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Pegcetacoplan

Phase 3

Paroxysmal Nocturnal Hemoglobinuria | Small molecule | Other |Apellis Pharmaceuticals, Inc.|Last Updated: Mar 25, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment103
FDA Designations
PRIORITY_REVIEWFAST_TRACK
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03500549Study to Evaluate the Efficacy and Safety of APL-2 in Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH)PHASE3 COMPLETED 80Jun 14, 2018Aug 13, 2020Mar 25, 202253 United States, Australia +9
NCT02588833Pilot Study to Assess Safety, Preliminary Efficacy and Pharmacokinetics of S.C. Pegcetacoplan (APL-2) in PNH Subjects.PHASE1 COMPLETED 23Dec 1, 2015Aug 26, 2019Jan 11, 20217 Hong Kong, Malaysia +2
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Study Endpoints
Primary Endpoints
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.

Number of Subjects With Treatment Emergent Adverse Events (TEAEs) Including by Severity
From first dose of study drug (Day 1) up to 30 days after the last dose of study drug, up to approximately 563 days.

TEAEs were defined as adverse events (AEs) that occurred after dosing on Day 1 and up to 30 days after the last dose of study drug. A treatment-related TEAE is defined as a TEAE with a relationship to study drug of probably, possibly, unlikely, or unrelated. A serious adverse event (SAE) is defined as any AE that resulted in death; was life-threatening; required hospitalization or prolongation of existing hospitalization; resulted in persistent or significant incapacity or substantial disruption of ability to conduct normal life functions; was a congenital anomaly or birth defect. TEAEs were graded according to 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) 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.

Secondary Endpoints
Percentage of Subjects Who Did Not Require a Transfusion (Transfusion Avoidance) During the RCP
Day 1 to Week 16
LS Mean Change From Baseline to Week 16 in Absolute Reticulocyte Count (ARC) During the RCP
Baseline and Week 16
LS Mean Change From Baseline to Week 16 in Lactate Dehydrogenase (LDH) Level During the RCP
Baseline and Week 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PegcetacoplanEXPERIMENTAL1080 mg pegcetacoplan administered subcutaneously twice-weekly or every three days.
EculizumabACTIVE_COMPARATORComplement (C5) Inhibitor.
Cohort 1EXPERIMENTAL180 mg pegcetacoplan/day
Cohort 2EXPERIMENTAL270 mg pegcetacoplan/day
Interventions
NameTypeDescription
PegcetacoplanDRUGComplement (C3) Inhibitor
SolirisDRUGComplement (C5) Inhibitor
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: * At least 18 years of age * Primary diagnosis of PNH confirmed by high-sensitivity flow cytometry * On treatment with eculizumab. Dose of eculizumab must have been stable for at least 3 months prior to the Screening Visit * Hb \<10.5 g/dL at the Screening Visit * Absolute retic...

Countries:United StatesAustraliaBelgiumCanadaFranceGermanyJapanRussiaSouth KoreaSpainUnited KingdomHong KongMalaysiaNew ZealandThailand
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