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Povetacicept

Phase 3

Myasthenia Gravis, Generalized | Small molecule | Neurology |Vertex Pharmaceuticals Incorporated|Trials Updated: Oct 20, 2026

Povetacicept development status

Highest phase Phase 3 (NCT07807995)
Phase scored for VRTXPhase 2
Registered trials 8 across 3 sponsors since Sep 2021

Povetacicept target and mechanism

ModalitySmall molecule

Also known as ALPN-303

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials7
Total Enrollment1,590

FDA Designations

No designations recorded

Povetacicept clinical trials

Povetacicept · 7 trials · 11 indications

Phase 3 2Phase 2 2Phase 1 3
NCT07807995A Phase 3 Open-Label Study of Long-term Treatment With Povetacicept in Adults With Immunoglobulin A NephropathyImmunoglobulin A Nephropathy
ENROLLING BY_INVITATION605 Analytics
NCT06564142Evaluation of Efficacy of Povetacicept in Adults With Immunoglobulin A Nephropathy (IgAN)Immunoglobulin A Nephropathy
ACTIVE NOT_RECRUITING605 Analytics
PHASE3ENROLLING BY_INVITATION
A Phase 3 Open-Label Study of Long-term Treatment With Povetacicept in Adults With Immunoglobulin A Nephropathy
Immunoglobulin A NephropathyUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Evaluation of Efficacy of Povetacicept in Adults With Immunoglobulin A Nephropathy (IgAN)
Immunoglobulin A NephropathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Day 1 up to Week 112
Change From Baseline in 24-hour Urine Protein to Creatinine Ratio (uPCR) at Week 36
From Baseline at Week 36
Total Estimated Glomerular Filtration Rate (eGFR) Slope Through Week 104
From Baseline Through Week 104
Percent change in Total Immunoglobulin G (IgG)
Baseline and At Week 12
Proportion of Participants with Complete Clinical Remission Definition 1 (CR1)
At Week 104
Safety and Tolerability as Assessed by Adverse events (AEs) and Serious adverse events (SAEs)
Study Day 1 through 30 days after last dose of study drug
Part A: Safety as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Study Day 1 Through 24 Weeks After Last Dose Of Study Drug
Part B: Safety as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Study Day 1 Through 12 Weeks After Last Dose Of Study Drug
Treatment-emergent Adverse Events (TEAE)
Day 1 through Day 30

Type, incidence, and severity of TEAE as assessed by CTCAE

Secondary Endpoints

Percentage Change From Baseline in 24-hour Urine Protein to Creatinine Ratio (uPCR)
From Baseline through Week 104
Total Estimated Glomerular Filtration Rate (eGFR) Slope
From Baseline through Week 104
Change from Baseline in Galactose-deficient immunoglobulin A1 (Gd-IgA1)
From Baseline through Week 104
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PovetaciceptEXPERIMENTALParticipants will receive Povetacicept every 4 weeks (Q4W) for 104 weeks.
PlaceboPLACEBO_COMPARATORParticipants will be randomized to receive placebo matched to Povetacicept.
Phase 2b: PovetaciceptEXPERIMENTALParticipants will be randomized to receive one of the two doses of Povetacicept.
Phase 3: PovetaciceptEXPERIMENTALParticipants will be randomized to receive one of the two doses of Povetacicept (dose selected based on Phase 2b).
Phase 3: Calcineurin Inhibitor (CNI)ACTIVE_COMPARATORParticipants will be randomized to receive the calcineurin inhibitor (CNI) Tacrolimus.
Part 1: Povetacicept 240mgEXPERIMENTALParticipants grouped in 3 cohorts by diagnosis will be administered Povetacicept.
Part 2: Povetacicept Dose AEXPERIMENTALBased on the findings of Part 1, one or two dose levels may be assessed in Part 2; if two dose levels are assessed participants will be randomized to receive one of the two dose levels of Povetacicept.
ALPN-303 Regimen AEXPERIMENTAL -
Placebo Regimen APLACEBO_COMPARATOR -
ALPN-303 Regimen BEXPERIMENTAL -
Placebo Regimen BPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
PovetaciceptDRUGSubcutaneous injection administration.
Placebo (matched to Povetacicept)DRUGPlacebo matched to Povetacicept subcutaneous injection administration.
PlaceboDRUGSolution for Subcutaneous Injection.
TacrolimusDRUGCapsules for Oral Administration.
ALPN-303DRUGMultiple dose levels will be evaluated.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites4

Key Inclusion Criteria: * Completed the Week 104 visit in the parent study VX24-AIS-D08 (NCT06564142) and has not permanently discontinued study drug * Estimated glomerular filtration rate (eGFR) greater than or equal to (≥) 15 milliliters per minute (mL/min)/1.73 square meter (m\^2) within 45 days...

Countries:United StatesAustraliaAustriaBelgiumBrazilCanadaChinaCroatiaCzechiaDenmarkEstoniaFinlandFranceGermanyHong KongHungaryIrelandIsraelItalyJapanLatviaLithuaniaMexicoNetherlandsNorwayPolandSaudi ArabiaSouth KoreaSpainSwedenTaiwanTurkey (Türkiye)United KingdomPuerto Rico
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Recent Changes (Last 90 Days)

LOWOct 20, 2026NCT05732402lastUpdatePostDate: changed
LOWOct 20, 2026NCT05732402lastUpdatePostDate: changed
LOWOct 19, 2026NCT07807995lastUpdatePostDate: changed
LOWOct 19, 2026NCT07807995lastUpdatePostDate: changed
LOWOct 19, 2026NCT07807995lastUpdatePostDate: changed
MEDIUMOct 15, 2026NCT05757570TRIAL_REMOVED: changed
MEDIUMOct 15, 2026NCT05757570TRIAL_REMOVED: changed
MEDIUMOct 15, 2026NCT05757570TRIAL_REMOVED: changed
LOWOct 6, 2026NCT07807995Status: NOT_YET_RECRUITING → ENROLLING_BY_INVITATION
LOWOct 6, 2026NCT07807995Status: NOT_YET_RECRUITING → ENROLLING_BY_INVITATION
LOWSep 19, 2026NCT07204275lastUpdatePostDate: changed
LOWSep 19, 2026NCT07204275lastUpdatePostDate: changed
LOWSep 19, 2026NCT07204275lastUpdatePostDate: changed
HIGHSep 15, 2026NCT05757570Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 15, 2026NCT05757570Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHSep 15, 2026NCT05757570Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWSep 11, 2026NCT07501702lastUpdatePostDate: changed
LOWSep 11, 2026NCT07501702lastUpdatePostDate: changed
LOWSep 8, 2026NCT07807995NEW_TRIAL: changed
LOWSep 8, 2026NCT07807995NEW_TRIAL: changed

Frequently asked questions about Povetacicept

What is Povetacicept?

Povetacicept is an investigational small molecule therapeutic being developed by Vertex Pharmaceuticals Incorporated for immune-mediated and hematologic conditions. Its clinical development covers Immunoglobulin A Nephropathy, Primary Membranous Nephropathy, Lupus Nephritis, Idiopathic Thrombocytopenic Purpura, and Generalized Myasthenia Gravis. It is not yet approved and remains in clinical development.

What is Povetacicept used for?

Povetacicept is being studied for Immunoglobulin A Nephropathy, Primary Membranous Nephropathy, Lupus Nephritis, Idiopathic Thrombocytopenic Purpura, and Generalized Myasthenia Gravis. The most advanced program is in Immunoglobulin A Nephropathy, where it is being evaluated in Phase 3 trials. It is investigational and has not been approved for any indication.

Who makes Povetacicept?

Povetacicept is developed by Vertex Pharmaceuticals Incorporated, which trades on the Nasdaq under the ticker VRTX. Vertex is running the clinical program across nephrology, hematology, and neuromuscular indications, including Phase 3 studies in Immunoglobulin A Nephropathy and Phase 2 studies in Primary Membranous Nephropathy and Generalized Myasthenia Gravis.

What phase is Povetacicept in?

Povetacicept is in Phase 3 development for Immunoglobulin A Nephropathy and Phase 2 development for Primary Membranous Nephropathy and Generalized Myasthenia Gravis. It is an investigational agent and has not received FDA approval. Additional indications, including Lupus Nephritis and Idiopathic Thrombocytopenic Purpura, are also part of its development program.

What clinical trials is Povetacicept in?

Povetacicept trials include NCT06564142, a Phase 3 study in Immunoglobulin A Nephropathy that is active but not recruiting, and NCT07807995, a Phase 3 open-label long-term treatment study in the same indication enrolling by invitation. Phase 2 studies include NCT07501702 in Generalized Myasthenia Gravis and NCT07204275 in Primary Membranous Nephropathy, both recruiting.

How many patients are enrolled in Povetacicept trials?

The Povetacicept clinical program has a combined planned enrollment of about 1,210 participants across its studies. The Phase 3 Immunoglobulin A Nephropathy trials each plan 605 participants, the Phase 2 Primary Membranous Nephropathy study plans 176, and the Phase 2 Generalized Myasthenia Gravis study plans 30. All trials enroll adults 18 years and older.