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Sobi and Apellis Pharmaceuticals have released positive results from the Phase III VALIANT trial, evaluating pegcetacoplan for C3 glomerulopathy (C3G) and primary immune complex membranoproliferative glomerulonephritis (IC-MPGN). This double-blind, placebo-controlled study involved 124 patients aged 12 and older, who received either 1,080mg of pegcetacoplan or a placebo twice weekly for 26 weeks. The trial achieved its primary endpoint, showing a significant 68% reduction in proteinuria with pegcetacoplan compared to placebo. Key secondary endpoints, including a 50% reduction in proteinuria and a composite renal endpoint, also showed significant results. The treatment was well-tolerated, with adverse event rates similar to placebo. Sobi plans to initiate a marketing application to the European Medicines Agency (EMA) in 2025, while Apellis aims for a supplemental new drug application with the FDA. Pegcetacoplan is also being studied for other rare diseases in hematology and nephrology.
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