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Pozelimab

Phase 3

Age-related Macular Degeneration (AMD) | Small molecule | Ophthalmology |Regeneron Pharmaceuticals, Inc.|Last Updated: Aug 25, 2026

Target and mechanism

Molecular targetC5
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment975

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

Pozelimab · 10 trials · 7 indications

Phase 3 3Phase 2 3Phase 1 4
NCT07154745A Study to Evaluate How Pozelimab + Cemdisiran Combination Therapy Works in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Whose Current Treatment is Not Working EfficientlyParoxysmal Nocturnal Hemoglobinuria
RECRUITING35 Analytics
NCT06541704A Study Investigating Subcutaneously Administered Pozelimab in Combination With Cemdisiran or Cemdisiran Alone in Adult Participants With Geographic AtrophyAge-related Macular Degeneration (AMD)
RECRUITING975 Analytics
NCT05744921A Study in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) to Evaluate How Safe Long-term Treatment With Pozelimab + Cemdisiran Combination Therapy is and How Well it WorksParoxysmal Nocturnal Hemoglobinuria
RECRUITING202 Analytics
PHASE3RECRUITING
A Study to Evaluate How Pozelimab + Cemdisiran Combination Therapy Works in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) Whose Current Treatment is Not Working Efficiently
Paroxysmal Nocturnal HemoglobinuriaUnlock trial analytics
PHASE3RECRUITING
A Study Investigating Subcutaneously Administered Pozelimab in Combination With Cemdisiran or Cemdisiran Alone in Adult Participants With Geographic Atrophy
Age-related Macular Degeneration (AMD)Unlock trial analytics
PHASE3RECRUITING
A Study in Adult Patients With Paroxysmal Nocturnal Hemoglobinuria (PNH) to Evaluate How Safe Long-term Treatment With Pozelimab + Cemdisiran Combination Therapy is and How Well it Works
Paroxysmal Nocturnal HemoglobinuriaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent change in Lactate Dehydrogenase (LDH) during TP
From baseline to week 28
Growth rate (slope) of total GA lesion area (mm^2 /year) from baseline, measured by Fundus Autofluorescence (FAF)
To week 52
Incidence of treatment-emergent serious adverse events (SAEs)
Up to week 108

An SAE is any untoward medical occurrence that at any dose: * Results in death * Is life-threatening * Requires in-patient hospitalization or prolongation of existing hospitalization. * Results in persistent or significant disability/incapacity * Is a congenital anomaly/birth defect. * Is an important medical event

Severity of treatment-emergent SAEs
Up to week 108
Incidence of treatment emergent adverse events of special interest (AESIs)
Up to week 108

An AESI (serious or non-serious) is one of scientific and medical concern specific to the sponsor's product or program, for which ongoing monitoring and rapid communication by the Investigator to the sponsor can be appropriate. Such an event might warrant further investigation in order to characterize and understand it

Severity of treatment emergent AESIs
Up to week 108
Incidence of adverse events (AEs) leading to permanent treatment discontinuation
Up to week 108

Any untoward medical occurrence in a patient administered a study drug which may or may not have a causal relationship with the study drug.

Severity of adverse events (AEs) leading to permanent treatment discontinuation
Up to week 108

Any untoward medical occurrence in a patient administered a study drug which may or may not have a causal relationship with the study drug.

Percent change from baseline in lactate dehydrogenase (LDH)
Baseline to week 36
Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Through Week 28

Open Label Treatment Period (OLTP)

OLTP: Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Up to Day 225
Percentage of Participants With Active Disease at Baseline Who Achieved Normalization of Serum Albumin and Improvement in Prespecified Clinical Outcomes at Week 24
At Week 24

Normalization of serum albumin was defined as serum albumin within the normal range at least 70 percent (%) of measurements between weeks 12 and 24, and no single albumin measurement of \<2.5 grams per deciliter (g/dL) between weeks 12 and 24, and no requirement for albumin infusion between weeks 12 and 24. Improvement in the following 4 prespecified clinical outcomes that were evaluable for improvement at baseline, without worsening of the others: Daily bowel movement frequency, the presence and severity of facial edema (physician-reported), the presence and severity of peripheral edema (physician-reported), and the participant/caregiver assessment of frequency of problematic abdominal pain. Percentage of participants with active disease at baseline who achieved normalization of serum albumin and improvement in prespecified clinical outcomes at Week 24 were reported.

Occurrence of ocular Treatment-Emergent Adverse Event (TEAEs) in the study eye
Through week 8

Part A

Occurrence of ocular TEAEs in the study eye
Through week 16

Part B

Occurrence of systemic TEAEs
Through week 8

Part A

Concentrations of pozelimab in serum over time
Up to 20 weeks
Concentrations of cemdisiran in plasma over time.
Up to 20 weeks
Incidence and severity of treatment emergent adverse events (TEAEs)
Up to 20 weeks
Assess the time of the last positive concentration (AUClast) pharmacokinetic (PK) profile of pozelimab in Process A
Up to 16 weeks
Assess the time of the last positive concentration (AUClast) PK profile of pozelimab in Process B
Up to 16 weeks
Assess peak concentration (Cmax) PK profile of pozelimabin in Process A
Up to 16 weeks
Assess peak concentration (Cmax) PK profile of pozelimab in Process B
Up to 16 weeks

Secondary Endpoints

Normalization of LDH
Through week 52
Adequate control of hemolysis (LDH ≤1.5 × ULN)
Through week 52
Transfusion avoidance
Through week 52
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Pozelimab + Cemdisiran ComboEXPERIMENTAL -
Pozelimab + Cemdisiran treatment groupEXPERIMENTALRandomized 1:1:1
Cemdisiran monotherapy treatment groupEXPERIMENTALRandomized 1:1:1
Placebo treatment groupPLACEBO_COMPARATORRandomized 1:1:1
PNH Transition PatientsEXPERIMENTALPatients with PNH who completed treatment/ protocol requirements (as applicable) in the parent study (R3918-PNH-2021 \[NCT05133531\])
C5 Polymorphism PatientsEXPERIMENTALPatients who have not been treated in either parent study but who have a documented complement component 5 (C5) variation rendering them refractory to eculizumab/ravulizumab. Note: Loading dose of pozelimab administered IV on Day 1.
Pozelimab Q4W + CemdisiranEXPERIMENTAL -
Pozelimab Q2W + CemdisiranEXPERIMENTAL -
Pozelimab+CemdisiranEXPERIMENTAL -
Active PLEEXPERIMENTALPatients aged 1 year and older with a clinical diagnosis of CD55-deficient PLE disease
Part AEXPERIMENTAL -
Part BEXPERIMENTAL -
Cohort 1EXPERIMENTALPozelimab: Single-dose SC on day 1
Cohort 2EXPERIMENTALPozelimab: Single-dose IV on day 1
Cohort 3EXPERIMENTALPozelimab: Single-dose SC on day 29 Cemdisiran: Single-dose SC on day 1
Cohort 4EXPERIMENTALPozelimab: Single-dose SC on day 1 Cemdisiran: Single-dose SC on day 1
Cohort 5EXPERIMENTALOptional Pozelimab: Single-dose SC on day 1 or day 29 Cemdisiran: Single-dose SC on day 1
Cohort 6EXPERIMENTALPozelimab: Single-dose IV on day 1
Process AEXPERIMENTALRandomized 1:1
Process BEXPERIMENTALRandomized 1:1

Interventions

NameTypeDescription
PozelimabDRUGAdministered per the protocol
CemdisiranDRUGAdministered per the protocol
PlaceboDRUGSC injection
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites20

Key Inclusion Criteria: 1. Diagnosis of PNH confirmed by a history of high-sensitivity flow cytometry from prior testing 2. Currently treated with marketed eculizumab, ravulizumab, or crovalimab at the labeled dose for at least 6 months 3. LDH persistently \> 1.5 × Upper Limit of Normal (ULN) in th...

Countries:BrazilCanadaItalyPolandSouth KoreaSpainTurkey (Türkiye)United StatesAustraliaAustriaFranceGermanyHungaryUnited KingdomColombiaIndiaJapanJordanMalaysiaPeruPhilippinesRomaniaSingaporeTaiwanThailandHong KongGeorgiaPuerto RicoBelgium
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Recent Changes (Last 90 Days)

LOWAug 25, 2026NCT06541704lastUpdatePostDate: changed
LOWAug 25, 2026NCT06541704lastUpdatePostDate: changed
LOWAug 17, 2026NCT06541704lastUpdatePostDate: changed
LOWAug 17, 2026NCT06541704lastUpdatePostDate: changed
LOWAug 11, 2026NCT06541704lastUpdatePostDate: changed
LOWAug 11, 2026NCT06541704lastUpdatePostDate: changed
LOWAug 5, 2026NCT07154745lastUpdatePostDate: changed
LOWAug 5, 2026NCT07230834lastUpdatePostDate: changed
LOWJul 30, 2026NCT05744921primaryCompletionDate: changed
LOWJul 30, 2026NCT05744921primaryCompletionDate: changed
MEDIUMJul 29, 2026NCT06541704primaryCompletionDate: changed
MEDIUMJul 29, 2026NCT06541704primaryCompletionDate: changed
LOWJul 13, 2026NCT05744921lastUpdatePostDate: changed
LOWJul 13, 2026NCT05744921lastUpdatePostDate: changed
LOWJul 9, 2026NCT07154745lastUpdatePostDate: changed
LOWJul 9, 2026NCT06541704lastUpdatePostDate: changed
LOWJul 9, 2026NCT07154745lastUpdatePostDate: changed
LOWJul 9, 2026NCT06541704lastUpdatePostDate: changed
LOWJul 2, 2026NCT07154745primaryCompletionDate: changed
LOWJul 2, 2026NCT07154745primaryCompletionDate: changed

Frequently asked questions about Pozelimab

What is Pozelimab used for?

Pozelimab is an investigational C5 inhibitor being studied for several conditions, including sporadic Inclusion Body Myositis, Generalized Myasthenia Gravis, Paroxysmal Nocturnal Hemoglobinuria, and Age-related Macular Degeneration (AMD), specifically Geographic Atrophy. It is also being evaluated in healthy volunteers for safety and tolerability studies.

What does Pozelimab target?

Pozelimab targets complement component C5, acting as an inhibitor. By binding to C5, it is designed to block the complement cascade, which is involved in inflammatory and tissue-damaging processes. This mechanism is being explored across multiple disease areas, including complement-mediated disorders and geographic atrophy.

Who makes Pozelimab?

Pozelimab is developed by Regeneron Pharmaceuticals, Inc., a biopharmaceutical company traded on NASDAQ under the ticker REGN. Regeneron is conducting clinical trials to evaluate the safety and efficacy of Pozelimab, both as monotherapy and in combination with cemdisiran, across various indications.

What phase is Pozelimab in?

Pozelimab is in Phase 3 clinical development for Geographic Atrophy associated with Age-related Macular Degeneration. It has also completed Phase 1 trials in healthy volunteers. The drug is investigational and has not been approved by regulatory authorities; it continues to be evaluated in clinical studies.

What clinical trials is Pozelimab in?

Pozelimab is being studied in several clinical trials. NCT06541704 is a Phase 3 trial in Geographic Atrophy, recruiting 975 participants. NCT07230834 is a Phase 1 intravitreal trial for Geographic Atrophy. Completed Phase 1 trials include NCT04601844 and NCT04940364, both in healthy volunteers.

Is Pozelimab the same as Pozelimab/Cemdisiran?

Pozelimab is often studied in combination with cemdisiran, and the combination is referred to as Pozelimab/Cemdisiran. While Pozelimab alone targets C5, cemdisiran is a separate investigational agent. The combination is being evaluated in clinical trials for conditions like Geographic Atrophy and Paroxysmal Nocturnal Hemoglobinuria.