MedPath

Pegcetacoplan

Generic Name
Pegcetacoplan
Brand Names
Empaveli, Syfovre, Aspaveli
Drug Type
Biotech
CAS Number
2019171-69-6
Unique Ingredient Identifier
TO3JYR3BOU
Background

Pegcetacoplan is a complement inhibitor indicated in the treatment of paroxysmal nocturnal hemoglobinuria (PNH). Prior to its FDA approval, patients with PNH were typically treated with the C5 inhibiting monoclonal antibody eculizumab. Patients given eculizumab experienced less hemolysis caused by the membrane attack complex, but were still somewhat susceptible to hemolysis caused by C3b opsonization. Pegcetacoplan was developed out of a need for an inhibitor of complement mediated hemolysis further upstream of C5. Pegcetacoplan is a pegylated C3 inhibitor that can disrupt the processes leading to both forms of hemolysis that threaten patients with PNH.

Pegcetacoplan for subcutaneous use was granted FDA approval on 14 May 2021. In February 2023, pegcetacoplan for intravitreal use was approved by the FDA for the treatment of geographic atrophy (GA) secondary to age-related macular degeneration.

Indication

Pegcetacoplan is indicated to treat adults with paroxysmal nocturnal hemoglobinuria (PNH). It is also indicated to treat geographic atrophy (GA) secondary to age-related macular degeneration.

Associated Conditions
Geographic Atrophy Secondary to Age-related Macular Degeneration, Paroxysmal Nocturnal Haemoglobinuria (PNH)

A Study to Test Whether BI 771716 Helps People With an Advanced Form of Age-related Macular Degeneration (AMD) Called Geographic Atrophy

Phase 2
Recruiting
Conditions
Macular Degeneration, Age-related
Geographic Atrophy
Interventions
Drug: Sham comparator to BI 771716
First Posted Date
2024-12-09
Last Posted Date
2025-05-21
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
180
Registration Number
NCT06722157
Locations
🇺🇸

Associated Retina Consultants, Gilbert, Arizona, United States

🇺🇸

Associated Retina Consultants, Ltd., Phoenix, Arizona, United States

🇺🇸

Phoenix Retina Associates, Phoenix, Arizona, United States

and more 45 locations

A Prospective, Multicenter, Open-Label, Observational Phase 4 Study to Evaluate Real-World Safety, Tolerability, and Treatment Patterns of Pegcetacoplan (Syfovre) in Patients With Geographic Atrophy Secondary to Age-Related Macular Degeneration

Recruiting
Conditions
Geographic Atrophy
Interventions
First Posted Date
2023-12-08
Last Posted Date
2025-02-25
Lead Sponsor
Apellis Pharmaceuticals, Inc.
Target Recruit Count
300
Registration Number
NCT06161584
Locations
🇺🇸

Illinois Retina Associates (01-037), Oak Park, Illinois, United States

🇺🇸

California Retina Consultants (01-026), Bakersfield, California, United States

🇺🇸

Retina-Vitreous Associates Medical Group (01-020), Beverly Hills, California, United States

and more 30 locations

An Open-Label, Nonrandomized, Multicenter Extension Study to Evaluate the Long-term Safety and Efficacy of Pegcetacoplan in Participants With C3 Glomerulopathy or Immune-Complex Membranoproliferative Glomerulonephritis

Phase 3
Active, not recruiting
Conditions
C3 Glomerulopathy
DDD
Membranoproliferative Glomerulonephritis
Complement 3 Glomerulopathy
Membranoproliferative Glomerulonephritis (MPGN)
IC-MPGN
C3 Glomerulonephritis
Complement 3 Glomerulonephritis
Dense Deposit Disease
Immune Complex Membranoproliferative Glomerulonephritis (IC-MPGN)
Interventions
First Posted Date
2023-04-12
Last Posted Date
2025-03-28
Lead Sponsor
Apellis Pharmaceuticals, Inc.
Target Recruit Count
100
Registration Number
NCT05809531
Locations
🇺🇸

Academic Medical Research Institute (01034), Los Angeles, California, United States

🇺🇸

Children's Hospital Colorado (01037), Aurora, Colorado, United States

🇺🇸

University of Florida, Department of Pediatric Nephrology (01010), Gainesville, Florida, United States

and more 44 locations

A Real World Effectiveness Study of Pegcetacoplan in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)

Recruiting
Conditions
Paroxysmal Nocturnal Hemoglobinuria
First Posted Date
2023-03-20
Last Posted Date
2025-05-14
Lead Sponsor
Swedish Orphan Biovitrum
Target Recruit Count
200
Registration Number
NCT05776472
Locations
🇦🇺

Liverpool Hospital, Liverpool, New South Wales, Australia

🇦🇺

Calvary Mater Newcastle, Waratah, New South Wales, Australia

🇦🇺

Sunshine Coast University Hospital, Birtinya, Queensland, Australia

and more 72 locations

Evaluate the PK Efficacy Safety and Tolerability of Pegcetacoplan in Patients With Thrombotic Microangiopathy

Phase 2
Completed
Conditions
Transplant-Associated Thrombotic Microangiopathy
Interventions
First Posted Date
2021-12-08
Last Posted Date
2024-12-19
Lead Sponsor
Swedish Orphan Biovitrum
Target Recruit Count
12
Registration Number
NCT05148299
Locations
🇬🇷

University General Hospital "Attikon", Athens, Chaidari, Greece

🇫🇷

CHU de Saint-Etienne, Saint-Priest-en-Jarez, France

🇬🇷

General Hospital of Thessaloniki "G. Papanikolaou", Hematology Department - BMT Unit, Thessaloníki, Greece

and more 11 locations

A Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients With Cold Agglutinin Disease (CAD)

Phase 3
Suspended
Conditions
Cold Agglutinin Disease
Interventions
First Posted Date
2021-10-27
Last Posted Date
2024-04-11
Lead Sponsor
Swedish Orphan Biovitrum
Target Recruit Count
57
Registration Number
NCT05096403
Locations
🇬🇪

Ltd M. Zodelava Hematology Centre, Tbilisi, Georgia

🇬🇧

Churchill Hospital, Oxford, United Kingdom

🇧🇪

CHU de Liège, Liège, Belgium

and more 41 locations

Phase III Study Assessing the Efficacy and Safety of Pegcetacoplan in Patients With C3 Glomerulopathy or Immune-Complex Membranoproliferative Glomerulonephritis

Phase 3
Completed
Conditions
C3G
Membranoproliferative Glomerulonephritis (MPGN)
IC-MPGN
Complement 3 Glomerulopathy
Complement 3 Glomerulonephritis
Dense Deposit Disease
DDD
C3 Glomerulopathy
Complement 3 Glomerulopathy (C3G)
C3 Glomerulonephritis
Interventions
Other: Placebo
First Posted Date
2021-10-05
Last Posted Date
2025-03-13
Lead Sponsor
Apellis Pharmaceuticals, Inc.
Target Recruit Count
124
Registration Number
NCT05067127
Locations
🇳🇱

University Medical Center Groningen, Groningen, Netherlands

🇳🇱

Emma Kinderziekenhuis, Amsterdam UMC, Amsterdam, Netherlands

🇳🇱

Radboud University Medical Center, Nijmegen, Netherlands

and more 120 locations

APL-2 and Pembrolizumab Versus APL-2, Pembrolizumab and Bevacizumab Versus Bevacizumab Alone for the Treatment of Recurrent Ovarian, Fallopian Tube, or Primary Peritoneal Cancer and Malignant Effusion

Phase 2
Recruiting
Conditions
Fallopian Tube Serous Adenocarcinoma
Ovarian Clear Cell Adenocarcinoma
Primary Peritoneal Endometrioid Adenocarcinoma
Fallopian Tube Carcinosarcoma
Ovarian Endometrioid Adenocarcinoma
Ovarian Serous Adenocarcinoma
Primary Peritoneal Carcinosarcoma
Recurrent Ovarian Carcinoma
Fallopian Tube Clear Cell Adenocarcinoma
Ovarian Carcinosarcoma
Interventions
Procedure: Biopsy
Procedure: Biospecimen Collection
Other: Questionnaire Administration
First Posted Date
2021-06-09
Last Posted Date
2025-05-11
Lead Sponsor
Roswell Park Cancer Institute
Target Recruit Count
60
Registration Number
NCT04919629
Locations
🇺🇸

Roswell Park Cancer Institute, Buffalo, New York, United States

A Study of Pegcetacoplan in Pediatric Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)

Phase 2
Recruiting
Conditions
Paroxysmal Nocturnal Hemoglobinuria (PNH)
Paroxysmal Hemoglobinuria
Interventions
First Posted Date
2021-05-26
Last Posted Date
2022-07-20
Lead Sponsor
Apellis Pharmaceuticals, Inc.
Target Recruit Count
12
Registration Number
NCT04901936
Locations
🇹🇭

Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand

🇨🇿

Motol University Hospital, Prague, Czechia

🇺🇸

Children's Hospital of Atlanta, Atlanta, Georgia, United States

and more 7 locations

An Extension Study to Evaluate the Long-term Safety and Efficacy of Pegcetacoplan (APL-2) in Subjects With Geographic Atrophy Secondary to AMD

Phase 3
Active, not recruiting
Conditions
Geographic Atrophy Secondary to Age-related Macular Degeneration
Interventions
First Posted Date
2021-02-25
Last Posted Date
2025-03-06
Lead Sponsor
Apellis Pharmaceuticals, Inc.
Target Recruit Count
1200
Registration Number
NCT04770545
Locations
🇺🇸

Northwestern Feinberg School of Medicine, Chicago, Illinois, United States

🇺🇸

The Ohio State University, Columbus, Ohio, United States

🇺🇸

Ophthalmic Consultants of Boston, Boston, Massachusetts, United States

and more 164 locations
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