Zero ad trackers.We never sell your data.Healthcare professional?Clinician Resources
Home/Rare Diseases/Atypical Hemolytic Uremic Syndrome

Kidney & Renal

Atypical Hemolytic Uremic Syndrome Clinical Trials

Also called aHUS, Complement-Mediated HUS, STEC-negative HUS, atypical HUS

Atypical HUS results from dysregulation of the alternative complement pathway, often triggered by genetic mutations in complement pathway genes (CFH, MCP, CFI, C3, CFB, THBD) or autoantibodies against Factor H. Environmental triggers may include infections, medications, pregnancy, or malignancy. Unlike Shiga toxin-producing E. coli HUS, aHUS is not preceded by diarrheal illness.

In plain words, atypical hemolytic uremic syndrome is a kidney disease where part of the immune system that fights infection stays switched on. It damages tiny blood vessels in the kidneys, destroys red blood cells and uses up platelets, the cells that help blood clot.

Get an email when new Atypical Hemolytic Uremic Syndrome trials open or the FDA decides. Get alerts

Atypical Hemolytic Uremic Syndrome

Where treatments stand, from ClinicalTrials.gov and FDA labels

Also 8 studies with no phase, like observational studies, and 1 phase 4 study following medicines after approval.

FDA review0

No decision pending. FDA calendar

FDA-approved medicines2

Soliris · Ultomiris

Atypical Hemolytic Uremic Syndrome has 2 FDA-approved medicines, 12 open or active clinical trials (11 recruiting), and no pending FDA decision.

Labels checked October 21, 2026. Corticosteroids and immune globulins count once each.Download the data

Latest for Atypical Hemolytic Uremic Syndrome

See all trialsThe week in rare disease

Each date is the day a change was posted. Open an item to see where things stand now.

More about Atypical Hemolytic Uremic Syndrome

The uncontrolled complement activation generates C5a and C5b-9, causing endothelial damage in the kidney microvasculature, platelet consumption, and mechanical destruction of red blood cells (hemolytic anemia). This thrombotic microangiopathy characteristically affects the renal microcirculation, leading to progressive kidney injury.

Keep reading about Atypical Hemolytic Uremic Syndrome

aHUS presents with the classic triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury, often progressing rapidly to end-stage renal disease if untreated. About 50% of untreated patients develop chronic kidney disease or end-stage renal disease. Extrarenal manifestations occur in 10-15% of patients, including thrombotic events, neurological complications, and cardiac involvement.

Recurrence risk after kidney transplantation is high without complement-targeted prevention. Early recognition and prompt treatment with complement inhibitors such as eculizumab (C5 inhibitor) or other newer agents has dramatically improved outcomes.

What are the symptoms of Atypical Hemolytic Uremic Syndrome?

These are common symptoms of Atypical Hemolytic Uremic Syndrome, and how strong they are varies from person to person.

  • Microangiopathic hemolytic anemia with fatigue and pallor
  • Thrombocytopenia causing easy bruising and petechiae
  • Acute kidney injury with elevated creatinine
  • Hematuria and proteinuria
  • High blood pressure
  • Neurological symptoms including confusion or seizures in severe cases

Who gets Atypical Hemolytic Uremic Syndrome?

Can occur at any age from infants to elderly, though commonly presents in young children and adolescents. Affects males and females equally. Can be sporadic or familial with autosomal dominant inheritance pattern. Genetic mutations in complement genes affect people of all ethnicities but may vary by population.

Next steps: find trials you might fitsee approved treatmentsget help payingget alerts

Which medicines are FDA-approved for Atypical Hemolytic Uremic Syndrome?

There are currently 2 FDA-approved medications for Atypical Hemolytic Uremic Syndrome.

eculizumab
Alexion Pharmaceuticals Inc.
Official site
ravulizumab
Alexion Pharmaceuticals Inc.
Official site

Source: openFDA drug labeling data. This list may not include all treatments. Always consult your doctor.

How to get help paying for Atypical Hemolytic Uremic Syndrome treatment

Charity funds and drugmaker programs for Atypical Hemolytic Uremic Syndrome, checked at the source.

Which insurance do you have? Pick one to see what fits. Tap it again to clear.
Your insurance
Charity funds
  • From a charity · NORD RareCare
    aHUS Medical Assistance fund
    Open

    Pays for: Medical and medication costs.

    The foundation says: “Accepting new applications and re-enrollments for current year”
  • From a charity · NORD RareCare
    aHUS Premium Copay Assistance fund
    Open

    Pays for: Insurance premiums and copays.

    The foundation says: “Accepting new applications and re-enrollments for current year”
  • From a charity · NORD RareCare
    atypical Hemolytic Uremic Syndrome (aHUS) Emergency Relief fund
    Open

    Pays for: Emergency relief.

    The foundation says: “Accepting Applications”
  • From a charity · The Assistance Fund
    Atypical Hemolytic Uremic Syndrome (aHUS) fund
    Open

    Pays for: Copays, coinsurance, deductibles and other health-related expenses.

  • From a charity · TotalAssist (formerly PAN Foundation)
    Hemolytic Uremic Syndrome (HUS) fund
    Open

    Pays for: Out-of-pocket costs for approved medications, up to $9,500 per year. Requires health insurance (any kind).

Status as each foundation showed it on October 26, 2026.
Drugmaker programs
Open a medicine for who qualifies, by insurance type.

Every program and fund for Atypical Hemolytic Uremic Syndrome, by insurance →

Side effects people have reported to the FDA

Side effects people have reported to the FDA

Real-world side effect reports from the FDA Adverse Event Reporting System (FAERS). Includes both FDA-approved drugs and investigational therapies from active clinical trials. Click any drug to see what patients reported.

Loading side effect data...

Diagnosis and genetic testing

Genetic testing for Atypical Hemolytic Uremic Syndrome

Genetic testing can confirm a diagnosis, guide treatment decisions, and identify family members who may be at risk.

Finding labs...

Trusted Atypical Hemolytic Uremic Syndrome resources

Reputable organizations and medical references for learning more about Atypical Hemolytic Uremic Syndrome, including disease registries, foundation resources, and clinical guidelines.

Active clinical trials for Atypical Hemolytic Uremic Syndrome

Use this Atypical Hemolytic Uremic Syndrome clinical trial finder to see the 11 studies recruiting patients and 1 not yet recruiting in the United States and worldwide, with eligibility criteria in plain English. Of these, 6 test a treatment and 6 are observational studies or registries; each card says which. Every trial comes from ClinicalTrials.gov.

Jump to the trial list, the site map or the pipeline timeline.

Note: Trial recruitment statuses on ClinicalTrials.gov may not immediately reflect recent FDA decisions, sponsor announcements, or enrollment changes. Always confirm a trial's current status directly with the study coordinator before making plans.

12 active trials worldwide
Filter:
Sort:
RecruitingTreatment trialPhase 3Recently updatedNCT05795140

Evaluate Long-term Safety, Tolerability and Efficacy of Iptacopan in Study Participants With aHUS

Intervention: Iptcaopan 200 mg

Sponsor: Novartis Pharmaceuticals

This is a multicenter, single arm, open-label, extension study to evaluate the long-term safety, tolerability, and efficacy of iptacopan in participants with aHUS.

Ages 18 Years to 100 Years
Started May 2024Updated yesterdayEst. Jul 2032 (~5y 8m)
RecruitingPatient registry covering many conditionsRecently updatedNCT01793168

Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford

Sponsor: Sanford Health

The Coordination of Rare Diseases at Sanford (CoRDS) is an international patient registry that serves as a centralized resource for rare disease research. Individuals affected by rare diseases, undiagnosed conditions, and disorders of unknown prevalence may voluntarily contribute...

Ages not specified1 location
Started Jul 2010Updated 2 weeks agoEst. Dec 2100 (~74y 2m)
RecruitingObservational study, no treatment givenRecently updatedNCT07399730

Ravulizumab Outcomes in Polish Patients With aHUS

Intervention: Ravulizumab

Sponsor: AstraZeneca

This multicenter, observational cohort study uses retrospective collection of past medical history and prospective follow-up to capture longitudinal data on the management and clinical outcomes of patients with atypical hemolytic uremic syndrome (aHUS) treated with ravulizumab as...

Ages 18 Years+
Started Jun 2026Updated 1 month agoEst. Sep 2029 (~2y 10m)
RecruitingTreatment trialPhase 3No updates in a whileNCT05935215

Efficacy and Safety of Switching From Anti-C5 Antibody Treatment to Iptacopan Treatment in Study Participants With Atypical Hemolytic Uremic Syndrome (aHUS)

Intervention: Iptacopan

Sponsor: Novartis Pharmaceuticals

The purpose of this Phase 3 study is to evaluate the efficacy and safety of iptacopan upon switching from anti-C5 antibody to iptacopan treatment in study participants with aHUS.

Ages 18 Years to 100 Years
Started Feb 2024Updated 6 months agoEst. Jul 2028 (~1y 8m)
RecruitingTreatment trialPhase 4No updates in a whileNCT07308574

Post-Marketing Clinical Study of Ravulizumab in Participants With Clinical aHUS

Intervention: Ravulizumab

Sponsor: Alexion Pharmaceuticals, Inc.

The primary objective of this study is to assess the platelet count response to ravulizumab in participants clinically diagnosed as atypical hemolytic uremic syndrome (aHUS).

Ages 18 Years+
Started Dec 2025Updated 6 months agoEst. Jun 2027 (~7 months)
Find Atypical Hemolytic Uremic Syndrome trials near you, ranked by distance →
Active trial locations10 cities in the US
A study site. Select it to see its trials and get directions. Several sites close together. Select the number to zoom in.
+2 more

Trial Pipeline

Jan 2021 to Nov 2031
2021
2023
2025
2027
2029
2031
now
Phase 2
Phase 3
Phase 4
Observational
Observational
RecruitingNot yet recruitingDelayed startTodayHover a bar for trial details

Read more about Atypical Hemolytic Uremic Syndrome trials

Need help understanding these trials?
Answers with sources, in plain English
Start withor ask
Run an Atypical Hemolytic Uremic Syndrome foundation or patient group?
You can put this live trial list on your own website. It updates itself, and it's free.
Get the embed code →

Data from ClinicalTrials.gov, U.S. National Library of Medicine.
Always talk to your doctor before considering a clinical trial.

Atypical Hemolytic Uremic Syndrome patient communities

Facebook groups, Reddit communities and YouTube channels where Atypical Hemolytic Uremic Syndrome patients, caregivers and advocacy groups talk.

Companies developing Atypical Hemolytic Uremic Syndrome treatments

Drugmakers that list Atypical Hemolytic Uremic Syndrome in their rare disease portfolio, 5 in all.

Questions people ask about Atypical Hemolytic Uremic Syndrome