pegcetacoplan   Click here for help

GtoPdb Ligand ID: 13826

Synonyms: APL-2 | Empaveli®
Approved drug Immunopharmacology Ligand
pegcetacoplan is an approved drug
Compound class: Peptide
Comment: Pegcetacoplan is a compstatin family complement factor C3 inhibitor [6]. It contains two identical 12 amino acid compstatin-derived cyclic peptides [Ac-Ile-Cys(1)-Val-(Me)Trp-Gln-Asp-Trp-Gly-Ala-His-Cys(1)-Thr-NH2] that are bridged by a 40 kDa PEG moiety at their amidated carboxy termini to improve circulating half-life [4-5].
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Summary of Clinical Use Click here for help
Pegcetacoplan was granted orphan medicine/drug designations by the EMA (2017) and FDA (2014), to treat paroxysmal nocturnal haemoglobinuria (PNH) prior to full marketing approvals for this indication by both agencies in 2021 [3,7]. The FDA has also issued orphan drug designations for pegcetacoplan to be used to treat additional rare complement-mediated conditions including C3 glomerulopathy (2018), autoimmune hemolytic anemia (2019) [1] and immune complex-membranoproliferative glomerulonephritis (2022), as well as amyotrophic lateral sclerosis (2023).
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT04901936 A Study of Pegcetacoplan in Pediatric Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Phase 2 Interventional Apellis Pharmaceuticals, Inc.
NCT05067127 Phase III Study Assessing the Efficacy and Safety of Pegcetacoplan in Patients With C3 Glomerulopathy or Immune-Complex Membranoproliferative Glomerulonephritis Phase 3 Interventional Apellis Pharmaceuticals, Inc.
NCT05096403 A Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients With Cold Agglutinin Disease (CAD) Phase 3 Interventional Swedish Orphan Biovitrum
NCT05809531 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 Interventional Apellis Pharmaceuticals, Inc.
NCT03531255 Pegcetacoplan Long Term Safety and Efficacy Extension Study Phase 3 Interventional Apellis Pharmaceuticals, Inc.
NCT04085601 A Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients With PNH Phase 3 Interventional Apellis Pharmaceuticals, Inc.
NCT04770545 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 Interventional Apellis Pharmaceuticals, Inc.
NCT03500549 Study to Evaluate the Efficacy and Safety of APL-2 in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Phase 3 Interventional Apellis Pharmaceuticals, Inc. 8
NCT03525613 A Study to Compare the Efficacy and Safety of Intravitreal APL-2 Therapy With Sham Injections in Patients With Geographic Atrophy (GA) Secondary to Age-Related Macular Degeneration Phase 3 Interventional Apellis Pharmaceuticals, Inc. 2
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