Last update 09 Dec 2024

Avacopan

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
CCX 168, CCX-168, CCX168
+ [3]
Target
Mechanism
C5AR1 antagonists(C5a anaphylatoxin chemotactic receptor antagonists)
Inactive Organization-
Drug Highest PhaseApproved
RegulationOrphan Drug (EU), PRIME (EU), Orphan Drug (AU), Orphan Drug (US)
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Structure

Molecular FormulaC33H35F4N3O2
InChIKeyPUKBOVABABRILL-YZNIXAGQSA-N
CAS Registry1346623-17-3

External Link

KEGGWikiATCDrug Bank
D11093Avacopan-

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Vasculitis
CA
14 Apr 2022
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
US
07 Oct 2021
Granulomatosis With Polyangiitis
JP
27 Sep 2021
Microscopic Polyangiitis
JP
27 Sep 2021
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Hidradenitis SuppurativaPhase 2
US
21 Dec 2018
C3 glomerulopathyPhase 2
US
29 Sep 2017
C3 glomerulopathyPhase 2
BE
29 Sep 2017
C3 glomerulopathyPhase 2
CA
29 Sep 2017
C3 glomerulopathyPhase 2
DK
29 Sep 2017
C3 glomerulopathyPhase 2
FR
29 Sep 2017
C3 glomerulopathyPhase 2
DE
29 Sep 2017
C3 glomerulopathyPhase 2
IE
29 Sep 2017
C3 glomerulopathyPhase 2
IT
29 Sep 2017
C3 glomerulopathyPhase 2
NL
29 Sep 2017
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
24
rvozrlhpuo(zlehbtdodf) = respiratory infections (50%), urinary tract infections (12.5%), diarrhea (12.5%), planned surgery (12.5%), and difficulty dispensing the drug (12.5%) qxrsszwxnm (dlnifsnswp )
Positive
05 Jun 2024
Not Applicable
-
jiquoiykyz(xtmnvkkbpe) = A 75-year-old Japanese woman presented jaundice and admitted to our hospital. Two months before, she developed MPA in which muscle and kidney were involved. She was treated with 40 mg/day of prednisolone (PSL), 60 mg/day of avacopan, and rituximab. Sulfamethoxazole/trimethoprim was also used. The treatment was successful and she was discharged with 10 mg/day of PSL. Seven weeks after the initiation of treatment, she noticed dark urine, and hepatic enzymes and bilirubin were elevated. A bile duct obstruction and viral hepatitis was ruled out, and drug-induced liver injury (DILI) was considered. A liver biopsy led to a diagnosis of VBSD without significant inflammatory cell infiltration, and she was treated with supporting therapy. Although the levels of total bilirubin deteriorated and remained above 15 mg/dL for more than five months, she was out of indication for liver transplantation. Due to the decline of general condition and infections in which the use of medications was limited, she was deceased eight months after the initial treatment for MPA. Autopsy revealed hepatic atrophy and fibrosis, suggestive for liver cirrhosis, and pathological findings were evaluated. zgtwjyjplx (odjvmlxvez )
-
05 Jun 2024
Not Applicable
50
mgrknwpgcv(bpdjeavufw) = Significant reductions in BVAS score bbbhcwzsfg (eqysmlekwz )
Positive
05 Jun 2024
Phase 3
ANCA
142
jmoyjmaixg(fkqkiwmoui) = Two deaths in the avacopan group and one in the prednisone taper group were observed qpizwpydvb (nfxfctnqhe )
Positive
19 May 2024
Prednisone taper
Not Applicable
-
xgwcswwpnh(vpnefhnlzs) = oaaurpmvbv siecbslmis (lbzxizkolm )
Positive
19 May 2024
Not Applicable
-
qdxkiemkos(ixwtajyuvo) = rvmqrlvzew jiadrtrnzb (gobekzxntj )
-
01 Apr 2024
Phase 3
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
antineutrophil cytoplasmic autoantibody (ANCA)
330
ikxayyblgn(nxyakoyrmt) = Serious adverse events occurred in 34.6% and 39.3% of patients in the avacopan and prednisone taper groups, respectively zrvodgkdbk (ojqidhiogw )
Positive
01 Feb 2024
Prednisone taper
Not Applicable
-
orohuhhsuh(cixuaipeua) = Three AEs were reported (diarrhea, urinary tract infection and neutropenia). Avacopan was discontinued in 1 patient. cniktvjupl (cvamjbkkek )
-
12 Nov 2023
Not Applicable
80
Rituximab plus cyclophosphamide
yivqemtyym(oejlzcmnnp) = stcuqpvucv tlpkvjwkek (aofshuxrqv )
Positive
12 Nov 2023
Rituximab only
yivqemtyym(oejlzcmnnp) = yirqzkbrow tlpkvjwkek (aofshuxrqv )
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