Study of Efficacy and Safety of NM8074 in Adult PNH Patients Who Are Naive to Complement Inhibitor Therapy

This is a Phase II, open-label study designed to evaluate the safety, efficacy, and immunogenicity of NM8074 administered intravenously to adult patients with Paroxysmal Nocturnal Hemoglobinuria (PNH).

Inclusion Criteria:Patients ≥ 18 years (males and females), weight ≥ 45 kg at the time of consentConfirmation of PNH diagnosis by flow cytometry evaluation of white blood cells (WBCs), with neutrophil, granulocyte and/or monocyte clone size of ≥10%Evidence of ongoing hemolysis≥1 packed red blood cell (pRBC) transfusion within 12 months prior to screeningAnemia (Hemoglobin ≤10.5 g/dL)Lactate dehydrogenase (LDH) level ≥ 1.5 times the upper limit of normal (xULN) during ScreeningAll patients must be vaccinated prior to dosing with MenACWY Menactra® polysaccharide diphtheria toxoid conjugate vaccination against Neisseria meningitidis serogroups A, C, Y, and W-135 and MenB meningococcal serogroup B vaccine (Bexsero®). If the window of vaccination is short, then patients will be prophylactically treated with appropriate antibioticsWilling and able to understand and complete informed consent procedures, including signing and dating the informed consent form (ICF), and comply with the study visit scheduleExclusion Criteria:History of bone marrow, hematopoietic stem cell, or solid organ transplantationHistory of splenectomyParticipation in any other investigational drug trial within 5 elimination half-lives of enrollment, or within 30 days, whichever is longerSubjects currently or previously under other complement inhibitor treatments less than 3 months prior to study Day 1Participants with known or suspected hereditary or acquired complement deficiencyHistory of currently active primary or secondary immunodeficiencyCurrently active systemic infection or suspicion of active bacterial, viral, or fungal infection within 2 weeks prior to first dose, or history of unexplained, recurrent bacterial infectionsHas a known history of meningococcal disease or N. meningitidis infectionPatients on immunosuppressive agents or systemic corticosteroids less than 8 weeks prior to dosingKnown medical or psychological condition(s) or risk factor that, in the opinion of the Investigator, might interfere with the patient's full participation in the study, pose any additional risk for the patient, or confound the assessment of the patient or outcome of the studySevere concurrent co-morbidities not amenable to active treatment, e.g., patients with severe kidney disease (chronic kidney disease (CKD) stage 4, dialysis)Subjects currently or previously under other complement inhibitor treatments less than 3 months prior to study Day 1Pregnant, planning to become pregnant, or nursing female subjects. Female partners of child-bearing potential (WOCBP), defined as all women physiologically capable of becoming pregnant, must have a negative pregnancy test at screening and must agree to use highly effective methods of contraception during dosing and for 1 week after stopping the investigational drugFemales who have a positive pregnancy test result at Screening or on Day 1Male patients and partners of child-bearing potential must agree to use contraceptives and male patients must agree to refrain from donating sperm for the duration of the study