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Trial · NCT03124368

A Proof-of-Mechanism Study to Determine the Effect of Danicopan on C3 Levels in Participants With C3G or IC-MPGN

NCT03124368, Phase 2, Completed, Alexion Pharmaceuticals, Inc.; results first posted 2021-07-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Proof-of-Mechanism Study to Determine the Effect of Danicopan on C3 Levels in Participants With C3G or IC-MPGN. Trials, record NCT03124368. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03124368

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Proof-of-Mechanism Study to Determine the Effect of Danicopan on C3 Levels in Participants With C3G or IC-MPGN
NCT number
NCT03124368
Status
Completed
Phases
Phase 2
Enrollment
6 participants, actual
Lead sponsor
Alexion Pharmaceuticals, Inc.
Conditions
C3 Glomerulonephritis, Dense Deposit Disease, C3 Glomerulopathy, Immune Complex Mediated Membranoproliferative Glomerulonephritis, Membranoproliferative Glomerulonephritis Types I, II, and III
Interventions
Danicopan
First posted
2017-04-21
Last updated
2021-11-04
Other registries' IDs
eudract:2016-003525-42
Results first posted
2021-07-13
Limitations and caveats
The sample size of the study was based on very limited clinical cases of C3G and IC-MPGN and the exploratory nature of this study to evaluate the effectiveness of danicopan.~Plasma intact C3 values should be regarded with caution. Plasma intact C3 values were generated using a new multiplex assay method with limited historical experience, and internal studies have suggested this new assay is subject to unexplained experimental variation arising during sample preparation and handling.

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Baseline, Day 15Serum C3 levels were measured by conventional Roche immunoturbidimetric assay method. Change from Baseline = Serum C3 levels on Day 15 - Baseline Serum C3 levels
PrimaryChange From Baseline In Plasma Intact C3 Level On Day 15Baseline, Day 15Plasma Intact C3 level were measured by a novel multiplex assay method. Change from Baseline = Plasma Intact C3 levels on Day 15 - Baseline Plasma Intact C3 levels
SecondaryChange From Baseline In Total Complement Classical Pathway (CP) Activity On Day 14Baseline, Day 14
CP activity was measured in serum by the DiaSorin Complement Activation Enzyme (CAE) functional immunoassay method, which measures terminal complement complex formation following activation. Results are expressed in CAE units which are calculated relative to previously established CAE activity of a positive control serum. Change from Baseline = Total Complement CP Activity on Day 14 - Baseline Total Complement CP Activity
SecondaryChange From Baseline In Total Complement Alternative Pathway (AP) Functional Activity (AP Wieslab) On Day 15Baseline, Day 15
AP functional activity was measured in serum by the Wieslab functional immunoassay method, which measures terminal complement complex (TCC) formation following AP-specific activation. Results are expressed as percent TCC production relative to a positive control serum. Change from Baseline = Total Complement AP Functional Activity on Day 15 - Baseline Total Complement AP Functional Activity
SecondaryTime To Achieving Peak Serum C3 LevelsFrom The First Day Of Dosing through Day 14Serial serum samples were collected on Days 1, 7, and 14.
SecondaryNumber Of Participants With Serious Adverse Events (SAEs), Grade 3 And Grade 4 Treatment-emergent Adverse Events (TEAEs), And Adverse Events (AEs) Leading To DiscontinuationUp to Day 49
An AE was as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. An SAE was an AE that met at least 1 of the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization for the AE, persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug), important medical event or reaction. The intensity of an AE was graded according to the Common Terminology Criteria for Adverse Events (CTCAE) Adverse Event Severity Grading Table. A summary of SAEs and other non-serious AEs regardless of causality is located in the Reported Adverse Events module.
SecondaryPharmacokinetics (PK): Area Under The Plasma Concentration-time Curve From Time Of Administration To 8 Hours Postdose (AUC0-8)Days 1 and 7Serial blood samples were collected at 0, 1, 1.5, 2, 2.5, 3, 4, 6, and 8 hours post-dose on Days 1 and 7.
SecondaryPK: Maximum Plasma Concentration (Cmax)Days 1 and 7Serial blood samples were collected at 0, 1, 1.5, 2, 2.5, 3, 4, 6, and 8 hours post-dose on Days 1 and 7.
SecondaryPK: Time To Maximum Concentration (Tmax)Days 1 and 7Serial blood samples were collected at 0, 1, 1.5, 2, 2.5, 3, 4, 6, and 8 hours post-dose on Days 1 and 7.
SecondaryChange From Baseline In Bb Fragment Of Complement Factor B (Bb) At Day 15Baseline, Day 15Plasma Bb was measured by enzyme-linked immunosorbent assay (ELISA). Change from Baseline = Complement Bb on Day 15 - Baseline

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Baseline, Day 15All participants who received at least 1 dose of danicopan and who had a baseline measurement and at least 1 measurement during the treatment period.g/LMEAN
PRIMARYChange From Baseline In Plasma Intact C3 Level On Day 15Baseline, Day 15All participants who received at least 1 dose of danicopan and who had a baseline measurement and at least 1 measurement during the treatment period.μg/mLMEAN
SECONDARYChange From Baseline In Total Complement Classical Pathway (CP) Activity On Day 14Baseline, Day 14All participants who received at least 1 dose of danicopan and who had a baseline measurement and at least 1 measurement during the treatment period.CAE unitMEAN
SECONDARYChange From Baseline In Total Complement Alternative Pathway (AP) Functional Activity (AP Wieslab) On Day 15Baseline, Day 15All participants who received at least 1 dose of danicopan and who had a baseline measurement and at least 1 measurement during the treatment period.percentage of activityMEAN
SECONDARYTime To Achieving Peak Serum C3 LevelsFrom The First Day Of Dosing through Day 14All participants who received at least 1 dose of danicopan and who had a baseline measurement and at least 1 measurement during the treatment period.daysMEAN
SECONDARYNumber Of Participants With Serious Adverse Events (SAEs), Grade 3 And Grade 4 Treatment-emergent Adverse Events (TEAEs), And Adverse Events (AEs) Leading To DiscontinuationUp to Day 49All participants who received at least 1 dose of danicopan and who had a baseline measurement and at least 1 measurement during the treatment period.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPharmacokinetics (PK): Area Under The Plasma Concentration-time Curve From Time Of Administration To 8 Hours Postdose (AUC0-8)Days 1 and 7All participants receiving at least 1 dose of danicopan who had a baseline measurement and at least 1 measurement during the treatment period.h*ng/mLGEOMETRIC_MEAN
SECONDARYPK: Maximum Plasma Concentration (Cmax)Days 1 and 7All participants receiving at least 1 dose of danicopan who had a baseline measurement and at least 1 measurement during the treatment period.ng/mLGEOMETRIC_MEAN
SECONDARYPK: Time To Maximum Concentration (Tmax)Days 1 and 7All participants receiving at least 1 dose of danicopan who had a baseline measurement and at least 1 measurement during the treatment period.hoursMEDIAN
SECONDARYChange From Baseline In Bb Fragment Of Complement Factor B (Bb) At Day 15Baseline, Day 15All participants who received at least 1 dose of danicopan and who had a baseline measurement and at least 1 measurement during the treatment period.µg/mLMEAN

Results by group87

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Group 1: Danicopan 100 mg TID (Sentinel)Baseline0.32Standard Deviation 0.060g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Group 2: Danicopan up to 200 mg TIDBaseline0.56Standard Deviation 0.230g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15TotalBaseline0.48Standard Deviation 0.220g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Group 1: Danicopan 100 mg TID (Sentinel)Day 150.35Standard Deviation 0.060g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Group 2: Danicopan up to 200 mg TIDDay 150.70Standard Deviation 0.350g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15TotalDay 150.58Standard Deviation 0.330g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Group 1: Danicopan 100 mg TID (Sentinel)Change from Baseline0.03Standard Deviation 0.000g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15Group 2: Danicopan up to 200 mg TIDChange from Baseline0.14Standard Deviation 0.140g/L
Change From Baseline In Serum C3 Complement Protein (C3) Levels On Day 15TotalChange from Baseline0.11Standard Deviation 0.120g/L
Change From Baseline In Plasma Intact C3 Level On Day 15Group 1: Danicopan 100 mg TID (Sentinel)Baseline39.50Standard Deviation 0.710μg/mL

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGroup 1: Danicopan 100 mg TID (Sentinel)2
Overall StudySTARTEDGroup 2: Danicopan up to 200 mg TID4
Overall StudyReceived at Least 1 Dose of Study DrugGroup 1: Danicopan 100 mg TID (Sentinel)2
Overall StudyReceived at Least 1 Dose of Study DrugGroup 2: Danicopan up to 200 mg TID4
Overall StudyCOMPLETEDGroup 1: Danicopan 100 mg TID (Sentinel)2
Overall StudyCOMPLETEDGroup 2: Danicopan up to 200 mg TID4
Overall StudyNOT COMPLETEDGroup 1: Danicopan 100 mg TID (Sentinel)0
Overall StudyNOT COMPLETEDGroup 2: Danicopan up to 200 mg TID0

Adverse events24

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersGroup 1: Danicopan 100 mg TID (Sentinel)12
otherAnaemiaBlood and lymphatic system disordersGroup 2: Danicopan up to 200 mg TID14
otherDizzinessNervous system disordersGroup 1: Danicopan 100 mg TID (Sentinel)12
otherDizzinessNervous system disordersGroup 2: Danicopan up to 200 mg TID04
otherUpper respiratory tract infectionInfections and infestationsGroup 1: Danicopan 100 mg TID (Sentinel)12
otherUpper respiratory tract infectionInfections and infestationsGroup 2: Danicopan up to 200 mg TID04
otherHypokalaemiaMetabolism and nutrition disordersGroup 1: Danicopan 100 mg TID (Sentinel)12
otherHypokalaemiaMetabolism and nutrition disordersGroup 2: Danicopan up to 200 mg TID04
otherDiarrhoeaGastrointestinal disordersGroup 1: Danicopan 100 mg TID (Sentinel)12
otherDiarrhoeaGastrointestinal disordersGroup 2: Danicopan up to 200 mg TID04

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGroup 1: Danicopan 100 mg TID (Sentinel)02
Total, all-cause mortalityGroup 2: Danicopan up to 200 mg TID04
Total, other adverse eventsGroup 1: Danicopan 100 mg TID (Sentinel)22
Total, other adverse eventsGroup 2: Danicopan up to 200 mg TID34
Total, serious adverse eventsGroup 1: Danicopan 100 mg TID (Sentinel)02
Total, serious adverse eventsGroup 2: Danicopan up to 200 mg TID14

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Group 1: Danicopan 100 mg TID (Sentinel) vs Group 2: Danicopan up to 200 mg TID: deaths from any causeTrial comparisons
Group 1: Danicopan 100 mg TID (Sentinel) vs Group 2: Danicopan up to 200 mg TID: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03124368

GET https://conductscience.org/api/trials/v1/NCT03124368/results?page=2