Drugs / Avacincaptad Pegol

Regulatory milestones approvals, filings & regulatory actions · 6 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Withdrawn diffuse secondary choroid atrophy 4 milestones
Filed US (FDA) IZERVAY diffuse secondary choroid atrophy 2025-01-06

“FDA accepted the revised supplemental New Drug Application (sNDA) for IZERVAY TM” astellas.com ↗

Withdrawn EU (EMA) — diffuse secondary choroid atrophy 2024-10-28

“today announced the company's decision to withdraw its marketing authorization application from the European Medicines Agency (EMA) for avacincaptad pegol intravitreal solution (ACP)” astellas.com ↗

Filed US (FDA) IZERVAY diffuse secondary choroid atrophy 2024-04-01

“U.S. FDA Accepts Astellas’ Supplemental New Drug Application for IZERVAY TM (avacincaptad pegol intravitreal solution) for Geographic Atrophy” astellas.com ↗

Filed EU (EMA) — diffuse secondary choroid atrophy 2023-08-18

“the European Medicines Agency (EMA) has accepted for regulatory review the marketing authorization application (MAA) for avacincaptad pegol (ACP)” astellas.com ↗

Approved Indication not stated 2 milestones
Label expansion US (FDA) IZERVAY — 2025-02-12 fda.gov ↗
Approved US (FDA) IZERVAY — 2023-08-04 fda.gov ↗

Trials 11

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 12 trials
Phase 1 NCT06961370 Jul 2025 → Jan 2027 expected age-related macular degeneration, diffuse secondary choroid atrophy Hoffmann-La Roche Active not recruiting No outcome recorded
Phase 1 NCT00709527 Oct 2008 → Dec 2009 wet macular degeneration Ophthotech Corporation Completed No outcome recorded
Phase 25 trials · 1 missed
Phase 2 NCT03374670 Nov 2018 → Dec 2019 — Ophthotech Corporation Withdrawn No outcome recorded Stop: Enrollment
Phase 2 NCT03364153 Jan 2018 → Mar 2025 Stargardt disease Astellas Pharma Global Development, Inc. Completed Missed primary
Phase 2 NCT03362190 Oct 2017 → Oct 2018 wet macular degeneration Ophthotech Corporation Completed No outcome recorded
Phase 2 NCT05571267 Oct 2016 → Apr 2018 wet macular degeneration IVERIC bio, Inc. Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT02397954 Mar → Oct 2015 — Ophthotech Corporation Completed No outcome recorded
Phase 2/31 trial · 1 met primary
Phase 2/3 NCT02686658 Dec 2015 → Sep 2019 diffuse secondary choroid atrophy, dry age related macular degeneration IVERIC bio, Inc. Completed Met primary
Phase 32 trials · 1 met primary
Phase 3 NCT05536297 Sep 2022 → Apr 2025 age-related macular degeneration, diffuse secondary choroid atrophy Astellas Pharma Global Development, Inc. Completed No outcome recorded
Phase 3 NCT04435366 Jun 2020 → Jul 2022 age-related macular degeneration, diffuse secondary choroid atrophy IVERIC bio, Inc. Completed Met primary
Phase 41 trial
Phase 4 NCT06970665 Jul 2025 → Jun 2027 expected age-related macular degeneration, diffuse secondary choroid atrophy Astellas Pharma Inc Active not recruiting No outcome recorded
Comparator or background therapy2 trials
Phase 1 NCT00950638 Comparator Jul 2009 → Mar 2011 dry age related macular degeneration Ophthotech Corporation Completed No outcome recorded
Phase 2 NCT06659445 Comparator Oct 2025 → Nov 2028 expected dry age related macular degeneration ONL Therapeutics Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 15

DateIssuerRelease
2026-05-14 Astellas Pharma Inc Regulatory China’s National Medical Products Administration Accepts New Drug Application for IZERVAY™ (avacincaptad pegol) for the Treatment of Geographic Atrophy Secondary to Age-Related Macular Degeneration astellas.com ↗
ACP has also been granted Priority Review status in China.
2026-05-12 Astellas Pharma Inc Results IZERVAY® (avacincaptad pegol intravitreal solution) Demonstrated Increased Probability of Maintaining Driving Eligibility in Geographic Atrophy Patients astellas.com ↗
At 24 months, the risk of progressing to loss of driving eligibility was 12.6% for IZERVAY monthly (EM) or every-other-month (EOM) compared to 20.1% for sham, representing a 41% relative risk reduction for IZERVAY (nominal p-value=0.0594)
2025-10-19 Astellas Pharma Inc Results IZERVAY™ (avacincaptad pegol intravitreal solution) Showed Increased Benefit in Reducing Geographic Atrophy Progression Over Time and Consistent Long-Term Safety astellas.com ↗
Study results found no new safety signals and no cases of retinal vasculitis or occlusive vasculitis after IZERVAY treatment of up to 3.5 years
2025-09-19 Astellas Pharma Inc Regulatory Astellas Receives Conditional Approval for IZERVAY, making it the first and only approved treatment for the Suppression of Geographic Atrophy Growth in Japan astellas.com ↗
Astellas Pharma Inc. (TSE: 4503, President and CEO: Naoki Okamura, “Astellas”) today announced that the Japanese Ministry of Health, Labor and Welfare (MHLW) has granted Conditional Approval of IZERVAY (avacincaptad pegol intravitreal solution: ACP) for the suppression of geographic atrophy (GA) growth in atrophic age-related macular degeneration (AMD).
2025-02-13 Astellas Pharma Inc Regulatory U.S. FDA Approves Expanded Label for Astellas’ IZERVAY TM (avacincaptad pegol intravitreal solution) for Geographic Atrophy astellas.com ↗
Astellas Pharma Inc. (TSE: 4503, President and CEO: Naoki Okamura, “Astellas”) today announced the U.S. Food and Drug Administration (FDA) approved expanded U.S. Prescribing information for IZERVAY TM (avacincaptad pegol intravitreal solution) for the treatment of geographic atrophy (GA) secondary to age-related macular degeneration (AMD).
2025-02-05 Astellas Pharma Inc Regulatory Astellas Submits New Drug Application for Conditional Approval of Avacincaptad Pegol for Geographic Atrophy in Japan astellas.com ↗
Today’s submission comes as good news to people in Japan living with geographic atrophy who have no approved treatment options for this devastating disease.
2025-01-24 Astellas Pharma Inc Regulatory Notice Regarding Progress in Core Business, Impairment Loss and Revision of Financial Forecasts for FY2024 astellas.com ↗
As a result of the withdrawal of the marketing authorization application for IZERVAY™ (avacincaptad pegol intravitreal solution) for the treatment of geographic atrophy secondary to age-related macular degeneration in Europe
2025-01-09 Astellas Pharma Inc Regulatory U.S. FDA Confirms Class 1 Resubmission of the Supplemental New Drug Application for IZERVAY TM (avacincaptad pegol intravitreal solution) for Geographic Atrophy astellas.com ↗
The application was refiled following a December 20, 2024, meeting between the FDA and Astellas and has been designated as a Class 1 resubmission, with a 60-day review period.
2024-11-19 Astellas Pharma Inc Regulatory Astellas Provides Update on IZERVAY TM (avacincaptad pegol intravitreal solution) Supplemental New Drug Application astellas.com ↗
The FDA stated the agency cannot approve the sNDA in its present form by the Prescription Drug User Fee Act (PDUFA) action date of November 19, 2024.
2024-10-28 Astellas Pharma Inc Regulatory Astellas Provides Update on Marketing Authorization Application for Avacincaptad Pegol (ACP) in the European Union astellas.com ↗
The company's decision to withdraw its application followed interactions with the EMA’s Committee for Medicinal Products for Human Use (CHMP).
2024-04-01 Astellas Pharma Inc Regulatory U.S. FDA Accepts Astellas’ Supplemental New Drug Application for IZERVAY TM (avacincaptad pegol intravitreal solution) for Geographic Atrophy astellas.com ↗
2023-11-04 Astellas Pharma Inc Results IZERVAY TM (avacincaptad pegol intravitreal solution) Monthly or Every Other Month Reduced Geographic Atrophy Lesion Growth Through 2 Years astellas.com ↗
IZERVAY dosed EM through 2 years demonstrated a statistically significant year-over-year reduction of 14% in the mean rate of GA growth at 2 years from baseline vs. sham (p=0.0165), the primary objective of the year 2 analyses from GATHER2.

All press releases naming this drug 17 releases

DateIssuerRelease

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 13 sources stand behind the page.

FieldValueCited text
Known as avacincaptad pegol “Drug: Avacincaptad Pegol” NCT05571267 ↗
10

NCT03364153 ↗

NCT04435366 ↗

NCT05536297 ↗

NCT03362190 ↗

NCT06659445 ↗

NCT02686658 ↗

NCT02397954 ↗

NCT00950638 ↗

NCT00709527 ↗

NCT06970665 ↗

Known as Izervay ClinicalTrials.gov intervention name — accepted as the source's own label NCT06961370 ↗
Known as Zimura ClinicalTrials.gov intervention name — accepted as the source's own label NCT03374670 ↗
Action Inhibit “Zimura™ (Anti-C5 Aptamer)” NCT02397954 ↗
Modality Aptamer “Zimura™ (Anti-C5 Aptamer)” NCT02397954 ↗
Route Intravitreal “monthly intravitreous injections” NCT02397954 ↗
Target C5 “Zimura™ (Anti-C5 Aptamer)” NCT02397954 ↗