Clinical Trials

Numerous clinical trials evaluate danicopan across conditions involving alternative pathway complement activation, including paroxysmal nocturnal hemoglobinuria with extravascular hemolysis, geographic atrophy secondary to age-related macular degeneration, C3 glomerulopathy, and immune complex membranoproliferative glomerulonephritis. Spanning Phase 1 safety evaluations to pivotal Phase 3 studies, these protocols are sponsored by industry leaders like Alexion Pharmaceuticals and AstraZeneca alongside public entities such as the National Institute of Allergy and Infectious Diseases. Encompassing completed, recruiting, active not recruiting, and terminated statuses, these investigations reflect a comprehensive clinical development program.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06449001 RECRUITING
Paroxysmal Nocturnal Hemoglobinuria; PNH; Extravascular Hemolysis
Alexion Pharmaceuticals, Inc.
2025-08-11 PHASE3
NCT05389449 ACTIVE_NOT_RECRUITING
Paroxysmal Nocturnal Hemoglobinuria
Alexion Pharmaceuticals, Inc.
2022-10-28 PHASE3
NCT05019521 TERMINATED
Geographic Atrophy
Alexion Pharmaceuticals, Inc.
2021-08-23 PHASE2
NCT04469465 COMPLETED
Paroxysmal Nocturnal Hemoglobinuria
Alexion Pharmaceuticals, Inc.
2020-12-16 PHASE3
NCT04988035 COMPLETED
COVID-19
National Institute of Allergy and Infectious Diseases (NIAID)
2021-08-03 PHASE2
NCT05019521 Active not recruiting
Geographic Atrophy
Alexion Pharmaceuticals Inc.
2021-08-23 Phase 2
NCT03459443 TERMINATED
C3 Glomerulonephritis; C3 Glomerulopathy; Immune Complex Membranoproliferative Glomerulonephritis; IC-MPGN; Dense Deposit Disease
Alexion Pharmaceuticals, Inc.
2018-06-20 PHASE2
NCT04551599 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2020-02-21 PHASE1
NCT04609696 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2020-10-20 PHASE1
NCT04469465 Completed
Paroxysmal Nocturnal Hemoglobinuria
Alexion Pharmaceuticals Inc.
2020-12-16 Phase 3
NCT04451434 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2020-08-17 PHASE1
NCT04451434 Completed
Healthy
Alexion Pharmaceuticals Inc.
2020-08-17 Phase 1
NCT04551599 Completed
Healthy
Alexion Pharmaceuticals Inc.
2020-02-21 Phase 1
NCT03369236 COMPLETED
C3 Glomerulopathy; C3 Glomerulonephritis; Dense Deposit Disease
Alexion Pharmaceuticals, Inc.
2018-06-12 PHASE2
NCT04709094 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2019-07-28 PHASE1
NCT03472885 COMPLETED
Paroxysmal Nocturnal Hemoglobinuria (PNH)
Alexion Pharmaceuticals, Inc.
2018-05-08 PHASE2
NCT03124368 COMPLETED
C3 Glomerulonephritis; Dense Deposit Disease; C3 Glomerulopathy; Immune Complex Mediated Membranoproliferative Glomerulonephritis; Membranoproliferative Glomerulonephritis Types I, II, and III
Alexion Pharmaceuticals, Inc.
2017-08-09 PHASE2
NCT03053102 COMPLETED
Paroxysmal Nocturnal Hemoglobinuria (PNH)
Alexion Pharmaceuticals, Inc.
2017-03-31 PHASE2
NCT05109390 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2018-07-27 PHASE1
NCT05016206 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2018-07-26 PHASE1
NCT03555539 COMPLETED
Hepatic Impairment
Alexion Pharmaceuticals, Inc.
2018-05-01 PHASE1
NCT04935294 COMPLETED
Healthy; Renal Dysfunction
Alexion Pharmaceuticals, Inc.
2018-01-24 PHASE1
NCT03384186 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2017-12-01 PHASE1
NCT04889391 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2017-09-14 PHASE1
NCT03108274 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2017-04-18 PHASE1
NCT04889690 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2016-05-21 PHASE1
NCT04940559 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2016-08-02 PHASE1
NCT04889677 COMPLETED
Healthy
Alexion Pharmaceuticals, Inc.
2016-02-04 PHASE1

(data from https://clinicaltrials.gov, updated on 2025-12-23)

Check the Danicopan product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Danicopan selectively binds to human complement factor D with high affinity, thereby preventing the enzymatic cleavage of factor B and halting the amplification loop of the alternative complement pathway. By blocking downstream complement activation cascade and membrane attack complex assembly, this targeted inhibition prevents complement-mediated erythrocyte lysis, offering therapeutic relevance in conditions driven by complement dysregulation such as paroxysmal nocturnal hemoglobinuria.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.