Drugs / Eculizumab
last change Aug 2026 re-read 2 minutes ago

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
+26 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 · dermatomyositis · 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 · Biocad · Mayo Clinic · National Heart, Lung, and Blood Institute (NHLBI)
+73 more · AO GENERIUM · 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 Arthritis and Musculoskeletal and Skin Diseases (NIAMS) · 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 · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
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 86 · started per year

today
US approved 2007
EU approved 2007
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20002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03468140 Oct 2021 → Apr 2023 chronic liver failure Yale University Withdrawn No outcome recorded
Phase 15 trials
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 NCT04027803 Sep 2018 → Apr 2019 Biocad Completed No outcome recorded
Phase 1 NCT01327573 Mar 2011 → Feb 2015 Sanjay Kulkarni Completed No outcome recorded
Phase 1 NCT01221181 Jul 2010 → Oct 2011 dense deposit disease, membranoproliferative glomerulonephritis Columbia University Completed No outcome recorded
Phase 1/27 trials
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
Phase 1/2 NCT01106027 Mar 2010 → Aug 2016 Mayo Clinic Terminated No outcome recorded
Phase 1/2 NCT00904826 Apr 2009 → Dec 2011 neuromyelitis optica Mayo Clinic Completed No outcome recorded
Phase 1/2 NCT00670774 Mar 2008 → May 2017 Mark Stegall Completed No outcome recorded
Phase 231 trials
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 No outcome recorded
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
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 No outcome recorded
Phase 2/3 NCT01410916 Jul 2011 → Jan 2012 Shiga toxin-associated hemolytic uremic syndrome Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase 332 trials
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 No outcome recorded
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
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 Aug 2026 → Jan 2030 expected neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Massachusetts General Hospital Not yet 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
NCT04802083 COVID-19 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
Also used as a comparator or background therapy in 22 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT07519005 Background Jan → Feb 2026 overdue liver failure Xijing Hospital Active not recruiting No outcome recorded
Phase 11 trial
Phase 1 NCT05863442 Comparator Apr 2023 → Jul 2024 Turgut Ardika PTY LTD Unknown No outcome recorded
Phase 28 trials
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
Phase 2 NCT04702568 Background Dec 2020 → Oct 2023 paroxysmal nocturnal hemoglobinuria BioCryst Pharmaceuticals Terminated No outcome recorded
Phase 2 NCT03472885 Background May 2018 → Sep 2019 paroxysmal nocturnal hemoglobinuria Alexion Pharmaceuticals, Inc. Completed No outcome recorded
Phase 310 trials
Phase 3 NCT07177859 Comparator Nov 2025 → Nov 2026 expected paroxysmal nocturnal hemoglobinuria Nanjing Chia-tai Tianqing Pharmaceutical Not yet recruiting No outcome recorded
Phase 3 NCT06799546 Comparator Feb → Nov 2025 paroxysmal nocturnal hemoglobinuria Haisco Pharmaceutical Group Co., Ltd. Completed No outcome recorded
Phase 3 NCT06932744 Comparator Aug 2024 → Dec 2025 overdue paroxysmal nocturnal hemoglobinuria Wuhan Createrna Science and Technology Co., Ltd Recruiting No outcome recorded
Phase 3 NCT04935177 Background Oct 2021 → Jun 2025 Hansa Biopharma AB Completed No outcome recorded
Phase 3 NCT04558918 Comparator Jan 2021 → Sep 2022 paroxysmal nocturnal hemoglobinuria Novartis Pharmaceuticals Completed No outcome recorded
Phase 42 trials
Phase 4 NCT07410039 Comparator Feb 2026 → Jun 2027 expected neuromyelitis optica spectrum disorder with anti-AQP4 antibodies Chinese PLA General Hospital Recruiting No outcome recorded
Phase 4 NCT04320602 Background Apr 2021 → Dec 2022 paroxysmal nocturnal hemoglobinuria Alexion Pharmaceuticals, Inc. Completed No outcome recorded

Press releases naming this drug 10 releases

DateIssuerRelease
2025-04-07 Teva Branded Pharmaceutical Products R&D, Inc. Teva and Samsung Bioepis Announce Biosimilar EPYSQLI® (eculizumab-aagh) Injection Now Available in the United States tevapharm.com
2025-04-07 Teva Branded Pharmaceutical Products R&D, Inc. Teva and Samsung Bioepis Announce Biosimilar EPYSQLI® (eculizumab-aagh) Injection Now Available in the United States tevapharm.com
2025-01-10 Teva Branded Pharmaceutical Products R&D, Inc. Teva and Samsung Bioepis Enter into a Strategic Partnership for Commercialization of EPYSQLI® (eculizumab-aagh) in the United States tevapharm.com
2025-01-10 Teva Branded Pharmaceutical Products R&D, Inc. Teva and Samsung Bioepis Enter into a Strategic Partnership for Commercialization of EPYSQLI® (eculizumab-aagh) in the United States tevapharm.com
2024-04-23 AstraZeneca Voydeya approved in the EU as add-on treatment to ravulizumab or eculizumab for adults with the rare disease PNH who have residual haemolytic anaemia astrazeneca.com
2024-04-08 AstraZeneca Alexion data at AAN 2024 demonstrate how Ultomiris and Soliris can transform outcomes for rare neurological diseases astrazeneca.com
2024-04-01 AstraZeneca Voydeya approved in the US as add-on therapy to ravulizumab or eculizumab for treatment of extravascular haemolysis in adults with the rare disease PNH astrazeneca.com
2024-02-26 AstraZeneca Voydeya recommended for approval in the EU by CHMP as add-on treatment to ravulizumab or eculizumab for adults with PNH who have residual haemolytic anaemia astrazeneca.com
2023-12-11 AstraZeneca Long-term ALPHA Phase III trial data showed danicopan as add-on to Ultomiris or Soliris sustained clinical improvements in subset of patients with PNH experiencing clinically significant extravascular haemolysis astrazeneca.com
2022-08-23 Amgen AMGEN ANNOUNCES POSITIVE TOP-LINE RESULTS FROM PHASE 3 STUDY OF ABP 959, BIOSIMILAR CANDIDATE TO SOLIRIS® (ECULIZUMAB) amgen.com

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
101

“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: eculizumabNCT04463056

“Soliris (eculizumab)” NCT04058158

NCT07177859

NCT01221181

NCT04103489

NCT01895127

NCT02493725

NCT02301624

NCT04935177

NCT04288713

NCT05133531

NCT01567085

NCT02013037

NCT06453135

NCT04679103

NCT00727194

NCT05702996

NCT05886244

NCT03468140

NCT04802083

NCT01303952

NCT03759366

NCT01193348

NCT05876351

NCT05116774

NCT04558918

NCT06513338

NCT06932744

NCT00935883

NCT01194973

NCT07410039

NCT02946463

NCT07010302

NCT00670774

NCT00485576

NCT02113891

NCT07420296

NCT04346797

NCT01275287

NCT01095887

NCT06724809

NCT07707687

NCT03056040

NCT00122330

NCT02727608

NCT01892345

NCT00122317

NCT01192399

NCT00844545

NCT01919346

NCT03518203

NCT06593938

NCT03818607

NCT00844844

NCT00122304

NCT04434092

NCT02029378

NCT02574403

NCT06764160

NCT01327573

NCT03472885

NCT06987864

NCT04155424

NCT05131204

NCT04725812

NCT00112983

NCT00904826

NCT00098280

NCT01403389

NCT04320602

NCT02093533

NCT00844428

NCT06799546

NCT01106027

NCT01757431

NCT00130000

NCT02003144

NCT03722329

NCT01194804

NCT01997229

NCT00867932

NCT04702568

NCT01756508

NCT02298933

NCT01399593

NCT04432584

NCT01579838

NCT01410916

NCT01029587

NCT00438789

NCT04859608

NCT04355494

NCT04752566

NCT00838513

NCT02145182

Known as BCD-148 “Active substance of BCD-148 is eculizumab - a monoclonal antibody that targets complement protein C5.” NCT04060264
1

NCT04027803

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
1

NCT00005571

Known as Soliris “Active substance of Soliris is eculizumab - a monoclonal antibody that targets complement protein C5.” NCT04060264
10

“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

“Eculizumab (Soliris®)” NCT01410916

“Eculizumab (Soliris®)” NCT07010302

NCT03500549

NCT05726916

NCT04058158

NCT05646563

NCT05863442

Action Inhibit “Eculizumab is a humanized monoclonal antibody that like CD59 inhibits terminal complement.” NCT00098280
Modality Monoclonal antibody “Eculizumab is a humanized monoclonal antibodyNCT00098280
Route Intravenous “The drug or placebo will be given intravenously (through a thin tube inserted into a vein)” NCT00005571
Target C5 “This is a randomized, third-party, placebo-controlled pilot study of h5G1.1-mAb, an antibody directed at the complement component C5NCT00005571