ClinicalTrials.gg
WithdrawnNCT07020832Updated Sep 2, 2026

Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Adults at High Risk of Delayed Graft Function (DGF) Following Kidney Allograft Transplantation

A Phase 3 interventional study of Pegcetacoplan and Placebo in Delayed Graft Function, End Stage Renal Disease and Deceased Donor Kidney Transplant, sponsored by Apellis Pharmaceuticals, Inc.. Withdrawn at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-02.

Sponsored by Apellis Pharmaceuticals, Inc. (part of Biogen) · Phase 3, Interventional, and Treatment

Why this study was withdrawn
The study was terminated following portfolio reprioritization and reallocation of resources to other development programs. The decision was not driven by safety or efficacy concerns arising from this trial.
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

A Phase 3 Study to Evaluate the Efficacy and Safety of Pegcetacoplan in Adults at High Risk of Delayed Graft Function (DGF) Following Kidney Allograft Transplantation

02

Conditions studied

  • Delayed Graft Function
  • End Stage Renal Disease
  • Deceased Donor Kidney Transplant
03

In context

Delayed Graft Function

83 studies on the registry are indexed under Delayed Graft Function; 15 are open to participants now.

Browse Delayed Graft Function studies →

Lead sponsor

Apellis Pharmaceuticals, Inc. is the lead sponsor of 28 studies on the registry; 3 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 16 (89%) have results posted.

First submitted before Apellis Pharmaceuticals, Inc. became part of Biogen.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Aged at least 18 years
  2. Have end-stage kidney disease and be on the waiting list for a kidney transplant from a deceased donor.
  3. Be on dialysis at the time of your transplant and produce very little urine (less than 200 mL per day equivalent to ≤1 cup). You must have been on dialysis for at least 3 months.
  4. Be receiving your first or second kidney transplant from a deceased donor. If this is your second transplant:

    1. It cannot be due to a serious infection or a serious blood clot in your previous transplant.
    2. Your calculated Panel Reactive Antibody (CPRA) level must be below 50%.
  5. Be getting a donor kidney that meets the study's specific requirements.
  6. Be at low to medium risk of transplant rejection, and be scheduled to receive:

    1. A medication called ATG as part of your transplant procedure.
    2. (corticosteroids) as part of your treatment at the time of screening.
    3. A medication called tacrolimus (or a similar drug) after your transplant, according to usual medical practice.
  7. Have received certain vaccines before starting the study treatment, specifically:

    1. Pneumococcal (S. pneumoniae)
    2. Meningococcal (N. meningitidis types A, C, W, Y, and B)
    3. Haemophilus influenzae type B

If you haven't had these vaccines, you may still qualify to be part of the study, provided your doctor plans to administer preventive antibiotics until vaccination can be given per protocol, and with notification to the sponsor.

Exclusion criteria

Exclusion Criteria:

  1. Have taken part in another medical research study or used an experimental drug, treatment, or device in the past 30 days (or longer, depending on the drug).
  2. Have recently used certain medications that affect the immune system, such as rituximab, belimumab, or other approved complement-blocking drugs.
  3. Weigh less than 20kg or more than 120kg at screening.
  4. Have or had recently had any of the following infections:

    1. or (unless treated and no longer active).
    2. (human immunodeficiency virus) at any time.
  5. Have had cancer in the past 5 years, unless it was:

    1. A small, treated skin cancer (like basal or squamous cell), or
    2. A very small kidney cancer that was found early and treated.
  6. Have received any other organ transplant (except for one previous kidney transplant), or are scheduled for a transplant involving more than one organ.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Active comparator
    Pegceptacoplan

    Administration as a 20mL IV infusion initially, then as a subcutaneous infusion

    Drug: Pegcetacoplan

  • Placebo comparator
    Placebo

    Administration as a 20mL IV infusion initially, then as a subcutaneous infusion

    Other: Placebo

Interventions

  • Complement (C3) Inhibitor

  • OtherPlacebo

    Sterile solution of equal volume to active arm

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What researchers measure

Primary outcomes

  1. Time to freedom from dialysis through Day 90

    To assess the efficacy of pegcetacoplan compared with that of placebo in participants at high risk of DGF following donor kidney allograft transplant surgery

    Time frame: Duration of dialysis through day 90

Secondary outcomes

  1. eGFR at Week 52

    To evaluate the efficacy of pegcetacoplan in reducing the severity of DGF and consequent improvements in short-, medium- and long-term kidney function and kidney allograph outcomes

    Time frame: 52 weeks following surgery

  2. Proportion of participants with DGF (defined as the need for dialysis in the 7 days posttransplant)

    To evaluate the efficacy of pegcetacoplan in reducing the severity of DGF and consequent improvements in short-, medium- and long-term kidney function and kidney allograph outcomes

    Time frame: 7 days following surgery

  3. eGFR at Day 90

    To evaluate the efficacy of pegcetacoplan in reducing the severity of DGF and consequent improvements in short-, medium- and long-term kidney function and kidney allograph outcomes

    Time frame: 90 days following surgery

  4. Time to achievement of ≥1200 mL of urine output in a 24-hour period through Day 14

    To evaluate the efficacy of pegcetacoplan in reducing the severity of DGF and consequent improvements in short-, medium- and long-term kidney function and kidney allograph outcomes

    Time frame: 14 days following surgery

  5. Biopsy-proven rejection-free kidney allograft survival by Week 52

    To evaluate the efficacy of pegcetacoplan in reducing the severity of DGF and consequent improvements in short-, medium- and long-term kidney function and kidney allograph outcomes

    Time frame: 52 weeks following surgery

07

Study locations

1 site
  • Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
    São Paulo, 01323-001, Brazil
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2026 (actual). Primary completion is estimated for Jun 2029, 37 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 6, 2025
First posted
Jun 13, 2025
StartActual
May 18, 2026
Primary completionEst.
Jun 2029
CompletionEst.
Jul 2030
Last update
Sep 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07020832
Responsible party
Sponsor
First posted
Jun 13, 2025
Start date
May 18, 2026
Primary completion
Jun 2029 (estimated)
Completion
Jul 2030 (estimated)
Last update
Sep 2, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Pegcetacoplan

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