WALTHAM -
Two post hoc analyses of microperimetry data showed positive trends with increasing effects over time, demonstrating both monthly and every-other-month (EOM) pegcetacoplan treatment preserved visual function of retinal cells near the GA lesion border compared to sham. These data were presented during an oral presentation at the
'These results provide the first direct evidence that slowing GA lesion growth has the potential to preserve visual function,' said
Lesion borders grow at approximately 100-150 microns per year1, and the analyses measured the visual function of cells within 250 microns on either side of the lesion border that are at the highest risk of permanently losing visual function as lesions expand. At 24 months, positive trends in microperimetry measures were demonstrated (all p-values nominal): Reduction of retinal sensitivity as measured by microperimetry reflects loss of function. Patients in both monthly (0.564 dB; p=0.0650) and every-other-month (EOM) (0.707 dB; p=0.0202) pegcetacoplan treatment groups lost less retinal sensitivity compared to the sham group over 24 months with increasing effects over time.
Scotomatous points measure areas of the retina that have lost all light sensitivity and therefore are no longer functioning. Patients in both monthly (-0.680 points; p=0.1444) and EOM (-1.138 points; p=0.0140) pegcetacoplan treatment groups had fewer new scotomatous points compared to sham over 24 months with increasing effects over time.
Microperimetry was a key secondary endpoint measured only in the OAKS study. Statistically significant differences on the prespecified endpoint were not observed between pegcetacoplan and sham given the large area of the retina assessed, which included areas that were farther away from the GA lesion and thus not at high risk of losing function due to GA lesion growth.
As previously reported, both monthly and EOM pegcetacoplan showed increased effects on slowing lesion growth over time, with an acceleration between months 18-24 (combined: 30% monthly; 24% EOM). Additionally, meaningful reductions in GA lesion growth were demonstrated in patients with nonsubfoveal (extrafoveal) lesions (26% monthly; 22% EOM) as well as patients with subfoveal (foveal) lesions (19% monthly; 16% EOM) in the combined studies over 24 months.
'Pegcetacoplan is the only treatment for GA to demonstrate increased effects on slowing lesion growth over time and a favorable safety profile in two large, Phase 3 studies,' said
Pegcetacoplan demonstrated a favorable safety profile, consistent with safety data to date and longer-term exposure to intravitreal injections. Over 24 months, the rates of infectious endophthalmitis and intraocular inflammation were generally in line with reported rates in studies of other intravitreal therapies.2,3,4 The combined rate of new-onset exudations at month 24 was 12.2%, 6.7%, and 3.1% in the pegcetacoplan monthly, EOM, and sham groups, respectively.
The results will be included in the marketing authorization application that the company plans to submit to the
About DERBY and OAKS
DERBY (621 patients enrolled) and OAKS (637 patients enrolled) are Phase 3, multicenter, randomized, double-masked, sham-controlled studies comparing the efficacy and safety of intravitreal pegcetacoplan with sham injections in patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD). The primary objective of the studies is to evaluate the efficacy of pegcetacoplan in patients with GA assessed by change in the total area of GA lesions from baseline as measured by fundus autofluorescence (p-value less than .05) at 12 months. Patients in DERBY and OAKS received masked treatment for 24 months. All patients who completed the DERBY or OAKS studies were invited to participate in the GALE open-label extension study. The nominal p-values presented in the month 24 results were calculated using the same methodologies as the month 12 and 18 analyses.
About Geographic Atrophy (GA)
Geographic atrophy (GA) is an advanced form of age-related macular degeneration (AMD) and a leading cause of blindness that impacts more than 5 million people worldwide, including one million people in the United States.5,6 This progressive disease can severely impair visual function, independence, and quality of life as it takes on average 2.5 years for GA lesions to encroach the fovea, which is responsible for central vision.7 GA is caused by destruction of retinal cells through irreversible lesion growth that is driven by excessive complement activation.8 C3 is the only target that can precisely control the complement cascade due to its central location. There are currently no approved treatments for GA.
About Pegcetacoplan for Geographic Atrophy (GA)
Pegcetacoplan is an investigational, targeted C3 therapy designed to regulate excessive activation of the complement cascade, part of the body's immune system, which can lead to the onset and progression of many serious diseases. Pegcetacoplan was granted Fast Track designation by the
About Apellis
Apellis Forward-Looking Statement
Statements in this press release about future expectations, plans and prospects, as well as any other statements regarding matters that are not historical facts, may constitute 'forward-looking statements' within the meaning of The Private Securities Litigation Reform Act of 1995. These statements include, but are not limited to, statements regarding timing of anticipated regulatory submissions. The words 'anticipate,' 'believe,' 'continue,' 'could,' 'estimate,' 'expect,' 'intend,' 'may,' 'plan,' 'potential,' 'predict,' 'project,' 'should,' 'target,' 'will,' 'would' and similar expressions are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including whether the results of the FILLY, DERBY and OAKS trials are sufficient to support regulatory submissions; whether a submission for approval of intravitreal pegcetacoplan for GA on the basis of the FILLY, DERBY and OAKS trials will be accepted by the FDA or foreign regulatory agencies; whether intravitreal pegcetacoplan will receive approval from the FDA or equivalent foreign regulatory agencies for GA when expected or at all and other factors discussed in the 'Risk Factors' section of Apellis' Annual Report on Form 10-K with the
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