Recruiting
Phase 1
Phase 2

ALN-CFB

Sponsor:

Regeneron Pharmaceuticals

Code:

NCT07187401

Conditions

Paroxysmal Nocturnal Hemoglobinuria (PNH)

Persistent Anemia

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

ALN-CFB

Placebo

Study Details

Brief summary:

This study is researching an experimental drug called ALN-CFB. The study is focused on people with Paroxysmal Nocturnal Hemoglobinuria (PNH) who are currently taking a complement component C5 inhibitor ("C5-inhibitor") and continue to have anemia (low red blood cell count).

The aim of the study is to see how tolerable ALN-CFB is compared to placebo. A placebo looks like the study drug but does not contain any drug.

The study is looking at several other research questions, including:

  • What side effects may happen from taking ALN-CFB
  • How much ALN-CFB is in the blood at different times
  • How much Complement Factor B (CFB) protein levels in the blood are affected by ALN-CFB

Conditions

Paroxysmal Nocturnal Hemoglobinuria (PNH)

Persistent Anemia

Study ID

NCT07187401

Start date

Feb 11, 2026

Status verified date

Jul, 2026

Completion date

Jul 15, 2031

Anticipated

Primary completion date

Nov 29, 2029

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. Has been diagnosed with PNH confirmed by a history of high flow cytometry from prior testing
2. Treated with a stable dose of C5 inhibitor (eculizumab or approved eculizumab biosimilar, ravulizumab, or crovalimab) for at least 24 weeks prior to screening visit, as described in the protocol
3. Has hemoglobin ≤10.5 g/dL at screening visit 1, with evidence of anemia prior to this visit, as described in the protocol
4. Has peripheral blood reticulocyte count of ≥100 x 10\^9/L at screening visit 1

Key Exclusion Criteria:

1. Has history of bone marrow transplantation or receipt of an organ transplant
2. Has history of meningococcal infection or similar recurrent infections by other encapsulated bacterial organisms
3. Has any active, ongoing infection or a recent infection requiring ongoing systemic treatment with antibiotics, antivirals, or antifungals within 2 weeks of screening or during the screening period
4. Has laboratory evidence of bone marrow failure, as described in the protocol
5. Have recent, unstable medical conditions, not related to PNH or PNH-related complications, as described in the protocol

NOTE: Other Protocol Defined Inclusion / Exclusion Criteria Apply

Study Design

Enrollment

24 participants

Anticipated

Allocation

Randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Single-Ascending Dose Escalation

placebo comparator: Placebo

Interventions

ALN-CFB

Administered as defined in the protocol

Placebo

Administered as defined in the protocol

Primary outcome measure

  • Occurrence of Treatment-Emergent Adverse Events (TEAEs) [ Time Frame: Through 365 Days ]
  • Severity of TEAEs [ Time Frame: Through 365 Days ]

Central Contacts and Locations

Central contacts

Clinical Trials Administrator

844-734-6643clinicaltrials@regeneron.com

Locations

Toronto General Hospital

Recruiting

Toronto, Ontario, Canada, M5G 2C4

More Information

Sponsor

Regeneron Pharmaceuticals

Last update posted

Jul 9, 2026

Last verified

Jul, 2026

Keywords

  • C5 inhibitor
  • Complement Factor B (CFB) protein
  • Red Blood Cells

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Regeneron Pharmaceuticals on 2026-07-09.