Recent Updates
Recently added Catalysts

APL-2

Phase 4

Geographic Atrophy | Small molecule | Ophthalmology |Apellis Pharmaceuticals, Inc.|Trials Updated: Sep 2, 2026

APL-2 development status

Highest phase Phase 4 run by Swedish Orphan Biovitrum (NCT07746895)
Phase scored for APLSPhase 3
Registered trials 24 across 2 sponsors since Oct 2014

APL-2 target and mechanism

ModalitySmall molecule

Also known as Pegcetacoplan

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials21
Total Enrollment3,254

FDA Designations

No designations recorded

APL-2 clinical trials

APL-2 · 21 trials · 28 indications

Phase 3 9Phase 2 8Phase 1 4
NCT07214740Study to Evaluate a Pegcetacoplan (Syfovre®) Prefilled SyringeGeographic Atrophy Secondary to Age-related Macular Degeneration
COMPLETED44 Analytics
NCT05809531An 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 GlomerulonephritisC3G
ACTIVE NOT_RECRUITING100 Analytics
NCT05067127Phase III Study Assessing the Efficacy and Safety of Pegcetacoplan in Patients With C3 Glomerulopathy or Immune-Complex Membranoproliferative GlomerulonephritisC3G
COMPLETED124 Analytics
NCT04770545An Extension Study to Evaluate the Long-term Safety and Efficacy of Pegcetacoplan (APL-2) in Subjects With Geographic Atrophy Secondary to AMDGeographic Atrophy Secondary to Age-related Macular Degeneration
COMPLETED792 Analytics
NCT04085601A Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients With PNHParoxysmal Nocturnal Hemoglobinuria
COMPLETED53 Analytics
NCT03525600Study 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 DegenerationGeographic Atrophy
COMPLETED621 Analytics
NCT03525613A 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 DegenerationGeographic Atrophy
COMPLETED637 Analytics
NCT03531255Pegcetacoplan Long Term Safety and Efficacy Extension StudyPNH
COMPLETED137 Analytics
NCT03500549Study to Evaluate the Efficacy and Safety of APL-2 in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)Paroxysmal Nocturnal Hemoglobinuria
COMPLETED80 Analytics
PHASE3COMPLETED
Study to Evaluate a Pegcetacoplan (Syfovre®) Prefilled Syringe
Geographic Atrophy Secondary to Age-related Macular DegenerationUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
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
C3GUnlock trial analytics
PHASE3COMPLETED
Phase III Study Assessing the Efficacy and Safety of Pegcetacoplan in Patients With C3 Glomerulopathy or Immune-Complex Membranoproliferative Glomerulonephritis
C3GUnlock trial analytics
PHASE3COMPLETED
An Extension Study to Evaluate the Long-term Safety and Efficacy of Pegcetacoplan (APL-2) in Subjects With Geographic Atrophy Secondary to AMD
Geographic Atrophy Secondary to Age-related Macular DegenerationUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Patients With PNH
Paroxysmal Nocturnal HemoglobinuriaUnlock trial analytics
PHASE3COMPLETED
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
Geographic AtrophyUnlock trial analytics
PHASE3COMPLETED
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
Geographic AtrophyUnlock trial analytics
PHASE3COMPLETED
Pegcetacoplan Long Term Safety and Efficacy Extension Study
PNHUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Efficacy and Safety of APL-2 in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)
Paroxysmal Nocturnal HemoglobinuriaUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate safety and tolerability of intravitreal (IVT) pegcetacoplan administered via PFS by assessing incidence of ocular treatment-emergent adverse events (TEAEs) in the study eye
Up to Day 30
Proportion of participants with a reduction in urine protein-to-creatinine ratio (uPCR) of at least 50% from the pretreatment value over time.
2.5 years
Randomized Controlled Period: Change From Baseline in Log-Transformed Urine Protein-to-Creatinine Ratio (uPCR) at Week 26
Baseline (Day -70 to Day 1) to Week 26

Baseline uPCR value was calculated as the average of the uPCR measurements from at least 6 of the 9 first-morning spot urine (FMU) samples collected between the start of screening and Day 1, inclusive. The uPCR values used to calculate baseline included those from the samples collected on Day -2, Day -1, and before dosing on Day 1. In situations where less than 6 samples or more than 9 samples were collected, the average of all collected samples was used for baseline derivation. The difference between treatment groups using a composite contrast of equal-weighted average over Weeks 24, 25, and 26 was estimated.

Incidence and severity of ocular and systemic adverse events
Up to 36 Months
Number of Subjects Who Achieved Hemoglobin (Hb) Stabilization
From Baseline (Day 1) up to Week 26

The Hb stabilization was defined as avoidance of a \>1 gram per deciliter (g/dL) decrease in Hb concentration from Baseline in the absence of transfusion through Week 26.

Change From Baseline in Lactate Dehydrogenase (LDH) Concentration At Week 26
Baseline (Day 1) and Week 26

The LDH concentration was analyzed using an analysis of covariance (ANCOVA) model with a last observation carried forward (LOCF) and a baseline observation carried forward (BOCF) approach for handling missing data. Baseline was defined as average of measurements prior to first dose of pegcetacoplan or on or prior to randomization of SoC. Post baseline missing values are imputed using multiple imputation method with Markov Chain Mont Carlo method.

Least Squares (LS) Mean Change From Baseline in Total Area of GA Lesions in the Study Eye at Month 12
Baseline (screening) and Month 12

The GA lesion area was measured by a quantified central reading center based on FAF images. LS mean was calculated using a mixed effect model for repeated measure (MMRM) model. Baseline was defined as the last available, non-missing observation prior to first study drug administration.

Incidence and severity of treatment-emergent adverse events
Baseline to 2 Years
Least Squares (LS) Mean Change From Baseline to Week 16 in Hemoglobin (Hb) Level During the RCP
Baseline and Week 16

Baseline was the average of measurements recorded before taking the first dose of pegcetacoplan, which included local and central laboratory values during the screening period. Analysis excluded data before the RCP and was censored for transfusions.

Pegcetacoplan Pharmacokinetic (PK) Parameter Area Under the Curve Limited to the End of Dosing Interval (AUC0-tau)
Week 1

Area under the concentration-time curve limited to the end of the dosing interval. The samples included in the calculation of AUC0-tau were collected at the following times: on dosing Days 1, 3 and 5, PK samples were taken up to 30 minutes pre-dose and at 15 minutes (± 5 min), 30 minutes (± 5 min), 1 hour (± 10 min), 4 hours (± 10 min), 8 hours (± 30 min), and 24 hours (± 30 min) post-dose as well as on Day 8 pre-dose.

Pegcetacoplan PK Parameter Maximal Serum Concentration (Cmax)
Week 1

Maximum observed serum concentration. Determined using the samples collected post-dose on dosing Days 1, 3 and 5.

Pegcetacoplan PK Parameter Time to Cmax (Tmax)
Week 1

Time of maximum measured serum concentration. Determined using the samples collected post-dose on dosing Days 1, 3 and 5.

Pegcetacoplan PK Parameter Observed Serum Concentration Pre-dose (Ctrough)
Week 1 up to Week 14

Observed serum concentration pre-dose. From Day 8 (Week 1) and onwards, PK samples were taken pre-dose at each visit.

Phase 2: Evaluate the efficacy of APL2 in terms of change from baseline in log-transformed urine protein to creatinine ratio (uPCR)
Baseline to Week 12

Change from Baseline in Log-Transformed uPCR will be based on triplicate first morning urine (FMU)

Phase 3: Change from baseline in log-transformed urine protein to creatinine ratio (uPCR)
Baseline to Week 52

Change from baseline in log-transformed uPCR will be based on triplicate first morning urine (FMU)

Percentage of Subjects With Reduction in C3c Staining on Renal Biopsy at Week 12
Baseline (Day 1) and Week 12

C3c staining intensity is semi quantitatively graded on a scale of 0 to 3, in which negative, 1+, 2+ and 3+ staining corresponds to scores of 0 to 3, with 0 being absent and 3 being the highest intensity seen on immunofluorescence. Higher scores indicate worse outcome. Reduction in C3c staining was defined as decrease of at least 2 orders of magnitude of intensity from baseline. Baseline was defined as the most recent non-missing measurement prior to first administration of study drug for Group 1 subjects or randomization for Group 2 subjects.

Pegcetacoplan serum concentrations over the course of the 16-week treatment period
16 weeks
Change from baseline to Wk 16 in hemoglobin (Hb)
16 weeks
Incidence and severity of treatment-emergent adverse events (TEAEs) over the course of the 16-week treatment period, including monitoring bacterial infections
16 weeks
Change from baseline to wk 16 lactate dehydrogenase (LDH)
16 weeks
Change from baseline to wk 16 absolute reticulocyte count (ARC)
16 weeks
Number of Subjects With Treatment Emergent Adverse Events (TEAEs) Including by Severity
From Day 1 to 30 days after the last dose (approximately 56 weeks)

TEAEs were defined as adverse events (AE) that occurred after dosing on Day 1 and up to 30 days after the last dose of study drug. A treatment-related TEAE was defined as a TEAE with a relationship to study drug of possible, probable, or definite. TEAEs were graded according to the Common Terminology Criteria for Adverse Events (v4.03) based on: Grade 1: Mild, Grade 2: Moderate, Grade 3: Severe, Grade 4: Life-threatening, Grade 5: Death related to AE.

Mean Change From Baseline in Lactate Dehydrogenase (LDH) Level
Baseline and Day 365

Serum chemistry assessments of LDH were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the treatment period.

Mean Change From Baseline in Haptoglobin Level
Baseline and Day 365

Serum chemistry assessments of haptoglobin were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the treatment period.

Mean Change From Baseline in Hemoglobin (Hb) Level
Baseline and Day 365

Hematology assessments of Hb were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the treatment period.

Part A: Change From Baseline in Proteinuria at Week 48
Baseline (Day 1) and Week 48

Change from baseline in proteinuria was assessed based on urinary protein-to-creatinine ratio (uPCR). Baseline was defined as the most recent non-missing measurement prior to or on the first administration of study drug.

Part B: Change From Baseline in Proteinuria at Week 168
Baseline (Part A, Week 48) and Week 168

Change from baseline in proteinuria was assessed based on uPCR. Baseline was defined as the most recent non-missing measurement prior to or on the first administration of study drug during Part B.

Least Square (LS) Mean Change From Baseline in Square Root GA Lesion Size in the Study Eye at Month 12
Baseline (screening) and Month 12.

The square root GA lesion size (i.e. transformed area of GA) was measured by FAF photographs. Baseline was defined as the last available, non-missing observation prior to first study drug administration.

Number of Subjects With Treatment Emergent Adverse Events (TEAEs) in the Study Eye, Including by Severity
From the time of first study drug administration (Day 1) up to Month 12 (Data cut-off date).

A TEAE was defined as any adverse event (AE) that commenced or worsened on or after time of first study drug administration up to 60 days beyond last dose of study drug. A treatment-related TEAE was defined as a TEAE with a relationship to study drug of possibly related or probably related or not reported. Severity of TEAEs were categorized as mild; moderate; severe; life-threatening or death related to TEAE, according to Common Terminology Criteria for AEs v4.03. A TEAE of special interest (TEAESI) was defined as a TEAE of scientific and medical concern specific to pegcetacoplan, whether serious or non-serious.

Incidence and Severity of Ocular and Systemic Treatment-Emergent Adverse Events (TEAEs)
25 Months
Mean Change From Baseline in Lactate Dehydrogenase (LDH) at Day 365
Baseline (Day 1) and Day 365.

Serum chemistry assessments of LDH were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the different parts of the treatment period. LDH results were summarized for Cohort 2 only.

Mean Percentage Change From Baseline in LDH at Day 365
Baseline (Day 1) and Day 365.

Serum chemistry assessments of LDH were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the different parts of the treatment period. LDH results were summarized for Cohort 2 only.

Mean Change From Baseline in Haptoglobin at Day 365
Baseline (Day 1) and Day 365.

Serum chemistry assessments of haptoglobin were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the different parts of the treatment period. Haptoglobin results were summarized for Cohort 2 only.

Mean Percentage Change From Baseline in Haptoglobin at Day 365
Baseline (Day 1) and Day 365.

Serum chemistry assessments of haptoglobin were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the different parts of the treatment period. Haptoglobin results were summarized for Cohort 2 only.

Mean Change From Baseline in Hemoglobin at Day 365
Baseline (Day 1) and Day 365.

Hematology assessments of hemoglobin were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the different parts of the treatment period. Hemoglobin results were summarized for Cohort 2 only.

Mean Percentage Change From Baseline in Hemoglobin at Day 365
Baseline (Day 1) and Day 365.

Hematology assessments of hemoglobin were made at the last measurement prior to the first dose of pegcetacoplan (baseline) and periodically throughout the different parts of the treatment period. Hemoglobin results were summarized for Cohort 2 only.

Number of Subjects With Treatment-Emergent Adverse Events (TEAEs), Including by Severity, During Single-dose Phase
From single dose of study drug (Day 1) up to 30 days

TEAEs were defined as AEs that developed or worsened after first dose of study drug (Day 1), and up to 30 days after last dose of study drug. The Investigator assessed AEs for severity and relatedness to study drug. AEs were graded according to the Common Terminology Criteria for Adverse Events (CTCAE, v4.03) based on: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening; Grade 5: Death related to AE.

Number of Subjects With TEAEs, Including by Severity, During Multiple-dose Phase
From first dose of study drug up to 30 days after last dose of study drug (Cohorts 1-3: up to 58 days; Cohort 4: up to 759 days).

TEAEs were defined as AEs that developed or worsened after first dose of study drug (Day 1), and up to 30 days after last dose of study drug. The Investigator assessed AEs for severity and relatedness to study drug. AEs were graded according to CTCAE, v4.03 based on: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Life-threatening; Grade 5: Death related to AE.

Area Under the Curve (AUC) From Time 0 to the Last Measurable Concentration (AUC0-t) Over the Multiple Dosing Phase for Cohort 4
Blood samples for PK assessment were collected pre-dose and 4 hours post dose on Day 1 and pre-dose (trough) on Day 2 and up to Day 785.

Assessment of AUC0-t of pegcetacoplan over the multiple dosing phase, estimated using a non-compartmental approach and calculated by the linear-log trapezoidal method. Pegcetacoplan pharmacokinetic (PK) parameters were summarized for Cohort 4 only.

Maximum Pre-dose Serum Concentration (Ctrough,Max) Over the Multiple Dosing Phase for Cohort 4
Blood samples for PK assessment were collected pre-dose and 4 hours post dose on Day 1 and pre-dose (trough) on Day 2 and up to Day 785.

Assessment of Ctrough,max of pegcetacoplan over the multiple dosing phase, estimated using a non-compartmental approach. Pegcetacoplan PK parameters were summarized for Cohort 4 only. Ctrough,max was calculated for both 270 mg/day and 360 mg/day where subjects received both doses. Note: 1 subject in Cohort 4 who was receiving 360 mg/day was granted Sponsor and institutional review board approval to increase the dose further to the equivalent of 440 mg/day and Ctrough,max is also reported for this dose.

Number of Subjects Who Experienced Ocular and Systemic Adverse Events (AEs), Including by Severity
Day 1 to Day 113

Safety was assessed throughout the study. A TEAE was defined as any AE that started on/after the IVT injection of pegcetacoplan.

Number of Dose Limiting Toxicities (DLTs)
Day 1 to Day 15

The occurrence of any of the following AEs were considered DLTs: intraocular inflammation (vitritis or uveitis), endophthalmitis, sustained elevation of intraocular pressure ≥30 millimeters (mm) of mercury, and/or sustained loss of visual acuity ≥15 letters not attributable to the injection procedure or progression of disease.

Median Area Under the Serum Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC[0-t])
Predose (screening), postdose Day 3 to Day 113

The AUC(0-t) was measured using the linear trapezoidal method when concentrations were increasing and the logarithmic trapezoidal method when concentrations were decreasing. The median AUC(0-t) is presented for each cohort.

Median Dose Normalized AUC(0-t)
Predose (screening), postdose Day 3 to Day 113

The AUC(0-t) was measured using the linear trapezoidal method when concentrations were increasing and the logarithmic trapezoidal method when concentrations were decreasing. The dose normalized AUC(0-t) was calculated for each subject by dividing the parameter by the subject's respective dose in milligrams. The median dose normalized AUC(0-t) is presented for each cohort.

Maximum Observed Serum Concentration (Cmax)
Predose (screening), postdose Day 3 to Day 113

The median Cmax is presented for each cohort.

Median Dose Normalized Cmax
Predose (screening), postdose Day 3 to Day 113

The dose normalized Cmax was calculated for each subject by dividing the parameter by the subject's respective dose in milligrams. The median dose normalized Cmax is presented for each cohort.

Median Time to the Maximum Measured Serum Concentration (Tmax)
Predose (screening), postdose Day 3 to Day 113

The median Tmax is presented for each cohort. If the maximum value occurred at more than 1 time point, Tmax was defined as the first time point with this value.

Secondary Endpoints

The number of IVT pegcetacoplan injections successfully administered using PFS as reported by retina specialists immediately following the injection
At Day 1
Randomized Controlled Period: Percentage of Subjects Who Achieved the Composite Renal Endpoint at Week 26
Week 26
Randomized Controlled Period: Percentage of Subjects With a Reduction of At Least 50% From Baseline in Urine Protein-to-Creatinine Ratio at Week 26
Baseline (Day -70 to Day 1) and Week 26
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Pegcetacoplan, 15 mg/100 μL (single dose), intravitreal injection via prefilled syringeEXPERIMENTALThis is a 30-day, phase 3b, single-arm, open-label, multicenter study to evaluate the safety of IVT pegcetacoplan administered via PFS in participants with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). The study consists of a screening/baseline visit at day 1, a follow-up call at day 7, and an end of study visit at day 30.
Pegcetacoplan administered subcutaneouslyEXPERIMENTALPegcetacoplan administered subcutaneously twice weekly according to protocol defined dosing regimen
Group 1: Pegcetacoplan administrationEXPERIMENTALSubcutaneous infusion of 20mL (1080 mg), twice weekly (for adults or adolescents \>50kg), and the three other weight-based doses either of 10mL (540mg), 12mL (648mg), or 15mL (810mg)
Group 2: Placebo administrationPLACEBO_COMPARATORSubcutaneous infusion of either 10mL, 12mL, 15mL, or 20mL, twice weekly
Pegcetacoplan, 15 mg/100 μL, monthly for up to 36 monthsEXPERIMENTALParticipants from Study APL2-103 (NCT03777332) or those who completed the treatment at Month 24 from either Study APL2-303 (Derby, NCT03525613) or Study APL2-304 (Oaks, NCT03525600) and were administered monthly intravitreal (IVT) pegcetacoplan (15 mg/100 μL) or monthly sham will receive IVT pegcetacoplan (15 mg/100 μL) monthly for up to approximately 36 months.
Pegcetacoplan, 15 mg/100 μL, every other month (EOM) for up to 36 monthsEXPERIMENTALParticipants from Study APL2-103 (NCT03777332) or those who completed the treatment at Month 24 from either Study APL2-303 (Derby, NCT03525613) or Study APL2-304 (Oaks, NCT03525600) and were administered every other month (EOM) intravitreal (IVT) pegcetacoplan (15 mg/100 μL) or EOM sham will receive IVT pegcetacoplan (15 mg/100 μL) EOM for up to approximately 36 months.
Standard of Care (SOC) excluding complement inhibitorsNO_INTERVENTION -
1,080mg APL-2 administered subcutaneously twice weeklyEXPERIMENTAL -
APL-2 15mg 0.1 mL monthly for 24 monthsEXPERIMENTALA single dose of 15 mg APL-2/0.1 mL will be administered via intravitreal injection in this study. Subjects will receive an injection every month
APL-2 15mg 0.1 mL EOM for 24 monthsEXPERIMENTALA single dose of 15 mg APL-2/0.1 mL will be administered via intravitreal injection in this study. Subjects will receive an injection every other month
Sham Procedure Monthly for 24 monthsEXPERIMENTALSham Procedure for 24 months
Sham Procedure Every Other Month for 24 monthsEXPERIMENTALSham Procedure every other month for 24 months
1,080 mg pegcetacoplan administered subcutaneouslyEXPERIMENTAL1,080mg pegcetacoplan administered subcutaneously twice weekly or every three days.
PegcetacoplanEXPERIMENTAL1080 mg pegcetacoplan administered subcutaneously twice-weekly or every three days.
EculizumabACTIVE_COMPARATORComplement (C5) Inhibitor.
Phase 2 - APL2EXPERIMENTALSub-cutaneous infusions of APL2 (1080 mg / 20mL) twice weekly
Phase 3 - APL2EXPERIMENTALAdults: Sub-cutaneous infusions of APL2 (1080 mg / 20mL) twice weekly Adolescents: ≥50 Kg: Sub-cutaneous infusions of APL2 (1080 mg / 20mL) twice weekly 35 to \<50kg: First sub-cutaneous infusion of 648mg (12 mL) followed by 810mg (15 mL) every infusion thereafter (i.e. twice weekly) 30 to \<35kg: First \& Second sub-cutaneous infusion of 540mg (10mL) followed by 648mg (12 mL) every infusion thereafter (twice weekly)
Phase 3 - PlaceboPLACEBO_COMPARATORSubcutaneous infusions of a sterile solution, twice-weekly, and equivalent in volume to the active arm based on participant's age and weight
Group 1EXPERIMENTALPegcetacoplan treatment of 1080 mg (sub-cutaneous infusion) twice weekly will be given throughout the entire study.
Group 2OTHERNo intervention given during the randomized controlled portion of the study (through week 12). After week 12, subjects will receive pegcetacoplan treatment.
Experimental: Cohort 1EXPERIMENTAL270 mg/day (up to 360 mg/day from Day 29) from Day 1 to Day 364\*
APL-2EXPERIMENTALOpen Label, Study Drug, APL-2
270mg or 360mg APL-2 administered subcutaneously daily (CAD)EXPERIMENTAL -
270mg or 360mg APL-2 administered subcutaneously daily (wAIHA)EXPERIMENTAL -
Pegcetacoplan 15 mg/100 µL Monthly for 12 monthsEXPERIMENTALA single dose of 15 mg pegcetacoplan/100 µL will be administered via intravitreal injection in this study. Subjects will receive an injection every month for 12 consecutive months.
Pegcetacoplan 15 mg/100 µL EOM for 12 monthsEXPERIMENTALA single dose of 15 mg pegcetacoplan/100 µL will be administered via intravitreal injection in this study. Subjects will receive an injection every other month (EOM) for 12 consecutive months.
Sham Monthly for 12 monthsSHAM_COMPARATORSubjects will receive a Sham procedure every month for 12 consecutive months.
Sham EOM for 12 monthsSHAM_COMPARATORSubjects will receive a Sham procedure every other month (EOM) for 12 consecutive months.
(Cohort 1) Pegcetacoplan, 15 mg/100 μL, monthly for up to 60 monthsEXPERIMENTAL -
(Cohort 2) Pegcetacoplan, 15 mg/100 μL, monthly for up to 36 monthsEXPERIMENTAL -
(Cohort 2) Pegcetacoplan, 15 mg/100 μL, every other month for up to 36 monthsEXPERIMENTAL -
Cohort 1EXPERIMENTAL180 mg pegcetacoplan/day
Cohort 2EXPERIMENTAL270 mg pegcetacoplan/day
Cohort 3EXPERIMENTALRepeated Dose 180 mg/day
Cohort 4EXPERIMENTALRepeated Dose 270 mg/day
Pegcetacoplan Cohort 1EXPERIMENTAL4 mg of pegcetacoplan 100 μL IVT injection
Pegcetacoplan Cohort 2EXPERIMENTAL10 mg of pegcetacoplan 100 μL IVT injection
Pegcetacoplan Cohort 3EXPERIMENTAL20 mg of pegcetacoplan 100 μL IVT injection

Interventions

NameTypeDescription
APL-2, PegcetacoplanDRUGComplement (C3) Inhibitor
PegcetacoplanDRUGComplement (C3) Inhibitor
PlaceboOTHERSterile solution of equal volume to active arm
PEGCETACOPLAN (APL-2)DRUGComplement (C3) Inhibitor
APL-2DRUGComplement (C3) Inhibitor
Sham ProcedureOTHERSubjects will receive a Sham procedure every month
SolirisDRUGComplement (C5) Inhibitor
APL2DRUGComplement (C3) Inhibitor
Unlock Study Design Details

Eligibility Criteria

Age Range60 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Participants must be aged at least 60 years and have a diagnosis of GA secondary to AMD. 2. Participants must have adequate clarity of ocular media, adequate pupillary dilation, and fixation to permit the collection of good quality images in the study eye as determined by the...

Countries:United StatesArgentinaAustraliaBelgiumBrazilCzechiaFranceIsraelItalyJapanNetherlandsSouth KoreaSpainSwitzerlandUnited KingdomAustriaCanadaGermanyPolandNew ZealandColombiaHong KongMalaysiaMexicoPeruPhilippinesSerbiaSingaporeThailandPuerto RicoBulgariaRussiaGreece
Unlock Eligibility Criteria

Recent Changes (Last 90 Days)

MEDIUMJul 23, 2026NCT07213960TRIAL_REMOVED: changed
MEDIUMJul 23, 2026NCT07213960TRIAL_REMOVED: changed
MEDIUMJul 23, 2026NCT07213960TRIAL_REMOVED: changed

Frequently asked questions about APL-2

What is APL-2?

APL-2, also known as pegcetacoplan, is an investigational small molecule developed by Apellis Pharmaceuticals, Inc. (NASDAQ: APLS). It is being studied across multiple indications, including nephrology conditions such as focal segmental glomerulosclerosis (FSGS) and IgA nephropathy, as well as geographic atrophy, paroxysmal nocturnal hemoglobinuria, and warm autoimmune hemolytic anemia.

What is APL-2 used for in FSGS?

APL-2 is being evaluated for the treatment of focal segmental glomerulosclerosis (FSGS), a kidney disorder. A sequential Phase 2/3 study, NCT07213960, is currently recruiting participants with FSGS. The trial is randomized, double-blind, and placebo-controlled, with an estimated enrollment of 270 patients.

Who makes APL-2?

APL-2 is developed by Apellis Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker APLS. The company is conducting clinical trials of APL-2 across several therapeutic areas, including nephrology and ophthalmology.

What phase is APL-2 in?

APL-2 is in Phase 2 clinical development for FSGS, with a sequential Phase 2/3 trial ongoing. It has also been studied in completed Phase 3 trials for geographic atrophy and paroxysmal nocturnal hemoglobinuria. APL-2 is investigational and has not been approved by the FDA for any indication.

What clinical trials is APL-2 in?

APL-2 has been evaluated in several clinical trials. Ongoing is NCT07213960, a Phase 2/3 study in FSGS. Completed trials include NCT07214740, a Phase 3 study of a pegcetacoplan prefilled syringe in geographic atrophy; NCT04085601, a Phase 3 study in paroxysmal nocturnal hemoglobinuria; and NCT03525613, a Phase 3 study in geographic atrophy.

Is APL-2 the same as pegcetacoplan?

Yes, APL-2 is the same as pegcetacoplan. APL-2 is an alternative name for pegcetacoplan, which is also marketed under the brand name Syfovre for certain indications. The names APL-2, APL2, and pegcetacoplan refer to the same investigational compound developed by Apellis Pharmaceuticals.