Actively Recruiting

Phase 2
Age: 28Days - 17Years
All Genders
NCT05855083

Efficacy and Safety Study of Narsoplimab in Pediatric Patients With High-Risk Hematopoietic Stem Cell Transplant TMA

Led by Omeros Corporation · Updated on 2025-03-25

18

Participants Needed

16

Research Sites

135 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The purpose of this study is to evaluate the safety and efficacy of narsoplimab in pediatric patients with thrombotic microangiopathies (TMA) following hematopoietic stem cell transplant (HSCT).

CONDITIONS

Official Title

Efficacy and Safety Study of Narsoplimab in Pediatric Patients With High-Risk Hematopoietic Stem Cell Transplant TMA

Who Can Participate

Age: 28Days - 17Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age at least 28 days and less than 18 years prior to informed consent
  • Informed consent obtained from at least one parent or legal guardian; patient consent if legally required
  • Assent from patients as required by local regulations
  • Received an allogeneic hematopoietic stem cell transplant for benign or malignant disease
  • Diagnosed with HSCT-TMA with platelet count less than 50,000/mL or decrease in platelet count greater than 50% from highest post-transplant value
  • Evidence of microangiopathic hemolysis (presence of schistocytes, elevated LDH, or low haptoglobin)
  • At least one high-risk HSCT-TMA criterion such as persistent TMA over 2 weeks after modifying calcineurin inhibitors or sirolimus, or evidence of high-risk features including proteinuria, elevated creatinine, biopsy-proven gastrointestinal TMA, neurological abnormalities, pericardial or pleural effusion without other cause, pulmonary hypertension without other cause, Grade III or IV graft-versus-host disease (GVHD) or risk of it if immunosuppression changed, or elevated serum C5b-9 levels
  • If sexually active and of childbearing potential, agrees to use highly effective birth control during treatment and for 12 weeks after last dose
  • Male patients agree to avoid fathering children for 12 weeks after last dose
Not Eligible

You will not qualify if you...

  • Use of eculizumab, ravulizumab, or defibrotide within 3 months prior to consent, unless therapy failure documented
  • Current use of eculizumab, ravulizumab, or defibrotide at screening
  • Diagnosis of Shiga toxin-producing Escherichia coli hemolytic uremic syndrome (STEC-HUS)
  • ADAMTS13 activity less than 10%
  • Severe uncontrolled bacterial, fungal, or viral infections requiring therapy, except prophylactic antimicrobial treatment
  • Malignant hypertension with specific blood pressure criteria and eye changes
  • Poor prognosis with life expectancy under 3 months not related to HSCT-TMA
  • Pregnancy or lactation
  • Treatment with investigational drug or device within 4 weeks prior to study
  • Abnormal liver function tests (ALT or AST greater than 5 times upper limit) within 28 days prior
  • Positive HIV test without recent negative confirmation
  • Employment or immediate family relationship with study sponsor, CRO, investigator, or staff
  • Known hypersensitivity to study drug components
  • Any condition that investigator believes would put the patient at risk

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 16 locations

1

Omeros Investigational Site

San Diego, California, United States, 92024

Actively Recruiting

2

Omeros Investigational Site

Gainesville, Florida, United States, 32608

Not Yet Recruiting

3

Omeros Investigational Site

Boston, Massachusetts, United States, 02215

Not Yet Recruiting

4

Omeros Investigational Site

St Louis, Missouri, United States, 63104

Actively Recruiting

5

Omeros Investigational Site

New York, New York, United States, 10065

Not Yet Recruiting

6

Omeros Investigational Site

Valhalla, New York, United States, 10595

Actively Recruiting

7

Omeros Investigational Site

Houston, Texas, United States, 77030

Not Yet Recruiting

8

Omeros Investigational Site

Seattle, Washington, United States, 98105

Not Yet Recruiting

9

Omeros Investigational Site

Halle, Germany

Not Yet Recruiting

10

Omeros Investigational Site

Hanover, Germany

Not Yet Recruiting

11

Omeros Investigational Site

Haifa, Israel

Not Yet Recruiting

12

Omeros Investigational Site

Jerusalem, Israel

Not Yet Recruiting

13

Omeros Investigational Site

Ramat Gan, Israel

Not Yet Recruiting

14

Omeros Investigational Site

Tel Aviv, Israel

Not Yet Recruiting

15

Omeros Investigational Site

Utrecht, Netherlands

Not Yet Recruiting

16

Omeros Investigational Site

Pamplona, Spain

Actively Recruiting

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Research Team

O

Omeros Clinical Trial Information

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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