Drugs / Eculizumab
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Eculizumab

Monoclonal antibody targets C5 via inhibition

Developed for
paroxysmal nocturnal hemoglobinuria · atypical hemolytic-uremic syndrome · neuromyelitis optica spectrum disorder with anti-AQP4 antibodies · COVID-19 · generalized myasthenia gravis · end stage renal failure · neuromyelitis optica · Guillain-Barre syndrome
+25 more · HELLP syndrome · membranoproliferative glomerulonephritis · Shiga toxin-associated hemolytic uremic syndrome · thrombotic microangiopathy · transplant rejection · acute respiratory distress syndrome · acute transplant rejection · allergic asthma · anti-neutrophil cytoplasmic antibody-associated vasculitis · antiphospholipid syndrome · autoimmune disease · chronic liver failure · cold agglutinin disease · dense deposit disease · diabetes mellitus · disease related to solid organ transplantation · hemolytic anemia · juvenile myasthenia gravis · leukemia · multiple organ dysfunction syndrome · myasthenia gravis · thrombocytopenia · viral pneumonia · age-related macular degeneration · preeclampsia
Investigated by
Alexion Pharmaceuticals, Inc. · Assistance Publique - Hôpitaux de Paris · AstraZeneca · Mayo Clinic · National Heart, Lung, and Blood Institute (NHLBI) · AO GENERIUM
+72 more · Biocad · Cedars-Sinai Medical Center · Johns Hopkins University · Nantes University Hospital · Regeneron Pharmaceuticals · Samsung Bioepis Co., Ltd. · Tianjin Medical University General Hospital · University Hospital, Rouen · Alexion Pharma Italy s.r.l. · Amgen · Apellis Pharmaceuticals, Inc. · Assistance Publique Hopitaux De Marseille · Brigham and Women's Hospital · CMIC Co, Ltd. Japan · CTI Clinical Trial and Consulting Services · Centre Hospitalier Universitaire de Besancon · Centre Hospitalier Universitaire de Nice · Centre Hospitalier Universitaire, Amiens · Centre Hospitalier of Chartres · Charite University, Berlin, Germany · Chengdu Suncadia Medicine Co., Ltd. · Children's Hospital Medical Center, Cincinnati · Columbia University · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · First Affiliated Hospital of Ningbo University · First Affiliated Hospital of Wenzhou Medical University · First Affiliated Hospital of Zhejiang University · French National Institute of Health and Medical Research · Hadassah Medical Organization · Heeger, Peter, M.D. · Hospices Civils de Lyon · Hudson Medical · Icahn School of Medicine at Mount Sinai · Jinhua Central Hospital · Jonsson Comprehensive Cancer Center · Mario Negri Institute for Pharmacological Research · Mark Stegall · Massachusetts General Hospital · NHS Greater Glasgow and Clyde · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · National Institutes of Health (NIH) · Necker-Enfants Malades Hospital · Ochsner Health System · Patient-Centered Outcomes Research Institute · Peking University First Hospital · Poitiers University Hospital · Reims University hospital · Rennes University Hospital · Russian Academy of Medical Sciences · Sanjay Kulkarni · Schroppel, Bernd, M.D. · Second Affiliated Hospital, School of Medicine, Zhejiang University · Sir Run Run Shaw Hospital · Tao Lin · Tenon Hospital, Paris · The Affiliated People's Hospital of Ningbo University · The Sumaira Foundation · URC-CIC Paris Descartes Necker Cochin · University Hospital, Angers · University Hospital, Caen · University Hospital, Clermont-Ferrand · University Hospital, Essen · University Hospital, Lille · University Hospital, Strasbourg, France · University Hospital, Toulouse · University Hospital, Tours · University of Glasgow · University of Nancy · University of North Carolina, Chapel Hill · Uppsala University · Xiangya Hospital of Central South University · Yale University

Regulatory milestones approvals, filings & regulatory actions · 8 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed generalized myasthenia gravis 1 milestone
Filed China (NMPA) Soliris generalized myasthenia gravis 2022-11-11

“the National Medicine Products Administration of China (NMPA) has accepted its supplementary application for Soliris for the treatment of adults with refractory generalised...” astrazeneca.com ↗

Approved Indication not stated 3 milestones
Label expansions (5) US (FDA) SOLIRIS — 2011-09-23 – 2025-02-28 fda.gov ↗
Approved EU (EMA) Soliris — 2007-06-20 europa.eu ↗
Approved US (FDA) SOLIRIS — 2007-03-16 fda.gov ↗

Trials 84 · started per year

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EU approved 2007
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03468140 Oct 2021 → Apr 2023 chronic liver failure Yale University Withdrawn No outcome recorded Stop: Enrollment
Phase 14 trials · 1 missed
Phase 1 NCT04103489 Feb 2021 → Aug 2023 HELLP syndrome Johns Hopkins University Completed No outcome recorded
Phase 1 NCT03722329 Nov 2018 → Mar 2019 — Samsung Bioepis Co., Ltd. Completed No outcome recorded
Phase 1 NCT01327573 Mar 2011 → Feb 2015 — Sanjay Kulkarni Completed Missed primary
Phase 1 NCT01221181 Jul 2010 → Oct 2011 dense deposit disease, membranoproliferative glomerulonephritis Columbia University Completed No outcome recorded
Phase 1/27 trials · 2 met primary
Phase 1/2 NCT06453135 Jul 2024 → Jul 2025 — Tao Lin Unknown No outcome recorded
Phase 1/2 NCT02113891 Feb 2015 → Jul 2017 acute transplant rejection Assistance Publique - Hôpitaux de Paris Withdrawn No outcome recorded
Phase 1/2 NCT01579838 Feb 2012 → Mar 2013 hemolytic anemia Hadassah Medical Organization Unknown No outcome recorded
Phase 1/2 NCT01095887 May 2010 → Apr 2014 — Mayo Clinic Terminated No outcome recorded Stop: Enrollment
Phase 1/2 NCT01106027 Mar 2010 → Aug 2016 — Mayo Clinic Terminated No outcome recorded Stop: Enrollment
Phase 1/2 NCT00904826 Apr 2009 → Dec 2011 neuromyelitis optica Mayo Clinic Completed Met primary
Phase 1/2 NCT00670774 Mar 2008 → May 2017 — Mark Stegall Completed Met primary
Phase 230 trials · 6 met primary · 1 missed
Phase 2 NCT07707687 Jul 2026 → Jul 2028 expected thrombotic microangiopathy First Affiliated Hospital of Zhejiang University Recruiting No outcome recorded
Phase 2 NCT07184840 Sep 2025 → Apr 2026 overdue neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Tianjin Medical University General Hospital Active not recruiting No outcome recorded
Phase 2 NCT06513338 Mar 2024 → Nov 2025 autoimmune disease Peking University First Hospital Completed No outcome recorded
Phase 2 NCT04725812 Sep → Dec 2021 HELLP syndrome, atypical hemolytic-uremic syndrome, paroxysmal nocturnal hemoglobinuria Cedars-Sinai Medical Center Terminated No outcome recorded
Phase 2 NCT04346797 Apr → Sep 2020 COVID-19 Assistance Publique - Hôpitaux de Paris Unknown No outcome recorded
Phase 2 NCT03518203 Aug 2018 → Apr 2022 atypical hemolytic-uremic syndrome, multiple organ dysfunction syndrome Children's Hospital Medical Center, Cincinnati Completed Met primary
Phase 2 NCT02727608 May 2016 → May 2018 diabetes mellitus Uppsala University Completed No outcome recorded
Phase 2 NCT02298933 Nov 2014 → Aug 2017 thrombocytopenia National Heart, Lung, and Blood Institute (NHLBI) Completed No outcome recorded
Phase 2 NCT02029378 Sep 2014 → Oct 2015 Guillain-Barre syndrome NHS Greater Glasgow and Clyde Unknown No outcome recorded
Phase 2 NCT02093533 Mar 2014 → Dec 2017 membranoproliferative glomerulonephritis Mario Negri Institute for Pharmacological Research Completed No outcome recorded
Phase 2/33 trials · 1 missed
Phase 2/3 NCT04155424 Jan 2020 → Jul 2023 neuromyelitis optica Alexion Pharmaceuticals, Inc. Terminated No outcome recorded
Phase 2/3 NCT02145182 Aug 2014 → Nov 2016 — Alexion Pharmaceuticals, Inc. Completed Missed primary
Phase 2/3 NCT01410916 Jul 2011 → Jan 2012 Shiga toxin-associated hemolytic uremic syndrome Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase 332 trials · 8 met primary · 3 missed
Phase 3 NCT07420296 Jan → Dec 2026 expected neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Tianjin Medical University General Hospital Recruiting No outcome recorded
Phase 3 NCT06724809 Jan 2025 → Dec 2026 expected neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Alexion Pharmaceuticals, Inc. Active not recruiting No outcome recorded
Phase 3 NCT06764160 Jan → Dec 2025 generalized myasthenia gravis Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT06593938 Oct 2024 → Jul 2025 paroxysmal nocturnal hemoglobinuria Chengdu Suncadia Medicine Co., Ltd. Completed Met primary
Phase 3 NCT05726916 Nov 2023 → May 2026 overdue atypical hemolytic-uremic syndrome Assistance Publique - Hôpitaux de Paris Recruiting No outcome recorded
Phase 3 NCT05876351 Jul 2023 → May 2025 atypical hemolytic-uremic syndrome Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT05886244 Jul 2023 → Apr 2025 paroxysmal nocturnal hemoglobinuria Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase 3 NCT05702996 Mar 2023 → Sep 2025 thrombotic microangiopathy University Hospital, Rouen Withdrawn No outcome recorded
Phase 3 NCT05131204 Oct 2022 → Jul 2023 paroxysmal nocturnal hemoglobinuria Regeneron Pharmaceuticals Terminated No outcome recorded Stop: Business
Phase 3 NCT05133531 Aug 2022 → Oct 2026 expected paroxysmal nocturnal hemoglobinuria Regeneron Pharmaceuticals Active not recruiting No outcome recorded
Phase 43 trials
Phase 4 NCT07010302 Sep 2026 → Jan 2030 expected neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Massachusetts General Hospital Recruiting No outcome recorded
Phase 4 NCT02574403 Nov 2015 → Dec 2019 atypical hemolytic-uremic syndrome Nantes University Hospital Completed No outcome recorded
Phase 4 NCT00867932 Oct 2009 → May 2011 paroxysmal nocturnal hemoglobinuria Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase not stated4 trials
— NCT04355494 — COVID-19, acute respiratory distress syndrome, viral pneumonia Alexion Pharmaceuticals, Inc. No longer available No outcome recorded
— NCT00438789 — paroxysmal nocturnal hemoglobinuria Alexion Pharmaceuticals, Inc. Approved for marketing No outcome recorded
— NCT04288713 — COVID-19 Hudson Medical Available No outcome recorded
— NCT04802083 — COVID-19 Alexion Pharmaceuticals, Inc. No longer available No outcome recorded
Comparator or background therapy23 trials
Phase 0 NCT07519005 Background Jan → Feb 2026 overdue liver failure Xijing Hospital Active not recruiting No outcome recorded
Phase 1 NCT05863442 Comparator Apr 2023 → Jul 2024 — Turgut Ardika PTY LTD Unknown No outcome recorded
Phase 2 NCT05646563 Background Jan 2027 → Jul 2029 expected paroxysmal nocturnal hemoglobinuria NovelMed Therapeutics Not yet recruiting No outcome recorded
Phase 2 NCT06673394 Comparator Sep 2025 → Jun 2026 neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Tianjin Medical University General Hospital Withdrawn No outcome recorded
Phase 2 NCT05116774 Comparator Dec 2021 → Sep 2023 paroxysmal nocturnal hemoglobinuria BioCryst Pharmaceuticals Terminated No outcome recorded Stop: Business

News releases announcing trial results or a regulatory action · 20

DateIssuerRelease
2025-06-12 Samsung Bioepis Co., Ltd. Results 삼성바이오에피스, 유럽 혈액학회(EHA)서 희귀질환 치료제 연구 결과 발표 samsungbioepis.com ↗
삼성바이오에피스는 에피스클리의 장기 안전성을 평가하기 위해 임상 3상 및 연장 치료기간(최대 158주) 동안 투약한 환자들의 중대한 이상반응(SAE: Serious Adverse Event)을 분석했으며, 그 결과 연장 치료기간까지의 투약에서도 초기 치료 결과와 일관된 장기 안전성(long-term safety profile)을 확인했다.
2024-09-29 Samsung Bioepis Co., Ltd. Results 삼성바이오에피스, 유럽 학회서 희귀질환 치료제 ‘에피스클리’ 연구 결과 발표 samsungbioepis.com ↗
이번 연구 결과에 따르면, 삼성바이오에피스는 에피스클리 임상 시험(3상)을 진행한 PNH 뿐만 아니라 오리지널 의약품이 보유한 aHUS 적응증도 외삽(extrapolation)이 가능함을 확인했다.
2024-07-23 Samsung Bioepis Co., Ltd. Regulatory 삼성바이오에피스, 희귀질환 치료제 미국서 허가 획득 samsungbioepis.com ↗
삼성바이오에피스(대표이사 고한승 사장)가 미국 식품의약국(FDA: Food and Drug Administration)으로부터 초고가 희귀질환 치료제 '에피스클리®(EPYSQLI®, 프로젝트명 SB12, 성분명 에쿨리주맙)'의 품목허가를 획득했다고 23일 밝혔다.
2024-06-17 Samsung Bioepis Co., Ltd. Results 삼성바이오에피스, 유럽서 ‘희귀질환 치료제’ 연구 결과 발표 samsungbioepis.com ↗
이번 연구를 통해 에피스클리의 환자 수혈 회피 비율이 오리지널 의약품 대비 임상의학적으로 유의미한 차이가 없음을 확인했으며, 이로써 삼성바이오에피스는 에피스클리와 오리지널 의약품 간 효능(efficacy)의 유사성을 다시 한번 입증했다.
2024-01-22 Samsung Bioepis Co., Ltd. Regulatory 삼성바이오에피스, 솔리리스 바이오시밀러 '에피스클리(Epysqli™)' 국내 품목 허가 승인 samsungbioepis.com ↗
삼성바이오에피스(대표이사 고한승 사장)는 19일, 식품의약품안전처로부터 혈액학 분야 난치성 희귀질환 치료제 '솔리리스(Soliris)1)'의 바이오시밀러 에피스클리(프로젝트명 SB12, 성분명 에쿨리주맙)의 품목 허가를 승인받았다.
2023-12-08 Amgen Results AMGEN HIGHLIGHTS HEMATOLOGY PORTFOLIO AT ASH 2023 amgen.com ↗
Additional Analyses Support Eculizumab (a biosimilar candidate to SOLIRIS ® ) as a Potential Option in Paroxysmal Nocturnal Hemoglobinuria
2023-10-18 AstraZeneca Regulatory Soliris approved in China for the treatment of adults with neuromyelitis optica spectrum disorder (NMOSD) astrazeneca.com ↗
Soliris (eculizumab) has been approved in China for the treatment of adult patients with neuromyelitis optica spectrum disorder (NMOSD) who are anti-aquaporin-4 (AQP4) antibody positive (Ab+).
2023-08-24 AstraZeneca Regulatory Soliris approved in Japan for paediatric patients with generalised myasthenia gravis (gMG) astrazeneca.com ↗
Soliris is the first and only targeted therapy approved for the treatment of children and adolescents with gMG in Japan.
2023-07-27 AstraZeneca Regulatory Soliris approved in the EU for children and adolescents with refractory generalised myasthenia gravis (gMG) astrazeneca.com ↗
This is the first and only targeted therapy approved for the treatment of paediatric patients with the disease in the EU.
2023-06-26 AstraZeneca Regulatory Soliris recommended for approval in the EU by CHMP for children and adolescents with refractory generalised myasthenia gravis (gMG) astrazeneca.com ↗
The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) based its positive opinion on results from the Phase III trial of Soliris in paediatric patients with refractory gMG.
2023-06-13 AstraZeneca Regulatory Soliris approved in China for the treatment of adults with refractory generalised myasthenia gravis astrazeneca.com ↗
Soliris (eculizumab) has been approved in China for the treatment of adult patients with refractory generalised myasthenia gravis (gMG) who are anti-acetylcholine receptor (AChR) antibody-positive.
2023-06-12 Chugai Pharmaceutical Results New Data Presented at EHA Show Chugai’s Subcutaneously Administered Crovalimab Achieved Disease Control and was Well-Tolerated in People with Paroxysmal Nocturnal Hemoglobinuria (PNH) chugai-pharm.co.jp ↗
The COMMODORE 2 study demonstrated that subcutaneous crovalimab every four weeks (maintenance dosing) was non-inferior in disease control to intravenous eculizumab every two weeks, with comparable safety, in people new to C5 inhibitors

All press releases naming this drug 31 releases

DateIssuerRelease

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 108 sources stand behind the page.

FieldValueCited text
Known as eculizumab “IVMP+Eculizumab arm: eculizumab (900 mg) will be administered intravenously once per week for a total of four doses (days 1, 8, 15, and 22) in conjunction with IVMP and oral...” NCT07184840 ↗
102

“Participants will continue to receive their ongoing C5 inhibitor (eculizumab or ravulizumab) therapy according to their usual dose and schedule.” NCT04469465 ↗

“At the time of study start, eculizumab was the only available SoC; eculizumab will be hereafter referred to as SoC.” NCT03439839 ↗

“Investigational arm: eculizumab (900 mg) will be administered intravenously once per week for a total of four doses” NCT06673394 ↗

“Active substance of BCD-148 is eculizumab - a monoclonal antibody that targets complement protein C5.” NCT04060264 ↗

“Eculizumab (ECZ) will be administrated intravenously as a 30-minute injection.” NCT02205541 ↗

“Eculizumab (900 mg, 24 hours pre-perfusion) for complement inhibition” NCT07519005 ↗

“International nonproprietary name: eculizumab” NCT04463056 ↗

“Soliris (eculizumab)” NCT04058158 ↗

NCT01892345 ↗

NCT03518203 ↗

Show 92 more sources

Known as BCD-148 “Active substance of BCD-148 is eculizumab - a monoclonal antibody that targets complement protein C5.” NCT04060264 ↗
Known as Eculizumab (Soliris) “Eculizumab (Soliris®)” NCT01221181 ↗
Known as ECZ “Eculizumab (ECZ) will be administrated intravenously as a 30-minute injection.” NCT02205541 ↗
Known as Elizaria “efficacy and safety of Elizaria® (eculizumab, GENERIUM JSC, Russia) versus Soliris® (Alexion Pharma GmbH, Switzerland)” NCT04463056 ↗
1

“At the present time Eculizumab (JSC GENERIUM, Russia) have already been authorized as Elizaria® in Russia.” NCT04679103 ↗

Known as h5G1.1-mAb “Eculizumab (h5G1.1-mAb) is a humanized monoclonal antibody that like CD59 inhibits terminal complement.” NCT00130000 ↗
Known as Soliris “Active substance of Soliris is eculizumab - a monoclonal antibody that targets complement protein C5.” NCT04060264 ↗
11

“Trial Evaluating Efficacy and Safety of Eculizumab (Soliris) in Patients With COVID-19 Infection” NCT04346797 ↗

“Eculizumab (SB12, EU Sourced Soliris®, and US Sourced Soliris®)” NCT03722329 ↗

“Eculizumab (Soliris) in Covid-19 Infected Patients” NCT04288713 ↗

“Drug: Eculizumab (Soliris®)” NCT07010302 ↗

“Eculizumab (Soliris®)” NCT01410916 ↗

“Eculizumab (Soliris®)” NCT07816237 ↗

NCT04058158 ↗

NCT05726916 ↗

NCT05646563 ↗

NCT03500549 ↗

Show 1 more source

Action Inhibit “Eculizumab is a humanized monoclonal antibody that like CD59 inhibits terminal complement.” NCT00098280 ↗
Modality Monoclonal antibody “Eculizumab is a humanized monoclonal antibody” NCT00098280 ↗
Route Intravenous “eculizumab IV over 30 minutes” NCT00112983 ↗
Target C5 “the humanized anti-C5 antibody, eculizumab” PMID 21942930 ↗ Sep 2011