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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.

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About Atypical Hemolytic Uremic Syndrome

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. 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.

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.

Common Symptoms of Atypical Hemolytic Uremic Syndrome

Recognizing the signs of Atypical Hemolytic Uremic Syndrome early can lead to faster diagnosis and better outcomes. Symptoms may vary in severity from person to person. If you or a loved one are experiencing any of the following, consider speaking with a specialist.

  • 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 Atypical Hemolytic Uremic Syndrome Affects

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.

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Help Paying for Atypical Hemolytic Uremic Syndrome Treatment

Charity funds and drugmaker programs for Atypical Hemolytic Uremic Syndrome, checked at the source. Pick your insurance to see what fits.

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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 · The Assistance Fund
    Atypical Hemolytic Uremic Syndrome (aHUS) fund
    Open

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

    The foundation says: “OPEN — Accepting New Patients. TAF is currently accepting new patient enrollments for this program.”
  • 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 September 28, 2026.

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Genetic Testing

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

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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 12 studies recruiting patients and 1 opening soon in the United States and worldwide, with eligibility criteria in plain English. These studies play a critical role in advancing care for kidney & renal conditions and may offer access to treatments not yet widely available. Each trial below is sourced directly from ClinicalTrials.gov, with eligibility criteria translated into plain English to help patients and caregivers evaluate whether a study may be a fit.

TrialsSite mapPipeline 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.

13 active trials worldwide
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RECRUITINGRecently 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+10 locations
Started Jun 2026Updated 2 weeks agoEst. Sep 2029 (~3 years)
RECRUITINGPHASE3Updated a few months agoNCT05795140

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 – 100 Years9 locations
Started May 2024Updated 3 months agoEst. Jul 2032 (~5y 9m)
RECRUITINGPHASE3Updated a few months agoNCT05935215

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 – 100 Years31 locations
Started Feb 2024Updated 5 months agoEst. Jul 2028 (~1y 9m)
RECRUITINGPHASE4Updated a few months agoNCT07308574

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+12 locations
Started Dec 2025Updated 5 months agoEst. Jun 2027 (~8 months)
RECRUITINGUpdated a few months agoNCT06312644

Study of Ultomiris® (Ravulizumab) Safety in Pregnancy

Intervention: Ultomiris

Sponsor: Alexion Pharmaceuticals, Inc.

The primary objective of this study is to describe the frequency and characteristics of pregnancy outcomes and maternal complications among participants exposed to Ultomiris and to describe the frequency and characteristics of selected fetal/neonatal/infant outcomes in utero, at ...

Ages not specified7 locations
Started Dec 2024Updated 5 months agoEst. Jul 2034 (~7y 9m)
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Trial Pipeline

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Data from ClinicalTrials.gov, U.S. National Library of Medicine.
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Related Kidney & Renal Conditions

Other rare diseases in the kidney & renal category. Patients with Atypical Hemolytic Uremic Syndrome may find relevant research, shared treatment pathways, or overlapping clinical trials among these related conditions.

Companies Developing Atypical Hemolytic Uremic Syndrome Treatments

6 pharmaceutical companies have Atypical Hemolytic Uremic Syndrome in their rare disease portfolio

Frequently Asked Questions About Atypical Hemolytic Uremic Syndrome