
Alnylam Pharmaceuticals
1 program
1
ALN-CC5Phase 1/21 trial
Active Trials
NCT02352493Completed62Est. Aug 2017
Regeneron
RegeneronTARRYTOWN, NY
1 program
1
ALN-CFBPhase 1/21 trial
Active Trials
NCT07187401Recruiting24Est. Jul 2031

Trial Timeline

Clinical trial activity over time

2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
NovartisLNP023
NovartisIptacopan
BioCryst PharmaceuticalsEculizumab
Apellis PharmaceuticalsPegcetacoplan
NovartisLNP023
NovartisLNP023
NovartisLNP023
UCB PharmaZilucoplan
UCB PharmaZilucoplan
UCB PharmaZilucoplan
RegeneronALN-CFB
Alnylam PharmaceuticalsALN-CC5
Apellis PharmaceuticalsPegcetacoplan

Clinical Trials (13)

Total enrollment: 296 patients across 13 trials

Study to Assess the Pharmacokinetics, Safety, and Tolerability of Iptacopan in Pediatric PNH Patients

Start: Oct 2025Est. completion: Dec 203112 patients
Phase 3Recruiting

Study of Efficacy and Safety of Twice Daily Oral Iptacopan (LNP023) in Adult PNH Patients Who Are Naive to Complement Inhibitor Therapy

Start: Jul 2021Est. completion: Apr 202340 patients
Phase 3Completed

BCX9930 for the Treatment of Paroxysmal Nocturnal Hemoglobinuria (PNH) in Participants With Inadequate Response to C5 Inhibitor Therapy

Start: Dec 2021Est. completion: Sep 202312 patients
Phase 2Terminated

A Study of Pegcetacoplan in Pediatric Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)

Start: Feb 2021Est. completion: Dec 202812 patients
Phase 2Recruiting

Efficacy and Safety of LNP023 Compared With Rituximab in Subjects With Idiopathic Membranous Nephropathy

Start: Nov 2019Est. completion: Jan 202337 patients
Phase 2Terminated

Efficacy, Safety, Pharmacokinetics and Pharmacodynamics Study, Assessing Multiple LNP023 Doses in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria

Start: Apr 2019Est. completion: Feb 202213 patients
Phase 2Completed

Study on Efficacy and Safety of LNP023 in C3 Glomerulopathy Patients Transplanted and Not Transplanted

Start: Feb 2019Est. completion: Apr 202127 patients
Phase 2Completed

Extension Study of RA101495 for Patients With PNH Who Have Completed a Zilucoplan (RA101495) Clinical Study

Start: Jul 2017Est. completion: Oct 202119 patients
Phase 2Terminated

Phase 2 Safety and Efficacy Study of Zilucoplan (RA101495) to Treat PNH Patients Who Have an Inadequate Response to Eculizumab

Start: Apr 2017Est. completion: Mar 20183 patients
Phase 2Completed

Phase 2 Safety and Efficacy Study of Zilucoplan (RA101495) to Treat PNH Patients

Start: Mar 2017Est. completion: Mar 201826 patients
Phase 2Completed

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

Start: Feb 2026Est. completion: Jul 203124 patients
Phase 1/2Recruiting

A Phase 1/2 Study of an Investigational Drug, ALN-CC5, in Healthy Adult Volunteers and Patients With PNH

Start: Jan 2015Est. completion: Aug 201762 patients
Phase 1/2Completed

A Phase I Study to Assess the Safety of Pegcetacoplan (APL-2) as an Add-On to Standard of Care in Subjects With PNH

Start: Feb 2015Est. completion: Oct 20189 patients
Phase 1Completed

Phase Legend

PreclinicalLab & animal studies
Phase 1Safety & dosing
Phase 2Efficacy testing
Phase 3Large-scale trials
On MarketApproved & available

Key Insights

2 late-stage (Phase 3) programs — potential near-term approvals
3 actively recruiting trials targeting 296 patients
6 companies competing in this space