Clinical trial Recruiting at 12 sites Observational Ages 18 and up

Real-world use of iptacopan for PNH in Italy

Official title: REAL-CARE: Real-world Effectiveness of iptacopAn in itaLian Patients With Paroxysmal noCturnAl HemoglobinuRia: an Observational Study

Run by Novartis · NCT07229235 · Data updated 2026-11-12

This project will see if iptacopan works and is safe for adults with paroxysmal nocturnal hemoglobinuria (PNH) who are treated in Italian clinics.

More Paroxysmal Nocturnal Hemoglobinuria (PNH) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment50 (estimated)
SponsorNovartis
Industry-sponsored
Locations12 sites (Alessandria, AL and 11 other locations)
StatusRecruiting
StartedJanuary 13, 2026
Main results expectedAugust 31, 2028
Study endsAugust 31, 2028
Registry record updatedJune 25, 2026
Trial IDNCT07229235 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults (≥18 years) with a documented diagnosis of PNH who receive iptacopan as part of routine care at participating Italian sites, including those transitioning from the Managed Access Program.

Probably not a fit

Patients who are not on iptacopan, who are enrolled in interventional PNH trials, who are under 18, or who are treated outside participating Italian centers are unlikely to gain benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a multicenter observational program enrolling adults with PNH who are starting iptacopan or who were treated under the Managed Access Program, using retrospective, retro-prospective, and prospective cohorts. Primary data will be collected prospectively while secondary data will be retrieved from medical records for patients previously treated under the MAP. Patients are indexed at the date of iptacopan initiation and followed for up to 24 months, with the primary outcome being change in hemoglobin at 12 months and the proportion free from red blood cell transfusion from Day 14 through Month 12. No extra visits or procedures are mandated beyond routine care, and patient questionnaires are collected when possible but are not required.

Why it matters

Potential benefit: If successful, the study could show that iptacopan raises hemoglobin and reduces the need for red blood cell transfusions in real-world practice.

How similar studies have gone: Randomized clinical trials of iptacopan have shown promising efficacy and safety in PNH, but real-world observational evidence remains limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria:

1. signed informed consent: patient must provide written informed before any study assessment is collected; in case of deceased patients, informed consent is not required as per Art. 110, comma 1 of Legislative Decree n° 196, dated 30 June 2003 as amended by D.lgs. 101/2018 and the "Autorizzazione generale al trattamento dei dati personali effettuato per scopi di ricerca scientifica" n° 9/2016
2. Male and female,
3. ≥ 18 years of age,
4. documented diagnosis of PNH,
5. followed in Italian clinical sites,
6. on treatment with iptacopan prescribed as per routine medical care (i.e. patients naïve to treatment for whom the decision to start this treatment has already been made on the basis of clinical practice and according to SmPC and AIFA criteria and regardless of inclusion in this study or patients already treated under the Managed Access Program (MAP))

Exclusion criteria:

1.Concomitant participation in an interventional clinical study related to PNH or its treatment.

No other inclusion/exclusion criteria apply other than the requirements stated in the Summary of Product Characteristics (SmPC).

Where it's running

  • Novartis Investigative Site
    Alessandria, Al, Italy
    Recruiting
  • Novartis Investigative Site
    Avellino, Av, Italy
    Recruiting
  • Novartis Investigative Site
    Brescia, Bs, Italy
    Recruiting
  • Novartis Investigative Site
    Florence, Fi, Italy
    Recruiting
  • Novartis Investigative Site
    Genova, Ge, Italy
    Recruiting
  • Novartis Investigative Site
    Milan, Mi, Italy
    Recruiting
Show 6 more locations
  • Novartis Investigative Site
    Milan, Mi, Italy
    Recruiting
  • Novartis Investigative Site
    Palermo, PA, Italy
    Recruiting
  • Novartis Investigative Site
    Roma, Rm, Italy
    Recruiting
  • Novartis Investigative Site
    Roma, Rm, Italy
    Recruiting
  • Novartis Investigative Site
    Torino, To, Italy
    Recruiting
  • Novartis Investigative Site
    Bassano del Grappa, Vi, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.