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Molecule

Pegcetacoplan

Complement Inhibitor
Available on requestOrphanCold chainImmunology and transplantOphthalmology
Presentations
2
Brands
2
Manufacturers
1
Available from stock
0

Pegcetacoplan is a complement inhibitor indicated for the treatment of adult patients with paroxysmal nocturnal hemoglobinuria (PNH), among other approved uses. It is available as injection for intravitreal and subcutaneous use. MedsAcross supplies Pegcetacoplan for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Complement Inhibitor, Complement Inhibitors
ATC classification
L04AJ03 Pegcetacoplan · Immunosuppressive drug, subgroup L04AJS01XA31 Pegcetacoplan · Eye medicines, subgroup S01X, subgroup S01XA
US FDA first approval
14 May 2021
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravitreal, Subcutaneous
Dosage forms
Injection
Identifiers
UNII TO3JYR3BOUCAS 2019171-69-6DrugBank DB16694Q106863504

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

EMPAVELI is a complement inhibitor indicated: for the treatment of adult patients with paroxysmal nocturnal hemoglobinuria (PNH). for the treatment of adult and pediatric patients aged 12 years and older with C3 glomerulopathy (C3G) or primary immune-complex membranoproliferative glomerulonephritis (IC-MPGN), to reduce proteinuria and the loss of kidney function.

Source: US FDA prescribing information

How it works

Pegcetacoplan binds to complement protein C3 and its activation fragment C3b, thereby regulating the cleavage of C3 and the generation of downstream effectors of complement activation. In PNH, extravascular hemolysis (EVH) is facilitated by C3b opsonization while intravascular hemolysis (IVH) is mediated by the downstream membrane attack complex (MAC). Pegcetacoplan acts proximally in the complement cascade controlling both C3b-mediated EVH and terminal complement-mediated IVH. In C3G and primary IC-MPGN, complement dysregulation and overactivation causes deposition of C3 fragments in glomeruli, which contributes to the pathogenesis of C3G and is thought to contribute to the pathogenesis of primary IC-MPGN.

Source: US FDA prescribing information

Dosing overview

PNH. Recommended dosage is 1,080 mg administered subcutaneously twice weekly. C3G or Primary IC-MPGN. Recommended dosage for adults is 1,080 mg administered subcutaneously twice weekly. Recommended dosage for pediatric patients is dependent upon patient weight. See full prescribing information for the recommended dosage in patients with C3G or primary IC-MPGN. EMPAVELI can be administered via a commercially available pump or with EMPAVELI Injector. See Full Prescribing Information for instructions on preparation and administration.

Source: US FDA prescribing information

Contraindications

EMPAVELI is contraindicated: in patients with hypersensitivity to pegcetacoplan or to any of the excipients. for initiation in patients with unresolved serious infection caused by encapsulated bacteria including Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type B. EMPAVELI is contraindicated: in patients with hypersensitivity to pegcetacoplan or any of the excipients. for initiation in patients with unresolved serious infection caused by encapsulated bacteria.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (serious infections caused by encapsulated bacteria empaveli): a complement inhibitor, increases the risk of serious infections, especially those caused by encapsulated bacteria, such as Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae type B. Life-threatening and fatal infections with encapsulated bacteria have occurred in patients treated with complement inhibitors. Serious infections caused by encapsulated bacteria. Infusion-Related Reactions: Monitor patients for infusion-related reactions and institute appropriate medical management as needed. Interference with Laboratory Tests: Use of silica reagents in coagulation panels may result in artificially prolonged activated partial thromboplastin time (aPTT).

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are discussed in greater detail in other sections of the labeling: Serious Infections Caused by Encapsulated Bacteria Infusion-Related Reactions The most common adverse reactions in patients with PNH (incidence ≥10%) were injection site reactions, infections, diarrhea, abdominal pain, respiratory tract infection, pain in extremity, hypokalemia, fatigue, viral infection, cough, arthralgia, dizziness, headache, and rash. The most common adverse reactions in patients with C3G or primary IC-MPGN (incidence ≥10%) were infusion site reactions, pyrexia, nasopharyngitis, influenza, cough, and nausea.

Source: US FDA prescribing information

Storage

Store vials of EMPAVELI refrigerated at 2°C to 8°C (36°F to 46°F) in the original carton to protect from light.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Pegcetacoplan, sorted by availability.

MedicineManufacturerRegisterAvailability
Syfovre 450 mg/3 mL injectionIntravitrealApellis PharmaceuticalsUS FDAAvailable on request
Empaveli 1080 mg/20 mL injectionSubcutaneous Cold chainApellis PharmaceuticalsUS FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 14 May 2021Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Pegcetacoplan available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Pegcetacoplan and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Pegcetacoplan have?

The catalogue lists 2 brand names for Pegcetacoplan, including Empaveli, Syfovre.

Is Pegcetacoplan approved by the US FDA?

Yes. The US FDA first approved Pegcetacoplan on 14 May 2021, according to Drugs@FDA.

Is Pegcetacoplan authorised in the European Union?

Yes. Pegcetacoplan has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Pegcetacoplan need cold chain shipping?

At least one listed presentation of Pegcetacoplan must be kept cold, so it is shipped in temperature-controlled packaging. Check the storage line on each presentation.

Which ATC class is Pegcetacoplan in?

Pegcetacoplan is classified under ATC code L04AJ03 (Pegcetacoplan).

References

  1. Empaveli prescribing information (Apellis Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 21 August 2026
  2. Aspaveli: European public assessment report (EPAR). European Medicines Agency. Retrieved 31 July 2026

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