An Extension Study to Evaluate the Long-term Safety and Efficacy of Pegcetacoplan (APL-2) in Subjects With Geographic Atrophy Secondary to AMD

NCT ID: NCT04770545

Last Updated: 2025-10-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

792 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-04

Study Completion Date

2025-09-05

Brief Summary

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This is a phase 3, open-label, multicenter, extension study to evaluate the long-term safety and efficacy of pegcetacoplan (APL-2) in subjects with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) who participated in Study APL2-103 (NCT03777332) or completed the treatment at Month 24 of either Study APL2-303 (Derby, NCT03525613) or Study APL2-304 (Oaks, NCT03525600).

Detailed Description

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Conditions

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Geographic Atrophy Secondary to Age-related Macular Degeneration

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pegcetacoplan, 15 mg/100 μL, monthly for up to 36 months

Participants from Study APL2-103 (NCT03777332) or those who completed the treatment at Month 24 from either Study APL2-303 (Derby, NCT03525613) or Study APL2-304 (Oaks, NCT03525600) and were administered monthly intravitreal (IVT) pegcetacoplan (15 mg/100 μL) or monthly sham will receive IVT pegcetacoplan (15 mg/100 μL) monthly for up to approximately 36 months.

Group Type EXPERIMENTAL

PEGCETACOPLAN (APL-2)

Intervention Type DRUG

Complement (C3) Inhibitor

Pegcetacoplan, 15 mg/100 μL, every other month (EOM) for up to 36 months

Participants from Study APL2-103 (NCT03777332) or those who completed the treatment at Month 24 from either Study APL2-303 (Derby, NCT03525613) or Study APL2-304 (Oaks, NCT03525600) and were administered every other month (EOM) intravitreal (IVT) pegcetacoplan (15 mg/100 μL) or EOM sham will receive IVT pegcetacoplan (15 mg/100 μL) EOM for up to approximately 36 months.

Group Type EXPERIMENTAL

PEGCETACOPLAN (APL-2)

Intervention Type DRUG

Complement (C3) Inhibitor

Interventions

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PEGCETACOPLAN (APL-2)

Complement (C3) Inhibitor

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Participants are eligible to be included in the study only if all of the following criteria apply:


* Subjects must have participated in APL2-103 (NCT03777332) or completed the treatment at Month 24 of either APL2-303 (Derby, NCT03525613) or APL2-304 (Oaks, NCT03525600).
* For subjects who participated in either the 303 or 304 studies, the condition listed below must also be met for participating in this study.

* Subjects who did not fully stop study drug treatment, but missed the visit at Month 24, can also participate in the study. However, to participate, subjects must be seen within 60 days from the last day of the period allowed for the 24 months visit in the previous study.
* The eyes of subjects must have transparency to permit visualization of parts inside the eye such as the retina and subjects must be able to look steadily at a provided target allowing the doctor to get good quality pictures from the eye.
* Female subjects must be:

* Women that cannot have children, or
* Women who can have children must have a negative result of a blood pregnancy test on the first day of the study visit and agree to use ways to avoid pregnancy during the study and 90 days after the last dose of the study medication.
* Males with female partners who can get pregnant must also agree to use ways to avoid pregnancy and agree not to donate sperm while in the study or until 90 days after administering the last dose of the study medication.
* Agree to participate in the study by signing the consent document providing information about the study; and take part in all tests and assessments as required.

Exclusion Criteria

Subjects cannot take part in the study if the eye that will be treated during the study currently meets any of the following conditions:

* Participants in APL2 303/304 studies who fully stopped study drug treatment before the visit in month 24 but remain in the study to observe the study medication's safety. Those subjects who temporarily paused study drug treatment are still eligible to participate.
* If, according to your doctor you currently have any disease affecting your eyes that could interfere with your vision, including diseases that affect your retina or macula (the center of the back of your eyes). And, if according to your doctor, the disease in your eyes is benign and does not interfere with the study (e.g. diseases that affects the periphery of the retina), you are also eligible to take part in the study.
* If, according to your doctor you currently have any inflammation/infection in or around your eyes that could prohibit you from receiving an injection inside your eyes.
* If, according to your doctor, any current disease that could directly interfere in your participation in the study or that could make it difficult for you to come to the scheduled visits during the next three yearsover the next 36 months.
* If you have known allergies to fluorescein sodium, a solution that is injected into your body for eye testing; or to pegcetacoplan (the study drug) or any inactive substances in pegcetacoplan solution.
* If you currently are pregnant, breastfeed or have a positive pregnancy test.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Apellis Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Retinal Research Institue, LLC

Phoenix, Arizona, United States

Site Status

Associated Retina Consultants, Ltd.

Phoenix, Arizona, United States

Site Status

California Retina Consultants

Bakersfield, California, United States

Site Status

Retinal Diagnostic Center

Campbell, California, United States

Site Status

The Retina Partners

Encino, California, United States

Site Status

Retina Consultants of Orange County

Fullerton, California, United States

Site Status

Atlantis Eyecare

Huntington Beach, California, United States

Site Status

Jacobs Retina Center, UCSD

La Jolla, California, United States

Site Status

Doheny Eye Center UCLA

Los Angeles, California, United States

Site Status

Northern California Retina Vitreous Associates

Mountain View, California, United States

Site Status

Retina Institute of California Medical Group

Palm Desert, California, United States

Site Status

Byers Eye Institute, Stanford University

Palo Alto, California, United States

Site Status

Retina Consultants San Diego

Poway, California, United States

Site Status

Orange County Retina Medical Group

Santa Ana, California, United States

Site Status

California Retina Consultants

Santa Barbara, California, United States

Site Status

Bay Area Retina Associates

Walnut Creek, California, United States

Site Status

Southwest Retina Research Center, LLC

Durango, Colorado, United States

Site Status

Danbury Eye Physicians & Surgeons, PC

Danbury, Connecticut, United States

Site Status

Retina Group of New England - New London

Waterford, Connecticut, United States

Site Status

Florida Eye Microsurgical Institute, Inc.

Boynton Beach, Florida, United States

Site Status

Blue Ocean Clinical Research

Clearwater, Florida, United States

Site Status

Pinnacle Research Insitute

Fort Lauderdale, Florida, United States

Site Status

Retina Health Center

Fort Myers, Florida, United States

Site Status

National Opthalmic Research Institute

Fort Myers, Florida, United States

Site Status

Bascom Palmer Eye Institute

Miami, Florida, United States

Site Status

Bascom Palmer Eye Institute at Naples

Naples, Florida, United States

Site Status

Palm Beach Gardens

Palm Beach Gardens, Florida, United States

Site Status

Retina Specialty Institute

Pensacola, Florida, United States

Site Status

Eye Associates of Pinellas

Pinellas Park, Florida, United States

Site Status

East Florida Eye Institute

Stuart, Florida, United States

Site Status

Retina Associates of Florida

Tampa, Florida, United States

Site Status

University of South Florida

Tampa, Florida, United States

Site Status

Center for Retina and Macular Disease

Winter Haven, Florida, United States

Site Status

Southeast Retina Center, PC

Augusta, Georgia, United States

Site Status

Georgia Retina, PC

Marietta, Georgia, United States

Site Status

Gailey Eye Clinic Retina Center

Bloomington, Illinois, United States

Site Status

Northwestern Feinberg School of Medicine

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Midwest Eye Institute

Indianapolis, Indiana, United States

Site Status

Retina and Vitreous Associates of Kentucky, PSC dba Retina Associates of Kentucky

Lexington, Kentucky, United States

Site Status

The Retina Care Center

Baltimore, Maryland, United States

Site Status

Elman Retina Group

Baltimore, Maryland, United States

Site Status

The Retina Group of Washington

Chevy Chase, Maryland, United States

Site Status

Cumberland Valley Retina Center

Hagerstown, Maryland, United States

Site Status

Mid Atlantic Retina Specialist

Hagerstown, Maryland, United States

Site Status

Ophthalmic Consultants of Boston

Boston, Massachusetts, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

New England Retina Consultants, PC

Springfield, Massachusetts, United States

Site Status

Michigan Medicine Kellogg Eye Center

Ann Arbor, Michigan, United States

Site Status

Associated Retinal Consultants, PC

Grand Rapids, Michigan, United States

Site Status

Associated Retinal Consultants, PC

Traverse City, Michigan, United States

Site Status

Vitreoretinal Surgery

Minneapolis, Minnesota, United States

Site Status

Sierra Eye Associates

Reno, Nevada, United States

Site Status

Retina Center of NJ, LLC

Bloomfield, New Jersey, United States

Site Status

NJ Retina

Teaneck, New Jersey, United States

Site Status

NJ Retina

Toms River, New Jersey, United States

Site Status

Vision Research Center Eye Associates of NM

Albuquerque, New Mexico, United States

Site Status

Long Island Vitreoretinal Consultants

Great Neck, New York, United States

Site Status

Vitreous Retina Macula Consultants of New York

New York, New York, United States

Site Status

Ophthalmic Consultants of Long Island

Oceanside, New York, United States

Site Status

Western Carolina Retinal Associates

Asheville, North Carolina, United States

Site Status

Charlotte Eye Ear Nose and Throat Associates, PS

Charlotte, North Carolina, United States

Site Status

Duke University, Duke Eye Center

Durham, North Carolina, United States

Site Status

Graystone Eye

Hickory, North Carolina, United States

Site Status

Retina Associates of Cleveland, Inc.

Cleveland, Ohio, United States

Site Status

Retina Associates of Cleveland

Cleveland, Ohio, United States

Site Status

Cleveland Clinic Cole Eye Institute

Cleveland, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

Retina Associates of Cleveland, Inc.

Youngstown, Ohio, United States

Site Status

Retina Vitreous Center, PLLC

Edmond, Oklahoma, United States

Site Status

Oregon Retina LLP

Eugene, Oregon, United States

Site Status

Retina Northwest, PC

Portland, Oregon, United States

Site Status

Eye Health Northwest

Portland, Oregon, United States

Site Status

Mid Atlantic Retina

Bethlehem, Pennsylvania, United States

Site Status

Retina Vitreous Consultants

Monroeville, Pennsylvania, United States

Site Status

Mid Atlantic Retina

Philadelphia, Pennsylvania, United States

Site Status

Mid Atlantic Retina

Philadelphia, Pennsylvania, United States

Site Status

AIO Visionary Eye Care

West Mifflin, Pennsylvania, United States

Site Status

Black Hills Regional Eye Institute

Rapid City, South Dakota, United States

Site Status

Charles Retina Institute

Germantown, Tennessee, United States

Site Status

Tennessee Retina, PC

Nashville, Tennessee, United States

Site Status

Retina Research Center PLLC

Austin, Texas, United States

Site Status

Brown Retina Institute

Bellaire, Texas, United States

Site Status

Texas Retina Associates

Dallas, Texas, United States

Site Status

Houston Eye Associates

Houston, Texas, United States

Site Status

Retina Consultants of Houston, PA

Houston, Texas, United States

Site Status

Valley Retina Institute

McAllen, Texas, United States

Site Status

Medical Center Ophthalmology Associates

San Antonio, Texas, United States

Site Status

Retina Associates of South Texas

San Antonio, Texas, United States

Site Status

Retina Consultants of Houston

The Woodlands, Texas, United States

Site Status

Retina Associates of Utah, PC

Murray, Utah, United States

Site Status

University of Utah - John A. Moran Center

Salt Lake City, Utah, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

The Retina Group of Washington

Fairfax, Virginia, United States

Site Status

Emerson Clinical Research Institute

Falls Church, Virginia, United States

Site Status

Vitreoretinal Associates of Washington

Bellevue, Washington, United States

Site Status

Spokane Eye Clinical Research

Spokane, Washington, United States

Site Status

Retina Health Center

Madison, Wisconsin, United States

Site Status

Retina-Vitreous Associates Medical Group

Madison, Wisconsin, United States

Site Status

Diagnostico Ocular

Buenos Aires, , Argentina

Site Status

Organizacion Medica de Investigacion (OMI)

Buenos Aires, , Argentina

Site Status

Fundacion Zambrano

Buenos Aires, , Argentina

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Centro Oftalmologico Dr. Charles S.A.

Buenos Aires, , Argentina

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Instituto Oftalmologico de Cordoba

Córdoba, , Argentina

Site Status

OFTAR

Mendoza, , Argentina

Site Status

Microcirujia Ocular Rosario

Rosario, , Argentina

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Oftalmologos Especialistas

Santa Fe, , Argentina

Site Status

Marsden Eye Specialist

Parramatta, New South Wales, Australia

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Strathfield Retina Clinic

Strathfield, New South Wales, Australia

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Sydney Retina

Sydney, New South Wales, Australia

Site Status

The Ashley Centre

Westmead, New South Wales, Australia

Site Status

Centre for Eye Research Australia

East Melbourne, Victoria, Australia

Site Status

Retina and Eye Consultantss

Hurstville, , Australia

Site Status

Lions Eye Institute

Nedlands, , Australia

Site Status

Save Sight Institute

Westmead, , Australia

Site Status

IPEPO Instituto Da Visao

São Paulo, , Brazil

Site Status

Ivey Eye Institute

London, Ontario, Canada

Site Status

University of Ottawa Eye Institute

Ottawa, Ontario, Canada

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Retina Centre of Ottawa

Ottawa, Ontario, Canada

Site Status

Fakultni Nemocnice Ostrava

Ostrava-Poruba, , Czechia

Site Status

University hospital Kralovske Vinohrady

Prague, , Czechia

Site Status

AXON Clinical, s.r.o.

Prague, , Czechia

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Vseobecna fakultni nemocnice v Praze

Prague, , Czechia

Site Status

Gemini Eye Clinic

Zlín, , Czechia

Site Status

Centre ophtalmologique Saint-Exupery

Saint-Cyr-sur-Loire, Lyon, France

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CHU de Bordeaux

Bordeaux, , France

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Centre Hospitalier Intercommunal de Creteil

Créteil, , France

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CHU Dijon

Dijon, , France

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Clinique du Val d'Ouest

Écully, , France

Site Status

Hopital de la Croix-Rousse

Lyon, , France

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Centre monticelli Paradis

Marseille, , France

Site Status

CHU de Nantes - Hotel Dieu

Nantes, , France

Site Status

Centre Ophtalmol de l Odeon

Paris, , France

Site Status

Hopital Lariboisiere

Paris, , France

Site Status

CHNO des Quinze-Vingts

Paris, , France

Site Status

Centre Ophtalmo. Image/Laser

Paris, , France

Site Status

Maison Rouge Ophthalmologic Center

Strasbourg, , France

Site Status

CHU de Strasbourg Hopital Civil

Strasbourg, , France

Site Status

Universitats-Augenklinik Bonn

Bonn, , Germany

Site Status

Uniklinik Koln

Cologne, , Germany

Site Status

University Opthalmology Clinic

Freiburg im Breisgau, , Germany

Site Status

Uni-medizin Gottingen Augenklinik 3.B1.261

Göttingen, , Germany

Site Status

Klinikum der Stadt Ludwigshafen gGmbH

Ludwigshafen, , Germany

Site Status

Universitatsklinikum Schleswig-Holstein

Lübeck, , Germany

Site Status

Augenklinik der LMU Munchen

München, , Germany

Site Status

Klinikum rechts der Isar

München, , Germany

Site Status

Augenzentrum am St. Franziskus-Hospital

Münster, , Germany

Site Status

Universitatsklinikum Regensburg

Münster, , Germany

Site Status

Universitatsklinikum Munster

Münster, , Germany

Site Status

STZ Eyetrial

Tübingen, , Germany

Site Status

Assaf ha Rofeh MC

Be’er Ya‘aqov, , Israel

Site Status

Rambam Health Care Campus

Haifa, , Israel

Site Status

Hadassah Medical Center

Jerusalem, , Israel

Site Status

Tel Aviv Sourasky Medical Center

Tel Aviv, , Israel

Site Status

IRCCS San Raffaele

Milan, , Italy

Site Status

ASST Fatebenefratelli-Sacco Ospedale Luigi Sacco

Milan, , Italy

Site Status

Academisch Medisch Centrum

Amsterdam, , Netherlands

Site Status

Radboud university medical center Oogheelkunde

Nijmegen, , Netherlands

Site Status

Southern Eye Specialists

Christchurch, , New Zealand

Site Status

Hamilton Eye Clinic

Hamilton, , New Zealand

Site Status

Eye Surgery Center Professor Zagorski

Bydgoszcz, , Poland

Site Status

Oftalmika Eye Hospital

Bydgoszcz, , Poland

Site Status

Grupo Laser Vision

Rzeszów, , Poland

Site Status

Oculomedica Eye Centre

Tarnów, , Poland

Site Status

UNO-MED Centrum Medyne

Tarnów, , Poland

Site Status

Hospital Universitario Puerta de Hierro

Madrid, , Spain

Site Status

Instituto Oftalmologico Gomez-Ulla

Santiago de Compostela, , Spain

Site Status

Kings College Hospital NHS Trust

London, London, United Kingdom

Site Status

Huddersfield Royal Infirmary

Huddersfield, West Yorkshire, United Kingdom

Site Status

St James's University Hospital

Leeds, West Yorkshire, United Kingdom

Site Status

Bristol Eye Hospital

Bristol, , United Kingdom

Site Status

Royal Liverpool University Hospital

Liverpool, , United Kingdom

Site Status

London Vision Clinic

London, , United Kingdom

Site Status

Oxford Eye Hospital

Oxford, , United Kingdom

Site Status

Sunderland Eye Infirmary

Sunderland, , United Kingdom

Site Status

Countries

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United States Argentina Australia Brazil Canada Czechia France Germany Israel Italy Netherlands New Zealand Poland Spain United Kingdom

Other Identifiers

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APL2-GA-305

Identifier Type: -

Identifier Source: org_study_id

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