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Trial · NCT03829449

rVA576 (Coversin) Long Term Safety and Efficacy Surveillance Study

NCT03829449, Phase 3, Terminated, AKARI Therapeutics; results first posted 2025-03-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. rVA576 (Coversin) Long Term Safety and Efficacy Surveillance Study. Trials, record NCT03829449. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03829449

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Trial

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

Title
rVA576 (Coversin) Long Term Safety and Efficacy Surveillance Study
NCT number
NCT03829449
Status
Terminated
Phases
Phase 3
Enrollment
15 participants, actual
Lead sponsor
AKARI Therapeutics
Conditions
Paroxysmal Nocturnal Hemoglobinuria
Interventions
rVA576
First posted
2019-02-04
Last updated
2025-04-10
Results first posted
2025-03-12
Limitations and caveats
Due to the early termination of this study, only a subset of the outputs planned were produced. Parent trial locked databases were not pooled with the AK581 database, limiting the scope of the analyses that could be produced. The 'parent trial baseline' could not be used in calculations.

Source ClinicalTrials.gov

Registered outcomes13

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

ListOutcomeTime frameDescription
PrimaryLong Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.On entry and every 3 months thereafter, for the duration of the study (approximately 3 years and 5 months)To determine the safety profile of long-term rVA576 (Coversin) treatment as assessed by AEs, SAEs, Standard Lab tests and ECG results.
SecondaryProportion of Subjects With Thrombotic and Haemolytic Event Free Status During Each 3month Time Period Since the Start of the Study.On entry and every 3 months thereafter, for the duration of the study (approximately 3 years and 5 months)
Thrombotic and Haemolytic Events will include, but are not limited to, the following: haemolytic anaemia, thrombocytopenia, red blood cell haemolysis indicated by dark urine, Budd-Chiara syndrome, any other thrombotic or haemolytic event deemed to be associated with PNH. A haemolytic event will be defined as a rise in LDH or other biochemical evidence of haemolysis accompanied by an increase in symptoms and/or frank haemoglobinuria. Increased symptoms without objective haematological or biochemical evidence of haemolysis will not be counted as haemolytic events. In addition, the following signs and symptoms may be reviewed and classified as Thrombotic/Haemolytic events if appropriate: Acute kidney failure, Hypertension, Myocardial infarction, Stroke, Lung complications, Seizure, Coma, Premature death.
SecondaryTime to Thrombotic or Haemolytic Event Since Joining This Study.Approximately 3 years and 5 monthsTime to thrombotic or haemolytic event since joining this study.
SecondaryProportion of Subjects Who Require PRBC Transfusion During Each 3-month Period Since the Start of the Study and Over the Entire Period of the StudyOn entry and every 3 months thereafter, for the duration of the study (approximately 3 years and 5 months)Proportion of subjects who require PRBC transfusion during each 3-month period since the start of the study and over the entire period of the study
SecondaryTime to First Transfusion Since Joining the Study.approximately 3 years and 5 monthsTime to first transfusion since joining the study.
Secondary
Proportion of Subjects With no Adverse Change in Overall Scores of Quality of Life Using the EORTC QLQ-C30, the EQ-5D-5L and FACIT-F Instruments at Each 3-month Time Period Since the Start of the Study.
Every 3 months up to 39 months
Proportion of subjects with no adverse change in overall scores of Quality of Life using the EORTC QLQ-C30, the EQ-5D-5L and FACIT-F instruments at each 3-month time period since the start of the study.
SecondaryProportion of Subjects With Serum Lactate Dehydrogenase (LDH) <1.8, >1.8 to 2.4, >2.4 to 3, and >3 Times the Upper Limit of Normal (ULN) at Each 3-month Time Period Since the Start of the Study.12 weeksProportion of subjects with serum Lactate Dehydrogenase (LDH) \<1.8, \>1.8 to 2.4, \>2.4 to 3, and \>3 times the upper limit of normal (ULN) at each 3-month time period since the start of the study.
SecondaryProportion of Subjects With Median Serum Lactate Dehydrogenase (LDH) <1.8, >1.8 to 2.4, >2.4 to 3, and >3 Times the Upper Limit of Normal (ULN) Over the Entire Duration of the Study.Approximately 3 years and 5 monthsProportion of subjects with median serum Lactate Dehydrogenase (LDH) \<1.8, \>1.8 to 2.4, \>2.4 to 3, and \>3 times the upper limit of normal (ULN) over the entire duration of the study.
Secondary
Proportion of Transfusion-independent Subjects at Each 3-month Time Point, With Haemoglobin (g/L) Above the Baseline Haemoglobin Value They Had at the Start of the Trial From Which They Entered CONSERVE
Baseline and every 3 months up to 39 months
Proportion of transfusion-independent subjects at each 3-month time point, with haemoglobin (g/L) above the baseline haemoglobin value they had at the start of the trial from which they entered CONSERVE
Secondary
Proportion of Transfusion-independent Subjects Over the Entire Duration of the Study With Mean Haemoglobin (g/L) Above the Baseline Haemoglobin Value They Had at the Start of the Trial From Which They Entered CONSERVE
Approximately 3 years and 5 months
Proportion of transfusion-independent subjects over the entire duration of the study with mean haemoglobin (g/L) above the baseline haemoglobin value they had at the start of the trial from which they entered CONSERVE

Outcomes13

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYLong Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.On entry and every 3 months thereafter, for the duration of the study (approximately 3 years and 5 months)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProportion of Subjects With Thrombotic and Haemolytic Event Free Status During Each 3month Time Period Since the Start of the Study.On entry and every 3 months thereafter, for the duration of the study (approximately 3 years and 5 months)
Data are not available for all 15 participants at every 3-month interval due to the early termination of the trial. The proportion of subjects with thrombotic or haemolytic event free status in each 3-month interval is calculated based on the actual number of participants analysed at each 3-month interval.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Thrombotic or Haemolytic Event Since Joining This Study.Approximately 3 years and 5 monthsdays since first doseMEAN
SECONDARYProportion of Subjects Who Require PRBC Transfusion During Each 3-month Period Since the Start of the Study and Over the Entire Period of the StudyOn entry and every 3 months thereafter, for the duration of the study (approximately 3 years and 5 months)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to First Transfusion Since Joining the Study.approximately 3 years and 5 monthsdaysMEDIAN
SECONDARY
Proportion of Subjects With no Adverse Change in Overall Scores of Quality of Life Using the EORTC QLQ-C30, the EQ-5D-5L and FACIT-F Instruments at Each 3-month Time Period Since the Start of the Study.
Every 3 months up to 39 monthsNot all participants completed the self-reported questionnaires at all timepointsParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProportion of Subjects With Serum Lactate Dehydrogenase (LDH) <1.8, >1.8 to 2.4, >2.4 to 3, and >3 Times the Upper Limit of Normal (ULN) at Each 3-month Time Period Since the Start of the Study.12 weeksParticipantsNUMBER
SECONDARYProportion of Subjects With Median Serum Lactate Dehydrogenase (LDH) <1.8, >1.8 to 2.4, >2.4 to 3, and >3 Times the Upper Limit of Normal (ULN) Over the Entire Duration of the Study.Approximately 3 years and 5 monthsParticipantsNUMBER
SECONDARY
Proportion of Transfusion-independent Subjects at Each 3-month Time Point, With Haemoglobin (g/L) Above the Baseline Haemoglobin Value They Had at the Start of the Trial From Which They Entered CONSERVE
Baseline and every 3 months up to 39 monthsTotal number of subjects analyzed at each timepoint is specified.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY
Proportion of Transfusion-independent Subjects Over the Entire Duration of the Study With Mean Haemoglobin (g/L) Above the Baseline Haemoglobin Value They Had at the Start of the Trial From Which They Entered CONSERVE
Approximately 3 years and 5 monthsTotal number of subjects analyzed with post-baseline values is specified.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group121

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

OutcomeGroupCategoryValueSpreadUnits
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Adverse Events14Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Serious Adverse Events3Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant hemoglobin (low)7Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant hematocrit (low)6Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant MCH (high)4Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant MCV (high)3Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant RBC (low)6Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant reticulocytes (high)4Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant basophils (low)1Participants
Long Term Safety and Efficacy of rVA576 (Coversin) Therapy Assessed by AEs, SAEs, Standard Lab Tests and ECG Results.rVA576Clinically significant eosinophils (low)1Participants

Participant flow3

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDrVA576 Coversin15
Overall StudyCOMPLETEDrVA576 Coversin13
Overall StudyNOT COMPLETEDrVA576 Coversin2

Adverse events54

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUrinary tract infectionInfections and infestationsrVA576 Coversin5158
otherUpper respiratory tract infectionInfections and infestationsrVA576 Coversin3153
otherBronchitisInfections and infestationsrVA576 Coversin2154
otherNasopharyngitisInfections and infestationsrVA576 Coversin2152
otherCystitisInfections and infestationsrVA576 Coversin1151
otherRhinitisInfections and infestationsrVA576 Coversin1151
otherRespiratory tract infection viralInfections and infestationsrVA576 Coversin1151
otherPneumoniaInfections and infestationsrVA576 Coversin1151
otherPharyngitisInfections and infestationsrVA576 Coversin1151
otherLower respiratory tract infectionInfections and infestationsrVA576 Coversin1151

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityrVA576 Coversin015
Total, other adverse eventsrVA576 Coversin1415
Total, serious adverse eventsrVA576 Coversin315

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 comparisons0

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

None in this release.

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.

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