Chemistry:Zilucoplan

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Short description: Chemical compound
Zilucoplan
Zilucoplan structure.svg
Clinical data
Trade namesZilbrysq
Other namesRA101495
License data
Routes of
administration
Subcutaneous
Drug classComplement inhibitor
ATC code
Legal status
Legal status
Identifiers
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
Chemical and physical data
FormulaC172H278N24O55
Molar mass3562.229 g·mol−1
3D model (JSmol)

Zilucoplan, sold under the brand name Zilbrysq, is a medication used for the treatment of generalized myasthenia gravis.[1][4][5] It is a complement inhibitor that is injected subcutaneously (under the skin).[1]

Zilucoplan is a cyclic peptide that binds to the protein complement component 5 (C5) and inhibits its cleavage into C5a and C5b.[6]

Zilucoplan was approved for medical use in the United States in October 2023,[1][7] and in the European Union in December 2023.[2]

Medical uses

Zilucoplan is indicated for the treatment of generalized myasthenia gravis in adults who are anti-acetylcholine receptor antibody positive.[1]

Society and culture

Legal status

In September 2023, the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Zilbrysq, intended for the treatment of myasthenia gravis.[8] The applicant for this medicinal product is UCB Pharma S.A.[8] Zilucoplan was approved for medical use in the Europea Union in December 2023.[2]

Zilucoplan was granted orphan drug designation by the US Food and Drug Administration (FDA) in August 2019,[9] and by the EMA in July 2022.[10]

Brand names

Zilucoplan is the international nonproprietary name.[11]

Zilucoplan is sold under the brand name Zilbrysq.[2]

References

  1. 1.0 1.1 1.2 1.3 1.4 "Zilbrysq (zilucoplan) injection, for subcutaneous use". https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/216834s000lbl.pdf. 
  2. 2.0 2.1 2.2 2.3 "Zilbrysq EPAR". 1 December 2023. https://www.ema.europa.eu/en/medicines/human/EPAR/zilbrysq. 
  3. "Zilbrysq Product information". 4 December 2023. https://ec.europa.eu/health/documents/community-register/html/h1764.htm. 
  4. "RA101495, a subcutaneously administered peptide inhibitor of complement component 5 (C5) for the treatment of generalized myasthenia gravis (gMG): Phase 1 results and phase 2 design (S31. 006)". Neurology 90 (15 Supplement). April 2018. doi:10.1212/WNL.90.15_supplement.S31.006. https://n.neurology.org/content/90/15_Supplement/S31.006. Retrieved 24 June 2021. 
  5. "Zilucoplan: An Investigational Complement C5 Inhibitor for the Treatment of Acetylcholine Receptor Autoantibody-Positive Generalized Myasthenia Gravis". Expert Opinion on Investigational Drugs 30 (5): 483–493. May 2021. doi:10.1080/13543784.2021.1897567. PMID 33792453. 
  6. "Preclinical Evaluation of RA101495, a Potent Cyclic Peptide Inhibitor of C5 for the Treatment of Paroxysmal Nocturnal Hemoglobinuria". Blood 126 (23): 939. 2015. doi:10.1182/blood.V126.23.939.939. 
  7. "Novel Drug Approvals for 2023". 22 December 2023. https://www.fda.gov/drugs/new-drugs-fda-cders-new-molecular-entities-and-new-therapeutic-biological-products/novel-drug-approvals-2023. 
  8. 8.0 8.1 "Zilbrysq: Pending EC decision". 15 September 2023. https://www.ema.europa.eu/en/medicines/human/summaries-opinion/zilbrysq.  Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  9. "Zilucoplan Orphan Drug Designations and Approvals". https://www.accessdata.fda.gov/scripts/opdlisting/oopd/detailedIndex.cfm?cfgridkey=699319. 
  10. "EU/3/22/2650: Orphan designation for the treatment of myasthenia gravis". 15 September 2023. https://www.ema.europa.eu/en/medicines/human/orphan-designations/eu-3-22-2650. 
  11. "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 80". WHO Drug Information 32 (3). 2018. 

External links

  • Clinical trial number NCT04115293 for "Safety, Tolerability, and Efficacy of Zilucoplan in Subjects With Generalized Myasthenia Gravis (RAISE)" at ClinicalTrials.gov