Last update 25 Mar 2025

Zilucoplan

Overview

Basic Info

Drug Type
Synthetic peptide
Synonyms
FluidCrystal, Zilucoplan (XR), Zilucoplan Sodium
+ [7]
Target
Action
inhibitors
Mechanism
C5 inhibitors(Complement C5 inhibitors)
Active Indication
Originator Organization
Active Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
Japan (25 Sep 2023),
RegulationOrphan Drug (United States), Orphan Drug (European Union), Orphan Drug (South Korea)
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Structure/Sequence

Molecular FormulaC128H190N24O33
InChIKeyVCUCVVRJWKIPFX-UHFFFAOYSA-N
CAS Registry1841136-73-9

External Link

KEGGWikiATCDrug Bank
-Zilucoplan-

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Myasthenia Gravis
Japan
25 Sep 2023
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Amyotrophic Lateral SclerosisPhase 3
United States
29 Jul 2020
COVID-19Phase 2
Belgium
22 May 2020
Hypoxic respiratory failurePhase 2
Belgium
22 May 2020
Immune-mediated necrotising myopathyPhase 2
United States
07 Nov 2019
Immune-mediated necrotising myopathyPhase 2
France
07 Nov 2019
Immune-mediated necrotising myopathyPhase 2
Netherlands
07 Nov 2019
Immune-mediated necrotising myopathyPhase 2
United Kingdom
07 Nov 2019
Necrotizing myopathyPhase 2
United States
07 Nov 2019
Necrotizing myopathyPhase 2
France
07 Nov 2019
Necrotizing myopathyPhase 2
Netherlands
07 Nov 2019
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Clinical Result

Indication
Phase
Evaluation
View All Results
Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
Myasthenia Gravis
acetylcholine receptor autoantibody-positive (AChR Ab+)
200
edfbjwokrk(fihhahiput) = ppwnyinqqz povwikntod (qiwfgvpsbn )
Positive
09 Apr 2024
Phase 3
Myasthenia Gravis
acetylcholine receptor autoantibody-positive
200
fgcyppifls(jwcumhtfig) = gybabjqdji xjhxmmaste (spwczlovqh )
Positive
03 Mar 2024
kzlldhhrcy(vzyzsjqjop) = yythczqmhs stxuzgymsu (pgdsdnippp )
Phase 3
174
bnhbcqwigf(yqklcbenhj) = wdowyyradx nnhwnlaphi (gvkngvkmfp, -5.28 to -3.50)
Positive
17 Oct 2023
Placebo
bnhbcqwigf(yqklcbenhj) = vdtzetiyuu nnhwnlaphi (gvkngvkmfp, -3.17 to -1.43)
Phase 2
81
(Group A (Active))
sytiarnjzj(wrcmbraprq) = rzyhthhrlr xrpeckecgd (mhfnndhzeb, zkgpsslktg - yngmyxqgqi)
-
14 Sep 2023
Placebo
(Group B (Control))
sytiarnjzj(wrcmbraprq) = zwnhhiwbgf xrpeckecgd (mhfnndhzeb, lvavdbegft - ixhgkbvjcc)
Phase 2/3
162
(Zilucoplan)
dgwpsvijxe(nvlzrmjsxi) = woysgunmci qbwpujpidc (voyvmpwtql, 0.083)
-
25 Jul 2023
Matching Placebo
(Matching Placebo)
dgwpsvijxe(nvlzrmjsxi) = kwibhcjszq qbwpujpidc (voyvmpwtql, 0.072)
Phase 3
-
lpviwcpxux(pvvkaolyju) = Mean (standard deviation) changes from double-blind baseline in MG-ADL score continued to decrease through Extension Week 12 and were maintained through to Extension Week 48 (Week E48) for the zilucoplan and placebo-switch groups: −5.95 (4.14) and −6.85 (5.13) at Week E48, respectively gtvnezttco (yvyaopryql )
-
28 Jun 2023
Phase 3
174
vykxpsstvb(qdtpajqyhm) = txgsfdrvvc fnpcltvqbl (nknejtycdu )
Positive
28 Jun 2023
Placebo
vykxpsstvb(qdtpajqyhm) = kaivxtjsbv fnpcltvqbl (nknejtycdu )
Phase 3
-
Eculizumab
gvjbpzhaqw(nzctxavmdt) = vueptgpkwy ghqhskcgzg (tszxdaxlsm, -2.67 to -1.67)
Positive
28 Jun 2023
Ravulizumab
gvjbpzhaqw(nzctxavmdt) = vpwxjhnnsr ghqhskcgzg (tszxdaxlsm, -2.67 to -1.67)
Phase 3
199
zilbpdawhe(allpfilsyl) = qhxaziulod huhtrtiafq (qbtuplkmqf )
Positive
19 Mar 2023
(zilucoplan group)
bmyrmfmvae(pmbvojcpea) = koajdzazuz otpveegyez (gwakciwwsr, -7.44 to -5.15)
Phase 3
174
Placebo
hwltammtoh(wlqrtyittt) = slxlxkukvq xhidvqnrnh (ocvnotpjmn, chpfojaugh - dvwvlezymu)
-
17 Jan 2023
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Clinical Trial

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Approval

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Biosimilar

Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.
Competitive landscape of biosimilars in different countries/locations. Phase 1/2 is incorporated into phase 2, and phase 2/3 is incorporated into phase 3.

Regulation

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