C5i-naive patients

PiaSky®: Efficacy and Safety

For PNH patients, PiaSky® combines the proven efficacy of a C5 inhibitor with the convenience of subcutaneous administration every 4 weeks1,2

Product image

COMMODORE 2 (Phase 3 Trial)

PiaSky® demonstrated noninferiority vs eculizumab for both hemolysis control and transfusion avoidance in treatment-naïve patients from baseline through week 251,3

COMMODORE 2 Co-Primary Endpoints1,3

Similar hemolysis control with Q4W SC PiaSky® compared to Q2W IV SoC1,3

COMMODORE 2 Secondary Endpoints1,3

PiaSky® may help people with PNH achieve normalized fatigue levels1

People treated with PiaSky® saw greater improvements in FACIT-Fatigue scores, bringing them to within ‘normal’ population levels1
PiaSky® has a comparable safety profile to other C5 inhibitors1,4,5
AE rates across the PiaSky® population were similar to the eculizumab population1,4,5
Pooled safety data from across the COMMODORE programme 
(includes both C5i-naïve and C5i-experienced patients)

COMMODORE 2 assessed efficacy and safety of PiaSky® vs eculizumab in treatment-naïve patients with PNH1

Phase III COMMODORE 2: Evaluating the noninferiority of PiaSky® vs eculizumab in C5i-naïve patients with PNH1

**Patients starting PiaSky® will receive an initial weight-based loading dose through IV infusion, administered by their healthcare provider. Four subsequent loading doses are then given weekly by subcutaneous injection. Weight-based maintenance dosing is then administered once every 4 weeks subcutaneously. Patients may self-inject after receiving training from their healthcare provider.

C5 = complement protein 5; FACIT-Fatigue = Functional Assessment of Chronic Illness Therapy Fatigue; IVH = intravascular hemolysis; LDH = lactate dehydrogenase; NIM = noninferiority margin; PNH = paroxysmal nocturnal hemoglobinuria; TICR = transient immune complex reactions; ULN = upper limit of normal.

References
  1. Rӧth A, et al. Am J Hematol. 2024;99:1768–1777.
  2. Scheinberg P, et al. Am J Hematol. 2024;99:1757–1767.
  3. PiaSky® (crovalimab) 170mg/mL solution for injection Summary of Product Characteristics. F. Hoffmann-La Roche; 2024.
  4. Röth A, et al. Eur J Haematol. 2025;114:373–382.
  5. Panse J, et al. ASH 2023; poster presentation [poster 4090].
  6. Röth A, et al. Eur J Hematol. 2025;114:199–382.