Drugs / Iptacopan
last change Jul 2026 re-read 2 minutes ago

Iptacopan

Small molecule targets CFB via inhibition

Developed for
paroxysmal nocturnal hemoglobinuria · IgA glomerulonephritis · atypical hemolytic-uremic syndrome · complement 3 glomerulopathy · age-related macular degeneration · anti-neutrophil cytoplasmic antibody-associated vasculitis · autoimmune hemolytic anemia, cold type · autoimmune hemolytic anemia, warm type
+10 more · autoimmune thrombocytopenia · cold agglutinin disease · disease related to hematopoietic stem cell transplant · generalized myasthenia gravis · glomerulonephritis · idiopathic membranous glomerulonephritis · immunoglobulin-mediated membranoproliferative glomerulonephritis · primary membranoproliferative glomerulonephritis · thrombotic microangiopathy · lupus nephritis
Investigated by
Novartis Pharmaceuticals · Bing Han · First Affiliated Hospital of Ningbo University · First Affiliated Hospital of Zhejiang University · Fujian Medical University Union Hospital · Hebei Yanda Ludaopei Hospital
+7 more · Nanfang Hospital, Southern Medical University · Peking University People's Hospital · Ruijin Hospital · The Children's Hospital of Zhejiang University School of Medicine · The First Affiliated Hospital of Zhengzhou University · Tongji Hospital · Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansions (3) US (FDA) FABHALTA 2024-08-07 – 2026-07-16 fda.gov
Approved EU (EMA) Fabhalta 2024-05-17 europa.eu
Approved US (FDA) FABHALTA 2023-12-05 fda.gov

Trials 28 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT05078580 Nov 2021 → Jun 2022 Novartis Pharmaceuticals Completed No outcome recorded
Phase 210 trials
Phase 2 NCT06797518 Feb 2025 → Nov 2027 expected IgA glomerulonephritis Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 2 NCT06388941 Aug 2024 → Dec 2026 expected anti-neutrophil cytoplasmic antibody-associated vasculitis Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 2 NCT05230537 Feb 2022 → Oct 2026 expected age-related macular degeneration Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 2 NCT05086744 Dec 2021 → Sep 2023 autoimmune thrombocytopenia, cold agglutinin disease Novartis Pharmaceuticals Terminated No outcome recorded
Phase 2 NCT04154787 Nov 2019 → Jan 2023 idiopathic membranous glomerulonephritis Novartis Pharmaceuticals Terminated No outcome recorded
Phase 2 NCT03896152 Apr 2019 → Apr 2020 paroxysmal nocturnal hemoglobinuria Novartis Pharmaceuticals Completed No outcome recorded
Phase 2 NCT03832114 Feb 2019 → Apr 2021 glomerulonephritis Novartis Pharmaceuticals Completed No outcome recorded
Phase 2 NCT03439839 Apr 2018 → Apr 2020 paroxysmal nocturnal hemoglobinuria Novartis Pharmaceuticals Completed No outcome recorded
Phase 2 NCT03373461 Feb 2018 → Dec 2020 IgA glomerulonephritis Novartis Pharmaceuticals Completed No outcome recorded
Phase 2 NCT02534909 Sep 2015 → May 2022 paroxysmal nocturnal hemoglobinuria Novartis Pharmaceuticals Completed No outcome recorded
Phase 315 trials
Phase 3 NCT06994845 Nov 2025 → Jun 2030 expected IgA glomerulonephritis Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 3 NCT06934967 Oct 2025 → Nov 2031 expected paroxysmal nocturnal hemoglobinuria Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 3 NCT06517758 Jul 2024 → Apr 2027 expected generalized myasthenia gravis Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 3 NCT05795140 May 2024 → Jul 2032 expected atypical hemolytic-uremic syndrome Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 3 NCT05935215 Feb 2024 → Jul 2028 expected atypical hemolytic-uremic syndrome Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 3 NCT05755386 Oct 2023 → Oct 2028 expected primary membranoproliferative glomerulonephritis Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 3 NCT05630001 Apr 2023 → Oct 2024 paroxysmal nocturnal hemoglobinuria Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT04889430 Jan 2022 → Apr 2026 atypical hemolytic-uremic syndrome Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT04557462 Sep 2021 → Dec 2030 expected IgA glomerulonephritis Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 3 NCT04817618 Jul 2021 → Jan 2027 expected complement 3 glomerulopathy Novartis Pharmaceuticals Recruiting No outcome recorded
Phase not applicable2 trials
NCT07347990 Jan 2026 → Dec 2027 expected disease related to hematopoietic stem cell transplant, thrombotic microangiopathy First Affiliated Hospital of Zhejiang University Not yet recruiting No outcome recorded
NCT06847607 Mar → Oct 2025 overdue autoimmune hemolytic anemia, cold type, autoimmune hemolytic anemia, warm type Bing Han Not yet recruiting No outcome recorded
Also used as a comparator or background therapy in 2 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 21 trial
Phase 2 NCT05268289 Comparator Aug 2022 → Mar 2026 overdue lupus nephritis Novartis Pharmaceuticals Recruiting No outcome recorded
Phase not stated1 trial
NCT05222412 Background complement 3 glomerulopathy, paroxysmal nocturnal hemoglobinuria Novartis Pharmaceuticals Available No outcome recorded

Press releases naming this drug 31 releases

DateIssuerRelease
2026-07-17 Novartis Pharmaceuticals Novartis Fabhalta® (iptacopan) receives FDA traditional approval as first and only complement inhibitor to significantly slow kidney function decline in primary IgAN novartis.com
2026-03-29 Novartis Pharmaceuticals Novartis IgAN data in New England Journal of Medicine show Fabhalta® slowed kidney function decline by 49.3% novartis.com
2025-10-16 Novartis Pharmaceuticals Novartis Fabhalta® (iptacopan) meets Phase III primary endpoint, slows kidney function decline in patients with IgA nephropathy (IgAN) novartis.com
2025-06-12 Novartis Pharmaceuticals Novartis Fabhalta® shows statistically significant and clinically meaningful improvements in hemoglobin in new population of patients with PNH novartis.com
2025-03-21 Novartis Pharmaceuticals Novartis receives third FDA approval for oral Fabhalta® (iptacopan) – the first and only treatment approved in C3 glomerulopathy (C3G) novartis.com
2025-02-28 Novartis Pharmaceuticals Novartis oral Fabhalta® (iptacopan) receives positive CHMP opinion for the treatment of adults living with C3 glomerulopathy (C3G) novartis.com
2024-12-06 Novartis Pharmaceuticals New Phase IIIB data shows Novartis Fabhalta® improved hemoglobin levels in adult patients with paroxysmal nocturnal hemoglobinuria who switched from anti-C5 therapy novartis.com
2024-10-27 Novartis Pharmaceuticals Novartis oral Fabhalta® (iptacopan) sustained clinically meaningful results at one year in Phase III C3 glomerulopathy (C3G) trial novartis.com
2024-08-08 Novartis Pharmaceuticals Novartis receives FDA accelerated approval for Fabhalta® (iptacopan), the first and only complement inhibitor for the reduction of proteinuria in primary IgA nephropathy (IgAN) novartis.com
2024-05-25 Novartis Pharmaceuticals Novartis presents latest Phase III Fabhalta® (iptacopan) data in C3 glomerulopathy (C3G) showing clinically meaningful and statistically significant 35.1% proteinuria reduction vs. placebo novartis.com
2024-04-15 Novartis Pharmaceuticals New Novartis Fabhalta® (iptacopan) data show clinically meaningful and statistically significant proteinuria reduction of 38.3% versus placebo for patients with IgA nephropathy (IgAN) novartis.com
2024-03-22 Novartis Pharmaceuticals Novartis Fabhalta® (iptacopan) receives positive CHMP opinion as first oral monotherapy for adult patients with paroxysmal nocturnal hemoglobinuria (PNH) novartis.com

Evidence & citations 15 cited values

Every value below carries the sentence it was read from. 32 sources stand behind the page.

FieldValueCited text
Known as iptacopan Iptacopan (LNP023) is a novel, oral selective inhibitor of complement factor B under clinical development for paroxysmal nocturnal hemoglobinuria (PNH).” PMID 35561315 Aug 2022
22

“Evaluate Long-term Safety, Tolerability and Efficacy of Iptacopan in Study Participants With aHUS” NCT05795140

Iptacopan 200mg b.i.d. hard gelatin capsule. After 24 weeks of LNP023 200mg b.i.d. treatment” NCT04558918

“Efficacy and Safety of Iptacopan in Patients With C3 Glomerulopathy.” PMID 38106570 Sep 2023

“Drug: IptacopanNCT06797518

NCT06517758

NCT03439839

NCT05935215

NCT05268289

NCT04820530

NCT05078580

NCT05230537

NCT04889430

NCT06388941

NCT04747613

NCT05222412

NCT06994845

NCT04817618

NCT07347990

NCT05755386

NCT05086744

NCT06847607

NCT05630001

Known as COD41 ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as Fabhalta ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as IPTACOPAN HYDROCHLORIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as Iptacopan hydrochloride monohydrate ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as LNP-023 HYDROCHLORIDE MONOHYDRATE ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as LNP-023-AAB ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as LNP023 “A Phase 1, Single Dose, Open-label Study to Investigate the Pharmacokinetics and Safety of Iptacopan (LNP023) in Participants With Mild, Moderate, and Severe Hepatic Impairment...” NCT05078580
12

“Iptacopan (LNP023) is a novel, oral selective inhibitor of complement factor B under clinical development for paroxysmal nocturnal hemoglobinuria (PNH).” PMID 35561315 Aug 2022

“evaluate the efficacy and safety of iptacopan (LNP023) in idiopathic immune complex mediated membranoproliferative glomerulonephritis” NCT05755386

“Iptacopan (LNP023) oral capsules” NCT05230537

“Iptacopan (LNP023)” NCT04820530

NCT04578834

NCT03955445

NCT04557462

NCT02534909

NCT03373461

NCT06934967

NCT04558918

NCT04154787

Known as NVP-LNP023 ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as NVP-LNP023-AAB ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Known as NVP-LNP023-NX ChEMBL registry synonym — accepted as the source's own label CHEMBL4594448
Action Inhibit “Iptacopan (LNP023) is a novel, oral selective inhibitor of complement factor B” PMID 35561315 Aug 2022
1

“Complement factor B inhibitor” CHEMBL4594448

Modality Small molecule “LNP023 is a novel oral small molecular weight compound” NCT03896152
Route Oral “LNP023 at a dose of 200 mg administered orally twice daily (b.i.d.) for approximately 20 weeks” NCT02534909
Target CFB “Complement factor B inhibitor” CHEMBL4594448